Document
Fax 790A Collection, single unit short
ICR 202503-1220-001 · OMB 1220-0011 · Object 154063901.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Fax 790A Collection, single unit short |
| Author | PARK_E |
| Last Modified By | Writer |
| File Modified | 2025-03-04 |
| File Created | 2026-09-24 |
| Conversion State | complete |
Extracted Text
U.S. Department of Labor
Bureau of Labor Statistics
Data Collection Center
dccaddress2
dcccity2, dccst2 dcczip
Phone: dccphone Fax: faxphone
► Information We Have For Your Firm:
Con_Firm
Contact: Attn: Payroll Manager2
Con_Address
Tel: con_tel2 Ext: con_ext
Con_City, Con_State Con_Zipcode
Fax: con_fax
►Report payroll information for the pay period that includes the 12th of the month.
FAX TO: faxphone2
Reference Month/Year:
mon1 year1
1
Employee
Count
2
Women
Employee
Count
3
Payroll, Excluding Commissions
4
Commissions
5
Total Hours, Including Overtime
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
Report #: reptnum State: STC Location: REGlocation UI: ReptUI
Pay Type:
pay-type1
All Employees
Production Employees
If you need the instructions to fill out this form, please call: dccphone2.