Form 1 ABS Questionnaire

Generic Clearance for Questionnaire Pretesting Research

Attachment B - 2018 ABS Questions updated

2018 ABS Technology Module Cog Testing

OMB: 0607-0725

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2018 Annual Business Survey

Company Information

  1. BUSINESS - 10% or MORE OWNERSHIP In 2017, did at least one person own 10% or more of this business? (Do not count parent companies, estates, trusts or other entities.)

  • Yes

  • No - Select “No” ONLY if no person owned 10% or more of this business.



  1. NUMBER OF OWNERS

For the pay period including March 12, 2017, how many people owned this business?

Do not combine two or more owners to create one owner.

Count spouses and partners as separate owners.


  • 1 person

  • 2 people

  • 3 people

  • 4 people

  • 5-10 people

  • 11 or more people

  • Don’t know



  1. NUMBER OF PAID OWNERS Of the owners reported in the ‘NUMBER OF OWNERS’ question, how many received a W-2 issued by this business for salary or wages? If none, report zero.


____________



  1. NUMBER OF EMPLOYEES For the pay period including March 12, 2017, how many people worked for this business, including those paid through grants? Include both full-time and part-time workers as well as yourself. Count each person only once. If none, report zero.

Non-Owners Number of People

a. Employees who received a W-2 issued by this business for salary or wages _________

b. Individuals who received payment in other ways

(for example, contractors/ consultants/temporary workers

who received a 1099 or payment from another business) _________


c. Unpaid individuals who worked for the business

(for example, interns, friends, family members) _________


  1. TOTAL SALES AND REVENUES

What was the amount of this business’s sales and revenues, including grants, during 2017? Report dollar amount in thousands. If none, report zero.


$Bil. Mil. Thou.

2017 sales, revenues, and grants __________,000



  1. DOMESTIC SALES AND REVENUES

How much of the ‘TOTAL SALES AND REVENUES’ in 2017 sales, revenue, and grants was attributable to or originated from domestic operations? Include sales and operating revenues to foreign customers, including foreign subsidiaries. For example, a U.S. manufacturing corporation sells parts to customers around the world, however, because all of its operations are located inside the United States it reports 100% of its sales in this question. Report dollar amount in thousands. If none, report zero.

$Bil. Mil. Thou.

__________,000


































File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKrysten Mesner (CENSUS/ESMD FED)
File Modified0000-00-00
File Created2021-01-20

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