IA-98183 2007 Economic Census Northern Mariana Islands

2007 Census of the Island Areas covering Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa

Attachment C IA98183_100306

Report Forms and Instructions

OMB: 0607-0937

Document [pdf]
Download: pdf | pdf
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU
FORM

IA-98183

2007 ECONOMIC CENSUS
Northern Mariana Islands

OMB No. : Approval Expires

(DRAFT)

DUE DATE
FEBRUARY 12, 2008
IA-98183

Mail your completed form to:
U.S. CENSUS BUREAU
ATTENTION: Island Areas
1201 East 10th Street
Jeffersonville, IN 47134-0001
Please read the accompanying
information sheet(s) before
answering the questions.
Need help or have questions
about filling out this form?
Visit www.census.gov/econhelp
- OR Write to the address above.
Include your 11-digit Census File
Number (CFN) printed in the
mailing address.

(Please correct any errors in this mailing address.)

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 U.S. Census Bureau. By the same
law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality
of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents'
files are immune from legal process.
• Use blue or black ink.
• Please center numbers in their respective boxes. Examples:
• Do not use pencil.
• Do not put slashes through 0 or 7.
0 1 2 3 4 5 6 7 8 9
• Place an "X" inside the box.
The reporting unit for this form is an establishment. An establishment is generally a single physical location where
business is conducted or where services or industrial operations are performed or a permanent office, payroll office, or other
place where business activities related to construction are conducted. For further clarification, see information sheet(s).
EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) shown in the mailing address the same as the one used for this
establishment on its latest 2007 Internal Revenue Service Form 941-SS, Employer's Quarterly Federal Tax Return?
0021

2

Yes - Go to

2

No - Enter current EIN (9 digits)

0022

-

0025

PHYSICAL LOCATION
A. Is this establishment's physical location the same as shown in the mailing address?
(P.O. box and rural route addresses are not physical locations.)
0031

Yes

0032

No - Enter physical
location

0035

Number and street or location description

0036

City, town, village, etc.

0037

State, other

0038

ZIP Code

-

B. Village where this establishment is physically located
0049

C. Island where this establishment is physically located
0033

PENALTY FOR FAILURE TO REPORT

USCENSUSBUREAU

CONTINUE ON PAGE 2

98183015

1

Form IA-98183
3

Page 2

(DRAFT)

OPERATIONAL STATUS
Which ONE of the following best describes this establishment's operational status at the end of 2007?
(Mark "X" only ONE box.)
0011

In operation

0014

Ceased operation - Give date at right

0015

0013

Temporarily or seasonally inactive
Month

Sold or leased to another operator - Give
date at right AND enter name and address
of new owner or operator and Employer
Identification Number (EIN) below
0060

Day

Year

0018

Name of new owner or operator

0061

EIN (9 digits)

0062

0063

Mailing address (Number and street, P.O. Box, etc.)

City, town, village, etc.

0064

State, other

0065

ZIP Code

0016

Mark "X" 2007
if None Number

MONTHS IN OPERATION
Number of months in operation during 2007 (If none, mark "X" and go to 30 .) . . . . . . . . . . . .
HOW TO
REPORT
DOLLAR
FIGURES

5

Mark "X"
if None

Dollar figures should be rounded to
thousands of dollars.
If a figure is $1,025,628.79:

Report

If a value is "0" (or less than $500.00):

Report

$ Mil.

SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Sales of merchandise, operating receipts, and/or revenue (Exclude sales taxes or
other taxes collected.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2007
Thou.

Dol.

1 0 2 6

Mark "X"
if None

6

0002

$ Mil.

2007
Thou.

Dol.

0100

E-COMMERCE SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. Were any of the sales, receipts, and/or revenue reported in 5 a result of e-commerce transactions? (Transactions are
agreements between buyers and sellers to transfer ownership of, or rights to use, goods or services. Payment for
these goods or services may or may not be made online. Please see the information sheet(s) for further clarification.)
E-commerce transactions include:
• Electronic Data Interchange (EDI)
• E-mail
• Internet
0181

Yes - Go to line B

0182

No - Go to

• Extranet
• Other online systems

2007
Whole percent
of sales and
receipts

7

B. Percent of total sales, receipts, and/or revenue reported in 5 that are a result of e-commerce
transactions. (Exclude sales taxes. Report whole percents. Estimates are acceptable.) . . . . . . .

0109

%

CONTINUE ON PAGE 3

98183023

4

0815

Other - Specify

Form IA-98183

Page 3

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
7

EMPLOYMENT AND PAYROLL
Include:
• Full- and part-time employees working at this establishment whose payroll was reported on Internal
Revenue Service Form 941-SS, Employer's Quarterly Federal Tax Return, and filed under the
Employer Identification Number (EIN) shown in the mailing address or corrected in 1 .
• Non-residential employees working at this establishment, whether or not FICA taxes were withheld.
For further clarification, see information sheet(s).
Mark "X"
if None

A. Number of paid employees for pay period including March 12, 2007
1. For whom FICA taxes were withheld . . . . . . . . . . . . . . . . . . . . . .

0254

2. For whom FICA taxes were NOT withheld . . . . . . . . . . . . . . . . . . .

0274

3. TOTAL

0320

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mark "X"
if None

B. Payroll before deductions (Exclude employer's cost for fringe benefits.)
1. Annual payroll for 2007

. . . . . . . . . . . . . . . . . . . . . . . . .

0300

2. First quarter payroll (January-March, 2007) . . . . . . . . . . . . . . . .

0310

C. Employer's cost for fringe benefits (Include Social Security, Medicare, medical
insurance, etc. Please see information sheet(s) for further clarification.) . . . .

0220

8

Not Applicable.

9

INVENTORIES

2007
Number

2007
Thou.

Dol.

End of 2006
$ Mil.
Thou.

Dol.

End of 2006
$ Mil.
Thou.

Dol.

$ Mil.

A. Did this establishment own inventory, regardless of where held, at the end of 2007 and/or 2006?
0486

Yes - Go to line B

0487

No - Go to 16

B. Total Inventories
(Report the total value of inventories the
establishment owned.) . . . . . . . . .

Mark "X"
if None

End of 2007
$ Mil.
Thou.

Mark "X"
if None

Dol.
0470

0460

0388

Yes - Complete lines 1 through 3. Total should equal the amounts reported in line B.

0389

No - Go to 16
Mark "X"
if None

End of 2007
$ Mil.
Thou.

Mark "X"
if None

Dol.

1. Finished goods . . . . . . . . . . .

0461

0471

2. Work-in-process

. . . . . . . . . .

0463

0473

3. Materials, supplies, fuels, etc. . . . .

0462

0472

10 – 15 Not Applicable.

CONTINUE ON PAGE 4

98183031

C. Did this establishment have inventories by stage of fabrication at the end of 2007 and/or 2006?

Form IA-98183

Page 4

(DRAFT)

16 SELECTED EXPENSES
Mark "X"
if None

A. Operating expenses (Include payroll. Exclude cost of goods sold and interest.)

0136

B. Net purchases of merchandise for resale. (Include amounts allowed for tradeins. Exclude returns, allowances, and trade/cash discounts.) . . . . . . . . . .

0137

$ Mil.

2007
Thou.

Dol.

17 and 18 Not Applicable.
19 KIND OF BUSINESS
Which ONE of the following best describes this establishment's principal kind of business in 2007?
(Mark "X" only ONE box.)
Health care and social assistance
0700

621 110 00 1

Office of physician (M.D. or D.O.)

621 210 00 2

Office of dentist

621 310 00 2

Office of chiropractor

621 320 00 3

Office of optometrist

621 390 00 1

Offices of all other health practitioners

621 410 00 3

Family planning centers

621 420 00 6

Outpatient mental health and substance abuse center

621 610 00 6

Home health care service

621 910 00 3

Ambulance services

623 310 00 1

Residential care facilities for the elderly

624 110 00 C

Social assistance service for children and youth

624 120 00 C

Social assistance service for the elderly and disabled

624 410 00 7

Child day care service

772 000 00 B

Other health care and social assistance - Specify

0701

811 110 00 1

General automotive repair shop

811 120 00 1

Automotive body, paint, interior, and glass repair

811 190 00 1

Carwash, oil change, lubrication, or other automotive services and maintenance

811 210 00 1

Electronic repair and maintenance

811 310 00 1

Commercial or industrial equipment repair and maintenance

811 410 00 1

Appliance repair and maintenance

CONTINUE WITH

19

ON PAGE 5

CONTINUE ON PAGE 5

98183049

Repair and maintenance services

Form IA-98183

Page 5

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 KIND OF BUSINESS - Continued
Repair and maintenance services - Continued
0700

811 420 00 3

Reupholstery and furniture repair

772 000 00 8

Other maintenance and repair services - Specify

0701

Accommodations
721 110 00 7

Hotel (except with casino) or motel

721 120 00 2

Hotel with casino

772 000 00 4

Other traveler accommodation - Specify

0701

Food services
722 110 00 4

Full-service restaurant

722 210 00 1

Refreshment place, limited service restaurant or fast food restaurant

722 410 00 9

Bar, tavern, pub, or other drinking place (alcoholic beverages)

722 320 00 3

Caterer for banquets, weddings, conferences, seminars, etc.

772 000 00 2

Other food service - Specify

0701

Information, professional, business, educational and personal services
Newspaper publishers, except Internet publishers

511 120 00 2

Periodical publishers and shopping news publishers, except Internet publishers

516 110 00 1

Internet publishers, including newspapers, books, periodicals, greeting cards, databases, etc.

511 190 00 6

Other publishers, except Internet publishers

512 130 00 1

Motion picture theaters

532 230 00 4

Video tape rental

541 110 00 3

Offices of lawyers

541 190 00 1

All other legal services

541 211 00 6

Accounting, tax preparation, bookkeeping, and payroll services

541 310 00 1

Architectural services, excluding landscape

561 730 00 3

Landscaping services, including interior plant maintenance

541 330 00 E

Engineering services

541 430 00 1

Graphic design services
CONTINUE WITH

19

98183056

511 110 00 1

ON PAGE 6
CONTINUE ON PAGE 6

Form IA-98183

Page 6

(DRAFT)

19 KIND OF BUSINESS - Continued
Information, professional, business, educational and personal services - Continued
0700

541 610 00 1

Management consulting service

541 810 00 3

Advertising agencies

561 310 00 4

Employment placement agencies

561 320 00 6

Temporary staffing

561 720 00 1

Janitorial services

561 740 00 1

Rug, carpet, and upholstery cleaning services

611 620 00 1

Sports and recreation instruction services

713 120 00 1

Arcades and family fun centers

713 910 00 3

Golf courses

713 940 00 1

Fitness center, gymnasium, or athletic club

812 190 00 1

Diet or weight reducing services

812 110 00 1

Beauty shop, barber shop, facial, or nail salon

315 210 00 3

Custom sewing shop

812 310 00 1

Coin-operated laundry

812 320 00 1

Drycleaning and laundry services

541 920 00 1

Photographic studio, portrait

812 920 00 1

Photofinishing, including one-hour

812 210 00 1

Funeral home

813 410 00 1

Civic, social, or fraternal organizations

772 000 00 5

Other information, professional, business, educational and personal services - Specify

0701

484 110 00 1

General freight trucking

484 210 00 1

Used household and office goods moving

485 310 00 5

Taxi service

485 990 00 2

Other transit and ground passenger transportation

561 510 00 1

Travel agencies

561 520 00 2

Tour operators

488 110 00 1

Airport operation and terminal services

488 410 00 2

Towing services

488 510 00 2

Air, ocean, or other freight forwarder
CONTINUE WITH

19

98183064

Transportation and storage services

ON PAGE 7
CONTINUE ON PAGE 7

Form IA-98183

Page 7

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 KIND OF BUSINESS - Continued
Transportation and storage services - Continued
0700

492 110 00 2

Courier services

492 210 00 4

Local messenger and delivery services

493 110 00 5

Warehousing and storage - general merchandise

562 110 00 1

Waste collection

774 000 00 3

Other transportation and storage services - Specify

0701

441 110 00 1

Motor vehicle dealer, new and used

441 120 00 6

Motor vehicle dealer, used only

441 310 00 1

Automotive parts and accessories store

441 320 00 2

Tire dealer

442 110 00 1

Furniture store

442 210 00 1

Floor coverings store

442 290 00 1

Homefurnishing store

443 110 00 1

Household appliance/electronics store

443 120 00 1

Computer and/or software store

444 130 00 1

Hardware store

444 210 00 4

Outdoor power equipment store or dealer

444 220 00 2

Nursery, garden center or farm supplies store or dealer

445 110 00 6

Supermarket or grocery store

445 120 00 1

Convenience food store

445 210 00 2

Meat market

445 310 00 1

Liquor store

446 110 00 1

Pharmacy or drug store

446 130 00 7

Optical goods store including sunglasses stores

447 110 00 1

Gasoline station with convenience store

447 190 00 1

Gasoline station with no convenience store

448 110 00 3

Men's clothing store

448 120 00 1

Women's clothing store

448 140 00 1

Family clothing store
CONTINUE WITH

19

98183072

Retail

ON PAGE 8
CONTINUE ON PAGE 8

Form IA-98183

Page 8

(DRAFT)

19 KIND OF BUSINESS - Continued
Retail - Continued
0700

448 210 00 1

Shoe store

448 310 00 1

Jewelry store

448 320 00 1

Luggage and leather goods store

451 110 00 1

Sporting goods store

451 210 00 1

Book/newsstand/comic book store

452 110 00 1

Department store including discount or mass merchandising

452 990 00 1

General merchandise store, including variety, dollar, and home and auto supply

453 110 00 1

Florist

453 220 00 8

Gift, novelty, craft, and souvenir store

453 210 00 7

Office supply/stationery/school supplies store

453 310 00 1

Used merchandise store

453 910 00 6

Pet and pet supplies store

522 290 00 7

Consumer (personal) finance or small loan company

772 000 00 9

Other retail business - Specify

0701

Wholesale
423 000 00 1

Merchant wholesaler, durable goods such as automobiles, furniture, hardware, appliances,
machinery, etc. - Specify

424 000 00 1

Merchant wholesaler, nondurable goods such as paper, medicine, apparel, groceries, books,
flowers, etc. - Specify

425 000 00 1

Wholesale electronic markets and agents and brokers - Specify

0701

0701

98183080

0701

Manufacturing
311 000 00 3

Food manufacturing

315 000 00 3

Apparel manufacturing

323 000 00 1

Printing and related support activities

310 000 00 1

Other manufacturing - Specify

0701

CONTINUE WITH

19

ON PAGE 9
CONTINUE ON PAGE 9

Form IA-98183

Page 9

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
19 KIND OF BUSINESS - Continued
Construction
0700

237 210 00 1

Land subdivision

236 000 00 1

Building construction - residential and nonresidential construction or remodeling/additions of
buildings by general contractors or operative builders

237 000 00 1

Heavy and civil engineering construction including street, bridges, sewers, etc.

238 000 00 1

Specialty trade contractors including painting, electrical work, plumbing, etc.

Finance, insurance, and real estate
521 110 00 4

Bank

522 290 00 8

Consumer finance or small loan company

524 110 00 1

Life, accident and health, and medical insurance carrier

524 210 00 E

Insurance agent

531 110 00 2

Lessor of residential buildings and dwellings

531 120 00 2

Lessor of nonresidential buildings

522 310 00 5

Mortgage and other loan brokers

531 210 00 3

Real estate agent or broker

772 000 00 6

Other finance, insurance and real estate - Specify

0701

Rental and leasing services, except real estate
Passenger car rental and leasing

532 120 00 2

Truck, utility trailer, and recreational vehicle

532 310 00 3

General rental center

532 410 00 1

Heavy construction and earthmoving equipment, aircraft, or tugboats without operators

238 900 00 1

Construction equipment rental with operator

532 420 00 2

Office machinery and equipment

532 490 00 2

Other commercial and industrial machinery and equipment

532 210 00 1

Consumer electronics and appliances

532 220 00 1

Formal wear and costume rental

532 230 00 3

Video tape/DVD rental store

532 290 00 5

Rental of personal items or items for the home, including hospital beds, party supplies, etc.

775 000 00 2

Other rental and leasing, excluding real estate - Specify

98183098

532 110 00 2

0701

CONTINUE WITH 19 ON PAGE 10
CONTINUE ON PAGE 10

Form IA-98183

Page 10

(DRAFT)

19 KIND OF BUSINESS - Continued
Other kinds of business or activity
0700

813 110 00 2

Churches and other religious organizations

220 000 00 1

Utilities - Specify

814 110 00 1

Private household, employing domestic help, e.g., cooks, maids, etc.

110 000 00 1

Crop or animal production or agricultural services

772 000 00 C

Other business or activity - Specify

0701

0701

20 CLASS OF CUSTOMER
Estimate the percentage of this establishment's total sales within the Northern Mariana Islands
(reported in 5 ) by class of customer:

2007
Whole percent
of sales and
receipts

0261

2. Retail establishments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0263

3. Wholesalers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0264

4. Restaurants, food services, and nightclubs . . . . . . . . . . . . . . . . . . . . . . . . .

6259

5. Hotels

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6255

6. Travel agencies and other passenger transportation services . . . . . . . . . . . . . . . . .

6261

7. Other service establishments including truck and passenger car rental and leasing . . . . . .

6262

8. Apparel manufacturers

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6265

9. Other manufacturer establishments and quarries . . . . . . . . . . . . . . . . . . . . . .

6266

10. Construction contractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0269

11. Banks, insurance, and real estate companies . . . . . . . . . . . . . . . . . . . . . . . .

6277

12. Governmental bodies (Federal and Commonwealth) . . . . . . . . . . . . . . . . . . . . .

0271

13. Farmers for farm use

0270

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%
%
%
%
%
%
%
%
%
%
%
%
%

14. Other - Specify

0874

0272

15. TOTAL (Add lines 1 through 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%
1 0 0 %

21 Not Applicable.

CONTINUE ON PAGE 11

98183106

1. Individual users and household consumers (including tourists) . . . . . . . . . . . . . . . .

Form IA-98183

Page 11

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
2007
Percent

HOW TO
REPORT
PERCENTS

If figure is 38.76% of total sales:

Report whole percents

22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE

3 9 %
2007
Whole percent
of sales and
receipts

A. Percent of this establishment's sales, revenue, or other operating receipts (reported in 5 ), for
products manufactured at this establishment . . . . . . . . . . . . . . . . . . . . . . . . . .

%

0110

B. Briefly describe your principal business activities and report as whole percent of total sales, revenue, or
other operating receipts reported in 5 (e.g., gasoline 60%, auto repairs 11%, oil 2%).
2007
Census Whole percent
use
of sales and
receipts

Description of sales, shipments, receipts, or revenue

0723

0720

1.

19811

2.

19812

3.

19813

0722

%
%
%

23 – 25 Not Applicable.
26 SPECIAL INQUIRIES
NOTE - Answer only if the principal kind of business reported in 19 for this establishment is HOTEL, MOTEL, OR
OTHER TRAVELER ACCOMMODATION. Otherwise, go to 27 .
NUMBER AND TYPE OF ACCOMMODATIONS
1. Number of rooms, units, or quarters primarily rented as transient as of December 31,
2007 (Consists of the number which can be rented as single units. Suites of rooms
which cannot be subdivided should be counted as a single unit.) . . . . . . . . . . . .

Number
2402

2921

Yes

2922

No

98183114

2. Were more than half of guestroom or unit rental receipts from transient guests?

CONTINUE ON PAGE 12

Form IA-98183

Page 12

(DRAFT)

27 LEGAL FORM OF ORGANIZATION AND OWNERSHIP
A. Legal form of organization that best describes this establishment at the end of 2007 (Mark "X" only ONE box.)
0691

Individual proprietorship

0692

Partnership

0694

Corporation

0696

Other - Specify

0806

B. Citizenship of majority ownership of this establishment in 2007 (Mark "X" only ONE box.)
6086

U.S. citizen - CNMI born (Chamorro or Carolinian)

6097

U.S. citizen - CNMI born (NOT Chamorro or Carolinian)

6087

U.S. citizen - not CNMI born

6088

Japanese citizen

6089

Filipino citizen

6090

Korean citizen

6098

Chinese citizen

6085

Other citizenship - Specify

0885

0699

Not known/not determinable (Such as publicly traded)

C. Gender of majority ownership of this establishment in 2007 (Mark "X" only ONE box.)
6077

Male-owned

6084

Female-owned

6078

50/50 Male/Female - Equal percent of ownership

6079

Not known/not determinable (Such as publicly traded)

98183122

28 and 29 Not Applicable.

CONTINUE ON PAGE 13

Form IA-98183

Page 13

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)

30 CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.

Yes

No - Enter time period covered

Month

Name of person to contact regarding this report

Area code
Telephone

Number

-

Internet e-mail address

Year

Month

FROM

Year

TO

98183130

Is the time period covered by this report a calendar year?

Title

Extension

Area code

Number

Fax

Date
completed

Month

Day

Thank you for completing your 2007 ECONOMIC CENSUS form.
PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.

Year


File Typeapplication/pdf
File TitleIA-98183 $$00 ECONOMIC CENSUS - Northern Mariana Islands
Authorparke343
File Modified2006-10-13
File Created2006-10-12

© 2024 OMB.report | Privacy Policy