2013 Microbusiness Innovation Science and Technology Survey

Attachment B
One-page Questionnaire

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2013 Microbusiness Innovation
Science and Technology Survey

E. SCIENTIFIC AND ENGINEERING
RESEARCH AND DEVELOPMENT (R&D)

A. OVERALL COMPANY INFORMATION

4. During 2013, did your company do any of the
following R&D activities? Include activities that:
• Your company performed
• Others paid your company to do
• Your company paid others to do

If you have more than one business, please answer
only for the business named above.
1. Did your company have any revenues or grants in
2013?
Yes

Go to Question 2.

No

Go to Question 12.

Yes

Go to Question 12.

No

Go to Question 3.

No

a. Conducted work that might lead
to a patent
b. Developed and tested
prototypes that were derived
from scientific research or
technical findings

2. Did another company own more than 50 percent of
your company at any time during 2013?
Yes

[Business name goes here]

c. Produced findings that could be
published in academic journals
or presented at scientific
conferences

3. How important to you are each of the following
reasons for owning your company?

d. Applied scientific or technical
knowledge in a way that has
never been done before

Very
Somewhat
Not
important important important

a. Wanted to be my
own boss

e. Created new scientific or
technical solutions that can be
generalized to other situations

b. Flexible hours

f. Conducted work to discover
previously unknown scientific
facts, structures, or relationships

c. Opportunity for
greater income

g. Conducted work to extend the
understanding of scientific facts,
relationships or principles in
ways that could be useful to
others

d. Best avenue for my
ideas/goods/
services
e. Had to start
company to find
work

5. Did you answer “Yes” to any activities in
Question 4?

f. Please list any other important reasons for
owning your own company:

Yes

Continue with Question 6.

No

Go to Question 12.

This information is solicited under the authority of the National Science Foundation Act of 1950, as amended. All information you provide is
protected under the NSF Act and Title 26, U.S. Code and will be used only for statistical purposes. Any information publicly released (such as
statistical summaries) will be in a form that does not personally identify you or your company. Your response is voluntary and failure to provide
some or all of the requested information will not in any way adversely affect you or your company. Pursuant to 5 CFR 1320.5(b), an agency
may not conduct or sponsor, and a person is not required to respond to an information collection unless it displays a valid OMB control
number. The OMB control number for this collection is 3145-XXXX (exp. [DATE]). Public reporting burden for this collection of
information is estimated to average 30 minutes per response, including the time for reviewing instructions. Send comments regarding this
burden estimate and any other aspect of this collection of information, including suggestions for reducing this burden, to: Suzanne Plimpton,
Reports Clearance Officer, Office of the General Counsel, National Science Foundation, Arlington, VA 22230.

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6. What was the total cost in thousands in 2013 for
all the R&D activities you answered “Yes” to in
Question 4? Your best estimate is fine. Please
include all costs:
• Salaries, wages, fringe benefits
• Equipment, materials, supplies, software
• Rent, utilities
• Consultants, contractors

$

,000

11. How many people worked on the R&D activities
you reported in Question 4 for the pay period
that included March 12, 2013?
Number
of people

a. Owners
b. Employees who received a W-2
issued by your company for salary or
wages

Total cost for R&D activities
reported in Question 4 for 2013

c. Other paid workers (e.g., contractors,
consultants, temporary workers)

7. How much of the amount in Question 6 was for
purchasing R&D services from others? Your
best estimate is fine.

d. Unpaid workers

Costs of R&D services
purchased from others

e. Total

8. To calculate the costs of R&D services you
performed, please subtract Question 7 from
Question 6 and enter the amount here.

$

,000

H. CONTACT INFORMATION

Costs of R&D services
you performed

12. Please provide the following information for the
person we may contact regarding the answers to
this survey.

9. Of the total R&D amount you reported in
Question 8, what percent was for each of the
following types of costs?

Name

a. Salaries, wages, and fringe
benefits for company’s employees

%

b. Equipment

%

Title

c. Software purchases and licenses
d. Other costs (e.g., consultants,
contractors, travel, rent)
TOTAL

Telephone

Extension

Fax

Extension

%
100%

10. Of the total R&D amount you reported in
Question 8, how much was paid for by the
following sources?
a. Your company

%

b. Another U.S. company

%

E-mail address

c. U.S. university or college

Thank you for your
participation in this survey.
%

d. U.S. non-profit organization

Please return your completed questionnaire to:

e. U.S. Federal government
(including R&D grants)

National Science Foundation
c/o Westat, Room TA 2133
1600 Research Blvd.
Rockville, MD 20850.

f. U.S. state or local government
(not including state universities)
g. Other (specify):

%
TOTAL

100%

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