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National Security and Critical Technology Assessments of the US Industrial Base

Survey - PDF Version

OMB: 0694-0119

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OMB 0694-0119 PRA ROCIS Submission

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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Information furnished herewith is deemed confidential and will not be published or disclosed except in accordance with Section 705 of the Defense Production Act of 1950, as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.
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Table of Contents

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TABLE OF CONTENTS
I
II
III
1a
1b
2
3a
3b
4a
4b
5
6
7
8
9
10a
10b
11a
11b
12a
12b
13a
13b
14
15
16

General Instructions
Definitions
Respondent Profile
Organization Information
Organization Information (cont'd)
Mergers, Acquisitions, Divestitures, and Joint Ventures
U.S. Government Interactions
Berry and Kissell Amendments
Products and Services
Products and Service List
Supply Chain Network and Machinery/Equipment
Production Capabilities
Sales
Financials
Capital Expenditure
Research & Development
Research & Development (cont'd)
Workforce
Workforce (cont'd)
Customers
Competitors
Competitive Factors
Competitive Factors (cont'd)
Cyber Security
Challenges and Outreach
Certification
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Section I: GENERAL INSTRUCTIONS

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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
A.

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.

B.
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.
C. Do not disclose any classified information in this survey form.
D.

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.

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

F.

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
G.
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]
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Section II: Definitions

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Definition

Term

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.

Applied Research

Systematic, scientific study directed toward greater knowledge or understanding of the fundamental aspects of
phenomena and of observable facts.

Basic Research

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.

Berry Amendment

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.

CAGE Code

A service model in which data is maintained, managed, and backed up remotely and made available to users over
a network.

Cloud Storage

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
Commercially Sensitive Information (CSI) 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.
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.

Customer

External storage is all addressable data storage that is not currently in your company’s networks main storage or
memory.

External Storage

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.
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-acquisitionregulation-deviations

Kissell Amendment

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).

Mandatory Source

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.

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Section III: Respondent Profile
Select your organization's footwear operations' capabilities:
Does your organization…
A.

1

...manufacture footwear?

2

...design footwear?

3

…conduct research & development (R&D) for footwear?

In the U.S.

Outside of the U.S.

Yes/No

Yes/No

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]

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Section 1a: Organization Information

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Provide the following information for your organization:
Organization Name
Street Address
A. 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
B. Street Address
City
State/Province
Country
Postal Code/Zip Code
C. 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)*
1
8(a) Firm (as defined by the Small Business Administration)
2
A historically underutilized business zone (HUBZone)
3
D.
A minority-owned business
4
A woman-owned business
5
A veteran-owned or service-disabled veteran-owned business
6
*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

Yes/No

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

Yes/No

If not, what is your primary line of business?
Does your organization participate in additional lines of business? If "Yes", indicate the business lines below
and provide a short description of each.
Business Line (s)
E.

<---- Dropdown (Business Lines)

(Dropdown)

Academic institution

Yes/No/N/A

Distribution/brokerage/reseller/retail

Description of Business Line(s)

Holding company

(Dropdown)

1
2
3
4
5

Inspection and quality control
Information technology (software, hardware, installation)
Integration (product, systems integration)
Maintenance/aftermarket/repair/refurbishing services
Manufacturing (including assembly)

Comments:
Point of Contact regarding this survey:
F.
Name

Title

Phone Number

E-mail Address

Comments:

State

Manufacturing systems development and management
Material finishing (machining, coating, plating, heat treating,
etc )
Material preparation (casting, forming, molding, forging, etc.)
Product and design engineering (tooling, new processes, etc.)
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

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Section 1b: Organization Information
FACILITIES
1
A.

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?

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

B.

Street Address

City

State

Number of
FTEs

US -1
US -2
US -3
US -4
US -5
US -6
US -7
US -8
US -9
US -10

Primary Footwear Line

Defense-related

Rubber and Plastic Footwear Manufa Yes/No/Not Sure
House Slipper Manufacturer
Men's Footwear (except Athletic) Manufacturer
Women's Footwear (except Athletic) Manufacturer
Other Footwear Manufacturer (including Athletic Shoes)
Multiple footwear categories
Other (specify in comments)

Comments:
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
C.

Street Address

City

Country

Comments:
Please provide the following identification codes (see definitions), as applicable, to your organization's footwear manufacturing facilities.
NAICS (6-digit) Code(s)
D.

Primary Footwear Line
Rubber and Plastic Footwear Manufacturer
House Slipper Manufacturer
Men's Footwear (except Athletic) Manufacturer
Women's Footwear (except Athletic) Manufacturer
Multiple Footwear Categores
Other Footwear Manufacturer (including Athletic Shoes) Other (specify in comments)

Non-US -1
Non-US -2
Non-US -3
Non-US -4
Non-US -5

CAGE Code(s)
(if applicable)

Find NAICS codes at:
http://www.census.gov/cgibin/sssd/naics/naicsrch?chart=2012

Comments:

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

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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
1.
A. 2.
3.
4.
5.
6.
7.
8.
9.
10.

Type of
Activity
Merger
Acquisition
Divestiture

Country

Primary Objective

Year

Description

<---- Primary Objective Dropdown
Access to government contracts
Access to intellectual property
Bankruptcy restructuring
Broaden customer base
Develop new capabilities
Overcome market entry barrier/Geopolitical c
R&D access/coordination
Reduce Costs
Tax-related
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
Reduced lead times

1.
B. 2.
3.
4.
5.
6.
7.
8.
9.
10.
Comments:

Risk sharing

Other
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Section 3a: Participation in U.S. Government Programs

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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
A.

Type of Support

U.S. Air Force
U.S. Army
U.S. Marine Corps
U.S. Navy
U.S. Coast Guard (USCG)
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)

Estimated Percent of Your Organization's Total Sales
Attributable to USG Agency

Direct
Indirect
Both
None
Unknown

(Number entry only)

Indicate whether the following factors affect your organization's interest in U.S. Government business.
Factor

B.

Administrative Burden
Slow Payment
Small Production Lots
Insufficient Profit Margin
Infrequent Orders
Intellectual Property Protection
One-off orders
Demand Volatility
Other (Specify)

Reduce Interest in USG Business

May Cause Organization to Stop
Producing for USG

Explain

Yes/No/Not Applicable

Yes/No/Not Applicable

(Write-in)

Explain:
Does your organization consider itself dependent on U.S. Government programs for its continued viability?
Explain:

Yes/No/Not Applicable

(Free Text)

C.
How do you anticipate your overall U.S. Government business changing over the next five years (2017-2021)?
Explain:

Increase/Decrease/Unchanged/Unsure

(Free Text)

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.
Explain:

(Select from List)

(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?
D.

Contract Type
Best Value
Fixed Price
Lowest Price Technically Acceptable
Incentive
Cost Reimbursement
Time and Materials
Others
Specify Other:

<--------Contract Types Dropdown

Best Value

Type of Change

Additional Comments

Large Increase
Increase
No Change
Decrease
Large Decrease

(Free Text)
(Free Text)
(Free Text)
(Free Text)
(Free Text)
(Free Text)
(Free Text)

(Free Text)

Comments:

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Fixed Price
Incentive
Cost Reimbursement
Time and Materials
Other
Not Applicable

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Section 3b: Berry and Kissell Amendments

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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).
Does your organization currently produce defense-related footwear items that are Berry Amendment compliant?

Yes/No

1
Explain:
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

Explain:

4

Does your organization consider Berry Amendment noncompliance to be a problem within the U.S. footwear
industry?

Yes/No/Unsure/Not Applicable

Explain:

5

<-----Dropdown
Government website (like FedBizOps.gov)
Industry (non-government) website
Personal contacts within Department of Defense

Does your organization consider Berry Amendment noncompliance to be a problem within the Department of
Defense?

Yes/No/Unsure/Not Applicable

Explain:

Personal contacts within Industry
Other (identify below)

During 2012 through 2016, have you reported an instance of suspected violation of the Berry Amendment?

Yes/No/Unsure/Not Applicable

6

Not Applicable

Explain:
A.
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

Explain:
If so, which government agency conducted the audit, investigation, or verification?
9
Specify Agency:
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

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

Describe:
Select the responses that best reflect your organization's views regarding the impact of the Berry Amendment.
Action

B.

Impact on your Organization

1

Leaving the provisions of the Berry Amendment unchanged

Very Positive

2

Expanding the number of USG agencies subject to the Berry
Amendment

Somewhat Positive

3

Expanding the number of product groups subject to the Berry
Amendment

No Effect

4

Reducing the number of product groups subject to the Berry
Amendment

Somewhat Negative

5

Allowing for more Berry Amendment exemptions or reducing the
percentage of the product that must be 100% U.S.-origin

6

Repealing/removing the Berry Amendment in its entirety

Impact on the U.S. Footwear Industry

<‐‐‐‐‐‐‐‐Dropdown 
Very Positive
Somewhat Positive
No Effect

Very Negative

Somewhat Negative
Very Negative

Explain:
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

C.
2

Leaving the provisions of the Berry Amendment unchanged

3

Expanding the number of USG agencies subject to the Kissell
Amendment
Explain:

Comments:

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Section 4a: Products and Services

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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.
Product and Service Category

Part

Footwear
A
Rubber and Plastic Footwear
B
House Slipper
C
Men's Footwear (except Athletic)
D
Women's Footwear (except Athletic)
E
Other Footwear (including Athletic Shoes)

Primary Business
Line

Manufacture

Design

Yes/No
Yes/No
Yes/No
Yes/No
Yes/No

Yes/No
Yes/No
Yes/No
Yes/No
Yes/No

Yes/No
Yes/No
Yes/No
Yes/No
Yes/No

Comments:

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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

A1 - Arctics, rubber or rubber soled fabric
A2 - Boots, plastics, rubber or rubber soled fabric
A3 - Canvas shoes, rubber soled
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

Manufacture

Design

100% U.S.
Origin

Yes
No
Not Applicable

Yes
No
Not Applicable

Yes
No
Unknown

Product/Service Description

B: House Slipper

B1 - House Slippers
B2 - Slipper Socks
B3 - Other
B4 - Other

Manufacture

Design

100% U.S.
Origin

Yes
No
Not Applicable

Yes
No
Not Applicable

Yes
No
Unknown

Product/Service Description

C: Men's Footwear (except Athletic)

C1 - Boots, dress and casual: men's
C2 - Casual shoes, men's except athletic and rubber
footwear
C3 - Dress shoes, men's
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

Manufacture

Design

100% U.S.
Origin

Yes

Yes

Yes

No

No

No

Not Applicable

Not Applicable

Unknown

Product/Service Description

D: Women's Footwear (except Athletic)

D1 - Boots, dress and casual (except plastics, rubber)
D2 - Casual shoes (except athletic, rubber, plastics)
D3 - Dress shoes
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

Manufacture

Design

100% U.S.
Origin

Yes
No
Not Applicable

Yes
No
Not Applicable

Yes
No
Unknown

Product/Service Description

E: Other Footwear

E1 - Athletic shoes, except rubber
E2 - Ballet Slippers
E3 - Children's Footwear
E4 - Moccasins
E5 - Orthopedic shoes, children's
E6 - Sandals, children's: except rubber
E7 - Other
E8 - Other
E9 - Other
E10 - Other

Manufacture

Design

100% U.S.
Origin

Yes
No
Not Applicable

Yes
No
Not Applicable

Yes
No
Unknown

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

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Product/Service Description

OMB 0694-0119 PRA ROCIS Submission
Return to Table of Contents
Previous Page
Next Page
Section 5: Supply Chain Network
Identify your organizations's ke y 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 knowhow 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
Ex. Sara's Engine Works
1
A.
2
3
4
5
6
7
8
9
10

Product/Material/Service
Truck engines

City
Huntsville

State
AL

Country
USA

Single or Sole Source?
Single Source
Sole Source
Both
Neither

Comments:
1 Have you experienced any U.S.-specific supply chain sourcing issues since 2012?

Yes/No

Explain:
B.

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
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
C.

Machinery/Equipment

City

State

Country

1
2
3
4
5

Single or Sole Source?
Single Source
Sole Source
Both
Neither

Comments:
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:
D.
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

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OMB 0694-0119 PRA ROCIS Submission
Previous Page

Return to Table of Contents

Next Page

Section 6: Production Capabilities
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.

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)

A.

Total of 2 and 3 (must equal 100%)
4

2012

2013

2014

2015

2016

0%

0%

0%

0%

0%

Berry Amendment-related pairs manufactured for the U.S. Department of Defense (DoD) or
the U.S. Armed Forces (as a % of A1)
Comments:

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
2012

2013

2014

2015

2016

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.

B.
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:
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.

D.

1
2
3
4
5
6
7
8

Factor
Equipment Capacity
Availability of Additional Equipment
Manufacturing Space
Availabilty of Workforce
Cost of Workforce
Quality Control
Availability of input materials
Other (specify in explanation)

Yes/No
Yes/No

Comments:
Comments:

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

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Explanation

OMB 0694-0119 PRA ROCIS Submission

Previous Page
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.

Next Page

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:
Reporting Schedule:

(Corporate/Whole Organization/Division Level/Facility/Plant Level)
(Fiscal Year/Calendar Year)
Record in $ Thousands, e.g. $12,000.00 = survey input $12
2013
2014
2015
2016

2012
U.S.

Non-U.S.

U.S.

Non-U.S.

U.S.

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

U.S.

Non-U.S.

U.S.

Non-U.S.

None
Lines B-D need not sum to 100%. Estimates are acceptable.

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

D Total Government Sales (as a % of A)
E

Non-U.S.

Data Confirmation

Total Listed 2016
Sales

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

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OMB 0694-0119 PRA ROCIS Submission

Previous Page
Section 8: Financials

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Next Page

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.

2012

(Corporate/Whole Organization/Division Level/Facility/Plant Level)
(Fiscal Year/Calendar Year)
Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015

2016

2012

(Corporate/Whole Organization/Division Level/Facility/Plant Level)
(Fiscal Year/Calendar Year)
Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015

2016

Source of Income Statement Items:
Reporting Schedule:
Income Statement (Select Line Items)
A.
B.
C.
D.
E.

Net Sales (and other revenue)
Cost of Goods Sold
Total Operating Income (Loss)
Earnings Before Interest and Taxes
Net Income
Source of Balance Sheet Items:
Reporting Schedule:
Balance Sheet (Select Line Items)

A.
B.
C.
D.
E.
F.
G.
H.

Cash
Inventories
Total Current Assets
Total Assets
Total Current Liabilities
Total Liabilities
Retained Earnings
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

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OMB 0694-0119 PRA ROCIS Submission

Previous Page
Section 9: Capital Expenditures

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Next Page

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:
Capital Expenditure Reporting Schedule:
Capital Expenditure Category

A.

(Corporate/Whole Organization/Division Level/Facility/Plant Level)
(Fiscal Year/Calendar Year)
Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2012

2013

2014

2015

2016

Total Capital Expenditures
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%

None

0%

0%

0%

0%

6 Footwear-related Capital Expenditures [as a % of A]
B.

Data Confirmation

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

If yes, explain:
Rank your organization's top 3 anticipated footwear-related capital expenditure priorities for 2017-2021 and provide a brief description.

1
2
3
C.
4
5
6
7
8
9

Priority
Replace old machinery and equipment
Improve productivity
Expand capacity
Add new capability
Upgrade technology
Meet specific customer requirements
Comply with environmental regulations
Comply with safety regulations
Other (specify)

Total 2016 Capital
Expenditures

Description

Rank

Comments:

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

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0%

OMB 0694-0119 PRA ROCIS Submission

Return to Table of Contents

Previous Page
Section 10a: Research & Development

A. Does your organization conduct footwear-related research and development (R&D)?

Next Page
If No, proceed to Section 11.

Yes/No

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.
(Corporate/Whole Organization/Division Level/Facility/Plant Level)
(Fiscal Year/Calendar Year)

Source of R&D Data:
Reporting Schedule:
2012

Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2016
2013
2014
2015

1 Total R&D Expenditures
2 Basic Research

Data Confirmation

Total 2015 R&D
Expenditures

(as a % of B1)

B.
3 Applied Research

None

(as a % of B1)

4 Product/Process Development

(as a % of B1)

Total of 2, 3, and 4 (must equal 100%)

0%

5 Total footwear-related R&D Expenditures

0%

0%

0%

0%

(as a % of B1)

6 Defense-related footwear R&D Expenditures

(as a % of B1)

2012
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)
C.
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%

Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015
2016

0%

Comments:

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

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0%

0%

0%

OMB 0694-0119 PRA ROCIS Submission

Previous Page
Section 10b: Research & Development (continued)

Return to Table of Contents

Next Page

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

1
2
3
4
5 Other

Description

Innovation in production process
Development of new materials
Expand range of products 
Improve the quality of product
Increase flexibility of production

(specify here)

Increase production capacity
Reduce manpower cost
Reduce the consumption of energy
Reduce consumption of materials
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

Explain

-Yes/No-

Cost reduction
Yes
Customer requirements
No
B.
Industry roadmap
Not Applicable
Need for competitive advantage
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?
C.
Explain:
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Yes/No/Not Applicable

OMB 0694-0119 PRA ROCIS Submission

Previous Page
Section 11a: Workforce

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Next Page

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:
Reporting Schedule:

A

(Corporate/Whole Organization/Division Level/Facility/Plant Level)
(Fiscal Year/Calendar Year)

1 Total Full Time Equivalent (FTE) Employees
2 Footwear-related Full Time Equivalent (FTE) Employees
a Administrative, Management, & Legal Staff [as a % of A1]
b Designers [as a % of A1]
c Engineers, Scientists, and R&D Staff [as a % of A1]
d Facility & Maintenance Staff [as a % of A1]
e Information Technology Professionals [as a % of A1]
f Marketing & Sales [as a % of A1]
g Production Line Workers [as a % of A1]
h Testing Operators, Quality Control, and Support Technicians [as a % of A1]
(specify here)
i Other
(specify here)
j Other
Lines a through j must total 100%

2012

2013

2014

0%

0%

0%

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.
Occupation
Administrative, Management, & Legal
Staff
Designers
Engineers, Scientists, and R&D Staff
Facility & Maintenance Staff
B Information Technology Professionals
Marketing & Sales
Production Line Workers

Difficulty

2015

2016

0%

0%

Yes/No

Explanation

(Hiring/Retaining/Both/Neither)

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.

C.

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

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OMB 0694-0119 PRA ROCIS Submission
Previous Page
Section 11: Workforce (cont'd)

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Next Page

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

a
b
c
d
e
f
g
h

Category
Administrative, Management, & Legal Staff
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

Number

Comments:

D.
2

Estimate how long (on average) the positions have been open. (Record in number of
weeks.)

(weeks)

Comments:
3 Estimate your employee turnover rate for footwear operations.

%

Comments:
4 Is the turnover higher in any particular category of employees?
If yes, which category?

Yes/No/Not Applciable
(Dropdown - Occupation Categories)

Comments:
1

Since 2012, has the average age of your footwear-related workforce increased,
decreased, or remained about the same?

Increased, Decreased, Remained the same,
Don't Know

Comments:
2

3

Designers
Engineers, Scientists, and R&D Staff

How concerned is your organization about your current footwear-related workforce
retiring in the near future?

Very/Somewhat/Neutral/Not Worried/ Not
Applicable

Comments:
E.

<‐‐‐‐ Drop Down
Administrative, Management, & Legal Staff

Facility & Maintenance Staff
Information & Technology Professionals

Estimate the percentage of your footwear-related workforce you are expecting to retire
before 2022.

%

Comments:

Marketing & Sales
Production Line Workers

4 Do you anticipate difficulties in finding/recruiting younger workers to fill these vacancies?

Yes/No/Not Applicable

If yes, explain:
Does your organization work with academic institutions (e.g., high schools, community
1 colleges, local trade schools, universities, etc.) on workforce development and/or
training?

Yes/No/Not Applicable

Comments:
2 Indicate if your organization participates in/sponsors any of the identified workforce development programs.
Program
F. Apprenticeship
Detail/Rotation
Certification
Internship
On-the-job Training
Reimbursement
Other:

Yes/No
Yes/No

Explanation

Comments:
Rank and explain the key workforce issues you anticipate between 2017-2021.
Issue
Finding skilled/qualified workers
Finding experienced workers
Attracting workers to location
Significant portion of workforce retiring
G.
Quality of workforce
Employee turnover
Transfer of knowledge
Other
(specify here)
Other
(specify here)

-Yes/No-

Explanation

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

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Testing Operators, Quality Control, and Support Technicians

OMB 0694-0119 PRA ROCIS Submission
Previous Page
Section 12a: Customers

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Next Page

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 othe
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

Customer City

Customer Country

A.
1.

Commercial

2.

Government Defense

3.

Government Non-Defense

4.

Other

5.
Top Non-U.S.-Based Customers
Estimated total number of non-U.S.-based footwear-related customers between 2012-2016:
Customer Name

Type of Customer

1.
B.

Commercial

2.

Government Defense

3.

Government Non-Defense

4.

Other

5.
Factors
Since 2012 has your organization decided not to pursue any footwear-related business opportunities due to any of the following factors?
Factors
Production run too small
Insufficient order frequency
C. 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)

Yes/No
Explain

Yes/No

Comments:

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

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OMB 0694-0119 PRA ROCIS Submission
Previous Page
Section 12b: Competitors

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Next Page

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

A.

State

Top U.S. Competitors
Primary Competitive Attribute

Explain

<-----Dropdown options

1

Price

2

Quality

3

Delivery Time

4

Reliability

5
Competitor Name

Country

Top Non-U.S. Competitors
Primary Competitive Attribute

Explain

Financing
Range of Capabilities
Receipt of Government Subsid

1

Productivity

2

Innovation

3

Other

4
5
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.
Advantage

Top U.S. competitive advantages and disadvantages
Disadvantage

Explain

US-1

<-----Drop-down options

US-3

Labor Costs
Environmental Compliance
Costs
Material Costs

US-4

Equipment Costs

US-2

US-5
US-6
B.

Building Space Costs
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.
Advantage

Disadvantage

Overall Finished Products
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:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Design
Productivity
Energy Costs
Innovation
Tariffs
Trade Barriers
Other

OMB 0694-0119 PRA ROCIS Submission
Return to Table of Contents

Previous Page
Section 13a: Competitive Factors

Next Page

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

A.

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Action
Automation/Lean Manufacturing
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)

2012-2016
Yes/No

Explain:

2017-2021
Yes/No

Comments:
(Dropdown)

What is the most significant change in footwear operations that is expected at your organization between 2017-2021?
1
Explain:
B.
2

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

Improve/Decline/Remain the Same/Not
Applicable

Improve/Decline/Remain the
Same/Not Applicable

Explain:

Decrease production activity
Diversify Product Line
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

1
Explain:

Cease Operations
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)

2
C.

<----- Dropdown

If yes, what actions has your organization undertaken to benefit from this reshoring trend?
3
Explain:
If yes, what actions woud your organization like to take to benefit from this reshoring trend?
4
Explain:
Comments:
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OMB 0694-0119 PRA ROCIS Submission
Previous Page
Section 13b: Competitive Factors (cont'd)

Return to Table of Contents

Next Page

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

D.

Type of Group

Description of Activities

1
2
3
4
5
6
7
8
9
10
Comments:
Indicate whether the following regulations/provisions have had or may have an impact on your organization's competitiveness.
Current Impact

E.

1
2
3
4
5
6
7
8
9
10
11
12

Federal minimum wage requirements
State-level minimum wage requirements
Local minimum wage requirements
Overtime threshold laws and/or provisions
Affordable Healthcare Act
Sick leave benefits
Family and Medical Leave Act (FMLA) provisions
Federal environmental regulations
State-level environmental regulations
Occupational Safety and Health Agency (OSHA) regulations
(specify)
Other
(specify)
Other

Dropdown

Anticipated Future
Impact
Dropdown

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

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Explain:

<‐‐‐‐‐Dropdown
Positive
Negative
No Effect
Unsure

OMB 0694-0119 PRA ROCIS Submission

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Next Page

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
A. 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:
1

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

Dropdown

2

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

Dropdown

<‐‐‐‐‐ Dropdown

B.

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

Yes/No

C.
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

D.
Explain:

1

E.
2

Internal IT Department
Internal IT department and external U.S. 
service provider

Only U.S. external service provider
Only non‐U.S. external service provider

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

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

(% Entry Only)

External Data Storage Providers

(% Entry Only)

External Cloud Service Providers

Limit/Prohibit/No

External Data Storage Providers

Limit/Prohibit/No

Both U.S. and non‐U.S. servicer providers
N/A

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.
Impact Level

Explanation

(Choose from Drop-Down)

Event

Severe/Moderate/Low/None

(Free text)

(Choose from Drop-Down)

Severe/Moderate/Low/None

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

F. (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

<‐‐‐‐‐Dropdown

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.
Comments:

Damage to software and/or source code

Theft of software and/or source code
Damage to company production capabilities or systems
Destruction of information asset
Reputation loss, market share, and brand damages

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

Ransomware Attack
Other

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OMB 0694-0119 PRA ROCIS Submission
Return to Table of Contents
Previous Page
Section 15: Challenges and Outreach
Select the issues that have or are expected to impact your organization.

Next Page

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.
C
A
B
Rank
Adversely
Type of Issue
Explanation
Affect
Top 5
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
A. 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
(specify here)
Other
(specify here)
Other
(specify here)
Other
Outreach
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/
Yes/No Product Design
Yes/No
Lean Manufacturing

B.

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

Other

(specify here)

(specify here)

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

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OMB 0694-0119 PRA ROCIS Submission

Previous Page
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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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