E-3 ANNUAL SURVEY OF PUBLIC EMPLOYMENT & PAYROLL – Special D

Attachment 3
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
Worksheet

E-3

2019 ANNUAL
SURVEY OF PUBLIC EMPLOYMENT & PAYROLL
March 2019 – Special Districts and Local Agencies
OMB No. 0607-0585: Approval Expires 12/31/2020

(06-28-2018)

DUE DATE:

April 25, 2019
Need help or have
questions?

DO NOT use this worksheet to respond to the survey, it is intended to assist you
with gathering and preparing your data prior to reporting online.
Return to respond.census.gov/aspep when you are ready to report online.

• Visit
respond.census.gov/aspep
• Call
1-800-832-2839 weekdays,
8AM to 5PM ET

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WORKSHEET

Title 13, United States Code, Sections 161 and 182 authorizes the Census Bureau to conduct this collection and to request your voluntary
assistance. These data are subject to provisions of Title 13, United States Code, Section 9(b) exempting data that are customarily provided
in public records from rules of confidentiality.

We estimate this survey will take between 10 minutes to 15 hours to complete, with an average of 50 minutes, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.

1 Is the addressee title/department and mailing address the same as shown in the address label?
Mark "X" only one box.
Yes – Go to 2

No – Enter correct information below

Addressee Title or Department

ATTN:
Street 1

Street 2

City

State

Zip Code

Please continue on the next page

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This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number is 0607-0452 and
appears at the upper right of this page. Without this approval we could not conduct this survey.

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2

Does this agency currently have paid employees and/or paid officials? Mark "X" only one box.
Yes – go to 3

PART 1 – FULL-TIME EMPLOYEES STANDARD WEEKLY HOURS

3 Approximately how many hours per week do the majority of the full-time employees work?
Include
• Persons paid to work the number of hours that represents regular, full-time employment
• Temporary or seasonal employees who are working the number of hours that represents regular, full-time
employment
Exclude
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees
Mark "X" only one box.
A

40 hours

C

34 to 37.4 hours

E

30 to 31.9 hours

B

37.5 to 39.9 hours

D

32 to 33.9 hours

F

No Full-Time Employees

PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS

4 For each applicable pay period that includes March 12, 2019, what were the TOTAL number of
employees and TOTAL gross payroll amounts for both full-time and part-time employees? Please also
report the number of part-time hours paid for each applicable pay period with part-time employees.

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No – go to 5

Payroll Codes
W = Weekly;

EXAMPLE

B = Bi-Weekly;

T = Twice a Month;

M = Monthly;

Q = Quarterly;

S = Semi-Annually;

A = Annually

E

If all full-time employees are paid bi-weekly, please provide the one bi-weekly payroll that includes March 12, 2019.
A. Full-time employees and gross payroll for the pay period that includes March 12, 2019

B

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

1 5 6

2 9 5

M

9

3

2

P

L

If some part-time employees are paid bi-weekly and some part-time employees are paid monthly; please provide the data for
the bi-weekly payroll that includes March 12, 2019 for the employees paid bi-weekly and the monthly data for the month of
March for the employees paid monthly.

A

B. Part-time employees, gross payroll, and hours for the pay period that includes March 12, 2019

➥

E-3

Part-time
Number of
Payroll
Part-time Employees
Code

B
M

X

$Bil.

Gross Payroll for Part-time Employees
Mil.
Thou.
Dol.

Part-time Hours Paid

1 0 3

6 3

0

7

7

2

4

5 5

5

9

0

1 9 8 5

E

1

2 5 2

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➥

Full-time
Number of
Payroll
Full-time Employees
Code

Page 3
PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS – (Continued)

$100 annually) or paid on salary basis; by fees or commissions; on a per meeting basis; or a flat sum quarterly,
semi-annually, or annually
• Temporary or seasonal employees working the number of hours that represent full-time employment should be
reported as full-time employees
• Temporary or seasonal employees working less than the regular, full-time workweek should be reported as
part-time employees

Payroll
• Salaries, wages, fees or commissions, as well as overtime, premium, and night differential pay
• Bonuses and incentive payments that are paid at regular pay periods
• Amounts withheld for taxes, employee contributions to retirement systems, etc.
Hours
• An estimate of hours worked during the pay period for part-time employees, not compensation on an hourly basis
Exclude
Employees
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees
• School system employees and payrolls
Payroll
• Lump sum payments and the value of living quarters and subsistence allowances furnished to employees
Do not report
• Cumulative salaries since the beginning of the calendar or fiscal year
• Payroll amounts from last fiscal year
• Employer costs of non-wage employee benefits such as workers’ compensation, FICA, health insurance, etc.

W = Weekly;

B = Bi-Weekly;

T = Twice a Month;

Payroll Codes
M = Monthly;
Q = Quarterly;

S = Semi-Annually;

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Include
Employees
• Current employees in paid leave status whether paid from the general, special, or Federal grant funds
• All elected or appointed officials paid any amount of pay or stipend (even small amounts of $25 per meeting or

A = Annually

A. Full-time employees and gross payroll for the pay period that includes March 12, 2019
Full-time
Number of
Payroll
Full-time Employees
Code

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time
Number of
Payroll
Part-time Employees
Code

E-3

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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B. Part-time employees, gross payroll, and hours for the pay period that includes March 12, 2019

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PART 3 – REMARKS

5 Use this space for any explanations that may be essential in understanding the reported data.

Please continue on page 10

6 Who should be contacted to answer questions about data reported on this worksheet?
Name of contact person - Please print

Area code and phone number

Email Address - Please print

E-3

Title of contact person - Please print

Extension

Area code and fax number

Date worksheet was completed
(MM)
(DD)
(YYYY)

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PART 4 – CONTACT INFORMATION

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Include
• Any significant changes to employment or payroll occurring within the last year
• Groups of employees for which you were unable to supply information
• A note if the majority of the full-time employees work more than 40 hours per week