U.S. Textile, Apparel and Footwear Manufacturers

National Security and Critical Technology Assessments of the US Industrial Base

OMB-0694-0119-PRA-Package-Textile-Apparel-Footwear-Footwear Survey-090616.xlsx

U.S. Textile, Apparel and Footwear Manufacturers

OMB: 0694-0119

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0694-0119 can be found here:

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Overview

Cover Page
Table of Contents
General Instructions
Definitions
Respondent Profile
1a Organization Information
1b Organization Information
2 Mergers and Acquisitions
3a U.S. Government Interactions
3b Berry Amendment
4a Products and Services
4b Products and Services
5 Materials & Equip.
6 Production & Output
7 Sales
8 Financials
9 CAPEX
10a R&D
10b R&D
11a Workforce
11b Workforce (cont'd)
12a Customers
12b Competitors
13a Competitive Factors
13b Competitive (cont'd)
14 Cyber Security
15 Challenges and Outreach
16 Certification

Sheet 1: Cover Page

OMB Control Number: 0694-0119

Expiration Date: XX/XX/XXXX

DEFENSE INDUSTRIAL BASE ASSESSMENT OF THE U.S. FOOTWEAR INDUSTRY

SCOPE OF ASSESSMENT

The U.S. Department of Commerce, Bureau of Industry and Security (BIS), Office of Technology Evaluation (OTE), is conducting a survey and assessment of the health and competitiveness of the U.S. textile, apparel, and footwear industry. The assessment, requested by the U.S. Congress, updates a similar BIS/OTE assessment conducted for Congress in 2003. This survey will cover topics including employment, production, competitors and customers, supply chain, financial information, research & development, effectiveness of the Berry Amendment, and future industrial challenges. The resulting aggregate data and subsequent analysis will allow industry representatives and government policy officials to monitor trends, benchmark industry performance, and raise awareness of potential issues of concern.

RESPONSE TO THIS SURVEY IS REQUIRED BY LAW

A response to this survey is required by law (50 U.S.C. App. Sec. 2155). Failure to respond can result in a maximum fine of $10,000, imprisonment of up to one year, or both. Information furnished herewith is deemed confidential and will not be published or disclosed except in accordance with Section 705 of the Defense Production Act of 1950, as amended (50 U.S.C App. Sec. 2155). Section 705 prohibits the publication or disclosure of this information unless the President determines that its withholding is contrary to the national defense. Information will not be shared with any non-government entity, other than in aggregate form. The information will be protected pursuant to the appropriate exemptions from disclosure under the Freedom of Information Act (FOIA), should it be the subject of a FOIA request.

Notwithstanding any other provision of law, no person is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number.

BURDEN ESTIMATE AND REQUEST FOR COMMENT

Public reporting burden for this collection of information is estimated to average 12 hours 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 to BIS Information Collection Officer, Room 6883, Bureau of Industry and Security, U.S. Department of Commerce, Washington, D.C. 20230, and to the Office of Management and Budget, Paperwork Reduction Project (OMB Control No. 0694-0119), Washington, D.C. 20503.

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 2: Table of Contents

Previous Page		Table of Contents	Next Page
TABLE OF CONTENTS
I	General Instructions
II	Definitions
III	Respondent Profile
1a	Organization Information
1b	Organization Information (cont'd)
2	Mergers, Acquisitions, Divestitures, and Joint Ventures
3a	U.S. Government Interactions
3b	Berry and Kissell Amendments
4a	Products and Services
4b	Products and Service List
5	Supply Chain Network and Machinery/Equipment
6	Production Capabilities
7	Sales
8	Financials
9	Capital Expenditure
10a	Research & Development
10b	Research & Development (cont'd)
11a	Workforce
11b	Workforce (cont'd)
12a	Customers
12b	Competitors
13a	Competitive Factors
13b	Competitive Factors (cont'd)
14	Cyber Security
15	Challenges and Outreach
16	Certification

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 3: General Instructions

Return to Table of Contents

Section I: GENERAL INSTRUCTIONS

Your organization is required to complete this survey of the U.S. footwear industry using an Excel template, which can be downloaded from the BIS website: http://bis.doc.gov/footwearstudy

If you are not able to download the survey document, at your request BIS staff will e-mail the Excel survey template directly to you.

For your convenience, a PDF version of the survey and required drop-down content is available on the BIS website to aid internal data collection. DO NOT SUBMIT the PDF version of the survey as your response to BIS. Should this occur, your organization will be required to resubmit the survey in the requested Excel format.

Respond to every question. Surveys that are not fully completed will be returned for completion. Use the comment boxes to provide any information to supplement responses provided in the survey form. Make sure to record a complete answer in the cell provided, even if the cell does not appear to expand to fit all the information.

DO NOT CUT AND PASTE RESPONSES WITHIN THIS SURVEY. Survey inputs should be completed by typing in responses or by use of a drop-down menu. The use of cut and paste can corrupt the survey template. If your survey response is corrupted as a result of cut and paste responses, a new survey will be sent to your organization for immediate completion.

Do not disclose any classified information in this survey form.

Estimates are often acceptable (and in some sections encouraged), but in sections that do not explicitly allow estimates you must contact BIS survey support staff before including estimates.

Upon completion of the survey, final review, and certification on the final page, transmit the survey via e-mail to: [email protected]

Questions related to this Excel survey should be directed to Stamen Borisson, Weston Dravenstadt, Elizabeth Oakes, or Emily Festa at [email protected] (E-mail is the preferred method of contact).

You may also speak with a member of the BIS survey support staff by calling (202) 482-XXXX

For questions related to the overall scope of this Defense Industrial Base assessment, contact:

Brad Botwin, Director, Industrial Studies
Office of Technology Evaluation, Room 1093
U.S. Department of Commerce
1401 Constitution Avenue, NW
Washington, DC 20230

DO NOT submit completed surveys to Mr. Botwin's postal or e-mail address; all surveys must be submitted electronically to [email protected]

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 4: Definitions

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Section II: Definitions
Term	Definition
Applied Research	Systematic study to gain knowledge or understanding necessary to determine the means by which a recognized and specific need may be met. This activity includes work leading to the production of useful materials, devices and systems or methods, including design development and improvement of prototypes and new processes.
Basic Research	Systematic, scientific study directed toward greater knowledge or understanding of the fundamental aspects of phenomena and of observable facts.
Berry Amendment	The Berry Amendment (USC, Title 10, Section 2533a), requires the Department of Defense to buy textile, clothing and footwear products made with 100% U.S. fibers, yarns, and fabrics that are cut, sewn, and assembled in the United States. It also applies to DOD procurement of food, hand tools and measuring tools. The Berry Amendment ensures that critical U.S. military needs are not dependent on goods provided by foreign countries — thus mitigating a potentially serious national security issue.
CAGE Code	The Commercial and Government Entity Code, or CAGE Code, is a unique identifier assigned to suppliers to various government or defense agencies, as well as to government agencies themselves and also various organizations.
Cloud Storage	A service model in which data is maintained, managed, and backed up remotely and made available to users over a network.
Commercially Sensitive Information (CSI)	Privileged or proprietary information which, if compromised through alternation, corruption, loss, misuse, or unauthorized disclosure, could cause serious harm to the organization owning it. This includes customer/client information, financial information and records, human resources information, intellectual property information, internal communications, manufacturing and production line information, patent and trademark information, research and development information, regulatory/compliance information, and supplier/supply chain information.
Customer	An entity to which an organization directly delivers the product or service that the facility produces. A customer may be another company or another facility owned by the same parent organization. The customer may be the end user for the item but often will be an intermediate link in the supply chain, adding additional value before transferring the item to yet another customer.
External Storage	External storage is all addressable data storage that is not currently in your company’s networks main storage or memory.
Full Time Equivalent (FTE) Employees	Employees who work for 40 hours in a normal work week. Convert part-time employees into "full-time equivalents" by taking their work hours as a fraction of 40 hours.
Kissell Amendment	The Kissell Amendment (6 USC 453b) is a law which seeks to expand the provisions of the Berry Amendment to Department of Homeland Security procurement for textiles, clothing, and footwear for the Coast Guard and the Transportation Security Administration (TSA). https://www.dhs.gov/publication/homeland-security-acquisition-regulation-deviations
Mandatory Source	According to FAR 8.002 Priorities for Use of Government Supply Sources, agencies shall satisfy requirements for supplies and services from or through the sources and publications listed below in descending order of priority, 1) Supplies. (i) Agency inventories; (ii) Excess from other agencies (see Subpart 8.1); (iii) Federal Prison Industries, Inc. (see Subpart 8.6); (iv) Supplies which are on the Procurement List maintained by the Committee for Purchase From People Who Are Blind or Severely Disabled (see Subpart 8.7); (v) Wholesale supply sources, such as stock programs of the General Services Administration (GSA) (see 41 CFR 101-26.3), the Defense Logistics Agency (see 41 CFR 101-26.6), the Department of Veterans Affairs (see 41 CFR 101-26.704), and military inventory control points; (vi) Mandatory Federal Supply Schedules (see Subpart 8.4); (vii) Optional use Federal Supply Schedules (see Subpart 8.4); and (viii) Commercial sources (including educational and nonprofit institutions).
Manufacturing	For the purposes of this study manufacturing is defined as the production of components (heals, soles, uppers, etc.) used to create footwear and the assembly of components into finished footwear.
North American Industry Classification System (NAICS) Code	North American Industry Classification System (NAICS) codes identify the category of product(s) or service(s) provided by your organization. Find NAICS codes at http://www.census.gov/epcd/www/naics.html
Product/Process Development	Conceptualization and development of a product prior to the production of the product for customers.
Reshoring	The practice of transferring a business operation that was moved overseas back to the country from which it was originally relocated.
Single Source	An organization that is designated as the only accepted source for the supply of parts, components, materials, or services even though other sources with equivalent technical know-how and production capability may exist.
Sole Source	An organization that is the only source for the supply of parts, components, materials, or services. No alternative U.S. or non-U.S. based suppliers exist other than the current supplier.
Supplier	An entity from which your organization obtains inputs. A supplier may be another firm with which you have a contractual relationship, or it may be another facility owned by the same parent organization. The inputs may be goods or services.
United States	The "United States" or "U.S." includes the 50 states, Puerto Rico, the District of Columbia, the island of Guam, the Trust Territories, and the U.S. Virgin Islands.
Utlization Rate	The fraction of an organization's potential output that is actually being used in current production, where potential output is based on a 7 day-a-week, 3x8-hour shift production schedule.
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 5: Respondent Profile

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Section III: Respondent Profile
A.	Select your organization's footwear operations' capabilities:
	Does your organization…			In the U.S.	Outside of the U.S.
	1	...manufacture footwear?		Yes/No	Yes/No
	2	...design footwear?
	3	…conduct research & development (R&D) for footwear?
EXEMPTION FROM SURVEY
If you selected "No" to the manufacture statement in section A above, your organization may be exempt from completing this U.S. Department of Commerce survey. If you think your organization may be exempt, contact BIS survey staff at (202) 482-xxxx or [email protected]

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 6: 1a Organization Information

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Section 1a: Organization Information

Provide the following information for your organization:

Organization Name

Street Address

City

State

Zip Code

Website

Phone Number

Provide the following information for your parent organization(s), if applicable:

Parent Organization 1

Parent Organization 2

Organization Name

Street Address

City

State/Province

Country

Postal Code/Zip Code

Is your organization publicly traded or privately held?

Public/Private

If your organization is publicly traded, identify its stock ticker symbol.

Indicate if your organization qualifies as any of the following types of business:

A small business enterprise (as defined by the Small Business Administration)*

Yes/No

8(a) Firm (as defined by the Small Business Administration)

A historically underutilized business zone (HUBZone)

A minority-owned business

A woman-owned business

A veteran-owned or service-disabled veteran-owned business

*To learn more about Small Business Size Standards, see:
https://www.sba.gov/contracting/getting-started-contractor/make-sure-you-meet-sba-size-standards/table-small-business-size-standards

Is manufacturing footwear your organization's primary line of business?

Yes/No

<---- Dropdown (Business Lines)

If not, what is your primary line of business?

(Dropdown)

Academic institution

Does your organization participate in additional lines of business? If "Yes", indicate the business lines below and provide a short description of each.

Yes/No/N/A

Distribution/brokerage/reseller/retail

Business Line (s)

Description of Business Line(s)

Holding company

(Dropdown)

Inspection and quality control

Information technology (software, hardware, installation)

Integration (product, systems integration)

Maintenance/aftermarket/repair/refurbishing services

Manufacturing (including assembly)

Comments:

Manufacturing systems development and management

Point of Contact regarding this survey:

Material finishing (machining, coating, plating, heat treating, etc.)

Name

Title

Phone Number

E-mail Address

State

Material preparation (casting, forming, molding, forging, etc.)

Product and design engineering (tooling, new processes, etc.)

Comments:

Professional services (legal, accounting, consulting, etc.)

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Raw materials provider

Research and development

Testing/evaluation/validation

Other

Sheet 7: 1b Organization Information

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Section 1b: Organization Information
FACILITIES
A.	1	How many total footwear manufacturing facilities does your organization currently operate?
	2		How many U.S. footwear manufacturing facilities?
	3		How many Non-U.S. footwear manufacturing facilities?

B.	Identify the locations of each of your footwear manufacturing facilities currently operating IN the U.S., the number of employees, the primary footwear line for each facility, and whether the products are manufactured for the U.S. Armed Forces.
		Facility Name	Street Address	City	State	Number of FTEs	Primary Footwear Line	Defense-related
	US -1						Rubber and Plastic Footwear Manufacturer	Yes/No/Not Sure
	US -2						House Slipper Manufacturer
	US -3						Men's Footwear (except Athletic) Manufacturer
	US -4						Women's Footwear (except Athletic) Manufacturer
	US -5						Other Footwear Manufacturer (including Athletic Shoes)
	US -6						Multiple footwear categories
	US -7						Other (specify in comments)
	US -8
	US -9
	US -10
	Comments:
C.	Identify the locations of your organization's top five Non-U.S. footwear manufacturing facilities (based on production volume) and the primary footwear line for each facility.
		Facility Name	Street Address	City	Country		Primary Footwear Line
	Non-US -1						Rubber and Plastic Footwear Manufacturer
	Non-US -2						House Slipper Manufacturer
	Non-US -3						Men's Footwear (except Athletic) Manufacturer
	Non-US -4						Women's Footwear (except Athletic) Manufacturer		Multiple Footwear Categores
	Non-US -5						Other Footwear Manufacturer (including Athletic Shoes)		Other (specify in comments)
	Comments:
D.	Please provide the following identification codes (see definitions), as applicable, to your organization's footwear manufacturing facilities.
	CAGE Code(s) (if applicable)			NAICS (6-digit) Code(s) Find NAICS codes at:


				http://www.census.gov/cgi-bin/sssd/naics/naicsrch?chart=2012

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 8: 2 Mergers and Acquisitions

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Section 2: Mergers, Acquisitions, Divestitures, and Joint Ventures

Mergers, Acquisitions, Divestitures

How many mergers, acquisitions, and divestitures has your organization had since 2012?

Identify and describe your organization's ten most recent mergers, acquisitions, and divestitures, if applicable.

Organization Name

Type of Activity

Country

Year

Primary Objective

Description

<---- Primary Objective Dropdown

Merger

Access to government contracts

Acquisition

Access to intellectual property

Divestiture

Bankruptcy restructuring

Broaden customer base

Develop new capabilities

Overcome market entry barrier/Geopolitical concerns

R&D access/coordination

Reduce Costs

Tax-related

10.

Vertical integration

Joint Ventures

Other objective/purpose (Explain)

How many joint ventures does your organization currently participate in?

Identify your organization's current joint venture relationships, including public/private R&D partnerships. Select the primary purpose of the joint venture and provide a description.

Organization/Entity Name

Country

Year Initiated

Primary Purpose of Relationship

Description

<---- Primary Purpose Dropdown

Access to financial resources

Access to suppliers

Access to technological resources

Broaden Customer Base

Creation of new technologies

Improved access to foreign markets

Improved access to U.S. markets

Product improvements

Reduced costs

10.

Reduced lead times

Comments:

Risk sharing

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Other

Sheet 9: 3a U.S. Government Interactions


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Section 3a: Participation in U.S. Government Programs
A.	Has your organization manufactured footwear for any U.S. Government agency (including non-defense and under Berry and Kissell Amendment provisions) at any point during 2012 through 2016?			Yes/No
	If no, skip to Section 4a.
	If yes, Indicate all U.S. Government departments and agencies your organization has supported or currently supports, directly or indirectly, during 2012 through 2016. Estimate the percentage of your total footwear-related sales that supported each agency. Percentages will only total 100% if all of your organization's sales are to U.S. Government agencies.
	Agency Name		Type of Support	Estimated Percent of Your Organization's Total Sales Attributable to USG Agency
	U.S. Air Force		Direct	(Number entry only)
	U.S. Army		Indirect
	U.S. Marine Corps		Both
	U.S. Navy		None
	U.S. Coast Guard (USCG)		Unknown
	Defense Logistics Agency (DLA)
	Department of Homeland Security (DHS) - other than USCG
	U.S. Postal Service (USPS)
	Other Department/Agency	(Write-in)
	Other Department/Agency	(Write-in)
	Other Department/Agency	(Write-in)
B.	Indicate whether the following factors affect your organization's interest in U.S. Government business.
	Factor	Reduce Interest in USG Business	May Cause Organization to Stop Producing for USG	Explain
	Administrative Burden	Yes/No/Not Applicable	Yes/No/Not Applicable	(Write-in)
	Slow Payment
	Small Production Lots
	Insufficient Profit Margin
	Infrequent Orders
	Intellectual Property Protection
	One-off orders
	Demand Volatility
	Other (Specify)
	Explain:
C.	Does your organization consider itself dependent on U.S. Government programs for its continued viability?			Yes/No/Not Applicable
	Explain:	(Free Text)
	How do you anticipate your overall U.S. Government business changing over the next five years (2017-2021)?			Increase/Decrease/Unchanged/Unsure
	Explain:	(Free Text)
D.	How does your organization learn about contract opportunities with the U.S. Government?
	Explain:	Dropdown Options: Prime Contractor/Federal Web Site/DoD Queries/Word of Mouth/Other
	Select the contract type your organization most frequently uses to do business with the U.S. Government.			(Select from List)	<--------Contract Types Dropdown
	Explain:	(Free Text)			Lowest Price Technically Acceptable (LPTA)
	Has your organization witnessed an increase or decrease in any of the listed contract types during 2012 through 2016?				Best Value
	Contract Type	Type of Change	Additional Comments		Fixed Price
	Best Value	Large Increase	(Free Text)		Incentive
	Fixed Price	Increase	(Free Text)		Cost Reimbursement
	Lowest Price Technically Acceptable	No Change	(Free Text)		Time and Materials
	Incentive	Decrease	(Free Text)		Other
	Cost Reimbursement	Large Decrease	(Free Text)		Not Applicable
	Time and Materials		(Free Text)
	Others		(Free Text)
	Specify Other:	(Free Text)
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 10: 3b Berry Amendment


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Section 3b: Berry and Kissell Amendments
The Berry Amendment (10 USC 2533a) requires the U.S. Deparment of Defense (DoD) to buy textile, clothing and footwear products wholly manufactured in the United States and made from 100% U.S.-origin materials. The Kissell Amendment (6 USC 453b) is a law which seeks to expand the provisions of the Berry Amendment to Department of Homeland Security procurement for textiles, clothing, and footwear for the U.S. Coast Guard and the Transportation Security Administration (TSA).
A.	1	Does your organization currently produce defense-related footwear items that are Berry Amendment compliant?			Yes/No
	1	Explain:
	2	Does the Berry Amendment have a positive impact on your organization's business?			Yes/No/Unsure/Not Applicable
	2	Explain:
	3	How does your organization learn about opportunities to produce Berry-compliant goods for the U.S. Department of Defense?			Select from List	<-----Dropdown
	3	Explain:				Government website (like FedBizOps.gov)
	4	Does your organization consider Berry Amendment noncompliance to be a problem within the U.S. footwear industry?			Yes/No/Unsure/Not Applicable	Industry (non-government) website
	4	Explain:				Personal contacts within Department of Defense
	5	Does your organization consider Berry Amendment noncompliance to be a problem within the Department of Defense?			Yes/No/Unsure/Not Applicable	Personal contacts within Industry
	5	Explain:				Other (identify below)
	6	During 2012 through 2016, have you reported an instance of suspected violation of the Berry Amendment?			Yes/No/Unsure/Not Applicable	Not Applicable
	6	Explain:
	7	If yes, was this issue resolved?			Yes/No/Unsure/Not Applicable
	7	Explain:
	8	During 2012 through 2016, has your organization been the subject of a Berry Amendment compliance audit, investigation, or verification?			Yes/No/Unsure/Not Applicable
	8	Explain:
	9	If so, which government agency conducted the audit, investigation, or verification?
	9	Specify Agency:
	10	Do you know who to contact within the U.S. Government for Berry Amendment-related issues?			Yes/No/Not Applicable
	10	Explain:
	11	Has your organization been offered or taken part in any Berry Amendment compliance training conducted by the U.S. Department of Defense or other U.S. Government Agency?			Yes/No/Not Applicable
	11	Date of training and Agency:
	12	Has your organization been offered or accepted any Government Furnished Equipment (GFE) in support of its Berry Amendment-compliant production?			Yes/No/Not Applicable
	12	Describe:
B.	Select the responses that best reflect your organization's views regarding the impact of the Berry Amendment.
	Action			Impact on your Organization	Impact on the U.S. Footwear Industry
	1	Leaving the provisions of the Berry Amendment unchanged		Very Positive		<--------Dropdown
	2	Expanding the number of USG agencies subject to the Berry Amendment		Somewhat Positive		Very Positive
	3	Expanding the number of product groups subject to the Berry Amendment		No Effect		Somewhat Positive
	4	Reducing the number of product groups subject to the Berry Amendment		Somewhat Negative		No Effect
	5	Allowing for more Berry Amendment exemptions or reducing the percentage of the product that must be 100% U.S.-origin		Very Negative		Somewhat Negative
	6	Repealing/removing the Berry Amendment in its entirety				Very Negative
	Explain:
C.	1	Have you every used or worked under the provisions of the Kissell Amendment?			Yes/No/Not Applicable
	Select the responses that best reflect your organization's views regarding the impact of the Kissell Amendment.
	Action			Impact on your Organization	Impact on the U.S. Footwear Industry
	2	Leaving the provisions of the Berry Amendment unchanged
	3	Expanding the number of USG agencies subject to the Kissell Amendment
	Explain:
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 11: 4a Products and Services


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Section 4a: Products and Services
Identify the footwear products your organization currently manufactures and/or designs in the U.S. For the purpose of this survey, footwear products and services have been divided into five general categories, as detailed below. Indicate which general category is your primary business line, and specify each category in which your organization has manufacturing and/or design capabilities.
Part	Product and Service Category		Primary Business Line	Manufacture	Design
Footwear
A	Rubber and Plastic Footwear		Yes/No	Yes/No	Yes/No
B	House Slipper		Yes/No	Yes/No	Yes/No
C	Men's Footwear (except Athletic)		Yes/No	Yes/No	Yes/No
D	Women's Footwear (except Athletic)		Yes/No	Yes/No	Yes/No
E	Other Footwear (including Athletic Shoes)		Yes/No	Yes/No	Yes/No
Comments:

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 12: 4b Products and Services

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	Section 4b: Product and Service List
	Identify all of the footwear products your organization manufactures and/or designs below. Indicate whether any product is Berry Amendment compliant (100% U.S. origin materials). For each product/service area selected, write a brief description of the specific items your organization manufactures and/or designs. Note: The Berry Amendment (10 USC 2533a) requires the U.S. Department of Defense (DoD) to buy textile, clothing and footwear products wholly manufactured in the United States and made from 100% U.S.-origin materials.
	A: Rubber and Plastic Footwear
		Manufacture	Design	100% U.S. Origin	Product/Service Description
0	A1 - Arctics, rubber or rubber soled fabric	Yes	Yes	Yes
	A2 - Boots, plastics, rubber or rubber soled fabric	No	No	No
	A3 - Canvas shoes, rubber soled	Not Applicable	Not Applicable	Unknown
	A4 - Footholds, rubber
	A5 - Footwear, rubber or rubber soled fabric
	A6 - Gaiters, rubber or rubber soled fabric
	A7 - Galoshes, plastics, rubber or rubber soled fabric
	A8 - Overshoes, plastics, rubber or rubber soled fabric
	A9 - Pacs, rubber or rubber soled fabric
	A10 - Sandals, rubber
	A11 - Shoes, plastics soles molded to fabric uppers
	A12 - Shoes, rubber or rubber soled fabric uppers
	A13 - Shower sandals or slippers, rubber
	A14 - Other
	A15 - Other
	B: House Slipper
		Manufacture	Design	100% U.S. Origin	Product/Service Description
0	B1 - House Slippers	Yes	Yes	Yes
	B2 - Slipper Socks	No	No	No
	B3 - Other	Not Applicable	Not Applicable	Unknown
	B4 - Other
	C: Men's Footwear (except Athletic)
		Manufacture	Design	100% U.S. Origin	Product/Service Description
0	C1 - Boots, dress and casual: men's	Yes	Yes	Yes
	C2 - Casual shoes, men's except athletic and rubber footwear	No	No	No
	C3 - Dress shoes, men's	Not Applicable	Not Applicable	Unknown
	C4 - Footwear, men's except house slippers, athletic, and vulcanized
	C5 - Footwear, men's leather or vinyl with molded or vulcanized soles
	C6 - Leather footwear, men's (except athletic, slippers)
	C7 - Orthopedic shoes, men's except extension shoes
	C8 - Shoes, men's except house slippers, athletic, rubber, and extension
	C9 - Work shoes, men's
	C10 - Other
	C11 - Other
	C12 - Other
	D: Women's Footwear (except Athletic)
		Manufacture	Design	100% U.S. Origin	Product/Service Description
0	D1 - Boots, dress and casual (except plastics, rubber)	Yes	Yes	Yes
	D2 - Casual shoes (except athletic, rubber, plastics)	No	No	No
	D3 - Dress shoes	Not Applicable	Not Applicable	Unknown
	D4 - Footwear, women's (except house slippers, athletic, orthopedic extension, plastics, rubber)
	D5 - Footwear, women's leather or vinyl upper with rubber or plastics soles
	D6 - Leather footwear (except athletic, slippers)
	D7 - Orthopedic shoes (except extension shoes)
	D8 - Pumps
	D9 - Sandals, (except rubber, plastics)
	D10 - Shoes, women's (except house slippers, athletic, orthopedic extension, plastic, rubber)
	D11 - Other
	D12 - Other
	E: Other Footwear
		Manufacture	Design	100% U.S. Origin	Product/Service Description
0	E1 - Athletic shoes, except rubber	Yes	Yes	Yes
	E2 - Ballet Slippers	No	No	No
	E3 - Children's Footwear	Not Applicable	Not Applicable	Unknown
	E4 - Moccasins
	E5 - Orthopedic shoes, children's
	E6 - Sandals, children's: except rubber
	E7 - Other
	E8 - Other
	E9 - Other
	E10 - Other
	Comments:

	BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 13: 5 Materials & Equip.

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Section 5: Supply Chain Network
A.	Identify your organizations's key product, material, and service suppliers for footwear operations. For each supplier name, indicate the product, material, and/or service, the location of the supplier, and whether the supplier is single or sole source. Note: A single source is an organization designated as the only accepted source for the supply of parts, components, materials, or services even though other sources with equivalent technical know-how and production capability may exist. A sole source is an organization that is the only source for the supply of parts, components, materials, or services. No alternative U.S. or non-U.S. based suppliers exist other than the current supplier. Note: Include internal/same organization suppliers.
		Supplier Name	Product/Material/Service	City	State	Country	Single or Sole Source?
	Ex.	Sara's Engine Works	Truck engines	Huntsville	AL	USA	Single Source	Dropdown:
	1						Sole Source	Single Source
	2						Both	Sole Source
	3						Neither	Both
	4							Neither
	5
	6
	7
	8
	9
	10
	Comments:
B.	1	Have you experienced any U.S.-specific supply chain sourcing issues since 2012?					Yes/No
	Explain:
	2	Have you experienced any non-U.S.-specific supply chain sourcing issues since 2012?					Yes/No
	Explain:
	3	Are you dependent on foreign sources for any products, services, or materials?					Yes/No
	Explain:
Machinery and Equipment
C.	Identify your organization's key machinery and equipment suppliers for footwear operations. For each supplier name, indicate the type of machinery and/or equipment supplied, location of the supplier, and whether the supplier is single or sole source (see definitions). Note: Include internal/same organization machinery/equipment and service suppliers.
		Supplier Name	Machinery/Equipment	City	State	Country	Single or Sole Source?	Dropdown:
	1						Single Source	Single Source
	2						Sole Source	Sole Source
	3						Both	Both
	4						Neither	Neither
	5
	Comments:
D.	1	Have you experienced any machinery/equipment sourcing issues since 2012?					Yes/No
	Explain:
	2	Are you dependent on foreign sourcing for your machinery/equipment?					Yes/No
	Explain:
	3	Has your organization had trouble obtaining parts or service (including software) for U.S. or non-U.S. manufacturing equipment?				U.S.	Non-U.S.
					Parts	Yes/No/Not Applicable	Yes/No/Not Applicable
					Services	Yes/No/Not Applicable	Yes/No/Not Applicable
		Explain:
	4	Do you have any other problematic issues in terms of footwear manufactuing machinery and/or equipment?					Yes/No
	Explain:
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 14: 6 Production & Output


Previous Page			Return to Table of Contents						Next Page
Section 6: Production Capabilities
A.	Estimate your organization's U.S. footwear production output (in finished pairs) for each of the years 2012-2016. Provide full-year estimates for 2016.
					2012	2013	2014	2015	2016
	1	Units: Total Finished Pairs Manufactured
	2	Pairs manufactured in the U.S. with 100% U.S. materials (as a % of A1)
	3	Pairs manufactured or assembled in the U.S. with at least some imported materials and/or components (as a % of A1)
		Total of 2 and 3 (must equal 100%)			0%	0%	0%	0%	0%
	4	Berry Amendment-related pairs manufactured for the U.S. Department of Defense (DoD) or the U.S. Armed Forces (as a % of A1)
	Comments:

B.	Estimate this organization's average annual footwear manufacturing utilization rate for each of the years 2012-2016, as a percentage of maximum production possible under a 7 day-per-week, 24-hour-per-day operation. Note: a 100% utilization rate equals full operation with no downtime beyond that necessary for maintenance
	Examples: Assuming little maintenance downtime, one 8-hour shift, 5 days per week is approximately 25% capacity utilization; two 8-hour shifts, 7 days per week is approximately 65% capacity utilization.				2012	2013	2014	2015	2016


	1	Estimate how many 8-hour production shifts per day your organization typically operates? Record shifts shorter or longer than 8 hours as a fraction of an 8-hour shift. (ex: 12-hour shift = 1.5)
	2	Estimate how many 8-hour production shifts per day COULD your organization operate? Record shifts shorter or longer than 8 hours as a fraction of an 8-hour shift. (ex: 12-hour shift = 1.5)
	3	Estimate the number of weeks it would take to raise production from current levels to 100% capacity utilization: If you already operate at 100% capacity utilization, respond with a "0".						(1-52 weeks, 1+ year)
	Comments:
C.	1	If this organization were no longer able to purchase products, materials, or services from your current suppliers, given current inventory levels, for how many weeks could you maintain normal operations?
	2	How confident are you that this organization could obtain on a timely basis the material necessary to rapidly ramp up production in the event of a national emergency?						Very Confident/Somewhat Confident/Not Confident/Unsure
	Explain:
D.	Identify which of the factors below would limit this organizations's ability to raise its footwear manufacturing utilization rate to 100% (maximum current capacity) to meet a surge in demand.
	Factor			Yes/No	Explanation
	1	Equipment Capacity		Yes/No
	2	Availability of Additional Equipment
	3	Manufacturing Space
	4	Availabilty of Workforce
	5	Cost of Workforce
	6	Quality Control
	7	Availability of input materials
	8	Other (specify in explanation)
	Comments:
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 15: 7 Sales

Return to Table of Contents

Section 7: Sales

For years 2012-2016 provide your organization's footwear-related U.S. and non-U.S. sales information. Provide full-year estimates for 2016.

Note: "U.S." means U.S. domestic sales; "Non-U.S." means export sales from U.S. locations.
Government sales include both direct and indirect sales to government customers. All sales with government end uses should be reported as government sales.

In Part A, indicate your organization's total footwear-related sales in U.S. dollars.
In Part B, indicate your organization's total sales from finished pairs manufactured in the U.S.
In Part C, indicated your organization's total sales from imported finished pairs.
In Part D, indicate your organization's total sales to the U.S. Federal, State, and Local Government. Also include non-U.S. Government sales.
In Part E, indicate your organization's Berry Amendment-related total sales.

Source of Sales Data:

(Corporate/Whole Organization/Division Level/Facility/Plant Level)

Reporting Schedule:

(Fiscal Year/Calendar Year)

Record in $ Thousands, e.g. $12,000.00 = survey input $12

2012

2013

2014

2015

2016

Data Confirmation

U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

Non-U.S.

Total Listed 2016 Sales

Total Footwear-Related Sales, all Customers (in $)

None

Lines B-D need not sum to 100%. Estimates are acceptable.

Total Sales from Finished Pairs Manufactured in the U.S. (as a % of A)

Total Sales from Imported Finished Pairs (as a % of A)

Total Government Sales (as a % of A)

Total Berry Amendment-Related Sales to the the U.S. Department of Defense (DoD) or the U.S. Armed Forces (as a % of A)

Comments:

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 16: 8 Financials

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Section 8: Financials
Provide the following Income Statement and Balance Sheet financial line items for your organization for years 2012-2016 below. Furnish full-year estimates for 2016. Note: This section applies to both publicly and privately held organizations.
Source of Income Statement Items:		(Corporate/Whole Organization/Division Level/Facility/Plant Level)
Reporting Schedule:		(Fiscal Year/Calendar Year)
Income Statement (Select Line Items)		Record $ in Thousands, e.g. $12,000.00 = survey input of $12
Income Statement (Select Line Items)		2012	2013	2014	2015	2016
A.	Net Sales (and other revenue)
B.	Cost of Goods Sold
C.	Total Operating Income (Loss)
D.	Earnings Before Interest and Taxes
E.	Net Income
Source of Balance Sheet Items:		(Corporate/Whole Organization/Division Level/Facility/Plant Level)
Reporting Schedule:		(Fiscal Year/Calendar Year)
Balance Sheet (Select Line Items)		Record $ in Thousands, e.g. $12,000.00 = survey input of $12
Balance Sheet (Select Line Items)		2012	2013	2014	2015	2016
A.	Cash
B.	Inventories
C.	Total Current Assets
D.	Total Assets
E.	Total Current Liabilities
F.	Total Liabilities
G.	Retained Earnings
H.	Total Owner's Equity

Note: Total Assets must equal Total Liabilities plus Total Owner's Equity
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 17: 9 CAPEX

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Section 9: Capital Expenditures
Record your organization's total capital expenditures and footwear-related capital expenditures corresponding to the select categories below. Provide figures for years 2012-2016 with estimates for 2016.
Source of Capital Expenditure Data:				(Corporate/Whole Organization/Division Level/Facility/Plant Level)
Capital Expenditure Reporting Schedule:				(Fiscal Year/Calendar Year)					Data Confirmation
Capital Expenditure Category				Record $ in Thousands, e.g. $12,000.00 = survey input of $12					Total 2016 Capital Expenditures
Capital Expenditure Category				2012	2013	2014	2015	2016	Total 2016 Capital Expenditures
A.	Total Capital Expenditures								None
	1	Machinery, Equipment, and Vehicles [as a % of A]
	2	IT, Computers, Software [as a % of A]
	3	Land, Buildings, and Leasehold Improvements [as a % of A]
	4	Other (specify)
	5	Other (specify)
	Lines 1 through 5 must total 100%			0%	0%	0%	0%	0%
	6	Footwear-related Capital Expenditures [as a % of A]
B.	From 2012-2016, were your organization's footwear-related capital expenditures adversely impacted by reductions in U.S. Government defense spending?					Yes/No/Not Sure/Not Applicable
B.	If yes, explain:
C.	Rank your organization's top 3 anticipated footwear-related capital expenditure priorities for 2017-2021 and provide a brief description.
	Priority			Rank	Description
	1	Replace old machinery and equipment
	2	Improve productivity
	3	Expand capacity
	4	Add new capability
	5	Upgrade technology
	6	Meet specific customer requirements
	7	Comply with environmental regulations
	8	Comply with safety regulations
	9	Other (specify)
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 18: 10a R&D

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Section 10a: Research & Development
A.	Does your organization conduct footwear-related research and development (R&D)?				Yes/No	If No, proceed to Section 11.
In Question B, record this organizations's total dollar R&D expenditures, footwear-related R&D expenditures and type of R&D expenditures for each of the years 2012 to 2016. Provide full-year estimates for 2016. In Question C, identify this organization's R&D funding sources, for years 2012-2016, by percent of total R&D dollars sourced. Provide full-year estimates for 2016. * Defense-related footwear R&D expenditures refer to R&D related to products or applications related to the U.S. Department of Defense (DoD) or the U.S. Armed Forces.
B.	Source of R&D Data:			(Corporate/Whole Organization/Division Level/Facility/Plant Level)
			Reporting Schedule:	(Fiscal Year/Calendar Year)
				Record $ in Thousands, e.g. $12,000.00 = survey input of $12
				2012	2013	2014	2015	2016
	1	Total R&D Expenditures							Data Confirmation
	2	Basic Research (as a % of B1)							Total 2015 R&D Expenditures
	3	Applied Research (as a % of B1)							None
	4	Product/Process Development (as a % of B1)
	Total of 2, 3, and 4 (must equal 100%)			0%	0%	0%	0%	0%
	5	Total footwear-related R&D Expenditures (as a % of B1)
	6	Defense-related footwear R&D Expenditures (as a % of B1)
C.				Record $ in Thousands, e.g. $12,000.00 = survey input of $12
				2012	2013	2014	2015	2016
	1	Total R&D Funding Sources
	2	Internal/Self-Funded/IRAD (as a % of C1)
	3	Total U.S. Department of Defense (DoD)
	4	Other Federal Government (as a % of C1)
	5	Total State and Local Government (as a % of C1)
	6	Universities - Public and Private (as a % of C1)
	7	U.S. Industry, Venture Capital, Non-Profit (as a % of C1)
	8	Non-U.S. Investors (as a % of C1)
	9	Other	(specify here)
	Lines 2 through 9 must total 100%			0%	0%	0%	0%	0%
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 19: 10b R&D

Return to Table of Contents

Section 10b: Research & Development (continued)

Identify your organization's top footwear-related R&D priorities for years 2017-2021 and provide a brief explanation.

Priority

Description

Innovation in production process

Increase production capacity

Development of new materials

Reduce manpower cost

Expand range of products

Reduce the consumption of energy

Improve the quality of product

Reduce consumption of materials

Other

(specify here)

Increase flexibility of production

Reduce environmental impact

Identify the key factors driving your organization's investment in footwear-related R&D and explain how these factors shape R&D projects.

Factor

-Yes/No-

Explain

Cost reduction

Yes

<---Drop Down

Customer requirements

Yes

Industry roadmap

Not Applicable

Need for competitive advantage

Not Applicable

New product development

Other

(specify here)

Other

(specify here)

Other

(specify here)

Since 2012, have your organization's footwear-related R&D expenditures been adversely impacted by reductions in U.S. Government defense spending?

Yes/No/Not Applicable

Explain:

Comments:

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 20: 11a Workforce

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Section 11a: Workforce

Record the total number of full time equivalent (FTE) employees for all your U.S.-based operations for the 2012-2016 period. Then record the total number of footwear-related employees for the 2012-2016 period. Estimate the percentage of these employees that perform the occupations indicated in part A, lines a-j. Provide full-year estimates for 2016.

Note: FTE employees are employees who work for 40 hours in a normal work week. Convert part-time employees into "full-time equivalents" by taking their work hours as a fraction of 40 hours.

Source of Workforce Data:

(Corporate/Whole Organization/Division Level/Facility/Plant Level)

Reporting Schedule:

(Fiscal Year/Calendar Year)

2012

2013

2014

2015

2016

Total Full Time Equivalent (FTE) Employees

Footwear-related Full Time Equivalent (FTE) Employees

Administrative, Management, & Legal Staff [as a % of A1]

Designers [as a % of A1]

Engineers, Scientists, and R&D Staff [as a % of A1]

Facility & Maintenance Staff [as a % of A1]

Information Technology Professionals [as a % of A1]

Marketing & Sales [as a % of A1]

Production Line Workers [as a % of A1]

Testing Operators, Quality Control, and Support Technicians [as a % of A1]

Other

(specify here)

Other

(specify here)

Lines a through j must total 100%

Does your organization have difficulty hiring and/or retaining any types of employees for your footwear-related operations?
If yes, identify which occupations, type of difficulty, and provide an explanation.

Yes/No

Occupation

Difficulty

Explanation

Administrative, Management, & Legal Staff

(Hiring/Retaining/Both/Neither)

Designers

Engineers, Scientists, and R&D Staff

Facility & Maintenance Staff

Information Technology Professionals

Marketing & Sales

Production Line Workers

Testing Operators, Quality Control, and Support Technicians

Other

(specify here)

Other

(specify here)

Other

(specify here)

Other

(specify here)

<-----Dropdown:

List the biggest skills gaps in the labor market for your organization's footwear-related operations. Then elaborate upon the specific skill sets in each category chosen.

Administrative, Management, & Legal

Dropdown

Explain:

Design

Dropdown

Explain:

Engineers, Scientists, and R&D

Dropdown

Explain:

Facility and Maintenance

Comments:

Information Technology

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Marketing & Sales

Production Line

Testing Operator, Quality Control, and Support

Other

Sheet 21: 11b Workforce (cont'd)

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Section 11: Workforce (cont'd)

Estimate the number of open positions you have currently have for your footwear operations.

Sheet 22: 12a Customers

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Section 12a: Customers
A.	Identify your organization's top 5 U.S. and top 5 non-U.S. footwear-related direct customers by sales. A direct customer is the immediate entity to which you sell your products/services. Customers can include other business units/divisions within your parent organization. Indicate the type of customer and their location.
	Top U.S.-Based Customers
		Estimated total number of U.S.-based footwear-related customers between 2012-2016:
	Customer Name			Type of Customer	Customer City		Customer State

	1.			Commercial
	2.			Government Defense
	3.			Government Non-Defense
	4.			Other
	5.
	Top Non-U.S.-Based Customers
B.		Estimated total number of non-U.S.-based footwear-related customers between 2012-2016:
	Customer Name			Type of Customer	Customer City		Customer Country

	1.			Commercial
	2.			Government Defense
	3.			Government Non-Defense
	4.			Other
	5.
	Factors
C.	Since 2012 has your organization decided not to pursue any footwear-related business opportunities due to any of the following factors?					Yes/No
	Factors		Yes/No	Explain
	Production run too small
	Insufficient order frequency
	Insufficient dollar value of job
	Insufficient dollar value of recurring business opportunity
	Complexity of job
	Customer credit rating
	Additional work not needed
	Other	(specify here)
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 23: 12b Competitors

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Section 12b: Competitors

Identify your organization's leading U.S. and non-U.S. competitors in the manufacture of footwear and select their primary competitive attribute.

Top U.S. Competitors

Competitor Name

State

Primary Competitive Attribute

Explain

<-----Dropdown options

Price

Quality

Delivery Time

Reliability

Financing

Top Non-U.S. Competitors

Range of Capabilities

Competitor Name

Country

Primary Competitive Attribute

Explain

Receipt of Government Subsidies

Productivity

Innovation

Other

Comments:

Identify and rank the top five competitive advantages and disadvantages your organization's U.S.-based footwear manufacturing operations possess as they relate to foreign competition.

Top U.S. competitive advantages and disadvantages

Advantage

Disadvantage

Explain

<-----Drop-down options

US-1

Labor Costs

US-2

Environmental Compliance Costs

US-3

Material Costs

US-4

Equipment Costs

US-5

Building Space Costs

US-6

Other

(specify here)

R&D Costs

Comments:

Supply of Skilled Workers

Top Non-U.S. competitive advantages and disadvantages

Export Controls

Identify and rank the top five competitive advantages and disadvantages non-U.S.-based footwear manufacturers possess as they relate to your footwear-related business.

Overall Finished Products

Advantage

Disadvantage

Explain

Quality

Non-US-1

Performance

Non-US-2

Lead Time

Non-US-3

Reduced Process Variability

Non-US-4

Reduced Cost

Non-US-5

Safety Requirements

Non-US-6

Other

(specify here)

Increased Yield

Comments:

Design

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Productivity

Energy Costs

Innovation

Tariffs

Trade Barriers

Other

Sheet 24: 13a Competitive Factors

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Section 13a: Competitive Factors

Select the actions your organization has taken between 2012-2016 and will take between 2017-2021 to improve its competitiveness. If "Other", please specify.

Action

2012-2016

2017-2021

Explain:

Automation/Lean Manufacturing

Yes/No

Business Restructuring

Capacity/Property, Plant and Equipment Investment

Cost Reduction/Efficiency

Customer Service/Quality Control

Innovation/R&D, Design

Marketing Improvements

Staff Adjustments

Training/Certifications

Other

(specify)

Other

(specify)

Other

(specify)

Comments:

What is the most significant change in footwear operations that is expected at your organization between 2017-2021?

(Dropdown)

<----- Dropdown

Explain:

Increase production activity

Do you expect the competitive prospects of your organization's U.S. footwear-related operations (both defense-related and commercial) to improve or decline between 2017-2021?

Defense-Related

Commercial

Decrease production activity

Improve/Decline/Remain the Same/Not Applicable

Diversify Product Line

Explain:

Consolidate Product Line

Are you aware of an increase in reshoring activities to the U.S. for the manufacturing of footwear?

Yes/No/Unsure/Not Applicable

Cease Operations

Explain:

No Signficant Change

If yes, what are the driving factors? Select all that apply.)

Yes/No

Proximity to market

Yes/No

Lower energy costs

Yes/No

Availability of skilled labor

Yes/No

Product/process innovations

Yes/No

Local/state/federal incentives

Yes/No

Shorter lead times

Yes/No

Increased process efficiency

Yes/No

Customer requirements

Yes/No

Marketability of "Made in USA" label

Yes/No

Automation

Yes/No

Dollar exchange rate

Yes/No

Other:

(specify)

Yes/No

Better production quality

Yes/No

Domestic legal procedures

Yes/No

Other:

(specify)

If yes, what actions has your organization undertaken to benefit from this reshoring trend?

Explain:

If yes, what actions woud your organization like to take to benefit from this reshoring trend?

Explain:

Comments:

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 25: 13b Competitive (cont'd)

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Section 13b: Competitive Factors (cont'd)
D.	Does your organization belong to any formal or informal government or industry footwear related information sharing or related groups?								Yes/No/Not Applicable
	If yes, list the name and type of group(s) your organization participates in and provide a brief description of activities.
		Group Name			Type of Group		Description of Activities
	1
	2
	3
	4
	5
	6
	7
	8
	9
	10
	Comments:
E.		Indicate whether the following regulations/provisions have had or may have an impact on your organization's competitiveness.
						Current Impact	Anticipated Future Impact	Explain:		<-----Dropdown
	1	Federal minimum wage requirements				Dropdown	Dropdown			Positive
	2	State-level minimum wage requirements								Negative
	3	Local minimum wage requirements								No Effect
	4	Overtime threshold laws and/or provisions								Unsure
	5	Affordable Healthcare Act
	6	Sick leave benefits
	7	Family and Medical Leave Act (FMLA) provisions
	8	Federal environmental regulations
	9	State-level environmental regulations
	10	Occupational Safety and Health Agency (OSHA) regulations
	11	Other	(specify)
	12	Other	(specify)
	Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 26: 14 Cyber Security

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Section 14: Cyber Security

Are you familiar with DFARS 252.204-7009, Limitations on the Use or Disclosure of Third-Party Contractor Reported Cyber Incident Information? http://www.acq.osd.mil/dpap/dars/dfars/html/current/252204.htm

Yes/No

Explain:

Is the computer or computer network that houses your organization's Commercially Sensitive Information (CSI)* connected to the Internet, either directly or via an intermediary network or server?

*This includes customer/client information, financial information and records, human resources information, intellectual property information, internal communications, manufacturing and production line information, patent and trademark information, research and development information, regulatory/compliance information, and supplier/supply chain information.

Yes/No

Explain:

Who is responsible for administering your internal computer network(s)?

Dropdown

<----- Dropdown

Who is responsible for administering your external computer network(s)?

Dropdown

Internal IT Department

Does your organization have defined, structured methods for actively protecting Commercially Sensitive Information (see definitions)?

Yes/No

Internal IT department and external U.S. service provider

Explain:

Internal IT Department and external non-U.S. service provider

Since 2012, have recent cyber incidents across the marketplace caused your organization to increase its information security budget?

Yes/No

Only U.S. external service provider

Explain:

Only non-U.S. external service provider

Estimate the percentage of your organization's Commercially Sensitive Information that is stored with:

External Cloud Service Providers

(% Entry Only)

Both U.S. and non-U.S. servicer providers

External Data Storage Providers

(% Entry Only)

N/A

Does your organization restrict or prohibit your external cloud service or external data storage provider(s) from storing Commercially Sensitive Information outside of the U.S.?

External Cloud Service Providers

Limit/Prohibit/No

External Data Storage Providers

Limit/Prohibit/No

Explain:

Using the drop-down lists and free-text entries below, indicate the type(s) and severity of any cybersecurity events that have occurred at this organization since 2012.

Event

Impact Level

Explanation

(Choose from Drop-Down)

Severe/Moderate/Low/None

(Free text)

<-----Dropdown

(Choose from Drop-Down)

Severe/Moderate/Low/None

User idle time and lost productivity because of downtime or systems performance delays

(Choose from Drop-Down)

Severe/Moderate/Low/None

Disruption to normal operations because of system availability problems

(Choose from Drop-Down)

Severe/Moderate/Low/None

Damage or theft of IT assets and infrastructure

(Choose from Drop-Down)

Severe/Moderate/Low/None

Incurred cost of damage assessment and remediation

Other Cybersecurity Event

(Free Text)

Severe/Moderate/Low/None

Business interruption

Other Cybersecurity Event

(Free Text)

Severe/Moderate/Low/None

Exfiltration of CSI data

Other Cybersecurity Event

(Free Text)

Severe/Moderate/Low/None

Theft of personnel information

Note: The FBI encourages recipients to report information concerning suspicious or criminal activity to their local FBI field office or the FBI's 24/7 Cyber Watch (CyWatch). Field office contacts can be identified at http://www.fbi.gov/contact-us/field. CyWatch can be contacted by phone at 855-292-3937 or e-mail at [email protected]. When available, each report submitted should include the date, time, location, type of activity, number of people, and type of equipment used for the activity, the name of the submitting company or organization, and a designated point of contact.

Damage to software and/or source code

Comments:

Theft of software and/or source code

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Damage to company production capabilities or systems

Destruction of information asset

Reputation loss, market share, and brand damages

Ransomware Attack

Other

Sheet 27: 15 Challenges and Outreach

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Section 15: Challenges and Outreach
A.	Select the issues that have or are expected to impact your organization. In column A, select only the issues that adversely affect your organization. In column B, rank your top five issues (one being the most important) by selecting numbers one through five, using each rank exactly once. In column C, provide an explanation for the selected issues.
	Type of Issue			A	B	C
	Type of Issue			Adversely Affect	Rank Top 5	Explanation
	Aging equipment, facilities, or infrastructure			Yes/No
	Aging workforce
	Competition - domestic
	Competition - foreign
	Counterfeit parts
	Cyber security
	Environmental regulations/remediation - domestic
	Environmental regulations/remediation - foreign
	Export controls/ITAR & EAR
	Government acquisition process
	Government purchasing volatility
	Government regulatory burden
	Healthcare costs
	Health and safety regulations
	Intellectual property/patent infringement
	Labor availability/costs
	Material input availability
	Obsolescence
	Pension costs
	Proximity to customers
	Proximity to suppliers
	Qualifications/certifications
	Quality of material inputs
	R&D costs
	Reduction in commercial demand
	Reduction in USG demand
	Taxes
	Worker/skills retention
	Other	(specify here)
	Other	(specify here)
	Other	(specify here)
Outreach
B.	There are many federal and state government programs and services available to assist your organization to better compete in the global marketplace. If your organization would like information regarding these government programs, select the specific areas of interest below. The U.S. Commerce Department will follow-up with your organization regarding your selections.
	Continuous Improvement/ Lean Manufacturing		Yes/No	Product Design			Yes/No
	Cyber Security			Prototyping
	Design for Assembly			Quality Management and Control
	Design for Manufacturability			Research and Development (R&D) Assistance and Partnership
	Energy and Environmentally Conscious Manufacturing			Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) contracts
	Export Assistance			Supply Chain Optimization
	Export Licensing (ITAR/EAR)			Technology Acceleration
	Government Procurement Guidelines			Vendor/Material Sourcing
	Market Expansion/Business Growth			Other	(specify here)
	Other	(specify here)		Other	(specify here)
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Sheet 28: 16 Certification

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Section 16: Certification
The undersigned certifies that the information herein supplied in response to this questionnaire is complete and correct to the best of his/her knowledge. It is a criminal offense to willfully make a false statement or representation to any department or agency of the United States Government as to any matter within its jurisdiction (18 U.S.C.A. 1001 (1984 & SUPP. 1197)). Once this survey is complete, submit it via e-mail to: [email protected]. Be sure to retain a copy for your records and to facilitate any necessary edits or clarifications.

Organization Name
Organization's Internet Address
Name of Authorizing Official
Title of Authorizing Official
E-mail Address
Phone Number and Extension
Date Certified
In the box below, provide any additional comments or any other information you wish to include regarding this survey assessment.

How many hours did it take to complete this survey?

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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