3 Capitol Stock Questions

Generic Clearance for Questionnaire Pretesting Research

Enclosure 4 - Additional Capital Stock Questions

2018 BRDIS Cognitive Testing

OMB: 0607-0725

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Proposed Capital Stock Section Questions


The purpose of this section is to measure the stock of capital, both tangible and intangible, your company owns and uses in the course of its business and the investments it has made in these assets during 2017. Many of the questions in this section will tie directly to your company’s financial statements.


7-1. What was the net worldwide value of the following assets owned by your company at the beginning of 2017?


  1. Property, plant, and equipment: $

  2. Goodwill: $

  3. Identifiable intangible assets: $


7-2. What was your company’s accumulated depreciation and amortization for the following assets owned by your business at the beginning of 2017?


  1. Property, plant, and equipment: $

  2. Identifiable intangible assets: $


7-3. What was the acquisition cost of the following assets retired or disposed of in 2017?


Include:

  • Impairment costs and discontinued operations.

  • Assets considered sold under capital lease arrangements.


  1. Property, plant, and equipment: $

  2. Goodwill: $

  3. Identifiable intangible assets: $


7-4. What was the fair market value of the following assets acquired through additions, acquisitions, and mergers in 2017?


  1. Property, plant, and equipment: $

  2. Goodwill: $

  3. Identifiable intangible assets: $


7-5. What were the total worldwide expenditures for purchases of the following assets for your company in 2017?


Include:

  • Estimated worldwide cost of new structures and equipment acquired as the lessee under capital lease arrangements entered into during 2017.


Exclude:

  • Investment in operating leases (expenditures for fixed assets leased to others).


  1. Property, plant, and equipment: $

  2. Goodwill: $

  3. Identifiable intangible assets: $


7-6. Was the total reported in 7-5 greater than zero?

Shape1 Yes Continue with Question 7-7

Shape2 No Continue to Remarks section at end of survey


7-7. How much of the expenditures reported in Question 5 were for assets placed in service in the following locations? (Column 1: Domestic US, Column 2: Foreign, Column 3: Total)


  1. Property, plant, and equipment: $

  2. Goodwill: $

  3. Identifiable intangible assets: $


7-8. How much of the expenditures for property, plant and equipment reported in Question 6 were for the following assets? (Column 1: Domestic US, Column 2: Foreign, Column 3: Total)


  1. Land: $

  2. Buildings and building improvements: $

  3. Leasehold improvements: $

  4. Computer equipment and related software: $

  5. Production, engineering, and other equipment: $

  6. Furniture and fixtures: $

  7. Tooling: $

  8. Construction in progress: $

  9. Other (please specify): $


7-9. How much of the expenditures for identifiable intangible assets reported in Question 6 were for the following assets? (Column 1: Domestic US, Column 2: Foreign, Column 3: Total)


  1. Technology (patents/developed technology rights): $

  2. Capitalized software: $

  3. Brands, tradenames and know-how: $

  4. Customer relationships: $

  5. In-process R&D (IPR&D): $

  6. Other (please specify): $


7-10. Of the amounts reported in Question 6, how much was for research and development (R&D) operations? (Column 1: Domestic)


Include:

  • Expenditures for business operations that research and develop new and improved products for sale by your company

  • Expenditures for business operations that research and develop new and improved processes and software for use by your company

  • Expenditures for business operations that conduct R&D that is paid for by customers, business partners, or other third parties.


  1. Property, plant, and equipment: $

  2. Goodwill: $

  3. Identifiable intangible assets: $


[skip pattern: Show Question 16 only if Question 15 > 0]


7-11. What were your company’s total worldwide expenditures for the following in 2017?


  1. Advertising: $

  2. Training and employee development: $




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