BLS 790 Series Educational Services Fax Report Form

Bureau of Labor Statistics: Report on Current Employment Statistics

U.S. Department of Labor

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 11 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.

Dear Payroll Manager:

Thank you for providing your employment data to the Current Employment Statistics (CES) program. Enclosed is your FAX Report Form. Please fill out the form only for the pay period which includes the 12^th of the month and fax it to the telephone number provided below by duedate2.

Your response to this report is kept confidential and is used to generate monthly estimates of employment levels and changes, average hourly earnings, and average weekly hours. It also contributes to other statistics including state and local unemployment rates, productivity measures, and the gross domestic product (GDP). Be sure to watch for the release of the national employment situation report on the first Friday of each month. Your data are included in this important release.

If any of the information pre-printed on this form is incorrect or if you have any questions, please contact us at dccphone2.

FAX Report to: faxphone2

			Fax your report form to:	faxphone
	Con_Firm		Not later than:	duedate
	Con_Address
	Con_City, Con_State Con_Zipcode		Address:	Data Collection Center
				dccaddress
				dcccity, dccst dcczip
			Any questions? Please call:	dccphone

Contact person, in case of questions:	Title:	Phone Number:	Fax Number:
     	title	phone	fax

INSTRUCTIONS FOR COMPLETING THIS FORM

Reference Period Complete this form monthly for the pay period that includes the 12th day of the month. If you have a weekly or biweekly pay period and the 12th falls on a Saturday, report for the period ending on the 12th. If the 12th falls on a Sunday, report for the pay period starting on the 12th. EMPLOYEE COUNT (Column 1) The total number of persons who worked or received pay for any part of the pay period that includes the 12th of the month. Include employees who worked only during the school year but received pay for the whole year.		WOMEN EMPLOYEE COUNT (Column 2) Number of employees from column 1 who are women. FACULTY MEMBER COUNT (Column 3): Enter the number of workers from Column 1 who are regular members of the faculty of this institution or school system. Regular members of the faculty are considered to be professional or “certified” employees who have a contractual arrangement (written or otherwise) for one or more years. Faculty Members include principals, teachers, superintendents, administrators, librarians, counselors, and other professional personnel.
Include: Counselors, librarians and coaches Custodial and cafeteria workers Full-time or part-time workers Other non-teaching personnel Paid members of religious orders Students employed on your payroll Teachers, administrators and trainees Workers on active duty, if receiving pay from employer Workers on paid sick or other leave Workers on paid vacation	Exclude: Outside contractors and their employees Pensioners School trustees and school board members serving without pay Volunteers Workers on active duty, if not receiving pay from employer Workers on leave without pay for the entire pay period Workers on strike the entire pay period

Bureau of Labor Statistics: Report on Current Employment Statistics – FAX Report Form					U.S. Department of Labor
Firm Name:	Con_Firm1	Contact:	 	Title:	title1	Form Approved O.M.B. No. 1220-0011

Telephone number: phone1

Fax Number:

fax1

This report’s reference month and year:

Refmonyr

Please fax report to:

faxphone3

by

duedate3

For more information, contact:

1-dccphone1 Data Collection Center    

IMPORTANT: Report columns 1-3 for the pay period that includes the 12^th of the month.

			1	2	3
Report Number	State	Worksite	Employee Count	Women Employee Count	Faculty Member Count
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation
reptnum	STC	REGlocation

If the pre-printed information on this form is incorrect, or you need help filling out this form, please contact us at dccphone3. pc#

EducFAX_Long Rev June 2007