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pdfU.S. DEPARTMENT OF COMMERCE
OMB No. 0607-0104: Approval Expires 8/31/2015
Economics and Statistics Administration
U.S. CENSUS BUREAU
ADVANCE MONTHLY RETAIL TRADE REPORT
FORM
SM-4412AS-A
(DRAFT)
Due Date
Need help or have questions?
Call 1-800-772-7852
(8:30 a.m. - 5:00 p.m. ET, M-F)
or
Visit econhelp.census.gov/marts
YOUR CENSUS REPORT IS
CONFIDENTIAL. This report is
authorized by law (Title 13, United
States Code, Sections 131 and 182).
By Section 9 of the same law, your
report to the Census Bureau is
confidential. It may be seen only
by persons sworn to uphold the
confidentiality of Census Bureau
information and may be used only
for statistical purposes. Under the
same law, information that you
report cannot be used for taxation,
regulation, or investigation and
are exempt from release under the
Freedom of Information Act. Further,
copies of your responses retained
in your files are immune from legal
process.
(Please correct any errors in name, address, and ZIP Code.)
Return via Internet:
econhelp.census.gov/marts
Return via Fax:
To view Survey Results:
1-800-447-4613
census.gov/retail
Username:
Password:
GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 4
• For establishments sold or acquired during the month, report data only for the period the establishment was operated by this firm
• Estimates are acceptable if book figures are not available
• Enter "0" where applicable
INCLUDE
• Data for auxiliary facilities primarily engaged in supporting services
to this firm's establishment(s) such as warehouses, garages, central
administrative offices, and repair services
• Leased departments and concessions operated in other establishments
EXCLUDE
• Leased departments and concessions operated by other firms in this
firm's establishments
• Sales taxes and finance charges
• Data for establishments operated by other firms, such as franchises
43001015
ANNOUNCEMENTS AND SPECIAL INSTRUCTIONS
1
FEDERAL EMPLOYER IDENTIFICATION (EIN)
Has this firm acquired any new EINs for its retail operation(s) since last month?
Yes - List here and continue with
2
. Report additional EIN(s) in
4
EIN (9 digits)
. . . . . . . . . . .
No
2
NUMBER OF RETAIL ESTABLISHMENTS
Number
How many retail establishments did this firm operate? . . . . . . . . . . . . . . . . . . . . . . . . .
The remainder of this report refers to the establishments reported here.
CONTINUE ON PAGE 2
Form SM-4412AS-A
3
Page 2
(DRAFT)
SALES, RECEIPTS, OR REVENUE
INCLUDE
• Cash and credit sales of merchandise whether or not payment
was received
• E-commerce sales if not submitted on a separate monthly
retail report
• Wholesale sales and services revenue made by retail
establishments covered by this report
• Value of trade-ins taken as part payment for other
merchandise
EXCLUDE
• Commissions from vending machine operators and from sales
of government lottery tickets
• Nonoperating receipts (such as interest income, income from
investments, and receipts from the rental or sale of real estate)
• Refunds and allowances for returned goods
• The actual value of rebates and discounts granted to the
purchaser, even if granted as an increase in trade-in allowance
A. What type of reporting period do this month's sales represent?
Calendar month reporting period - Go to
3
C
4-week reporting period
5-week reporting period
B. If not a calendar month reporting period, what is the ending date for the period you are reporting sales?
Dollars
C. What were the total sales in
D. Do the sales reported in
3
. . . . . . . . . . . . . . . . . . . . . .
C represent book figures or estimates?
Book Figure
Estimate
E. Did this firm have any e-commerce sales in
Yes
No - Go to
4
Dollars
F. What were the total e-commerce sales in
. . . . . . . . . . . . . . .
OR
43001023
4
%
If e-commerce sales not available - What was the percent of total sales in 3 C that represents e-commerce?
REMARKS - Please use this space to explain any significant month-to-month changes, to clarify responses, or indicate where data were
estimated.
CONTACT INFORMATION
Name of person to contact regarding this report
Area code
Telephone
Number
-
Title
Extension
Area code
Fax
Number
-
DEFINITIONS OF E-COMMERCE SALES, AUXILIARY ESTABLISHMENTS, LEASED DEPARTMENTS AND CONCESSIONS
• E-commerce is the sale of goods and services where the buyer places an order, or the price and terms of the sale are negotiated, over an Internet, mobile device (MCommerce), extranet, EDI network, electronic mail, or other comparable online system. Payment may or may not be made online.
• Auxiliary Establishments are facilities primarily engaged in furnishing supporting services (such as warehouses, garages and central administrative offices) to this
firm's establishments.
• Leased Departments and Concessions are separate businesses that lease space on the premises of another business.
Public reporting burden for this collection of voluntary information is estimated to average 5 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: Econ Survey Comments 0607-0104, U.S. Census Bureau,
4600 Silver Hill Road, Room EMD-8K122, Washington, DC 20233. You may e-mail comments to [email protected]; use "Econ Survey Comments 06070104" 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 (OMB). The 8-digit OMB number appears in the top right corner on the front of this form.
File Type | application/pdf |
File Title | C:\Users\cogan300\AppData\Local\Temp\tmpC8F7.tmp |
Author | cogan300 |
File Modified | 2015-05-19 |
File Created | 2015-05-19 |