Public Employment & Payroll Forms

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
Website:
Survey of Governments - Employment
Email:
EWD.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7AM to 5PM ET

Welcome to the Annual Survey of Public Employment & Payroll
• The due date is April 30, 2015.
• This is the web collection system that enables public entities to respond to the U.S. Census Bureau’s Annual Survey of Public Employment & Payroll via the Internet.

Login
• User ID and Password are case sensitive.
• If you forgot your User ID and/or Password, contact us at 1-800-832-2839 weekdays, 7AM to 5PM ET.

• Please note: You will be logged out of the system after 45 minutes of inactivity. No data will be lost.

User ID:
Password:

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**Warning**
You have accessed a UNITED STATES GOVERNMENT computer. Use of this computer without authorization or for purposes for which authorization has not been
extended is a violation of Federal law and can be punished with fines or imprisonment (PUBLIC LAW 99-474). System usage may be monitored, recorded, and subject
to audit. Any information you enter into this system may be used by the Census Bureau for statistical purposes, including but not limited to improving the efficiency
of our data collection programs. For information regarding the use of this system, and how your privacy is protected, visit our online privacy webpage at
http://www.census.gov/privacy/privacy_policy/. Use of this system indicates consent to the collection, monitoring, recording, and use of information provided
inside this system.

Attachment 1

• To log in, please enter the User ID and Password indicated on your form and press the “Login” button.

Attachment 1

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-1: State Agencies
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233
You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 20 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-2: State Institutions of Higher Education
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233
You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 1 hour per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden, to:

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-3: Special Districts and Local Agencies
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 20 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-4: Municipalities, Counties, Townships
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 15 minutes to 15 hours per response, with an
average of 1 ½ hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-5: Municipalities and Townships
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 15 minutes to 15 hours per response, with an
average of 1 1/4 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-6: School Systems
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-7: Major Special Districts and Agencies
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233
You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 15 minutes to 15 hours per response, with an
average of 20 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-8: Elementary and Secondary Education
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-9: Police Protection Agencies
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-10: College and Other Postsecondary Education
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233
You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Please note that this is a national collection tool that applies to governments with wide differences in their service areas, the amount of population served, and the extent
and complexity of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1 ½ hours per response, with an
average of 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:

OMB No: 0607-0452 Approval Expires: 09/30/2015

2015 Annual
Survey of Public Employment & Payroll
E-0: Central Collection
Website: Survey of Governments - Employment
Email: Ewd.Employment.Survey@census.gov
Telephone: 1-800-642-4901 weekdays, 7am to 5pm ET

Burden Statement
The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This collection of information has
been approved by the Office of Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right corner of this
screen. Display of this number confirms that we have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction
Act, we could not request your participation in this voluntary survey. Information provided in this collection tool compiled from or customarily provided in public records
are exempt from confidential treatment as cited in Title 13, United States Code, Section 9(b).
Public reporting burden for this collection of information is estimated to vary from 1 ½ hours to 24 hours per response, with an average of 14 hours per response,
including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:

You may e-mail comments to ECON.Survey.Comments@census.gov; use “Econ Survey Comments 0607-0452” as the subject.

Attachment 1

Econ Survey Comments 0607-0452
U.S. Census Bureau
4600 Silver Hill Road
Room EMD-8K122
Washington, DC 20233