Information Collection

2012 Economic Census Covering the Wholesale Trade Sector

IC 3678 under ICR 201107-0607-002 · OMB 0607-0929.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form Prototype Form
2012 Economic Census Covering the Wholesale Trade Sector
Form
OMB_2012_WH_Attachment_A.pdf Other-Report Form Numbers, Titles, a
OMB_2012_WH_Attachment_B.pdf Other-Composition of the Establishme
OMB_2012_WH_Attachment_C-2.pdf Other-Variable Content for Item 5�Sa
OMB_2012_WH_Attachment_C-3.pdf Other-Variable Content for Item 16�S
OMB_2012_WH_Attachment_C-4.pdf Other-Variable Content for Item 19A�
OMB_2012_WH_Attachment_C-5.pdf Other-Variable Content for Item 19B�
OMB_2012_WH_Attachment_C-6.pdf Other-Variable Content for Item 22�D
OMB_2012_WH_Attachment_C-7.pdf Other-Variable Content for Item 26�S
OMB_2012_WH_Attachment_D-1.pdf Other-Information Sheet for Single-E
OMB_2012_WH_Attachment_D-2.pdf Other-Information Sheet for Multi-Es
OMB_2012_WH_Attachment_F.pdf Other-Summary of Changes to Report F
Prototype Form Prototype Form
OMB_2012_WH_Attachment_C-1.pdf
Form
NC-99542 Ownership or Control Flier
OMB_2012_WH_Attachment_C-8.pdf
Form

Information Collection (IC) Details

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Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Prototype Form Prototype Form OMB_2012_WH_Attachment_C-1.pdf Yes Yes Fillable Fileable
Other-Variable Content for Item 5�Sales, Shipments, Receipts, or Revenue OMB_2012_WH_Attachment_C-2.pdf Yes Yes Fillable Fileable
Other-Variable Content for Item 16�Selected Expenses OMB_2012_WH_Attachment_C-3.pdf Yes Yes Fillable Fileable
Other-Variable Content for Item 19A�Kind of Business OMB_2012_WH_Attachment_C-4.pdf Yes Yes Fillable Fileable
Other-Report Form Numbers, Titles, and Associated Burden Estimates for FY 2013 OMB_2012_WH_Attachment_A.pdf Yes Yes Fillable Fileable
Other-Composition of the Establishment Universe and Estimated Mail Counts for the 2012 Economic Census OMB_2012_WH_Attachment_B.pdf Yes Yes Fillable Fileable
Other-Variable Content for Item 26�Special Inquiries OMB_2012_WH_Attachment_C-7.pdf Yes Yes Fillable Fileable
Form NC-99542 Ownership or Control Flier OMB_2012_WH_Attachment_C-8.pdf Yes Yes Fillable Fileable
Other-Information Sheet for Single-Establishment Firms OMB_2012_WH_Attachment_D-1.pdf Yes Yes Fillable Fileable
Other-Information Sheet for Multi-Establishment Firms OMB_2012_WH_Attachment_D-2.pdf Yes Yes Fillable Fileable
Other-Summary of Changes to Report Forms OMB_2012_WH_Attachment_F.pdf Yes Yes Fillable Fileable
Other-Variable Content for Item 19B�Type of Operation OMB_2012_WH_Attachment_C-5.pdf Yes Yes Fillable Fileable
Other-Variable Content for Item 22�Detail of Sales, Shipments, Receipts, or Revenue OMB_2012_WH_Attachment_C-6.pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 1 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.