Information Collection

2012 Economic Census Covering the Retail Trade and Accommodation and Food Services Sectors

IC 3676 under ICR 201302-0607-001 · OMB 0607-0927.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Prototype Standard Prototype Standard Form 2012 Economic Census Covering the Retail Trade and Accommodation and Food Services Sectors	Form
Form Prototype Classifi Prototype Classification Form 2012 Economic Census Covering the Retail Trade and Accommodation and Food Services Sectors	Form
2012 RCB OMB Attach A.pdf	Other-Report Form Numbers, Titles, a
2012 RCB OMB Attach B.pdf	Other-Composition of the Establishme
2012 RCB OMB Attach C-2.pdf	Other-Variable Content for Item 19--
2012 RCB OMB Attach C-3.pdf	Other-Variable Content for Item 22--
2012 RCB OMB Attach C-4.pdf	Other-Variable Content for Item 26--
2012 RCB OMB Attach C-5.pdf	Other-Content for Item 27--Leased De
2012 RCB OMB Attach C-6.pdf	Other-Ownership or Control Fliers (N
2012 RCB OMB Attach D-1.pdf	Other-Information Sheet for Single-E
2012 RCB OMB Attach D-2.pdf	Other-Information Sheet for Multi-Es
2012 RCB OMB Attach E-2.pdf	Other-Variable Content for Item 19--
2012 RCB OMB Attach E-3.pdf	Other-Variable Content for Item 26--
2012 RCB OMB Attach H.pdf	Other-Summary of Changes to Standard
2012 RCB OMB Attach I.pdf	Other-Summary of Changes to Classifi
Prototype Standard Prototype Standard Form 2012 RCB OMB Attach C-1.pdf	Form
Prototype Classifi Prototype Classification Form 2012 RCB OMB Attach E-1.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Report Form Numbers, Titles, and Associated Burden Estimates for FY 2013		Yes	Yes	Fillable Fileable
Other-Composition of the Establishment Universe and Estimated Mail Counts for the 2012		Yes	Yes	Fillable Fileable
Form	Prototype Standard Form	Yes	Yes	Fillable Fileable
Other-Variable Content for Item 19--Kind of Business		Yes	Yes	Fillable Fileable
Other-Variable Content for Item 22--Detail of Sales, Shipments, Receipts, or Revenue		Yes	Yes	Fillable Fileable
Other-Variable Content for Item 26--Special Inquiries		Yes	Yes	Fillable Fileable
Other-Content for Item 27--Leased Departments		Yes	Yes	Fillable Fileable
Other-Ownership or Control Fliers (NC-99510, NC-99572)		Yes	Yes	Fillable Fileable
Other-Information Sheet for Single-Establishment Firms		Yes	Yes	Fillable Fileable
Other-Information Sheet for Multi-Establishment Firms		Yes	Yes	Fillable Fileable
Form	Prototype Classification Form	Yes	Yes	Fillable Fileable
Other-Variable Content for Item 19--Kind of Business		Yes	Yes	Fillable Fileable
Other-Variable Content for Item 26--Special Inquiries		Yes	Yes	Fillable Fileable
Other-Summary of Changes to Standard Report Forms		Yes	Yes	Fillable Fileable
Other-Summary of Changes to Classification Forms		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,110,069

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 47 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,110,069	1,110,068	1
Annual IC Time Burden (Hours)	1,002,396	1,002,395	1
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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