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pdfOMB No. 0607-0717: Approval Expires 05/31/2011
ENT OF C
TM
OM
AR
CE
ER
U.S.
D
M
EP
DUE DATE:
FORM
SM-20(06)I
(11-8-2007)
R
S
BU
US
U.S. DEPARTMENT OF COMMERCE
EA
EN
U O
F TH E C
Economics and Statistics Administration
U.S. CENSUS BUREAU
NOTICE – Your report to the U.S. Census ITEM 1
Bureau is confidential by law (Title
13, U.S. Code, Section 9). Only
persons sworn to uphold the
confidentiality of U.S. Census Bureau
information may see the questionnaires
and may use them only for statistical
purposes. Additionally, all reports are
immune from legal process.
MONTHLY RETAIL TRADE REPORT
For assistance in completing this form, you may visit www.census.gov/econhelp/mrts
MAILING ADDRESS
RETURN COMPLETED FORM
IN THE ENCLOSED ENVELOPE
or FAX: 1–800–447–4613
For help call: 1–800–772–7852
ITEM 2 CONTACT PERSON
Name
Title
Telephone (Area code, number, ext.)
FAX (Area code, number)
(Please correct any error(s) in name, address, and ZIP Code)
ITEM 3 FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
ITEM 4 MERCHANDISE INVENTORIES (END OF MONTH) (See instructions on reverse.)
• Report the cost value of all merchandise for the end of month.
• For inventories at LIFO cost, report the LIFO amount plus the LIFO reserve.
• Estimates are acceptable if book figures are not available.
• Explain any significant difference in inventories from previous month in "Remarks" section.
Report merchandise inventories covered by this report, regardless of where held,
owned as of the end of the month.
a. Merchandise in retail stores covered by this report. Include leased departments
and concessions operated by your firm in other establishments. . . . . . . . . . . . . . . . . . . . . . . . . . .
Dollars
b. Merchandise in warehouses, offices, or in transit for distribution to your retail stores. . . . . . . . . . . . . . .
c. TOTAL merchandise inventories – (before Last-in, First-out adjustment if any) – Sum of items 4a and 4b. . .
d. Are the data reported in items 4a through 4c for a date other than the end of the month specified?
No
Yes – Enter the date the data represent
ITEM 5 NUMBER OF RETAIL ESTABLISHMENTS (See instructions on reverse.)
Enter the total number of retail establishments covered by this report.
USCENSUSBUREAU
Month
Day
Year
COVERAGE INSTRUCTIONS AND DEFINITIONS OF
AUXILIARY ESTABLISHMENTS, LEASED DEPARTMENTS AND CONCESSIONS
I. Coverage Instructions
II. Auxiliary Establishments are facilities primarily
engaged in furnishing supporting services (such as
warehouses, garages and central administrative offices)
to your retail establishments.
III. Leased Departments and Concessions are separate
businesses that lease space on the premises of another
business.
For more help, access our Business Help Site at www.census.gov/econhelp/mrts
To view the results of this survey, visit www.census.gov/mrts/www/mrts.html
Item 4 – Merchandise Inventories (End of Month)
INCLUDE
• Merchandise if title has passed to you, including
merchandise in transit
• Merchandise under contract for sale
• Merchandise owned by this firm but held by others for
sale on consignment
• Merchandise in auxiliary establishments
• Merchandise of leased departments and concessions
which you operate or own but are located in other
establishments – Exclude if a department
store.
▼
▼
SPECIFIC INSTRUCTIONS FOR COMPLETING ITEMS 4 AND 5
Item 5 – Number of Retail Establishments
INCLUDE
• Total number of retail establishments covered by this report
• Leased departments and concessions operated by
this firm in other establishments – Exclude if a
department store.
EXCLUDE
• Auxiliary establishments
• Leased departments and concessions operated by
other firms in your retail establishments
EXCLUDE
• Fixtures, equipment, and supplies not held for resale
• Merchandise owned by others such as those held
on consignment
• Merchandise of leased departments and concessions
operated by other firms in your retail establishments
REMARKS – Please use this space for comments or to explain any large differences in data from the prior month.
Public reporting burden for this collection of voluntary information is estimated to average
minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to: Paperwork Project 0607-0717, U.S. Census Bureau, 4600 Silver Hill Road, AMSD - 3K138,
Washington, DC 20233. You may e-mail comments to [email protected]; "Paperwork Project 0607-0717" as the subject. Respondents
are not required to respond to any information collection unless it displays a valid approval number from the Office of Management and
Budget. This 8-digit number appears in the top right corner on the front of this form.
FORM SM-20(06)I (11-8-2007)
Page 2
File Type | application/pdf |
File Title | sm2006ip1_07.g |
File Modified | 2009-05-18 |
File Created | 2009-05-15 |