Various Economic Area Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

OMB0924nonemployerframeenc1

Various Economic Area Pretesting Activities

OMB: 0607-0725

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Nonemployer EIN Internet Survey

Updated – 5/27/09


Welcome/Login Screen (respond.census.gov/nets)


[U. S. CENSUS BUREAU LOGO]


The U. S. Census Bureau is conducting a survey of businesses and organizations to learn more about the types of businesses operating without paid employees in the United States. Your responses will help improve the Nonemployer Statistics estimates that we publish.


Please enter the User ID and Password provided in the letter you received from the U. S. Census Bureau.


User ID: __________________

Password: __________________


Login


If you lost the letter with the User ID and Password or if you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 1: Contact Information

(Soft edit)


Please enter your full name, job title, and telephone number.


Full Name: __________________________________

Title: __________________________________

Telephone: ____ - ____ - ________ ext. ______


NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 2: Verify EIN

(Hard edit)


We are trying to verify information about a specific Employer Identification Number (EIN). Do you have knowledge about EIN [EIN]?


Ο Yes


Ο No (SKIP TO SCREEN 10)



NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.



SCREEN 3: Verify Business Name

(Soft edit)


We have [Business Name] listed under EIN [EIN]. Is this the correct name for the business or organization listed under this EIN?


Ο Yes (SKIP TO SCREEN 5)


Ο No


Ο Don’t Know


NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 4: New Business Name

(Hard edit)


What is the name of the business or organization under EIN [EIN]?


Business Name: ___________________________________________

NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


(Programming note: if SCREEN 3=Yes, then Updated Business Name = Business Name. Else Updated Business Name = text from SCREEN 4.)


SCREEN 5: Primary Business Activity

(Hard edit)


We are trying to learn about the business activity performed by [Updated Business Name] under EIN [EIN]. Please answer all the remaining questions only for the business activity performed under EIN [EIN].


In 2007, what was the primary type of business activity performed under EIN [EIN]?


[You have used 0 of 100 maximum characters.]





NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 6: Resources Used /Workers

(Hard edit)


You just told us about the following primary type of business activity performed under EIN [EIN].


[Text from SCREEN 5].


Did [Updated Business Name] use any of the following to do this work in 2007?


1 Ο Yes Ο No Volunteers


2 Ο Yes Ο No Family members


3 Ο Yes Ο No Business owner or partners


4 Ο Yes Ο No Workers from a temporary help service


5 Ο Yes Ο No Workers from a leasing service or professional employer organization


6 Ο Yes Ο No Workers from an affiliated company (linked by common ownership)


7 Ο Yes Ο No Part-time or full-time employees as reported on IRS Form 941, 943, or 944


8 Ο Yes Ο No Contractors, subcontractors, independent contractors, outside consultants, or day laborers


Please list any other types of workers that [Updated Business Name] used in 2007 under EIN [EIN]

[


You have used 0 of 250 maximum characters.]






If 9 is YES, then continue to SCREEN 7.

If 9 is NO, but either 6 or 7 is YES, then SKIP TO SCREEN 8.

All other cases, SKIP TO SCREEN 10 (ie, 6, 7 and 9 are all NO.)


NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.



SCREEN 7: Types of Workers Used in 2007

(Hard edit)


In your last answer, you said [Updated Business Name] used the following other types of workers in 2007.


[Text from SCREEN 6 or 6A]


Were any of these other types of workers reported on an IRS Form 941, 943, or 944 in 2007?


Ο Yes


Ο No (SKIP to SCREEN 10)


Ο Don’t Know (SKIP to SCREEN 10)


NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 8: Payroll

(Hard edit)


We understand that businesses sometimes report payroll under a different EIN than the one used to report income for business activity. For the income reported under EIN [EIN] in 2007, was payroll for the workers reported under a different EIN?


Ο Yes


Ο No (SKIP to SCREEN 10)


Ο Don’t Know (SKIP to SCREEN 10)


Ο Reported payroll only under EIN [EIN] (SKIP to SCREEN 10)


NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 9: EINs

(Hard edit)


What EIN(s) did [Updated Business Name] use to report payroll for these paid employees or other workers in 2007? Please enter the EIN(s) in the boxes below.


Ο One EIN only: -

Ο Multiple EINs:-

-

-

-



NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.



SCREEN 10: Contact Permission


When we review the data, it’s possible we might have questions. May we call you to chat briefly about your responses?


Ο Yes


Whom should we ask for? _______________________________________


When would be the best time to call? [hour dropdown am/pm] [Time zone] [weekday/end]


What telephone number would be best for us to use? ____ - ____ - ________ ext. ______



Ο No thanks (SKIP to SCREEN 12)


NEXT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.


SCREEN 11: Comments


Enter any comments you may have about this survey in the box below.


COMMENTS:


[



You have used 0 of 500 maximum characters.]


Please click on submit to send us your responses.


SUBMIT


If you need help answering our questions, please call the U. S. Census Bureau at 301-763-2562.



Logout/Thank You

You have completed the survey, and the U. S. Census Bureau has received your data. Thank you very much for taking the time to answer our questions.


CLOSE WINDOW




NOTE: This burden statement will be a link at the bottom of the web application.


BURDEN STATEMENT:


Public reporting burden for this information is estimated to take approximately 10 minutes and your responses are confidential. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Paperwork Project 0607-0725, U.S. Census Bureau, 4600 Silver Hill Road, AMSD – 3K138, Washington, DC 20233. You may e-mail comments to [email protected]; use “Paperwork Project 0607-0725” as the subject. The agency may not collect this information, and you are not required to complete this form, unless it displays a current valid Office of Management and Budget (OMB) control number. The OMB control number is 0607-0725 and expires on [DATE].




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Last Modified ByBureau Of The Census
File Modified2009-05-28
File Created2009-05-28

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