Consultation Form

Appendix C

Questions for Potential Quarterly Respondents

The Census Bureau, with support from the Federal Reserve Board, is developing a quarterly survey of Plant Capacity Utilization. This is in addition to the existing annual survey. As a respondent to the annual survey, and potential respondent to the quarterly, we’d like your feedback on the quarterly proposal and have a few questions to ask. {Explain (or fax) a copy of the proposed collection}.

Company Name ________________________________________

NAICS _______________________

Size _______________________

1) Could you provide these data 4 times a year?

( ) Yes ( ) No

2) With a quarterly survey it is critical to have quick response in order to release the data in a timely manner. Could you respond within:

( ) 20 days ( ) 30 days

3) Would you respond electronically if the option was offered?

( ) Yes ( ) No

4) Does your company have a policy for responding to voluntary surveys?

( ) Yes goto 5 ( ) No goto 6

5) What is the policy?

( ) Complete ( ) Don’t complete

6) Do you have any comments or questions for us?

THANK YOU FOR YOUR TIME!