Form 790C Web Rollover

Page 1 of 4

U .S. Department of Labor

Bureau of Labor Statistics

Data Collection Center

dccaddress

dcccity, dccst dcczip

dccphone

February 1, 2021

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. We will begin collecting your data through our web site, https://cesdata.bls.gov. You can logon to the site using the report number listed on page 2 of this form. You can use this form for keeping a record of your monthly reports, if you wish.

If you have any questions about web reporting, please call 1-800-827-2005 or send an e-mail to ceswebhelp@bls.gov.

Your company was selected 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.

Thank you in advance for your cooperation. Your assistance in producing this important information about our nation’s economy is greatly appreciated.

Sincerely,

Ron Reierson

dcccntct

Data Collection Center Manager

►

Our records show the following information for your firm:

Contact: Mr. John Smith Report Number: XXXXXXXXX

Test Mining Company Location for this report: Pullman, WA

123 Main Street UI#: 1234567890

Pullman, WA 99992 Industry Code: XXXXXX

Tel: 202-691-6526

Fax: 202-691-8623 Email: testcon@win.com

► Definitions For The Questions On The Next Page:

C olumn 1 EMPLOYEE COUNT– ALL WORKERS

Total number of persons in this pay group who worked or received pay for any part of the pay period that includes the 12^th of the month.

Include individuals working in:	Exclude individuals working in:
Assembling	Accounting or finance
Fabricating	Advertising
Janitorial activities	Cafeterias
Maintenance or repair	Collection and credit
Materials handling	Executive, professional, or technical positions
Processing	Force account construction
Product development	Legal
Recordkeeping related to production	Medical Personnel
Shipping or receiving	Product installation or servicing
Storage or warehousing	Purchasing
Trucking	Recordkeeping not related to production
	Sales and delivery

EMPLOYEE COUNT– Production workers

Number of "All Workers" defined above who are Production Workers. Production Workers include working supervisors or group leaders who may be “in charge” of some employees, but whose supervisory functions are only incidental to their regular work.

Column 2 WOMEN EMPLOYEE COUNT

Number of “All Workers” defined above who are women.

Include individuals working in:	Exclude individuals working in:
Assembling	Accounting or finance
Fabricating	Advertising
Janitorial activities	Cafeterias
Maintenance or repair	Collection and credit
Materials handling	Executive, professional, or technical positions
Processing	Force account construction
Product development	Legal
Recordkeeping related to production	Medical Personnel
Shipping or receiving	Product installation or servicing
Storage or warehousing	Purchasing
Trucking	Recordkeeping not related to production
	Sales and delivery

C olumn 3 Payroll, EXCLUDING COMMISSIONS

Total gross pay earned during the entire pay period. Report separately for All Workers and for Production Workers.

PAYROLL EXCLUDING COMMISSIONS (continued)
Report pay before employee deductions for:
Taxes	Bonds
FICA (Social Security)	Pensions
Health insurance	Unemployment insurance
Pay deferral plans such as 401K	Union dues
Include:	Exclude:
Wages and salaries Paid holidays, vacation, sick leave, and other paid leave Incentive pay Bonuses paid each pay period Overtime pay Severance, if paid over multiple pay periods	Commissions Annual pay for unused leave Awards or bonuses not paid each pay period Employer contributions to pay such as 401K Pay advances, such as vacation pay advances Payments "in kind" Retroactive or back pay Severance, if provided as one payment Travel or other work-related reimbursements

C olumn 4 Commissions

Commissions paid during the period checked in Box B on the reverse side of this form. Report separately for All Workers and for Production Workers.

• Report for the most recent complete period for which commissions are available, which might be different from the pay period that includes the 12th. Enter 0 if none paid for the period or pay group.

• Exclude base pay, drawing accounts, or basic guarantees.

C olumn 5 Hours, INCLUDING OVERTIME

Total number of hours for which employees received pay during the entire pay period. Report separately for All Workers and Production Workers.

• Include overtime; stand-by or reporting time; and hours not worked, but for which workers received pay (holidays, vacations, sick leave, etc.).

• Report hours for salaried and commission-only employees based on their standard work week.

• Do not convert overtime or other premium hours to straight-time equivalent hours.

C olumn 6 Overtime Hours

Total number of hours for which employees received overtime premiums because they worked more than their regularly scheduled hours. Report separately for All Workers and Production Workers.

• Include Saturday, Sunday, 6^th day, 7^th day, and holiday hours.

• Exclude shift differential, hazard, incentive, or similar premiums.

Report Number: XXXXXXXXX Name of Firm: Test Mining Company

Each month report your payroll information for the pay period that includes the 12^th of the month. For questions refer to page 2 for the Column definitions or call the Help Desk at 1-800-827-2005.

Employees receive pay:		Column 1	Column 2	Column 3	Column 4	Column 5	Column 6
Pay Group 1: Weekly Pay Group 2: Weekly Commissions Pay Group 1: Weekly Commissions Group 2: Weekly		EMPLOYEE COUNT	WOMEN EMPLOYEE COUNT	PAYROLL, EXCLUDING COMMISSIONS (Whole dollars)	COMMISSIONS, PAID AT LEAST ONCE A MONTH (Whole dollars)	HOURS, INCLUDING OVERTIME (Whole hours)	OVERTIME HOURS (Whole hours)
Pay period that includes August 12th 2009	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
September 12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
October 12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
November12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
December12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
January 12th 2010	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
February12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
March12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
April 12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
May 12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
June 12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$
July 12th	All Workers			$	$
	Production Workers		N/A. Data not collected	$	$

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/.

If you have any questions about reporting or the CES program, please call us at 1-800-827-2005.

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. Please note this report is mandatory in North Carolina, under Section 96-4(g) (l) of the North Carolina Employment Security Law; in Oregon, under the Oregon Revised Statute 657.660; in Washington, under the Revised Code of Washington sections 50.12.010, 50.12.070, and 50.12.180; and in South Carolina, under Section 41-29-120 of the Code of Laws of South Carolina (for firms employing more than twenty individuals). Form Approved OMB No. 1220-0011. 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.

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