FGP Form FGP Pilot - Industry Classification Report

Industry Classification Report

Bureau of Labor Statistics
U.S. Department of Labor
O.M.B. No. 1220-0141
Expires February 28, 2015

Please complete and return this form by XXX, XX, XXXX. If you need help completing this form, send an e-mail to
[email protected], or call toll free at 1-866-840-3801 (TTY at 1-866-841-3259). Thank you!

1

What is your contact information?
Please provide contact information for the person who completed this form.
Name:
Title:
Phone:

Business website:

(

)

-

E-mail:

If the address below is not correct please enter the updated address in the space provided.

2

Enter Address Corrections for Physical Location below
[FILL COMPANY NAME]
[FILL ADDRESS 1
[FILL ADDRESS 2]
[CITY, STATE,ZIP[
[RUN_DESC]

Our records show the main business activities, products, goods, or services at the worksite listed in
Question 2 are [FILL]. Is this correct?
Yes
No  Please enter your correct economic activity in the blank box on Page 4

3

Listed Business Activities

4

How many employees are employed at the worksite listed in Question 2?
Include:
 Full or part-time paid workers
 Workers on paid leave
 Workers assigned temporarily to other units
 Incorporated firms: paid owners, officers, and
staff

Do Not Include:
 Contractors and temporary employees not on your payroll
 Unpaid family workers
 Workers on unpaid leave
 Owners, proprietors, and partners of unincorporated firms
 Workers not covered by unemployment insurance

Enter Number of Employees

«MS»«ID»

Please Flip Over

Page 1 of 4

5

Are any products manufactured at the worksite listed in Question 2?
Yes, Go to 5a & 5b
No, Go to 6

5a

In your most recent fiscal year, what percentage of this worksite’s revenue came from contracts
for manufacturing products for other companies?

% An Estimate is Fine
5b

In your most recent fiscal year, what percentage of this worksite’s revenue came from
manufacturing products for your company?

% An Estimate is Fine
Does the worksite listed in Question 2 arrange for any products to be manufactured outside of the
U.S., either by a manufacturing facility owned by your company or by an independent
manufacturer?

6

Yes, Go to 6a
No, Go to 7

6a

In your most recent fiscal year, what percentage of this worksite’s revenue came from the sale
of products manufactured outside the U.S.?

% An Estimate is Fine
7

Does the worksite listed in Question 2 arrange for any products to be manufactured inside the U.S.
by an independent manufacturer? Exclude products manufactured by domestic facilities owned by
your company.
Yes, Go to 7a
No, Go to the red box below

7a

In your most recent fiscal year, what percentage of this worksite’s revenue came from the sale
of products manufactured inside the U.S. by an independent manufacturer?

% An Estimate is Fine
If you answered no to Questions 5, 6, and 7, please skip to Question 10.
If you answered yes to Question 5, 6, or 7, please answer Question 8.

8

Does the worksite listed in Question 2...

Yes, for all
products

Yes, for some No, not for
products
any products

Don’t
know

a. Control the intellectual property for
manufactured product(s)?
b. Control the design for manufactured
product(s)?
c. Control or direct production activities?
d. Own the product(s)?
e. Set the price on the product(s)?
f. Arrange for the sale of the product(s)?
g. Assume any loss due to unsold product(s)?
«MS»«ID»

Page 2 of 4

9

Does this company have a single business location or multiple locations?
Single Location, Go to 10
Multiple Locations, Go to 9a

9a

Does any worksite in this company…

Yes, for all
products

Yes, for some No, not for Don’t
products
any products know

a. Control the intellectual property for
manufactured product(s)?
b. Control the design for manufactured
product(s)?
c. Control or direct production activities?
d. Own the product(s)?
e. Set the price on the product(s)?
f. Arrange for the sale of the product(s)?
g. Assume any loss due to defects or unsold
product(s)?

10

In your most recent fiscal year, what were the three best-selling product lines? Include those
manufactured at the worksite listed in Question 2 or manufactured under contract by a different
company.
We need detailed information to assign the correct North American Industry Classification System
(NAICS) code to this worksite. In the space provided below, describe the three product lines that you
manufacture, either at this worksite or through a contracted company, that make up the largest
share of your sales revenue.
% of sales
Product Line
revenue

11

1.

%

2.

%

3.

%

If you have any comments about this report, please note them here:

Thank you for completing this report. Please return it using the self-addressed, stamped envelope.

«MS»«ID»

Page 3 of 4

Our records show the main business activities, products, goods, or services at the worksite listed in
Question 2 are[FILL]. If this is not correct, please enter your correct economic activity in the blank box
below.

«MS»«ID»

Page 4 of 4