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Appendix F. List of Questionnaires and Record Books, with Selected Facsimiles

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Appendix F. List of Questionnaires and Record Books, with Selected Facsimiles Appendix F. List of Questionnaires and Record Books, With Selected Facsimiles Page Page General Forms Census of Construction Industries NC-9901 Report of Organization ---------------------- 2 CC-1509 Building Construction—General NC-9926 Classification Report ------------------------ 5 Contractors and Operative Builders ----------------102 NC-9923 General Schedule --------------------------- 6 CC-1609 Heavy Construction Other Than Building Census of Retail Trade Construction—Contractors --------------------------106 CB-5202 Paint, Glass, Wallpaper --------------------- 8 CC-1729 Painting and Paper Hanging Special Trade Contractors ----------------------------------- 110 CB-5302 General Merchandise------------------------ 11 Census of Manufactures CB-5400 Food ------------------------------------------ 15 MA-1000(L) 1992 Annual Survey of Manufactures--- 114 CB-5504 Gasoline Service Stations------------------- 19 MC-2002 Meat Processing Plants--------------------- 118 Census of Wholesale Trade MC-2004 Dairy Products-------------------------------127 CB-5001 Short Form ----------------------------------- 23 Census of Mineral Industries CB-5012 Motor Vehicles ------------------------------- 25 MC-1001 Iron, Ferroalloy, Uranium, and CB-5013 Motor Vehicles Parts and Supplies --------- 29 Miscellaneous Metal Ores --------------------------138 CB-5099 Miscellaneous Durable Goods -------------- 33 MC-1301 Oil and Gas Field Operations --------------146 Census of Service Industries MC-1401 Stone, Sand, and Gravel -------------------153 CB-7001 Hotels and Motels --------------------------- 37 Census of Outlying Areas CB-7002 Miscellaneous Lodging Places-------------- 40 OA-9820 Puerto Rico ----------------------------------161 OA-9873 Virgin Islands of the United States ---------179 CB-7201 Laundry, Cleaning, and Related Services-- 43 OA-9863 Guam-----------------------------------------183 CB-7307 Computer and Data Processing Services -- 46 OA-9883 Northern Mariana Islands -------------------187 CB-7802 Motion Picture Theaters --------------------- 50 OA-9851 Record Book (The Virgin Islands of the CB-7903 Miscellaneous Amusement and Recreation United States, Guam, and the Northern Mariana Services---------------------------------------------- 52 Islands -----------------------------------------------190 CB-8001 Offices and Clinics of Physicians and OA-9852 Listing Sheet ---------------------------------191 Other Health Providers (Except Dentists)---------- 55 Survey of Minority-Owned Business Enterprises CB-8702 Accounting, Auditing, and Bookkeeping MB-1 Survey of Business Owners and Services---------------------------------------------- 58 Self-Employed Persons -----------------------------192 Transportation Surveys MB-2 Survey of Business Owners --------------------196 TC-9502 Truck Inventory and Use Survey------------ 61 MB-3 Survey of Business Owners --------------------199 CFS-1000 Commodity Flow Survey------------------- 72 Survey of Women-Owned Businesses Census of Transportation, Communications, and WB-1 Survey of Corporate Ownership----------------202 Utilities Enterprise Statistics CB-4100 Highway Passenger Transportation -------- 79 ES-9100 Enterprise Summary Report ----------------205 CB-4701 Arrangement of Passenger Transportation- 82 ES-9200 Auxiliary Establishment Report--------------212 CB-4801 Telephone and Telegraph Characteristics of Business Owners Survey Communications------------------------------------- 85 CBO-1 Characteristics of Business Owners Survey Census of Financial, Insurance, and Real Estate (Sole Proprietorship) --------------------------------218 Industries CBO-2 Characteristics of Business Owners Survey CB-6000 Depository and Related Institutions -------- 88 (Partnership or Subchapter S Corporation) CB-6200 Security and Commodity Brokers and Business Characteristics ----------------------------230 Services---------------------------------------------- 92 CBO-3 Characteristics of Business Owners Survey CB-6400 Insurance Agents, Brokers, and Services -- 95 (Partnership or Subchapter S Corporation) Owner CB-6503 Miscellaneous Real Estate ------------------ 98 Characteristics ---------------------------------------241 Note: The facsimiles of the questionnaires illustrated in this appendix are examples of those used in the 1992 Economic Census. HISTORY—1992 ECONOMIC CENSUS APPENDIX F F-1 F–2 APPENDIX F HISTORY–1992 ECONOMIC CENSUS HISTORY–1992 ECONOMIC CENSUS APPENDIX F F–3 F–4 APPENDIX F HISTORY–1992 ECONOMIC CENSUS T MEN OF C RT O A M P M E E D R . U.S. DEPARTMENT OF COMMERCE C S . E 1992 ECONOMIC CENSUSES CLASSIFICATION REPORT U BUREAU OF THE CENSUS B FORM U S R U S E N AU E OF THE C NC-9926 OMB No. 0607-0742: Approval Expires 06/30/94 © DUE DATE: 30 DAYS AFTER RECEIPT If you have questions about completing this report, please call or write the Census Bureau. In any communication, be sure to refer to the 11-digit Census File Number (CFN) printed in the label to the right. Return your completed form to: BUREAU OF THE CENSUS 1201 East 10th Street Jeffersonville, IN 47134-0001 Census use only (Please correct any error in name, address, and ZIP Code) YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations that receive this questionnaire to answer the questions and return the report to the Census Bureau. By the same law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by Census Bureau employees and may be used only for statistical purposes. Further, copies retained © in respondents’ files are immune from legal process. Item 1 – EMPLOYER IDENTIFICATION NUMBER Is the Employer Identification (EI) Number shown in the label the SAME as the one used for this establishment on its latest 1992 Employer’s Quarterly Federal Tax Return, Treasury Form 941? 094 1 Yes 2 No – Report current – EI number (9 digits) - Item 2 – PHYSICAL LOCATION OF ESTABLISHMENT – b. Is this establishment physically located inside the Answer items a, b, c, and d legal boundaries of the city, town, village, etc.? NOTE – P.O. Boxes or rural routes are not physical locations. 095 1 Yes 2 No 3 No legal 4 Don’t a. 1 Same as shown in mailing label, if different, indicate change. boundaries know c. Type of municipality where physically located Number and street 096 1 City, village, 2 Town or 3 Other or or borough township don’t know d. Name of county where physically located City, town, village, etc. State ZIP Code Item 3 – BUSINESS OR ACTIVITY a. Mark (X) the ONE box which BEST describes your major type of activity during the past year. 070 1 MANUFACTURING 2 OTHER – Specify activity b. Mark (X) the ONE box which BEST describes your specific business or activity. Item 4 – CERTIFICATION – This report is substantially accurate and has been prepared in accordance with instructions. Name of person to contact regarding this report – Print or type Area code Number Extension Telephone Signature of authorized person Date PENALTY FOR FAILURE TO REPORT HISTORY–1992 ECONOMIC CENSUS APPENDIX F F–5 T MEN OF C RT O A M U. S. DEPARTMENT OF COMMERCE P M E E D R . C BUREAU OF THE CENSUS 1992 ECONOMIC CENSUSES S . E U FORM B U S R U E S GENERAL SCHEDULE N AU E OF THE C NC-9923 OMB No. 0607-0740: Approval Expires 06/30/94 © DUE DATE: 30 DAYS AFTER RECEIPT If you have any questions about completing this report, please call or NC-9923 write the Census Bureau. In any communication, be sure to refer to the 11-digit Census File Number (CFN) printed in the label to the right. Return your completed form to: BUREAU OF THE CENSUS 1201 East 10th Street Jeffersonville, IN 47134-0001 Census use only (Please correct any error in name, address, and ZIP Code) YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations that receive this questionnaire to answer the questions and return the report to the Census Bureau. By the same law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by Census Bureau employees and may be used only for statistical purposes. Further, © copies retained in respondents’ files are immune from legal process. Item 1 – EMPLOYER IDENTIFICATION NUMBER WHOLESALE TRADE (W) Is the Employer Identification (EI) Number shown in the label the SAME as that used for this establishment on its latest 1992 Employer’s Principal Commodity Sold – Specify Quarterly Federal Tax Return, Treasury Form 941? 094 1 Yes 2 No – Enter current (9 digits) EI Number - Item 2 – PHYSICAL LOCATION OF ESTABLISHMENT Agent or broker Answer items a, b, c, and d Merchant NOTE: P.O. boxes or rural routes are not physical locations. Other type of wholesaler – Specify a. 1 Same as shown in mailing label. If different, indicate change. Number and Street (Specify source of receipts in ITEM 4) MANUFACTURING (M) City, Town, Village, etc. State ZIP Code Publishing, or Publishing and Printing – Specify b. Is this establishment physically located inside the legal boundaries of the city, town, village, etc? (Specify source of receipts in ITEM 4) 095 1 Yes 3 No legal boundaries 275200 4 Commercial printing, lithographic 2 No 4 Don’t know Other commercial printing – Specify c. Type of municipality where physically located 096 1 City, village, or borough 3 Other or don’t know (Specify source of receipts in ITEM 4) 2 Town or Township d. Name of county where physically located 241100 7 Logging camps and logging contractors 359900 8 Machine shop, jobbing and repair Item 3 – BUSINESS OR ACTIVITY Other manufacturing – Specify Mark (X) the ONE box which best describes the PRINCIPAL activity of this establishment
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