Form BLS 790G BLS 790G Current Employment Statistics Report Form 790G

U.S. Department of Labor

Bureau of Labor Statistics Report on Current Employment Statistics - Public Administration

Data Collection Center

     

     

     

START HERE for Report Number reptnum

About YOU: If this information is not correct, please tell the data specialist.

Your name: Title: Phone: Ext: Fax: E-mail:	Attn: Payroll Manager		Title:	     
Phone:      		Ext:      	Fax:      
E-mail:      

Form Approved

O.M.B. No. 1220-0011

This form requests information for:

Primary Name

address

city, state zipcode

Location: location

Industry: naics 

UI:  /           

     

      Your report # reptnum2

For more information:

1-      Data Collection Center    

Attn: Payroll Manager

Con_Firm

Con_Address

Con_City, Con_State Con_Zipcode

Report columns 1-3 for the pay period that includes the 12th of the month. Please see detailed instructions below.

	1	2	3
Month      	Employee Count	Women Employee Count	Reason for Large Changes (Codes below)
           	     	     	  
           
           
           
           
           
           

Reference Period

Complete this form monthly for the pay period that includes the 12^th day of the month. If you have a weekly or biweekly pay period and the 12^th falls on a Saturday, report for the period ending on the 12^th. If the 12^th falls on a Sunday, report for the pay period starting on the 12^th.

employee count (column 1)

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

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

WOMEN EMPLOYEE COUNT (column 2)

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

REASON FOR LARGE CHANGES (Column 3)

If employment changed by 25% or more, enter one or two numbers from the list at the bottom of the page to explain the change. Otherwise leave Column 3 blank.

Changes in Employment
01	Seasonal increase	08	Strike
02	Seasonal decrease	12	Internal reorganization-decrease
03	More business/expansion	13	Internal reorganization-increase
04	Less business/contraction	19	Employment returns to normal
05	Short-term project starting	09	Temporary shutdown
06	Short-term project ending	86	Permanent shutdown
07	Layoff	37	Other reason

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 6 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.

BLS 790G Rev July 2006