Various Economic Area Pretesting Activities

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U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

SUPPLEMENT ON MANAGEMENT AND ORGANIZATIONAL
PRACTICES

FORM

MA-10002

2009 ANNUAL SURVEY OF MANUFACTURES
OMB No. : Approval Expires

(DRAFT)

Mail your completed form to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47132-0001
Please read the accompanying
instructions before answering the
questions.
Need help or have questions
about filling out this form?
Visit our Web site at
www.census.gov/econhelp
Call:

- OR Write to the address above.
Include your 11-digit Census File
Number (CFN) printed in the
mailing address.

(Please correct any errors 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 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.
• Do not use pencil.
• Place an "X" inside the box.

• Please center numbers in their respective boxes. Examples:
• Do not put slashes through 0 or 7.
• Complete only the unshaded portion of each item.

0 1 2 3 4 5 6 7 8 9

The reporting unit for this form is an establishment which is generally a single physical location where business is
conducted or where services or industrial operations are performed. For further clarification, see information sheet(s).
1

EMPLOYER IDENTIFICATION NUMBER
Are the last 5 digits of the Employer Identification Number (EIN) shown in the mailing address the same as the last
5 digits of the EIN used for this establishment on its latest 2009 Internal Revenue Service Form 941, Employer's
Quarterly Federal Tax Return?
0021

2

Yes - Go to

2

0022

No - Enter current EIN (9 digits)

0025

-

Check the box that best describes your level of seniority in 2009.
CEO or Executive

10002012

Management across multiple establishments
Manager of one establishment
Manager of part of one establishment
Technical

PENALTY FOR FAILURE TO REPORT

USCENSUSBUREAU

CONTINUE ON NEXT PAGE

Form MA-10002

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
3

Check the box that indicates how long you worked at this establishment as of 12/31/2009.
5 years or less
11-15 years
6-10 years
16 years or more

4

Report the number of full- and part-time employees at this establishment including pay period March 12.
2007

2009

2007

2009

2007

2009

2007

2009

Number of employees at this establishment (Estimates are acceptable.) . . . . . . .
5

Report the percent of production workers with a 4-year college degree.

5% or less
6-10%

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

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

11-20% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
More than 20% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6

Report the percent of non-production [other] workers with a 4-year college degree.

20% or less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21-40% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41-60% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
61-80% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
More than 80% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Item B - Management Practices:
7

Check the box to indicate what happens when a process problem arise.
Examples: A piece of machinery breaking down or finding a quality defect in a product.
Check one box for each year

10002020

We fix it but do not take further measures . . . . . . . . . . . . . . . . . . . . . .
We fix it and take measures to make sure that it does not happen again . . . . . . . .
We fix it and take measures to make sure that it does not happen again, and have a
continuous improvement process to anticipate problems like these in advance . . . . .
Nothing is done about it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON NEXT PAGE

Form MA-10002

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
8

Check the box to indicate the number of key production performance indicators monitored at this establishment.
Examples: Metrics on production, waste, quality, inventory, energy and deliveries on
time.
Check one box for each year

2007

2009

1-2 production performance indicators . . . . . . . . . . . . . . . . . . . . . . . .
3 or more production performance indicators . . . . . . . . . . . . . . . . . . . . .
None . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9

Check the box that indicates the frequency of collection the production performance indicators at this establishment.
Check one box for each year

2007

2009

Yearly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Quarterly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monthly

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

Weekly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Daily . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hourly or more frequently . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 Check the box that indicates the frequency that production performance indicators were shown to the plant manager at
this establishment.
Check one box for each year

2007

2009

Quarterly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monthly

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

Weekly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Daily . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hourly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Never

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

11 Check the box that indicates the frequency that production performance indicators were shown to non-managerial staff at
this establishment.
Check one box for each year

2007

2009

10002038

Quarterly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monthly

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

Weekly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Daily . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hourly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Never

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

CONTINUE ON NEXT PAGE

Form MA-10002

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
12 Check the box that indicates where in the factory building were the production display boards showing output and other
production performance indicators located at this establishment.
2007
2009
Check one box for each year
All display boards located in one place (e.g. at the end of the production line) . . . . .
Display boards located at multiple places (e.g. at multiple stages of the production line)
No display boards

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

13 Check the box that indicates how often are production performance indicators reviewed by managers at corporate
headquarters.
2007
2009
Check one box for each year
At least once a week

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

At least once a month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At least once a quarter

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

Less frequently than quarterly . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Does this establishment use any production performance indicators to compare different teams of employees on the
production line
2007
2009
Check one box for each year
Yes

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

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15 Check the box that indicates the timescale of production targets for the main product at this establishment.
Check one box for each year

2007

2009

Main focus short-term (less than one year) production targets . . . . . . . . . . . . .
Main focus is on long-term (more than three years) production targets . . . . . . . . .
Balanced focus on short-term and long-term production targets . . . . . . . . . . . .
No production targets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16 Check the box that indicates your assessment of this establishment's production targets at this establishment.
Check one box for each year

2007

2009

10002046

Easy to achieve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Demanding for most parts of the establishment, includes some easy targets . . . . . .
Demanding for all parts of the establishment . . . . . . . . . . . . . . . . . . . . .
Impossible to achieve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON NEXT PAGE

Form MA-10002

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
17 Check the box that indicates how well the production targets are known at this establishment.
Check one box for each year

2007

2009

Only senior managers are aware of production targets . . . . . . . . . . . . . . . .
Most managers were aware of production targets

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

Most managers and a few workers were aware of the production targets

. . . . . . .

Most managers and most workers were aware of their production targets . . . . . . .
18 Check the box that indicates how the achievement of production targets is rewarded at this establishment.
Check one box for each year

2007

Only management was rewarded

2009

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

Most employees were rewarded . . . . . . . . . . . . . . . . . . . . . . . . . . .
All employees were rewarded . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No employees were rewarded . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 Check the box that best corresponds to the main way employees were promoted at this establishment.
Check one box for each year
Promotions
Promotions
tenure . .
Promotions
tenure . .

were based
were based
. . . . . .
were based
. . . . . .

2007

2009

solely on effort and ability . . . . . . . . . . . . . . . . . .
partly on effort and ability, and partly on other factors such as
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
mainly on factors other than on effort and ability, such as
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20 Check the box that best corresponds to the main policy when dealing with employees that did not meet expectations in
their position at this establishment.
Check one box for each year

2007

2009

2007

2009

Underperforming employees were rarely or never moved from their position . . . . .
Underperforming employees usually stayed in their position for at least a year before
action was taken . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Underperforming employees were rapidly helped and re-trained, and then moved out
of the company if their performance did not improve . . . . . . . . . . . . . . . . .
Item C - Organization:

10002053

21 Was this establishment part of a firm with other establishments?

Yes

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

No (check box and SKIP to

28)

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

CONTINUE ON NEXT PAGE

Form MA-10002

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22 Check the box that indicates where hiring decisions for permanent full-time employees are made at this establishment.
Check one box for each year

2007

2009

At this location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At headquarters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jointly at this location and at headquarters . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23 Check the box that indicates where the decision would be made to give an employee a pay increase of 10 percent at this
establishment.
Check one box for each year

2007

2009

At this location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At headquarters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jointly at this location and at headquarters . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24 Check the box that indicates where decisions usually taken on new product introductions for this establishment.
Check one box for each year

2007

2009

2007

2009

At this location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At headquarters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jointly at this location and at headquarters . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25 Check the box that indicates where product-pricing decisions are made for this establishment.
Check one box for each year
At this location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At headquarters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jointly at this location and at headquarters . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10002061

26 Check the box that indicates where advertising decisions for products are made for this establishment.
Check one box for each year

2007

2009

At this location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At headquarters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jointly at this location and at headquarters . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON NEXT PAGE

Form MA-10002

(DRAFT)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
27 Check the box that indicates the largest capital expenditure to buy a new piece of equipment that could be undertaken at
this establishment without prior authorization from headquarters for this establishment.
Check one box for each year

2007

2009

Authorization required for all purchases . . . . . . . . . . . . . . . . . . . . . . .
$1 to $999

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

$1,000 to $9,999

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

$10,000 to $99,999

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

$100,000 to $999,999
$1 million or more

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

28 Report the number of employees directly supervised by the plant/factory manager for each year at this establishment.
2007

2009

29 Report the number layers of management between the factory floor and the most senior management for each year at
this establishment.
Example: For a site with the factory floor, factory supervisors and a plant-manager, the number reported would be 1
(the factory supervisors).
2007

2009

2007

2009

2007

2009

Number of layers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30 Who sets the pace of work at this establishment for workers?
Check one box for each year
Only factory managers
Mostly factory managers

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

Factory managers and workers equally . . . . . . . . . . . . . . . . . . . . . . . .
Mostly workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Only workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31 Who decides how tasks are allocated for workers at this establishment?

10002079

Check one box for each year
Only factory managers
Mostly factory managers

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

Factory managers and workers equally . . . . . . . . . . . . . . . . . . . . . . . .
Mostly workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mostly workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTINUE ON NEXT PAGE

Form MA-10002

(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.)

$$CENSUS_REMARKS$$

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

10002087

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

Title

Extension

Area code

Number

Fax

Date
completed

Month

Day

Year

Thank you for completing your 2009 ANNUAL SURVEY OF MANUFACTURES form.
PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.