Current Employment Statistics Report Form-Revised

790Crev.doc

Report on Current Employment Statistics

Current Employment Statistics Report Form-Revised

OMB: 1220-0011

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1220-0011 can be found here:

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Current Employment Statistics Report Form — Manufacturing

U.S. Department of Labor

START HERE for Report Number reptnum

What and who to count: See reverse side of this form.
Same pay schedule for all employees? Enter the information requested in Pay Group 1 below.

 Different pay schedules for some employees—for example, weekly pay for some and monthly for others? Enter the information for one group in Pay Group 1 on this page and for the second group in Pay Group 2 on the next page.

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:  

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

ALL EMPLOYEES IN PAY GROUP 1
A. Employees receive pay: (check one) ……  Each week  Every 2 weeks  Twice a month  Once a month
B. Do employees receive commissions? ……  Yes  No (IF YES) Employees receive commissions: (check one)  Each week  Every 2 weeks  Twice a month  Once a month If you checked one of the boxes above, report commissions in Column 4 for the most recent complete period available.  Less often than once a month. Enter 0 in Column 4 but include in Gross Monthly Earnings (Column 8) when paid. (IF NO) Enter 0 in Column 4.
C. Report columns 1-7 for the pay period that includes the 12th of the month																Report columns 8-9 for the entire previous month
		1			2	3			4	5			6	7		8		9
Month		Employee Count			Women Employee Count	Payroll, Excluding Commissions (Whole dollars)			Commissions Paid at Least Monthly (Whole dollars)	Hours, Including Overtime (Whole hours)			Overtime Hours (Whole hours)	Reason for Large Changes (D1-D2 below)		Gross Monthly Earnings, previous calendar month (All workers)		Reason for Large Changes (D1-D3 below)
All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
All Workers All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
All Workers						$			$							You no longer need to report Gross Monthly Earnings $
Production Workers						$			$
D. Reason for Large Changes: To explain changes of 25% or more, enter numbers from the list below in columns 7 and 9. You may enter one or two numbers into each column.
D1. Changes in Employment (Columns 7 and 9)							D2. Changes in Pay and Hours (Columns 7 and 9)								D3. Changes in Gross Monthly Earnings (Column 9 ONLY)
01	Seasonal increase		08	Strike			20	Wage rate decrease			40	Shorter scheduled workweek			28		Stock options exercised and distributed
02	Seasonal decrease		12	Internal reorganization-decrease			21	Wage rate increase			41	Longer scheduled workweek			29		Severance pay distributed
03	More business/expansion		13	Internal reorganization-increase			25	Higher hourly earnings for			46	Workers on unpaid vacation			30		Change in number of pay periods
04	Less business/contraction		19	Employment returns to normal				piecework or incentive pay			50	Bad weather			31		Bonuses, executive pay, or profit
05	Short-term project starting		09	Temporary shutdown			26	Less overtime pay			55	Return to normal following					distributions
06	Short-term project ending		86	Permanent shutdown			27	More overtime pay				bad weather			93		Quarterly or annual commissions paid
07	Layoff		37	Other reason			32	More/fewer commissions paid			38	Other reason, pay or hours			95		Other reason

U .S. Department of Labor    
Bureau of Labor Statistics Report on Current Employment Statistics Manufacturing

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.

Attn: Payroll Manager

Con_Firm

Con_Address

Con_City, Con_State Con_Zipcode

Need help with this form?

Call 1-dccphone3

Your Report Number: reptnum3

Data Collection Center

 

Instructions for Completing this Form

Reference Period

Complete this form monthly for the pay period checked in Box A 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 period starting on the 12^th.

PAY GROUP

See reverse side of this form. If your business has more than two pay groups, call the help number shown above for assistance.

EMPLOYEE COUNT (Column 1) – 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:		Exclude:
	 Executives and their staff		 Outside contractors and their employees
	 Full-time and part-time workers		 Pensioners
	 Salaried officials of corporations		 Proprietors, owners, or partners of
	 Trainees		unincorporated firms
	 Workers on active duty, if		 Workers on active duty, if not receiving
	receiving pay from employer		pay from employer
	 Workers on paid sick leave		 Workers on leave without pay for entire
	 Workers on paid vacation		pay period
	 Workers on other paid leave		 Workers on strike for entire pay period
			 Unpaid family members

EMPLOYEE COUNT (Column 1) – 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.


	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	 Medical
	to production	 Personnel
	 Shipping or receiving	 Product installation or servicing
	 Storage or warehousing	 Purchasing
	 Trucking	 Recordkeeping not related to production
		 Sales and delivery

WOMEN EMPLOYEE COUNT (Column 2)

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

Payroll, excluding commissions (Column 3)

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

	Report pay before employee deductions for:
	 Taxes	 Bonds
	 FICA (Social Security)	 Pensions
	 Health insurance	 Unemployment insurance
	 Pay deferral plans such as 401K	 Union dues
		(Continued)

Payroll, excluding commissions (Column 3)

	Include:	Exclude:
	 Wages and salaries	 Commissions
	 Paid holidays, vacation, sick leave, and other paid leave	 Annual pay for unused leave  Awards or bonuses not paid each pay period
	 Incentive pay	 Employer contributions to pay such as 401K
	 Bonuses paid each pay period	 Pay advances, such as vacation pay
	 Overtime pay	advances
	 Severance, if paid over multiple	 Payments "in kind"
	pay periods	 Retroactive or back pay
		 Severance, if provided as one payment
		 Travel or other work-related reimbursements

Commissions (Column 4)

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

Hours, INCLUDING OVERTIME (Column 5)

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.

Overtime Hours (Column 6)

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.

REASON FOR LARGE CHANGES (Column 7)

If employment, payroll, or hours changed by 25% or more, enter one or two numbers from D1 or D2 at the bottom of the reverse side of this form to explain the change. Otherwise leave Column 7 blank.

Gross Monthly Earnings (Column 8)

Total gross wages paid during the entire previous calendar month, before deductions. Report for All Workers.

	Include:	Exclude:
	 Earnings from all pay distributed during the previous month, such as:	 Employer contributions to: - 401K or pension plans
	- Payroll	- Medical insurance accounts
	- Commissions	- Health insurance accounts
	- Bonuses or awards	 Reimbursements for:
	- Incentive pay	- Travel expenses
	- Severance pay	- Work related expenses
	- Stock options exercised	- Tuition

REASON FOR LARGE CHANGES, GROSS MONTHLY EARNINGS (Column 9)

If Gross Monthly Earnings changed by 25% or more, enter one or two numbers from D1, D2, or D3 at the bottom of the reverse side of this form to explain the change. Otherwise leave Column 9 blank.

Current Employment Statistics Report Form — Manufacturing

U.S. Department of Labor

Report Number reptnum4

this page is for PAY GROUP 2

● Use the other page (All Employees in Pay Group 1) if all employees are paid at the same time.

● Use this page only if employees are paid on different schedules—for example, weekly for some and monthly for others. Enter the information for one pay schedule on the previous page (Pay Group 1). This page is for the second group.

● More than two pay groups? Call the number “For More Information” at the right, or the Help number on the reverse side of this form.

This form requests information for:

Primary Name

address

city, state zipcode

Location: location

Industry: naics 

UI:  /     

 

Your report # reptnum5

For more information:

1-  Data Collection Center

ALL EMPLOYEES IN PAY GROUP 2

A. Employees receive pay: (check one) ……  Each week  Every 2 weeks  Twice a month  Once a month

B. Do employees receive commissions? ……  Yes  No

(IF YES) Employees receive commissions: (check one)  Each week  Every 2 weeks  Twice a month  Once a month

If you checked one of the boxes above, report commissions in Column 4 for the most recent complete period available.

 Less often than once a month. Enter 0 in Column 4 but include in Gross Monthly Earnings (Column 8) when paid.

(IF NO) Enter 0 in Column 4.

C. Report columns 1-7 for the pay period that includes the 12th of the month

Report columns 8-9 for the

entire previous calendar month

Month

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)

Reason

for Large Changes

(D1-D2 below)

Gross Monthly Earnings, previous calendar month

(All workers)

Reason

for Large Changes

(D1-D3 below)

   

All Workers

 

$  

 

   

You no longer need to report Gross Monthly Earnings

 

Production Workers

 

$  

 

All Workers