U.S. Department of Labor Bureau of Labor Statistics Data Collection Center dccaddress dcccity, dccst dcczip Phone: dccphone

March 28, 2018

Attn: Payroll Manager

Con_Firm

Con_Address

Con_City, Con_State Con_Zipcode

Dear Payroll Manager:

Thank you for your willingness to continue participating in the CES survey. You can use this form for keeping a record of your monthly reports, if you wish.

Your company was selected as a part of a scientific sample of businesses throughout the United States. The BLS will use the information you provide for statistical purposes only and will hold the information in confidence to the full extent permitted by law. In accordance with the Confidential Information Protection and Statistical Efficiency Act (Title 5 of Public Law 107-347), the information you provide to the BLS will not be disclosed in identifiable form without your informed consent.

The Data Collection Specialist assigned to your business:	username
Telephone number:	userphone

Your assistance in producing this important information about our nation’s economy is greatly appreciated.

Sincerely,

signature

dcccntct

Data Collection Center Manager

► Some Definitions For The Questions On The Next Page That May Be Helpful.

column 1 employee count

Enter the total number of persons who worked or received pay for any part of the pay period including the 12th of the month.

Include:	Exclude:
Elected or appointed officials Full-time or part-time employees Trainees Employees on paid vacation Employees on paid sick leave Employees on other paid leave Employees on active duty, if receiving pay from employer	Institution inmates Outside contractors and their employees Pensioners Employees on active duty, if not receiving pay from employer Employees on leave without pay the entire pay period Employees on strike the entire pay period Employees of State and Local school systems

column 2 WOMEN EMPLOYEE COUNT

Enter the number of employees in column 1 who are women.

MP MF INT

Contact: Attn: Payroll Manager2	Report Number: reptnum2
Primary Name	Location: location
address	UI Number:
city, state zipcode	Industry Code:
Tel: Ext: con_ext
Fax: con_fax	Email: email_addr

► Information We Have For Your Firm:

Report Number: reptnum	Name of Firm: Primary Name

Each month report your payroll information for the pay period that includes the 12th of the month. For questions refer to page 2 for the Column definitions or Col_Def_Ref.

Column 1	Column 2
EMPLOYEE COUNT	WOMEN EMPLOYEE COUNT
Pay period that includes mon1 12th year1
mon2 12th year2
mon3 12th year3
mon4 12th year4
mon5 12th year5
mon6 12th year6
mon7 12th year7
mon8 12th year8
mon9 12th year9
mon10 12th year10
mon11 12th year11
mon12 12th year12

Thank you for your help! The Bureau of Labor Statistics (BLS) will use the information you provide in determining the nation’s job count as part of the Current Employment Statistics (CES) program.

The CES is the nation’s monthly indicator of employment trends. This monthly report of the nation’s employment is depended on by the Federal Reserve, government agencies, banks, and others to assess the nation’s economy and to help you make decisions about your operations.

On the first Friday of every month major media outlets across the country publish the nation’s job count. BLS is responsible for compiling these statistics from information gathered from thousands of firms like yours. This statistic, along with other leading economic indicators produced by BLS provides businesses with information critical in planning for growth and success.

You can find data from the Current Employment Statistics program, along with information from other BLS programs, on our web site, http://www.bls.gov/.

Our Frequently Asked Questions page is located at:

http://www.bls.gov/respondents/ces/home.htm.

Your assistance in maintaining the quality of our nation’s economic data is greatly appreciated.

This report is authorized by law 29 U.S.C.2. We request your cooperation to make the results of this survey comprehensive, accurate, and timely. The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the information you provide for statistical purposes only and will hold the information in confidence to the full extent permitted by law. In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. Per the Federal Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data.

Please note this report is mandatory in Oregon, under the Oregon Revised Statute 657.660; in South Carolina, under Section 41-29-120 of the Code of Laws of South Carolina (for firms employing more than twenty individuals); and in Puerto Rico, under State Law 15, Sections 5, 6 and 15, amended and approved on April 14, 1931.

We estimate that it will take an average of 10 minutes to complete this form each month including time to review instructions, search existing data sources, gather and maintain the necessary data, and complete and review this information. If you have any comments regarding these estimates or any other aspects of this survey, send them to the Bureau of Labor Statistics, Division of Current Employment Statistics (1220-0011), 2 Massachusetts Avenue, NE, Washington, DC 20212. You are not required to respond to the collection of information unless it displays a currently valid OMB control number. Form Approved OMB No. 1220-0011.