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pdfAttachment E
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Questionnaire Information Sheets
E-1
E-2
E-3
E-4
E-5
E-6
E-7
E-8
E-9
E-10
E-11
E-12
E-13
E-14
E-15
E-16
E-17
E-18
E-19
E-20
E-21
Information Sheet for Mining Sector, Quarrying, and Oil and Gas Extraction
Information Sheet for Utilities Sector Consolidated Questionnaire
Information Sheet for Construction Sector
Information Sheet for Manufacturing Sector
Information Sheet for Wholesale Trade Sector
Information Sheet for Retail Trade Sector
Information Sheet for Transportation and Warehousing Sector (Enterprise
Support)
Information Sheet for Transportation and Utilities Sectors
Information Sheet for Finance and Insurance Sector
Information Sheet for Real Estate and Rental and Leasing Sector
Information Sheet for Accommodation and Food Services Sectors
Information Sheet for Finance and Insurance Sector – Banking and Savings
Institutions Consolidated Questionnaire
Information Sheet for Finance and Insurance Sector – Insurance Carriers
Consolidated Questionnaire
Information Sheet for Integrated Record Production and Distribution
Consolidated Questionnaire
Information Sheet for Management of Companies and Enterprises Sector
Information Sheet for Motion Picture and Video Production and Distribution
Consolidated Questionnaire
Information Sheet for Information Sector
Information Sheet for Information Sector (Enterprise Support)
Information Sheet for Professional, Scientific, and Technical Services; Education
Services; Health Care and Social Assistance; Arts, Entertainment, and
Recreation; and Other Services Sectors
Information Sheet for Professional, Scientific and Technical Services;
Administrative and Support and Waste Management and Remediation
Services; Health Care and Social Assistance; Arts, Entertainment and
Recreation; and Other Services Sectors
Information Sheet for Professional, Scientific and Technical Services;
Administrative and Support and Waste Management and Remediation
Services; and Other Services Sectors (Enterprise Support)
E-22
Information Sheet for Telecommunications; Cable and Other Program
Distribution Consolidated Questionnaire
Attachment E-1
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Mining, Quarrying, and Oil and Gas Extraction Sector
WHAT IS A MINERAL DOMESTIC REPORTING UNIT?
A mineral domestic reporting unit is a
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representation of all oil and gas field activities in one state or offshore area operated by the reporting
company.
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location where mineral operations are performed.
o It represents a mine, group of wells, preparation plant, or natural gas liquids plant. (Report all gas
processed, products, operating costs, and capital expenditures on a gross basis of the natural gas
liquids plant.)
o It represents a working or group of workings at a given locality in which operations are conducted
as a unit or are unified by common management or joint handling of some parts of the mining or
processing/concentration/preparation process.
Individual shafts, openings, or sites should not necessarily be considered as individual
mines.
Examples of mineral domestic reporting units include:
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mine only (underground, strip-pit, auger, culm-bank, or dredge operation) (Report
open-pit mines separately from underground mines, whenever possible.)
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mine and processing plant
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mine and preparation plant (plants engaged in milling, washing, calcining,
crushing, classifying, or other types of mineral preparation)
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processing plant only (Report plants engaged solely in treating ores mined at
other locations separately from the mines.)
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mines or sites under exploration, development, or maintenance
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plants under construction
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service for oil and gas fields, primarily performing drilling, exploration and other oil and gas field support
services for operators of oil and gas field properties on a contract or fee basis.
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service for mineral contracting, primarily performing exploration and other mining and quarrying support
services for operators of mineral properties.
Offshore Operations:
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Complete a separate questionnaire for offshore exploration, drilling, and production operations for each of
the following areas in which your company had offshore operations:
o Alaska
o Atlantic
o California
o Northern Gulf of Mexico (except Texas and Louisiana)
o Louisiana
o Texas
o Pacific (except Alaska and California)
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An offshore well is one that is bottomed at, or producing from, a point that lies seaward of the coastline. In
general, the term “coastline” means the line of ordinary low water along that portion of the coast that is in
direct contact with the open sea and the line marking the seaward limit of inland waters.
State offshore includes the areas extending from the coastline up to 3 geographical miles distance except
for Texas and Florida, which extend 3 marine leagues from the coastline in the Gulf of Mexico.
INCLUDE with Alaska, Louisiana, Texas, and California offshore, operations on all those State offshore
leases and all Federal offshore leases defined by the State plane coordinate systems.
For Florida, both State and Federal offshore areas are differentiated into either Northern Gulf of Mexico or
Atlantic waters.
Alaska Offshore
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Alaska Federal
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Alaska State (including Upper Cook inlet even though these waters ware legally inland)
Atlantic Offshore
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Atlantic Federal
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New Hampshire State
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Maine State
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Massachusetts State
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Connecticut State
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New York State
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New Jersey State
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Delaware State
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Maryland State
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Virginia State
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North Carolina State
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South Carolina State
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Georgia
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Florida State
California Offshore
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California Federal areas defined by State plane coordinate system (Channel Islands Zones 6A, B, C, D, and
E)
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California State
Northern Gulf of Mexico Offshore
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Northern Gulf of Mexico Federal Areas defined by the Universal Transverse Mercator Coordinate System
(including areas generally South of the State plane coordinate systems of Louisiana and Texas)
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Mississippi State
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Alabama State
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Florida State
Louisiana Offshore
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Louisiana Federal areas defined by State plane coordinate system
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Louisiana State
Texas Offshore
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Texas Federal areas defined by State plane coordinate system
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Texas State
Pacific Offshore
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Pacific Federal areas defined by Universal Transverse Mercator Coordinate System
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Oregon State
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Washington State
-Offshore Operations map located and end of document-
Separate questionnaires are required for lease and land acquisitions of mineral rights if they are located in a county
different than any domestic reporting unit operated. Include a designation of the kind of mineral expected to be
produced. Such acquisitions may be included in the questionnaires of the nearest operating domestic reporting unit if
the domestic reporting unit is located in the same county as the acquisition and produces the same type of mineral.
HOW TO REPORT FOR DOMESTIC REPORTING UNITS WITH NO PRODUCTION
Return a completed questionnaire for each of your company’s mineral domestic reporting units that had no production
during 2017. Enter "0" in Item 22. Report information in the appropriate items, such as custodial employees,
inventories or capital expenditures.
WHAT ACTIVITIES SHOULD BE REPORTED?
INCLUDE
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Activities in one domestic reporting unit or offshore area of concerns that operated wells or performed oil
and gas field work for their own account, such as:
o exploration for oil and gas
o drilling and operation of wells
o repressuring oil and gas fields and separating and emulsion breaking at field tanks
o operations of field dehydration and pressure maintenance plants (apart from natural gas liquids
plants) and lease facilities (gas liftplants, water systems, water flooding, salt water disposal, etc.)
Receipts for services performed for others, such as:
o exploration for oil and gas
o drilling oil, gas, dry, and service wells
o drilling water wells for oil-field use
o building lease tanks
o running and pulling casing
o cementing and shooting wells
o exploration for minerals and prospect and test drilling
o sinking mine shafts and overburden stripping
o mining metal ores, coal, stone, and other minerals for another’s account, including the loading of
culm-bank material
o pumping and draining mines and quarries
o installing production equipment and offshore platforms
Operations of the natural gas liquids plants
Field dehydration and pressure maintenance plants where the liquid extraction operations are not conducted
Operations of a mine, pit, or quarry together with its associated tipple, shops, auxiliary units, yards, breaker,
mill, beneficiating, concentration, processing, preparation, or washing plant (washery), and offices
A mill, beneficiating, processing, preparation, or concentration plant not at the site of the mines served, or
operated under separate management from the mines, together with its associated shops, yards, auxiliary
units, and offices
Other associated activities when carried on at the same domestic reporting unit such as:
o generating energy for oil and gas field use or the mine or plant (include a central power plant
serving two or more mines or mineral domestic reporting units with the one for which the power
plant furnishes the most electric energy)
o maintenance of mine, plant, and equipment
o receiving, shipping, storage, research, record keeping, health, safety, cafeteria, and other services
o separate stone, sand, and gravel quarrying and crushing operations carried on by a company
whose primary activity is construction
EXCLUDE
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Operation of company stores, boardinghouses, bunkhouses, and recreational facilities
Separate sales branches, research laboratories, and general administrative offices (Report these on the
appropriate Census of Business, Census of Manufactures, or central office or auxiliary questionnaires.)
Operation of pipelines, petroleum refineries, natural gas distribution systems, bulk tank stations, and filling
stations
Production of coal chemicals, coke, fuel briquettes, or packaged fuel (Report such operations on the
appropriate Census of Manufactures questionnaire.)
Sintering plants operated in conjunction with blast furnaces
Recovery of metals through smelting or refining (except for mercury)
Plants primarily producing cement, lime, structural clay or pottery products, or synthetic abrasives
Construction activities
MULTIPLE DOMESTIC REPORTING UNIT COMPANIES ONLY
If any of the items requested are maintained in your records only at a divisional or company level, allocate
their costs to each domestic reporting unit for which you received this questionnaire. For further details on selected
items, see below:
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Item 5: When determining transfer values of products and materials from one domestic reporting unit to
another (interplant transfers), include, in addition to direct costs of production, a reasonable proportion of "all
other costs (company overhead) and profits." The domestic reporting units receiving such transfers should
report them as purchased minerals for preparation, supplies, fuels, or electric energy at the same value plus
cost of freight and other direct handling charges. (See Item 16.)
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Item 7: When determining employer’s cost for fringe benefits, you may distribute the total based on the ratio
of the payroll of each domestic reporting unit to the total company payroll unless you have developed your
own method of making such allocations.
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Item 9: When determining inventories, assign to each domestic reporting unit those inventories that the
domestic reporting unit is responsible for as if it owned them. INCLUDE those inventories that are held
elsewhere, such as a warehouse operated by your company or a public warehouse. The inventories of an
operating domestic reporting unit held elsewhere should not be reported on the report of the warehouse
where they may be actually stored. Inventories should not be duplicated on domestic reporting unit
questionnaires.
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Item 14: When determining rental payments and assets, if this domestic reporting unit maintains a tenant
relationship with the parent company or one of its subsidiaries and pays "rent" for the use of either its
buildings or equipment, exclude the value of this rent from Item 14. Instead, report the gross value of assets
made available to this domestic reporting unit as a result of this "rental" agreement in Item 13, as if the
domestic reporting unit owned them. If this domestic reporting unit uses buildings or equipment rented
directly from other companies, but rental payments are handled centrally at a company or division level,
report the share of overhead charged to this domestic reporting unit or estimate the share of rental charges
appropriate to the operations of this domestic reporting unit in Item 14.
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Item 16: When determining selected expenses, if supplies, minerals for processing, fuels, and electric
energy are received from other domestic reporting units of your company, check the cost against the values
reported by the domestic reporting unit transferring the supply (refer to Item 5 instructions). Add freight
and other direct handling charges.
Item 16. SELECTED EXPENSES
Part A – Selected Production Related Costs
Include:
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All materials received for consumption
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Costs chargeable to the operation whether borne by the operator or some other party holding a working
interest in the property
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Items charged to both the current and capital accounts
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Items consumed during 2017 although purchased earlier
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Gas purchased from other for gas lift
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Natural gas received for processing
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Natural gas liquids received for further processing
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Coal received from other mines for processing
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Minerals received from other mines for preparation
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Supplies consumed for production, drilling, development, exploration, maintenance, and repair of mine,
plant, and equipment, or in-plant construction
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Supplies furnished without charge to contractors or sold to employees for use on the domestic reporting unit
covered by this questionnaire
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Fuels and electric energy consumed, or cost of products resold
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Contract work
Exclude:
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Supplies received during 2017 that were not consumed
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Cost of coal and/or minerals mined and also processed at the domestic reporting unit in 2017
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Services such as advertising, telephone, fax, cable, insurance, development, and research rendered by
other domestic reporting units
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Services of engineering, management, marketing, legal, and other professional consultants, etc.
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Depreciation and depletion charges against plant and equipment
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Rent and rental allowances, interest payments, royalties, and use of patent fees
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Supplies, parts, or machinery produced at this domestic reporting unit
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Extraordinary losses such as fire and flood
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Labor costs of your employees (report these labor costs in Items 7 and 16C, line 1)
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If applicable, a residue gas produced and used for fuel at this domestic reporting unit (Report this in Item
18.)
Line 1 - Cost of Supplies Used, Minerals Received for Preparation, and Purchased Machinery Installed
Include:
The following list is shown only as an example; it should not be considered a complete list.
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absorption oils
bearings
belting and screen cloth
bolts, screws, and nuts
brake blocks and linings
carbon and graphite brushes
cement
chemical reagents
coal spraying oils
dies, jigs, and fixtures
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drill bits and accessories
explosives
first aid and safety supplies
floor gratings
forgings and castings
fuses
gears and pinions
grinding balls and rods
hammers
hand tools
hardware
headlights and lamps
industrial diamonds
jacks
lubricating oils
lumber and timber purchased
packaging materials
picks
piling
pipe, pumps, and fittings
plates and sheets
rail and accessories
rods, tubing, and bars
roof bolts
stationary, stamps, and office supplies
track accessories
water purchased
welding rods, electrodes, and acetylene
wire, cable and chain
All new and used equipment, and parts installed whether purchased or received from other domestic
reporting units of your company
Physical goods used or put into production
Gas purchased or rented for gas lift and repressuring
Exclude services used or overhead charges. Report services performed for you by others in Item 16 A, line 5.
Line 5 - Cost of Mineral Contract Work Done for You by Others
Include:
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Total payments made for contract services performed during 2017
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Payments for supplies and equipment furnished by the contractor incidental to the contract work as well as
payments to drilling contractors and subcontractors
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Payments for services of contractors and their labor forces for remedial and maintenance services,
geophysical exploration, and other oil and gas operations
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Payments for services performed in the operation or development of this domestic reporting unit, such as
pumping, tunneling, shaft sinking, stripping, boring test holes, shop work, repair work, and construction
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An estimate of the value of the service if part of the payment to a contractor was in oil and gas produced or
lease working interest
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An estimate of the value of the service if part of the payment to a contractor or subcontractor was in material
produced
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Payments to contractors who were engaged in mining for your own account
Exclude:
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Payments to miners paid on a per ton, car, yard, or footage basis (include the compensation of such workers
in Item 7B)
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Payments to suppliers who mined for their own account on property owned or leased by them and who paid
royalties either directly or indirectly on the coal mined (Report such payments to suppliers in Item 16A, line
2, if processing; or in Item 16A, line 1 and Item 17, part A, if the coal was purchased for processing at the
domestic reporting unit
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Payments to other domestic reporting units for the cost of custom processing of coal mined by this domestic
reporting unit
Attachment E-2
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Utilities Sector
Item 5 – Sales, Shipments, Receipts, or Revenue
Report total revenue for the company’s United States locations operating in the industry printed
in the mailing address section on the first page of the consolidated report form. Revenue should
be reported in thousands of dollars.
For companies which generate no revenue, report zero and explain in the remarks section, if
available, at the end of the report form.
Include:
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Gross revenue from services provided, for the use of facilities, and from merchandise sold in 2017, whether
or not payment was received in 2017.
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Total value of service contracts.
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Amounts received for work subcontracted to others and from repair services provided to others.
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Consulting fees received for counseling and advising clients on aspects of operating businesses.
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Agency or brokerage commissions and fees for arranging transportation of freight and cargo.
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Rental revenue from leasing of vehicles, equipment, instruments, tools, etc., marketed under operating
leases.
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Fair sales value of merchandise marketed in 2017 under capital, finance, or "full-payout" leases.
Exclude:
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Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid
directly to a state, local, or federal tax agency.
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Revenue of departments or concessions that are operated by others.
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All cash or noncash subsidies from any agency of local, state, or federal government.
Item 7 – Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and
944, and as described in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
A. Employment
Include:
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All full- and part-time employees on the payroll during the pay period including March 12, 2017.
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Salaried officers and executives of a corporation.
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Salaried members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return).
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Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
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Proprietors or partners of an unincorporated company.
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Employees of departments or concessions operated by others.
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Full- and part-time leased employees whose payroll was filed under an employee leasing company’s
Employer Identification Number (EIN).
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Temporary staffing obtained from a staffing service.
B. Payroll
Include:
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Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to
employees during 2017 and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips
(even if not subject to income or FICA tax).
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Salaries of officers and executives of a corporation.
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Salaries of members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return).
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Employee contributions to qualified pension plans.
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The spread on stock options that is taxable to employees as income.
Exclude:
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Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other
employer paid benefits.
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Payments to or withdrawals by proprietors or partners of an unincorporated company.
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Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
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Payrolls of departments or concessions operated by others.
Item 29 – Locations of Operation
A. Pre-identified Locations of Operation
We prelisted physical locations of your company that are part of this consolidated reporting unit based on
Census records. Please bring this list up to date as follows:
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Column (a) — Please correct any errors or omissions in the prelisted information. If the major activity
listed is not the major activity of the location, correct the major activity and do not include this
location in the count, item 28C.
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Column (b), 2017 Employment and Payroll — Report the number of employees and payroll for each
establishment. Do not combine data for locations.
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Column (c), Operational Status — Mark “X” only ONE box that best describes the operational status
of the establishment at the end of 2017.
o
In operation — The establishment was open and actively conducting business on December
31, 2017.
o
Temporarily or seasonally inactive — Although not conducting business at the end of 2017,
the establishment will eventually reopen and conduct business under the same Employer
Identification Number (EIN). Examples include businesses in resort areas that close during
the "off-season" or establishments that temporarily close for remodeling.
o
Ceased operation — The establishment has gone out of business or closed and does not
plan to reopen. Provide the month, day, and year that the establishment ceased operation.
Complete all items for the portion of 2017 during which the establishment was in operation.
o
Sold or leased to another operator — The establishment was sold or leased to another
company or organization. Provide the month, day, and year that the change occurred and
indicate the name and address of the new owner or operator. Complete all items for the
portion of 2017 prior to the change in operator.
o
Other — The establishment’s operational status at the end of 2017 is not accurately
described above. Please specify a description of the establishment’s operational status in the
space provided.
B. Additional Locations of Operation
Provide additional establishments not prelisted in item 28A that operate in the industry printed in the
mailing address section on the first page of the consolidated report form.
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If your company operates at locations for which you received separate establishment report form(s),
do not add them, but rather complete the other report forms.
C.
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If additional space is needed to add locations, please photocopy the blank page of item 28B and
provide the additional locations.
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Column (a) — List separately any locations of your company and its subsidiaries that were not
included in item 28A, but were in operation and engaged in the industry printed in the mailing
address section on the first page of the consolidated report form.
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Column (b), 2017 Employment and Payroll — Report the number of employees and payroll for each
establishment. Do not combine data for locations.
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Column (c1) — Enter the two digit code from the MAJOR ACTIVITY CODES list that best describes the
major activity of each location. Please specify the principal products or services.
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Column (c2) — Provide the name and address of previous owner and date of purchase for each
acquired establishment listed.
Number of Locations
Provide a summation of all establishments prelisted in item 28A that are in operation or temporarily
inactive, minus the establishments closed or sold, plus the establishments added in item 28B.
Attachment E-3
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Construction Sector
The Construction Sector of the 2017 Economic Census covers domestic operations of establishments primarily
engaged in these broad types of activities:
*BUILDING CONSTRUCTION by general contractors, specialty trade contractors, design-builders, developers, or
construction managers.
*HEAVY CONSTRUCTION includes work on non-building structures, such as highways, utility related structures, and
water projects by general contractors, specialty trade contractors, design-builders, developers, or construction
managers.
*LAND SUBDIVISION represents subdividing and servicing of raw land into lots for sale by a landowner to a builder.
*SPECIALTY TRADE CONTRACTORS represents specialty trade activities, such as plumbing, electrical, masonry,
carpentry, painting, excavation, flooring, glass, metal, or concrete work, and other construction activities performed
on building and non-building structures.
CONSTRUCTION INCLUDES - (a) new or original construction; (b) additions, alterations, rehabilitation, remodeling,
or reconstruction; and (c) maintenance, repair, or service work.
REPORT DATA AT THE ESTABLISHMENT LEVEL
A construction establishment is a relatively permanent office, or other place of business, where the usual business
activities related to construction are conducted. Generally, a relatively permanent office is one which has been
established for the management of more than one project or job and which is expected to be maintained on a
continuing basis. Establishment activities include, but are not limited to estimating, bidding, scheduling, purchasing,
and supervising of the actual construction work being done at one or more construction sites. Examples of
construction establishments are –
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the office or branch office of a construction contractor or builder, even if the office is in your home.
the office or shop of a special trade contractor who specializes in activities such as plumbing, painting,
carpentry, etc.
a construction division or subsidiary of a manufacturing, mining or other business company,
which undertakes construction for the parent company or others.
a separate legal entity which has been established to carry out a given project, part of a project, or to
undertake a construction project as a joint venture.
FOR MULTI-ESTABLISHMENT COMPANIES AND SUBSIDIARIES
If any of the items requested are maintained in records at a divisional or parent company level, allocate the cost to
each construction establishment for which you received a questionnaire. For example, value of inventories (item
9) and value of building and equipment assets (item13) owned by the parent company should be assigned to each
establishment that the establishment is responsible for as if it owned them. In the case of building and equipment, if
the establishment is a tenant or lessee, rental costs in item 14should be adjusted accordingly. Expenses in item
16C incurred by the parent on behalf of the establishment should be allocated to each establishment on an
appropriated basis (e.g. the ratio of the payroll of each construction establishment to the total company payroll or
revenues). The costs should not be duplicated on any establishment reports. Separate reports are required for each
establishment.
Item 5. SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Sales, shipments, billings, receipts, or revenue from business operations in foreign countries or outside
the 50 states and the District of Columbia do not report in Item 5.
Include:
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Work on new construction, additions, alterations, reconstruction, maintenance, repairs and service work.
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Receipts or billings for construction work under any type of contract – general, special trade, design-build,
construction management, engineer-construct, turnkey, etc.
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Cost of labor, materials, overhead, and normal profit.
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Sales of houses and other buildings you built which were sold during 2017.
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Report the receipts for all other non-construction business activities done by this establishment.
Exclude:
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The cost of land other than site preparation
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The purchase cost or estimated value of raw land from the value of construction work.
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Non-operating income such as interest, dividends, or the sale of fixed assets.
Item 7. EMPLOYMENT AND PAYROLL
Report the number of employees on the payroll of this establishment during four specific pay periods including
the 12th of March, June, Sept ember, and December, 2017. Payroll should equal the taxable Medicare wages and
tips reported on the Internal Revenue Service (IRS) Form 941, Employer’s quarterly Tax Return, and definitions as
described in Circular E, Employer’s Tax Guide. If legal form of organization for this business is corporation, reporting
other payroll is required. If payroll and employment for this EIN are zero, please indicate if EIN is a joint venture in the
remarks section of the form.
Include:
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All permanent, full-time or part-time employees.
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Salaried officers and executives of a corporation.
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Employees on paid sick leave, paid holidays, and paid vacations.
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The spread on stock options that are taxable to employee wages.
Exclude:
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Subcontractors and their employees.
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Full- or part-time leased employees whose payroll was filed under a Professional Employer
Organization’s Employer Identification Number.
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Temporary staffing obtained from a staffing service.
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Proprietors or partners of an unincorporated company.
Item 7. HOURS WORKED
Report hours worked only for the construction workers reported in item 7a.
Include:
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Hours worked during four specific pay periods including the
12th of March, June, September, and December 2017.
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Overtime hours as actual hours worked not as straight-time equivalent hours.
Exclude:
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Hours paid for vacations, holidays (unless actually worked), or sick leave.
Item 9. INVENTORIES OF THIS ESTABLISHMENT AT END OF YEAR
Report the value of all inventories of materials and supplies that are owned by this establishment or assigned to it at
the end of 2017 and 2016 regardless of where the inventories are held. If this establishment is part of a multi-
establishment company, the parent company should assign to each establishment those inventories that the
establishment is responsible for as if it owned them and this establishment should include the value of inventories
in this report. Inventories should not be duplicated on any establishment reports. Report inventories using current
cost (if using LIFO method of evaluation, adjust to obtain FIFO or current cost).
Item 13. ASSETS, CAPITAL EXPENDITURES, RETIREMENTS, AND DEPRECIATION
Item 13A. Depreciable assets are the buildings, structures, machinery, and equipment owned by this establishment or
its parent for which depreciation accounts are ordinarily maintained. If this establishment is part of a multiestablishment company, the parent company should assign to each establishment building and equipment that
the establishment is responsible for as if it owned them. This establishment should include these as part of its
beginning balances, additions, and disposals as appropriate as well as the allocation of related depreciation
expenses. For example, if this establishment maintained a tenant relationship with the parent company
or a subsidiary, and paid “rent” for the use of either buildings or equipment, do not report the value of this
“rent”. Instead, in item 13A report the gross value of the assets made available to this establishment as a result of
this “rental” agreement as if the establishment owned them.
Include:
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Assets acquired through capital leases. If any building or equipment has been acquired under a capital
leasing arrangement that meets the criteria set down by the Financial Accounting Standards Board (FASB),
please report the original cost or market value as a fixed asset and as a capital expenditure if acquired in
2012. If the lease qualifies as an operating lease, do not include the value of the building and equipment as
a fixed asset or capital expenditure.
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Assets acquired or produced to be leased to others as the lessor under an operating lease.
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Capital expenditures for construction in progress incurred in prior periods. Report current capital
expenditures in Item 13B even if not completed and operational.
Exclude:
•
The cost of land, but INCLUDE the value of land development.
•
Assets leased to others under capital lease arrangements.
Item 13B, Capital expenditures include current expenditures for property, equipment, and capital improvements that
were or will be chargeable to the fixed asset accounts and for which depreciation accounts are ordinarily maintained.
Additions to construction-in-progress for company owned projects lasting more than one year that will be added, as
depreciable assets should be reported currently rather than once the project has been completed and is in use.
Include the cost of capital improvements that were made during 2017 which increased the value of property or
adapted it for another use. Capital expenditures for leasehold improvements (made to property leased from others)
are also included. Include the value of depreciable assets acquired through mergers and acquisitions.
Item 13C, Gross value of depreciable assets sold, retired, lost, or otherwise disposed of should also include
acquisition cost of transfers or depreciable assets to assets held for sale and reductions in value due to impairment.
Item 14. RENTAL PAYMENTS
If this establishment is part of a multi-establishment company or a subsidiary rented property for the use of this
establishment and paid the rent, the rent should be reported in item 14 as if the establishment paid it.
However, if this establishment rented buildings or equipment from the parent or affiliate as a tenant, then the
value of assets should be reported in item 13. Exclude capital leases (leases with a contract to own at the end of the
lease) as well as rentals of assets owned by parent reported in item 13.
Item 16. SELECTED EXPENSES
This section is intended to complete a comprehensive reporting of operating costs and expenses incurred by this
establishment not already identified for collection on the instrument. Certain costs of construction and expenses were
already collected in item 7, item 13, and item 14 on the instrument.
Item 16A, Line 1. COST OF MATERIALS, PARTS, AND SUPPLIES
Report job-site, general office, and all other material, part, and supply costs relating to the construction and other
business activities of this establishment.
Include:
•
Equipment purchased by this establishment that was installed in a building as an integral part of its
structure, such as elevators, heating and air conditioning equipment, etc.
•
Costs after discounts for the materials, parts, and supplies that were purchased by this establishment or
obtained from other establishments of your company.
•
Freight and other direct charges for the materials, parts, and supplies used in 2017.
•
Expendable tools that were charged to current accounts in 2017.
Item 16A, Line 2. COST OF CONSTRUCTION WORK SUBCONTRACTED OUT
Include your payments to subcontractors for construction work.
Exclude the cost of non-construction work subcontracted out unless it is incidental to the primary construction
activities of the subcontractor. Services such as abatement, refuse removal, design work or surveying
should be reported in 16C
Item 16B, Normal depreciation charges for the year relating to the assets allocated to the reporting establishment by
a parent or affiliate
Item 16C OTHER OPERATING EXPENSES
Include costs for each of these goods and services purchased from other companies that are paid directly or
incurred by a parent or affiliate for this establishment and have not been reported elsewhere in the form.
Exclude:
•
Salaries paid to employees of this establishment for any professional and/or technical services. These
should be reported in item 7.
•
Materials, parts, and supplies used for repairs and maintenance performed by this firm’s employees.
•
Lease and rental payments for equipment, building, other structure, or land by this establishment and
reported item 14, Rental Payments.
•
Cost of construction activities subcontracted to others and reported in item 16A, line 2.
•
Cost of any utility payments if payments are included
in a lease or rental payment and reported in item 14or energy reported in item 16A, line 3.
•
Income taxes, purchases of merchandise for resale, bad debts, impairment charges, interest and other
non-operating expenses.
Item 22. DETAILS OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Include all sales, shipments, receipts, revenue, or value of business done reported in item 5, SALES, SHIPMENTS,
RECEIPTS, OR REVENUE broken out in details. Show dollars received by types of buildings, structures, or facilities
constructed or worked on by construction establishments in the reporting year in which establishments received
construction and non-construction receipts for activities, products, services only. This question requests that the
amount reported in item 5, be broken down by type of construction and non-construction activities for
the dollar value reported in item 5. Pick the appropriate construction projects and non-construction activities and
report the specific dollar amount for each applicable type of construction and non-construction activities done by the
establishment for the reporting period of 2017.
For example,
If establishment has amount of $125,000 total receipts for item 5, SALES, SHIPMENTS, RECEIPTS, OR REVENUE,
where total amount is broken out as construction activities of $75,000 receipts for new detached single-family houses,
$20,000 receipts for additions, alterations, and reconstruction for attached single-family houses, and $5,000 receipts
for maintenance and repair work for attached single-family houses, with the remaining non- construction activity of
$25,000 receipts for snow plowing service, report dollar values by the various receipt details. You would allocate
each dollar you reported for construction receipts into the appropriate NAPCS product category according to the
categories of construction services for new construction, construction service for additions, alterations, and
reconstruction, and construction services for maintenance and repair work. You would also report the nonconstruction activity of snow plowing into the appropriate non-construction NAPCS product category.
For the example explained above, you would report the $75,000 as construction service for
new detached single-family houses, the $20,000 as construction services for additions, alterations, and
reconstruction, and the $5,000 as construction services for maintenance and repair work. Then report the remaining
$25,000 as snow plowing service, a non-construction activity.
If you worked on more than one type of building or structure in a multipurpose complex, report separately for each
building or type of structure. However, if you worked on a building that had more than one purpose, i.e., office,
residential, or commercial, classify this building by its major purpose. If you worked on combined sewer-water-storm
drain projects, report each separately if estimates can be made. If not, report the entire project under the major
purpose. If you were involved in concrete work, excavating or earthmoving work, report separately the type of
buildings or structures for which the work was done.
NEW CONSTRUCTION
– the original construction work done on a project including all finishing work on the original building or structure.
Land development work on the site and demolition of existing structures are included in new construction.
ADDITIONS, ALTERATIONS, OR RECONSTRUCTION
– construction work which adds to the value or useful life of an existing building or structure, or which adapts a
building or structure to a new or different use. Included are "major replacements" of building systems such as the
installation of a new roof or heating system and the resurfacing of streets or highways. This contrasts to the
repair of a hole in a roof or the routine patching of highways and streets, which would be classified as maintenance
and repair.
MAINTENANCE AND REPAIR WORK
– incidental construction work which keeps a property in ordinary working condition. Excluded are trash and snow
removal, lawn maintenance and landscaping, and cleaning and janitorial services.
Item 23. KIND OF BUSINESS ACTIVITIES
Kind of business activities reported in item 23should be consistent with item 5 and also item 22 data reported.
The sum of the all the percentages reported in item 23should sum to 100%, and the details dollar amounts allocated
for construction activities in item 22, should equal the percentage amount obtained for item 23A, when the total dollar
value of construction activities in item 5 and item 22 is divided by the total amount reported in item 5.
For example,
if you reported $75,000 in item 22 for construction activities dollar value and $100,000 in item 5 total dollar value,
then the sum of the percentages reported in item 23A should equal 75%. Then sum of the percentages reported in
23B for other business activities should equal the percent obtained when the dollar value $25,000 for nonconstruction activities in item 22 is divided by that of item 5 total dollar value, then the sum of the entries in 23B
should equal 25%.
Item 22A. CONSTRUCTION WORK ACTIVITIES
Report only the main activities for which you were contracted. Work which was incidental to the primary
activities of jobs should not be reported separately.
For example,
If you were contracted to design and build, do not separate out the design part from the construction work.
In Item 22A. CONSTRUCTION WORK ACTIVITIES report only the main activities for which you were
contracted. Work which was incidental to the primary activities of jobs should not be reported separately.
For example,
•If you were contracted to design and build, do not separate out the design part from the construction work.
If you were contracted to shingle a roof, do not separate out incidental gutter and downspout installation.
•If you were working as a general contractor, do not separate out carpentry work, excavation work, etc.
•If this establishment engaged in construction activities that are not listed on the form, please enter a description of
the construction activity in the “Other kinds of construction” write-in box, along with a percentage of the total value of
business for that specified activity.
Item 22B. OTHER BUSINESS ACTIVITIES
Report any non-construction activities. If the activity is not listed on the form, please enter a description of the nonconstruction activity in the “Other business activities” write-in box, along with a percentage of the value of total
business for that specified activity.
Item 28A SPECIAL INQUIRIES - OWNERSHIP OF CONSTRUCTION PROJECTS
Work on interstate highways should be reported as state-owned construction.
Attachment E-4
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Manufacturing Sector
The 2017 Economic Census of Manufactures consists of general statistics inquiry items, and detailed materials,
parts, and supplies consumed; products manufactured; and special inquiry items.
Where available, an inquiry item shows an establishment’s prior year data in the 2016 column. The figures
may differ from those actually reported because of changes made by the U.S. Census Bureau as a result of
correspondence or a comparison with prior data reported for an establishment. Check these figures and
make any necessary corrections. If 2016 figures are not shown, report these figures for Item 9, and if applicable,
Items 10 and 11.
Before submitting your completed report, review all figures for consistency, and retain a copy for your records.
DEFINITION OF ESTABLISHMENT AND MANUFACTURING ACTIVITY
•
•
•
An establishment is generally a single physical location where business is conducted or where
services or industrial operations are performed. Further clarification is provided in Part1, General
Instructions.
Manufacturing activity involves the mechanical, physical, or chemical transformation of
materials, substances, or components into new products.
The assembling of component parts of manufactured products is considered manufacturing, except in cases
where the activity is appropriately classified in Sector 23, Construction. Further clarification is provided in
Part 1, Section B.
Report separate data for each establishment.
TABLE OF CONTENTS OF INSTRUCTIONS
PAGE
Part 1 - GENERAL INSTRUCTIONS…………………………………………………………………………………3
A.
B.
C.
D.
E.
F.
WHO SHOULD REPORT…………………………………………………………………………………………….…..….4
MANUFACTURING ACTIVITIES…………………………………………………………………………….…….…….4
ECONOMIC VALUE…………………………………………………………………………………...……………………...4
REPORTING PERIOD……………………………………………………………………………………………………..…5
SPECIAL REPORTING INSTRUCTIONS FOR ESTABLISHMENTS IN OWNERSHIP CHANGES…5
ESTABLISHMENTS INVOLVED IN ASSET LEASING ARRANGEMENTS……………………….………..5
Part 2 - DETAILED INSTRUCTIONS FOR SELECTED ITEMS ON THE FORM…………….……..5
Item 5 Sales, Shipments, Receipts, or Revenue……………………………………………………………………….…….6
Item 7 Employment and Payroll………………………………………………………………………………...………………..7
Item 9 Value of Inventories……………………………………………………………………………………………………..…..9
Item 10 Inventories by Valuation Method…………………………………………………………………………..………..9
Item 11 Inventories Outside of the United States………………………………………………………………...……….9
Item 13 Assets, Capital Expenditures and Retirements……………………………………………………….………..9
Item14 Rental Payments…………………………………………………………………………………………………………….14
Item 16 Selected Expenses………………………………………………………………………………………………………….14
Item 22 Detail of Sales, Shipments, Receipts, or Revenue……………………………………………………..………17
Part 1 - GENERAL INSTRUCTIONS
The purpose of these instructions is to assist you in the completion of the 2017 Economic Census of Manufactures.
After reading the instructions, if there are any questions regarding this report, please either:
•
•
Visit our website at https://econhelp.census.gov, or
Call 1-800-233-6136 between 8:00 a.m. and 4:30 p.m., Eastern Time, Monday through Friday.
Public Reporting Burden
Public reporting burden for this collection of information is estimated to vary from 2 to 6 hours per response with
an average of 5.6 hours per response including the time spent reviewing the instructions, searching existing data
sources, assembling or developing the data needed, and completing and reviewing the reported information.
Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to:
Paperwork Project 0607-0449
U.S. Census Bureau
4600 Silver Hill Road
EWD-7K055
Washington, D.C. 20233
You may e-mail comments to [email protected]; use "Paperwork Project 0607-0449" as the subject.
If you need extra time to complete your report, submit your request at https://econhelp.census.gov/cosasm
or call 1-800-233-6136 between 8:00 a.m. and 4:30 p.m., Eastern Time, Monday through Friday.
Response to this collection of information is not required unless it displays a valid approval number from
the Office of Management and Budget (OMB). The eight-digit OMB number appears in the upper-right
corner of the report form.
Report all value figures in thousands of dollars, electricity quantity figures in thousands of kilowatt-hours, and the
average number of annual production workers unrounded for the manufacturing establishment.
When actual book figures cannot be provided without high cost to your company, reasonable amounts of
estimating or prorating are acceptable.
Special instructions pertaining to companies with two or more manufacturing plants are preceded by the
statement - FOR MULTIPLE-ESTABLISHMENT COMPANIES ONLY, and are presented in italics. If your
company consists of a single establishment, you may ignore the multi-establishment instructions.
A. Who Should Report
The Economic Census of Manufactures is conducted under an Act of Congress (Title 13, United States Code) which
requires that a report be filed by every manufacturer who receives a report form.
If an establishment that is not in operation receives a report form, submit the form with a notation of its condition in
Item 3, Operational Status. If the establishment had custodial employees, capital expenditures, inventories, or any
shipments from inventories, these should be reported in their proper sections.
Separate reports are required for each manufacturing establishment (plant) because data will be published for
industries and states. An establishment is a single physical location where manufacturing is performed. If your
company operates at different physical locations, even if they are producing the same line of goods, a separate
report must be filed for each location.
If your company operates in two or more distinct lines of manufacturing at the same location, a separate report must
be filed for each activity.
B. Manufacturing Activities
Report all activities (manufacturing, fabricating, processing, and assembling) conducted within the establishment.
INCLUDE
• Maintenance of plant and equipment
• Receiving and shipping activities
• Warehousing and storage
• Research
• Recordkeeping
• Health and safety
• Cafeteria (without seating) and other services unless operated as separate establishments
EXCLUDE
• Sales branches and sales offices
• Research laboratories
• Retail stores
• Mining activities and general administrative offices
The Manufacturing Sector also includes establishments engaged in the following activities:
• Apparel jobbing and contracting
• Assembling from purchased components
• Commission processing of materials owned by others
• Job casting, stamping, and machining
• Lapidary work
• Machine shops, including those operating on a job-order basis
• Manufacturing and delivering ready-mixed concrete
• Milk pasteurizing and bottling
• Plating, galvanizing, polishing, etc., of materials owned by others
• Poultry dressing
• Printing books, periodicals, etc.
• Repair of ships
• Research and development, engineering and other services directly related to aerospace industries
• Sawmills
• Seafoods, fresh-packaged or frozen
• Wood preserving
Descriptions of some of these activities are provided in Item 22 of the DETAILED INSTRUCTIONS.
C. Economic Value
FOR MULTIPLE-ESTABLISHMENT COMPANIES ONLY
One of the important statistical measures of manufacturing activity is "value added by manufacture" which is derived
by the U.S. Census Bureau from the figures reported for value of shipments, cost of materials, and inventories.
In order for statistics on value added and other subjects to be comparable from industry to industry, it is necessary that
the operations of each establishment of a multiple-establishment organization be reported as though the establishment
was a separate "economic" unit. This means that the value of interplant transfers
and the cost of transferred materials within a company should include, in addition to direct costs of production, a
reasonable proportion of "all other costs (including company overhead) and profits.”
The establishment receiving such transfers should report them as materials consumed (or inventories of materials, etc.)
at the same value plus the costs of freight and other direct handling charges. (See Item 5, line A, Shipments and Other
Receipts; Item 9, Value of Inventories; and Item 16, line A, Selected Production Related Costs.)
D. Reporting Period
Report data for the calendar year. If calendar year book figures are not available except at considerable cost,
reasonable estimates will be accepted. Indicate in Item 31, Certification, the exact dates covered.
If an establishment began to operate or ceased to operate during 2017, report only the part of the year that the
establishment was in operation. Report any changes in Item 3, Operational Status.
If the operator changed during the year, report only for that part of the year that your company operated the
establishment. Report in Item 3 the appropriate information on changes in operator or operational status. See
part E for additional instructions.
E. Special Reporting Instructions for Establishments that Changed Ownership
The establishment may have been purchased singly or as part of a parent company which was acquired by or
merged with another company. Please make certain that the date of the change in ownership is recorded in Item 3,
Operational Status.
If your are filing for only part of the year, report as follows:
1. REPORT FOR THE OWNER WHO SOLD THE ESTABLISHMENT - Report any new or used capital expenditures,
that occurred in the current year prior to the sale.
2. REPORT FOR THE BUYER - Report only the capital expenditures which occurred after the original purchase of
the entire plant.
F. Establishments Involved with Asset Leasing Arrangements
If any building or equipment has been acquired in 2017 under a capital lease, please report the cost (at the market
value) as a capital expenditure in Item 13. Do not report the periodic payments made to the lessor. If the lease
qualifies as an operating lease, do not include the value of the building and equipment as capital expenditures. Also,
do not report the periodic payments made to the producer or the lessor as capital expenditures.
Part 2 – DETAILED INSTRUCTIONS FOR SELECTED ITEMS
Item 5 - Sales, Shipments, Receipts, or Revenue
Line A – Total Value of Products Shipped and Other Receipts
Report the total value of products shipped, including interplant transfers, exports, and other receipts as
entered in Item 22 . For selected industries in the manufacturing sector, value of production or value of
work done are requested.
The value in Item 5, line A should be the same as the value reported in Item 22, product code 9900000000.
Also, this value should be comparable to the total reported for 2016. If the two figures are not comparable,
please explain in the REMARKS section at the end of the instrument.
Line B – Value of Products Exported
The breaking down of bulk shipments of your products into smaller bits or packages by a wholesale exporter
or by other units of your company is not considered as further manufacturing, fabricating, or assembly.
Item 7 – EMPLOYMENT AND PAYROLL
EXCLUDE
• Agricultural workers or fishing crews from the following types of food processing establishments:
– sugar mills which are part of sugar plantations
– fruit or vegetable canning or freezing plants with farms associated with their operations
– fish canning, freezing, or packaging plants with fishing operations associated with the plant
Line E – Payroll Before Deductions (Exclude employer-paid annual cost for fringe
benefits.)
INCLUDE
• Withholding taxes, union dues, and savings bonds
• In gross earnings: commissions, dismissal pay, paid bonuses, and the cash equivalent of compensation
paid in kind
• Paid holiday, personal, funeral, jury-duty, military, and family leave
• Nonproduction bonuses**
• Cash profit-sharing
• Employee recognition
• End-of-year
• Holiday
• Payment in lieu of benefits
• Referral
• Other
** Report here only to the extent that these are included in the employees’ taxable pay. Costs associated
with these programs that are not taxable to the employee should be reported in line F.
Line F – Employer-Paid Annual Cost for Fringe Benefits
INCLUDE
•
Pretax benefits**
o
o
o
Health savings accounts
Section 125 “cafeteria” benefits:
Flexible benefits
Dependent care reimbursement accounts
Health-care reimbursement accounts
Cash or deferred arrangements without employer contributions
** Employer contributions to these plans for benefits not taxable to the employees should be reported in the
plan categories associated with the benefit type. Cash or benefits taxable to the employees should be
reported as payroll in Item 7, line E.
Items 9 and 10 – INVENTORIES
In reporting value of inventories for inventories valued by Last-In, First-Out (LIFO), use the value of the inventories
before calculations to determine LIFO value and LIFO reserve. The LIFO reserve (if any) is to be reported separately
in Item 10, line C.
Note that the LIFO reserve is the difference between the current cost (e.g., First-In, First-Out (FIFO)) of inventories
(gross value) and the LIFO carrying value (net value). If you calculate the LIFO carrying value of inventories by
specific goods LIFO (unit LIFO), please estimate the current cost of inventories for the purpose of determining the
LIFO reserve.
In completing the report of a manufacturing establishment or sales branch, INCLUDE those inventories that are
held elsewhere, such as a warehouse operated by your company or in a public warehouse. The inventories of an
operating establishment held elsewhere should not be reported on the report of the warehouse where they are
actually stored. Inventories should not be duplicated on establishment reports.
Item 13 – ASSETS, CAPITAL EXPENDITURES, AND RETIREMENTS
Line A – Gross Value of Depreciable Assets (acquisition cost)
Make certain that assets at the beginning of the year plus capital expenditures, less retirements, equals assets at
the end of the year. If this is not the case, explain in the "REMARKS" section at the end of the instrument.
INCLUDE
•
•
•
Improvements and new construction in progress, but not completed at year-end. Include these
items in fixed assets at a value equal to the cumulative expenditures to the end of the year. This
procedure should be followed even though the asset is not in use and is not yet being
depreciated.
Used buildings, machinery and equipment at their purchase value
Equipment or other assets transferred to this establishment from other parts of your
company at their transfer value as carried on the books of the company
FOR MULTIPLE-ESTABLISHMENT COMPANIES ONLY
If the establishment maintains a tenant relationship with the parent company or one of its subsidiaries and pays
"rent" for the use of either plant or equipment, report the gross value of the assets made available to the
establishment as if the establishment owned them. (See instructions for Item 14. In Item 14, DO NOT report rent
paid to the parent or subsidiary for assets reported in Item 13).
Line B – Capital Expenditures for Depreciable Assets in 2017 (New and Used)
Report all outlays during the year for buildings and other structures, machinery, and equipment that are
chargeable to the fixed asset account, and for which depreciation or amortization reserves are maintained.
INCLUDE
•
•
•
•
•
Capital expenditures (outlays) during the year that were actually made during the year, not the final value
of equipment put in place or the buildings completed during the year
o Add the cost of additions completed during the year to the construction in progress at the
beginning of they year to compute capital expenditures for long-term projects in progress.
Capital improvements or new additions in progress
Capital expenditures during the year for new construction whether constructed on contract or by your
own work force
The value of all machinery and equipment, buildings, and capitalized improvements and repairs whether
purchased or produced by employees of your own company
The value of any machinery or equipment or structure transferred to the use of this establishment by the
parent company or one of its subsidiaries
EXCLUDE
•
Tools that are expensed. Report these in Item 16, line A1.
Line B1 – Capital Expenditures for Buildings and Other Structures (New and Used)
INCLUDE
•
•
•
Elevators, blast furnaces, brick kilns, fractionating towers, shipways and similar structures, as well as the
usual factory office and warehouse type of buildings
Equipment that is an integral part of the building or structure, such as elevators, overhead traveling cranes,
ventilating shafts, and fractionating towers
Capitalized site improvements, such as roads, docks, tracks, parking lots, fences, and utilities
EXCLUDE
•
The value of land on which the structures stand
Line B2 – Capital Expenditures for Machinery and Equipment (New and Used)
INCLUDE
•
•
•
All production machinery (motors, lathes, punch presses, etc.) and transportation equipment (automobiles,
trucks, etc.)
All office equipment and machines; computers; furniture and fixtures for offices, cafeterias, dressing rooms;
and warehouse equipment
Replacements as well as additions to new capacity
IF THIS ESTABLISHMENT WAS INVOLVED IN AN ASSET LEASING ARRANGEMENT, SEE PART 1 – GENERAL
INSTRUCTIONS, SECTION F.
Line B2a – Automobiles, trucks, etc., for highway use
INCLUDE
•
•
Purchases of vehicles which are purchased for your company for highway use
Vehicles acquired under a lease-purchase agreement
EXCLUDE
•
Off-highway vehicles leased or vehicles normally designed to transport materials, property, or equipment
on mining, construction, petroleum development, and similar projects. These vehicles are of such size or
weight as to be normally restricted by State laws or regulations from operating on public highways.
Line B2b – Computers and peripheral data processing equipment
INCLUDE
•
Purchases of computers and related equipment
Line C – Gross Value of Depreciable Assets Sold Retired, Scrapped, Destroyed, etc.
Report the gross value of assets sold, retired, scrapped, destroyed, etc., during the year. Include the
retirements of any equipment or structures owned by the parent company that the establishment uses as if it
were a tenant. Also, include these assets in the value of assets in place at the beginning of the year (Item 13,
line A)
Item 14 – RENTAL PAYMENTS
INCLUDE
•
•
Rentals for transportation equipment whether for use within the plant site such as trucks, tractors, power
lifts, railroad engines, cars, etc., or used for transporting materials or products into or out of the plant
Rentals for transportation equipment whether used for freight or by executive and sales personnel of the
plant
FOR MULTIPLE-ESTABLISHMENT COMPANIES ONLY
EXCLUDE rental payments made by this establishment to the parent company or another subsidiary of the parent for
use of buildings and equipment owned by the parent company or its subsidiary. Report the value of these depreciable
assets as if they were owned by this establishment. Any capital expenditures made to acquire them or any depreciation
charges against them should be included in the proper section.
If this establishment uses buildings or equipment leased from other companies, but the rental payments are not made
directly from this establishment’s account, but are handled centrally at a company or division level, report the share of
the rental overhead charge to the establishment or estimate the share of the rental charges appropriate to the
operations of the establishment.
Item 16 – SELECTED EXPENSES
If this establishment has products made elsewhere under contract and supplies the materials, report the cost of
these materials. If this establishment produces items subsequently consumed in further production, report cost
of original materials consumed only.
Costs are delivered cost, which is defined as the amount paid or payable after discounts and including freight
and other direct charges incurred by the establishment in acquiring the materials.
INCLUDE
•
•
•
•
•
•
•
Value of the specific materials used to produce products reported in Item 5, line A
Only physical goods used or put into production
Total cost of the materials actually consumed or put in production during the year
Amounts paid to other establishments for contract work and associated freight charges for shipping the
materials to the contract producer and the finished products to you. Report these in Item 16, line A3.
Purchases from other companies
Transfers from other establishments of your own company
Withdrawals from inventories
FOR MULTIPLE-ESTABLISHMENT COMPANIES ONLY
SPECIAL NOTE: For transferred materials from other establishments of your company, include their full economic
value in line A1.
INCLUDE
•
•
•
Cost of production
Cost of delivery
A carefully prepared estimate of the expected amount payable for each kind of produce put into production
during a survey year for cooperatives which have not yet made a final settlement with the growers
EXCLUDE
•
•
•
•
•
•
•
Services used or overhead charges such as advertising, telephone, telegram and cable, insurance, development
and research
Services of engineering, management, marketing and other professional consultants, (unless charges for such
services are included in the prices paid for materials)
Overhead items such as depreciation charges against plant and equipment
Rent and rental allowances
Interest payments, royalties, and patent fees
Materials, supplies, machinery, and equipment chargeable to fixed asset accounts and used in the construction
of new structures or additions to your plant, or new machinery and equipment (include in Item 13)
Cost of products purchased and resold without further Manufacturing processing or assembly (include in Item
16, line A2)
Line A4 – Cost of Purchased Fuels Consumed for Heat, Power, or the Generation of Electricity
INCLUDE
•
•
•
Total amount actually paid or payable during the year for all fuels consumed for heat, power, or the
generation of electricity
Anthracite and bituminous coal, coke, natural and manufactured gas, fuel oil, liquefied petroleum gas,
gasoline, and all other fuels including purchased steam
Fuels to power onsite trucks, fork lifts, and other motor vehicles associated with the establishment
EXCLUDE
•
•
Estimated cost of fuels, such as sawdust or blast furnace gas, produced as a byproduct of your
manufacturing activities
Cost of fuels when consumed as raw materials (report in line A1)
Line A5 – Cost of Purchased Electricity
INCLUDE
•
Total amount payable or paid for electric energy purchased during the year from other companies or
received from other establishments of your company
EXCLUDE
•
Value of electricity generated and used at this establishment
Line B2 – Generated Electricity
INCLUDE
•
Data relating to the activity of the power stations in other sections of this report. For example, include the
number of employees assigned to the power station, their wages and hours in the figures reported in Item
7, and the cost of fuels used to generate electricity in line A4.
Line B3 – Electricity sold or transferred to other establishments
Enter the quantity of electric energy, also included in lines B1 and/or B2, sold to other companies or transferred to
other manufacturing or nonmanufacturing establishments of your company. Include the corresponding value of
electricity sold or transferred in Item 5, line A.
Item 22 – DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Below is a list of manufacturing activities that are inside the scope of the Manufacturing Sector.
Establishments whose activity spans these areas should review their specific section carefully and note any
special product reporting instructions that may be particular to their products.
AEROSPACE INDUSTRIES (3364)
These instructions recognize that the assignment of product shipment values by the aerospace industries differs
from that followed by most manufacturing industries. Most contracts within the aerospace industries are variations
of “fixed price” or “cost plus.” These instructions are designed to insure that products are reported consistently in
Item 9 or Item 22.
Fixed price contracts – Work performed under a fixed price contract should be reported as a shipment when
delivery of the product occurs. The cumulative value of the products being manufactured should be included in
inventories gross of progress payments until delivered. (These inventories should not be reduced by the amount of
any progress payment.)
Cost plus contracts – The value of work done on a cost plus contract should reflect cost incurred during the year as
well as a portion of the profits for the contract. Value of work done may be based on (a) the estimated work
completed during the year as a percentage of the total contract price or (b) net billings for work done during the
year. This value should be reported for the value of products shipped. Any work done during the year that has not
been reported as a shipment should be reported in work-in-process inventories.
Nonaerospace products – The value of nonaerospace products shipped and services performed should be based
on the net selling value, f.o.b. plant, after discounts and allowances, and exclusive of freight charges and excise
taxes.
Include products made elsewhere for this establishment on a contract basis from materials supplied by this
establishment (the cost of these materials should be included in Item 16, lineA1.
When transferring products to other establishments within your company, the shipping plant should assign the full
economic value of the transferred products, i.e., include all direct costs of production and a reasonable proportion
of all other costs and profits.
YARN, TEXTILE and APPAREL MANUFACTURERS (313-315)
Jobbers and contractors, as well as manufacturers, are in scope of this survey and must report.
1.
2.
3.
Jobber – You employ contractors to make products from fibers or fabrics you supply. You employ
contractors to make knit products from yarns you supply.
Contractor – You make products from fibers, yarns, or fabrics that are supplied to you by other
companies or by other establishments of your company.
Manufacturer – You make products from fibers, yarns, or fabrics that you own, regardless of whether
you purchased, wove, knitted, or spun those materials. Note that as a manufacturer, you may or may
not employ contractors to supplement your labor force.
Reporting of Contract Work
Products made for you by others from your materials •
Manufacturers and jobbers should report such products as if they were made in their own establishment.
The cost of materials is reported in Item 16, line A1, the cost of contract work is reported in Item 16, line
A3, and the value of the value of product shipments is reported in Item 22.
Products that you made from materials owned by others •
Contractors should report the amount received for work done on the appropriate Contract Manufacturing
lines.
Products made by multi-establishment companies •
•
If you knit or cut apparel in one plant and sew or finish the garment in another plant, the sewing or finishing
plants should be treated as contractors to the knitting or cutting plant.
The contract plants should report the value of work done during the survey year on the appropriate
Contract Manufacturing lines.
The plant in which the garments were knit or cut should report the value of the finished garments in Item
22 and the cost of work done by the sewing or finishing plant in Item 16, line A3.
If your company has a central office or plant that purchases and maintains ownership of materials (yarn, fabrics,
etc.) but ships those materials to other plants within your company to be knit or cut into garments, the central office
or plant that owns the materials should report the cost of materials in Item 16, line A1, the cost of contract work in
Item 16, line A3, and the value of shipments in Item 22. The contractor plants that receive the materials to be knit
or cut into garments should report the value of work done on the appropriate Contract Manufacturing lines.
•
GARMENT MANUFACTURERS COVERED UNDER SPECIAL IMPORT CATEGORY “9802” (3152-3159)
Report value of shipments for garments produced within the 50 states of the United States, including garments
covered under special import category “9802.”
Those garments cut in the United States, sent abroad for sewing, and then shipped back into this country under the
provisions of item 9802.00 of the Tariff Schedules of the United States should be reported in Item 22 on the
appropriate detailed product line.
Finished garments that you import, excluding “9802” garments, should be reported in Item 22 on the appropriate
Wholesaling lines. If records are not kept separately on the shipments of imported garments, please estimate a
breakout and report the value of shipments of domestically-produced garments on the appropriate detailed product
lines of Item 22 and the shipments of imported garments in the appropriate Wholesaling lines.
LIQUOR DISTILLING – REPORTING "VALUE OF PRODUCTION" (31214)
Please note that for products included in the activities listed above, the value of production rather than the value
of shipments is to be reported. The value of production should equal the selling value f.o.b. plant (after discounts
and allowances and excluding freight charges) of all products made during the survey year whether sold,
transferred, added to inventory, or used in further processing. For products made during the survey year and
transferred or held in inventory at the end of the year, estimate the value based on the average price received for
similar products of the same grade sold during the year.
Distilled Liquors – Production value for products sold in the raw state or directly after production refers to the
actual amount received or receivable by you for the production, excluding freight charges and excise taxes.
For liquors to be aged by you or otherwise placed in inventory prior to further processing or selling, report only
the actual cost of producing and barreling the raw product, including the cost of materials, labor cooperage, and
the pro rata share of overhead generally assigned to such production operations.
MEAT PROCESSORS (31161)
Meat processors should report the sales of fresh meats (not frozen, cooked, canned, smoked, cured, cut, or
otherwise processed) prepared from purchased carcasses in the appropriate Wholesaling lines.
PRINTING AND RELATED TRADES (3231)
Printing as well as related pre- and post-press services such as platemaking, image setting, color separations,
binding, and other post-press work are included in the scope of the manufacturing sector. Your revenue for such
work should be reported in Item 22 under the appropriate description(s).
PULP MILLS (32211)
Integrated operations consisting of pulp mills and primary paper and board mills need file only one report for both
activities. In reporting in Item 22, account for interplant transfers for the wood pulp transferred to manufacturing
establishments of your company at other locations. Exclude transfers of wood pulp to your paper or board mill at
this location.
SEAFOOD PACKAGING – REPORTING “VALUE OF PRODUCTION” (311710)
Please note that for products included in seafood packaging, the value of production rather than the value of
shipments is to be reported. The value of production should equal the selling value f.o.b. plant (after discounts
and allowances and excluding freight charges) of all products made during the survey year whether sold,
transferred, added to inventory, or used in further processing. For products made during the survey year and
transferred or held in inventory at the end of the year, estimate the value on the basis of the average price
received for similar products of the same grades sold during the year.
SHIPBUILDING AND REPAIRING (3366)
Report in Item 22 the value of work done on all new ships and offshore oil platforms during the survey year.
Include ocean, inland river, harbor, and Great Lakes ship construction. Include all vessels under construction
during the year, regardless of when the keels were laid or whether the vessels were launched in survey year. For
vessels on which work was begun prior to survey year or was not completed by the end of the survey year,
report the value of work done only during survey year.
Include in value of work done the cost of labor, the cost of purchased materials and parts received during the
year, overhead, and profits. Alternate methods of reporting the value of work done, in order of preference, are:
1. Multiply the estimated percentage of completion during survey year by the contract price of the vessel.
2. Net billings for work done during the survey year.
This value should be reported for the value of products shipped. Any work done that has not been reported as a
shipment should be reported in work in process inventories (Item 9, line B).
Repair work done on ships, including conversions and reconversions – Report in Item 22 the total receipts for
repair work done during the survey year. For conversions and major repair jobs, the value of work done should
be reported, using one of the suggested methods described above.
TOBACCO PRODUCTS (312230)
Cigarettes, Cigars, and Tobacco – Report materials (leaf, the value of green leaf redried, packed, and stored in
the scrap, etc.) which were redried, stemmed, and/or packed. Include the value of green leaf redried, packed,
and stored in the establishment.
Attachment E-5
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Wholesale Trade Sector
DEFINITION OF WHOLESALE TRADE
The 2017 Economic Census covering the Wholesale Trade sector includes establishments primarily
engaged in selling or arranging the purchase or sale of goods, selling goods for resale, selling
capital or durable nonconsumer goods, and selling raw and intermediate materials and supplies
used in production.
Most wholesale establishments exhibit the following characteristics:
•
•
Wholesalers usually operate from a warehouse or office. These warehouses and offices are
characterized by having little or no display of merchandise. In addition, neither the design
nor the location of the premises is intended to solicit walk-in traffic.
Wholesalers do not usually use advertising directed to the general public. Customers are
generally reached initially via telephone, in-person marketing, or by specialized advertising
that may include Internet and other electronic means.
If an establishment is NOT engaged in this kind of business, DESCRIBE its business or activity in
item 17A and COMPLETE the report form as accurately as possible.
ITEM 5: SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. Report total sales of merchandise and other operating receipts in thousands of dollars for the
calendar year 2017.
Include:
• Cash and credit sales of merchandise, whether or not payment was received in 2017.
• Receipts for delivery, installation, maintenance, repair, alteration, storage, and other
services provided in 2017, whether or not payment was received in 2017.
• The gross selling value of goods that this establishment sold or purchased on a
commission, brokerage, consignment, or agency basis for others.
• The actual value of trade-ins taken as partial payment for other merchandise.
• Sales to foreign subsidiaries and affiliates and to the establishment’s Foreign Sales
Corporations (FSCs).
• Receipts from the rental and leasing of merchandise.
• Excise taxes (such as those on gasoline, liquor, and tobacco) which are paid by the
manufacturer and are included in the cost of goods purchased.
• Liquor and tobacco tax stamps, taxes, and licenses sold.
• Fees received for arranging the foreign sale of goods which never entered the United
States or its Foreign Trade Zones.
• Shipping and handling receipts collected from customers.
•
The value of transfers (billings) to the firm’s own retail service stations, retail fuel oil
dealers, and retail liquefied petroleum (LP) gas dealers.
• The value of transfers (billings) of farm products to other establishments in the company.
Exclude:
• Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from
customers and paid directly to a federal, state, or local tax agency.
• Receipts from carrying and other credit charges.
• Nonoperating income from sources such as investments, rental or sale of real estate, and
interest.
• Commissions received for selling and buying goods.
• Foreign sale of goods which never entered the United States or its Foreign Trade Zones.
• Refunds or allowances for returned merchandise.
• Transfers (billings) to other establishments in the company, except those in the firm’s own
retail service stations, retail fuel oil dealers, retail liquefied petroleum (LP) gas dealers and
those made by establishments selling farm products.
• Sales of petroleum products to another bulk facility.
B. Answer "Yes" if this establishment earned a commission or brokerage fee for transactions
negotiated for others.
C. Report the market value of products bought or sold by others on which the establishment
earned a commission or fee.
If actual sales are unavailable from firm records, estimate the value by dividing actual
commissions received by the average percentage charged for sales activity.
For example, if commissions received totaled $200,000 and the average commission is estimated
as 5 percent, then the gross selling value is $4,000,000 ($200,000/.05).
H. E-commerce sales and operating receipts are sales of goods and services where an order is
placed by the buyer, or price and terms of sale are negotiated over an Internet, Extranet, Electronic
Data Interchange (EDI) network, electronic mail, or other online system. Payment may or may not
be made online. (This is item J on report forms 42471 and 42472.)
ITEM 7: EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the IRS Forms 941 and 944, and as described in Circular
E, Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
A. Employment
Include:
• All full- and part-time employees on the payroll during the pay period including March 12,
2017.
• Salaried officers and executives of a corporation.
• Salaried members of a professional service organization or association (operating under
state professional corporation statutes and filing a federal corporate income tax return).
• Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
• Proprietors or partners of an unincorporated company.
•
•
•
Employees of departments or concessions operated by other companies at the
establishment.
Full- and part-time leased employees whose payroll was filed under an employee leasing
company’s federal EIN.
Temporary staffing obtained from a staffing service.
B. Payroll before deductions
Include:
• Wages, salaries, tips, vacation allowances, bonuses, commissions, and other
compensation paid to employees during 2017 and reported on IRS Forms 941 or 944 as
taxable Medicare Wages and tips (even if not subject to income or FICA tax).
• Salaries of officers and executives of a corporation.
• Salaries of members of a professional service organization or association (operating under
state professional corporation statutes and filing a federal corporate income tax return).
• Employee contributions to qualified pension plans.
• The spread on stock options that is taxable to employees as income.
Exclude:
• Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans, and
other employer paid benefits.
• Payments to or withdrawals by proprietors or partners of an unincorporated company.
• Annuities or supplemental unemployment compensation benefits, even if income tax was
withheld.
• Payrolls of departments or concessions operated by other companies at the establishment.
ITEM 9: VALUE OF INVENTORIES
Answer “Yes” if the establishment owned merchandise inventories on the last day of either 2017
or 2016, regardless of where held. Exclude the value of inventories held by the establishment but
owned by others. Answer “No” if the establishment had no inventories, or had inventories during
either year but not on the last day of the year.
Report the value of inventories owned by the establishment on December 31, 2017, and December
31, 2016:
1. Report the total value of inventories owned by this establishment for each year. If any part
of the inventory is valued using the Last-in, First-out (LIFO) method, report the value of
inventories before any adjustment for LIFO reserve.
2. Report the value of LIFO reserve or allowance applicable to any amount on line 1 that is
valued using the LIFO method. Establishments that do not use the LIFO method of
inventory valuation should select the “Check if None” box to indicate “None.”
3. Report the total value of inventories after any LIFO adjustment. This should equal line 1
minus line 2. Establishments that do not use the LIFO method of valuation will report the
same value on lines 1 and 3.
ITEM 10: INVENTORIES BY VALUATION METHOD
Report the value of inventories reported in item 9, line 1, for each of the following valuation
methods:
A. Last-in, First-out (LIFO), before adjustment
B. First-in, First-out (FIFO)
C. Average cost
D. Standard cost
E. Other valuation method - Describe other method of valuation (including actual, market, or
specific cost) in the space provided.
F. Total of lines A through E should equal item 9, line 1.
ITEM 16: SELECTED EXPENSES
A. Operating expenses
Report total operating expenses for 2017.
Include:
• Total annual payroll reported in item 7.
• Fringe benefits and supplements to wages and salaries.
• Liquor and tobacco stamps, taxes, and license fees.
• Equipment which was expensed (rather than capitalized) during 2017.
• Depreciation and amortization charges in 2017, including depreciation charges on
equipment obtained through a capital or full payout lease, or on equipment rented to
others through an operating lease.
• Lease and rental payments made in 2017 for equipment leased under an operating lease.
• Advertising services and expenses.
• Commissions paid to others.
• Office supplies, postage, and shipping and packaging materials and expenses.
• Cost of legal services, data processing, and other contract work performed by others.
• Telephone and other purchased communications services.
• Other expenses such as insurance, storage, repairs, theft, and damage losses.
Exclude:
• Purchase of goods for resale.
• Income taxes.
• Sales and other taxes collected directly from customers and paid directly to a federal, state,
or local tax agency.
• Interest expenses, bad debt, and impairment costs.
• Payments to or withdrawals by proprietors and partners of an unincorporated firm.
• Lease payments for merchandise obtained through capital, finance, or full payout leases.
B. Purchase of merchandise for resale
Report the total cost of all merchandise purchased for resale (net of returns, allowances, and trade
and cash discounts, but including amounts allowed for trade-ins) to which this establishment took
title in 2017 whether or not payment was made in 2017. If possible, exclude purchases of
containers, wrapping, packaging, and selling supplies.
Include:
• Merchandise to which this establishment took title in 2017, whether or not payment was
made in 2017.
• Raw and finished goods.
• Cash and credit purchases.
• Merchandise in transit to this establishment or to a customer to which the establishment
has taken title.
• Amounts allowed for trade-ins.
• Freight, delivery, and other transportation costs.
• Import duties (if paid separately).
• The cost of purchased services that were resold.
•
Merchandise sold by this establishment from the inventory of other establishments of the
firm.
• Parts and supplies used in repair work or other service type activities.
Exclude:
• Expenditures for supplies, equipment, and parts purchased for the company’s own use.
• Purchases of liquor and tobacco tax stamps.
• Merchandise to which this establishment never took title.
• Sales and other taxes collected directly from customers and paid directly to a federal, state,
or local agency.
D. Equipment leased to other firms
Report form 42343 only.
Include:
• The value of computer equipment leased to another company in 2017 that was
manufactured by this firm.
Exclude:
• The value of computer equipment leased out in 2017 under a capital, finance, or full payout
lease.
17A: PRINCIPAL BUSINESS OR ACTIVITY
Choose the ONE kind of business that best describes this establishment in 2017. If none of the
provided selections seem appropriate, select "Other kind of business" and provide a specific
description of the primary business activity.
17B: TYPE OF OPERATION
Choose the ONE principal type of operation for this establishment.
Merchant wholesaler — A company or establishment engaged in buying merchandise on its own
account produced by other firms and selling them using the wholesale method.
• Importer — Purchasing and selling foreign-made merchandise that does not bear the
importer’s own brand name for delivery in the United States or its Foreign Trade Zones.
• Exporter — Purchasing goods in the United States from unrelated firms and selling them
for delivery outside the United States, excluding grain elevators.
• Farm products assembler — Report forms WH-42443, WH-42444, WH-42446, WH-42447,
WH-42448, WH-42451, WH-42452, WH-42459, WH-42491 and WH-42493 only – A firm or
establishment, except a grain elevator, purchasing farm products directly from farmers.
• Country grain elevator — Report forms WH-42451, WH-42452, WH-42459, and WH-42491
only — Grain elevator receiving grain directly from farmers.
• Terminal grain elevator — Report forms WH-42451, WH-42452, WH-42459, and WH-42491
only – Grain elevator receiving grain from sources other than directly from farmers.
• Merchant wholesale distributor or jobber — Buying merchandise from unrelated domestic
manufacturers and selling the goods to customers in the United States or its Foreign Trade
Zones.
• Own-brand importer and marketer — A company or establishment that deals primarily or
exclusively in the parent company’s own branded products manufactured outside the
United States. The products are either imported into the United States and then sold or
they are sold and then drop-shipped directly from a foreign location to the customer in the
United States or its Foreign Trade Zones. (Note: When the products are drop-shipped from
a foreign location, the customer will have already taken title to the goods before they enter
the United States or its Foreign Trade Zones.)
Manufacturers’ sales branch or office — Establishments owned by firms or corporately affiliated
with a manufacturer primarily engaged in selling goods mined or manufactured by the parent in
the United States or its Foreign Trade Zones.
Agent, broker, or commission merchant — A company or establishment primarily engaged in
buying and selling merchandise on a commission, brokerage, or agency basis for others, rather
than dealing primarily on its own account.
• Manufacturers’ representative or agent — Selling merchandise on a commission basis for
a limited number of manufacturers on a continuing agency basis.
• Auction company — Selling merchandise for the account of others at wholesale from a
permanent location by the auction method.
• Broker, representing buyers and sellers — Buying and selling merchandise on a brokerage
basis for others in the United States market, but not receiving goods on consignment.
• Commission merchant — Receiving goods on consignment and selling them on a
commission basis in the United States market.
• Import agent — Representing, on an agency basis, domestic firms selling foreign
merchandise for delivery inside the United States or its possessions and collecting a
commission for the sale of goods.
• Export agent — Representing, on an agency basis, domestic firms selling United States
merchandise for delivery outside the United States or its possessions and collecting a
commission for the sale of goods.
Electronic market — Business-to-business marketplace that facilitates the sale of goods via the
Internet or other electronic means, and operates on a commission or fee basis.
Other broker or agent such as real estate, mortgage, or loan. Please describe type in space
provided.
ITEM 20: CLASS OF CUSTOMER
D. Report percentage of sales and receipts as reported in item 5A to each customer class.
1. Household consumers and individuals – those buying for personal consumption, including
employees buying for personal consumption.
2. Export sales – Include sales to buyers in foreign countries or to Foreign Sales Corporations
(FSCs). Exclude sales to establishments in United States possessions that are not FSCs.
3. Retailers for resale – Include sales to all types of retailers (that is, retail chain organizations,
independent stores, or department stores) that normally buy for resale to household
consumers.
4. Wholesalers/distributors for resale – In addition to sales to merchant wholesalers, include
sales that were made through agents, brokers, and commission merchants.
5. Repair shops for use in repair work – Include sales to all types of repair facilities.
6. Manufacturing and mining industrial users for use as input goods in production – Include
sales to mines and manufacturers located in the United States or Puerto Rico.
7. Restaurants, hotels, food services, and contract feeding – Include sales to caterers, contract
feeders, and all eating and drinking establishments.
8. Businesses for end use in their own operation, not for resale or production – Include sales
to laboratories, institutions, public utilities, service businesses, and other such users that
are buying for business use rather than for resale.
9. Building contractors, heavy construction, and special trade contractors – Include only sales
for construction purposes.
10. Farmers for use in farm production — Include only sales of products for use in agricultural
production.
11. Governmental bodies (federal, state, and local) – Include sales to the federal government
(including military post exchanges, General Services Administration, U.S. Postal Service,
Tennessee Valley Authority, and other agencies), state, and local governments.
12. Other – Describe – Report the percentage of sales not elsewhere classified and describe
the customer.
ITEM 22. DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Report in thousands of dollars.
Estimates are acceptable, but please do not combine data for two or more product categories.
Receipts for construction, delivery, installation, and service contracts should be reported in the
appropriate nonmerchandise category at the end of the listing. Do not include such receipts with
the product sales. For construction receipts, please describe the type of construction performed.
If the establishment had wholesale sales of merchandise not covered in the prelisted categories,
report the sales of such merchandise on the "Wholesale sales of other goods, not elsewhere
classified" category, describe the principal products, and report their estimated sales.
If the establishment had any other sources of revenue, report such revenue in the “All other
products and services, not elsewhere classified” category, pick industry, describe the principal
products or services, and report their estimated sales.
The sum of products and services reported should equal the amount reported in item 5A.
ITEM 26: SPECIAL INQUIRIES
Employment by Primary Function
Indicate the number of employees, as reported in item 7A, by the employees’ primary function.:
1. Selling — Include employees engaged in sales activities, traveling salespeople, truck
salespeople, and selling employees working out of their homes.
2. Sales support — Include employees engaged in sales support activities such as office and
clerical, warehouse, customer service, maintenance, and delivery; employees engaged in
sorting, grading, or packaging activities in conjunction with sales operations; and
employees w ho provide services to this establishment such as janitorial or repair.
3. General support — Include employees engaged in supporting functions of other
establishments in the company such as headquarters employees, regional or district
managers who control more than just this establishment, corporate accountants,
researchers, and central warehouse employees.
4. Packaging — Report the number of employees engaged in packaging.
5. Production — Report the number of employees engaged in production work.
6. ‘Knockdown’ assembly — Report the number of employees engaged in ‘knockdown’
assembly.
7. Other — Describe — Report the number of employees not elsewhere classified, including
employees engaged in mining, agricultural, construction, or other activities.
Goods Purchased from Farmers
Report forms WH-42441, WH-42443, WH-42444, WH-42446, WH-42447, WH-42448, WH-42449, WH42451, WH-42452, WH-42459, and WH-42491 only.
Include purchases directly from farmers, but do not include purchases from farm cooperatives.
Storage Capacity
Report forms 42471 and 42472 only.
Report the total shell or water capacity of the establishment’s operational storage facilities,
broken out by owned and operated vs. leased, for the petroleum and other products listed.
Include:
• Relay or lock-up points with bulk plants of which they are part.
• Caves or mines used to store petroleum products.
Exclude:
• Tanks located at the firm’s gasoline service stations and home heating oil dealers.
• Capacity of pipelines, tank trucks, tankers, barges, and railroad cars
• Capacity of tanks that are no longer usable
Attachment E-6
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Retail Trade Sector
DEFINITION OF RETAIL TRADE
The Retail Trade sector of the 2017 Economic Census includes establishments primarily engaged in selling
merchandise, generally without transformation, and rendering services incidental to the sale of merchandise.
If this establishment is NOT engaged in this kind of business, DESCRIBE its business or activity in Item 17 and
complete this Economic Census report as accurately as possible.
ITEM 5 – SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Include:
• Cash and credit sales of merchandise sold in 2017, whether or not payment was received in 2017.
• Receipts for delivery, installation, maintenance, repair, alteration, storage, and other services provided in 2017,
whether or not payment was received in 2017.
• This establishment's share of sales and receipts from departments, concessions, and vending and amusement
machines operated by other companies at this establishment.
• Receipts from the rental of vehicles, equipment, instruments, tools, and other merchandise.
• Motor vehicle transportation charges, dealer preparation charges, and dealer-installed options.
• Fair sales value of motor vehicles marketed under leases negotiated in 2017, regardless of whether this
establishment holds the lease.
• Sales of motor vehicles formerly used for rental or leasing.
• Total value of service contracts.
• Commissions received for the arrangement of financing and the sale of credit life insurance.
• Amounts received from customers for layaway purchases.
• Excise taxes (such as those on gasoline, liquor, and tobacco) paid by the manufacturer or wholesaler and included
in the cost of goods purchased by this establishment.
• Fees for processing money orders and cashing checks.
• Shipping and handling receipts.
Exclude:
• Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid directly
to a local, state, or federal tax agency.
• Gross sales and receipts of departments or concessions operated by other companies at this establishment.
• Receipts from carrying and other credit charges.
• Retail Trade only — Commissions or receipts from the sale of lottery tickets.
•
Taxable establishments only — Nonoperating income from sources such as investments, rental or sale of real
estate, and interest.
Automotive dealers only — Receipts from customers for tag and title fees, licenses, etc., forwarded to local or
state licensing agencies.
•
Deduct:
•
•
Refunds and allowances for returned merchandise.
Automotive dealers only — Discounts granted to the purchaser as an increase in trade-in allowance over fair
market value and manufacturers’ rebates and incentives.
Do not deduct:
• Fair market value of trade-ins taken as partial payment for merchandise.
ITEM 7 – EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular
E, Employer's Tax Guide.
A. Employment
Include:
•
•
•
Exclude:
•
•
•
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
Salaried officers and executives of a corporation.
Employees on paid sick leave, paid vacations, and paid holidays.
Proprietors or partners of an unincorporated company.
Employees of departments or concessions operated by other companies at this establishment.
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s
Employer Identification Number (EIN).
Temporary staffing obtained from a staffing service.
B. Payroll
Include:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees
during 2017 and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to
income or FICA tax).
Salaries of officers and executives of a corporation.
Employee contributions to qualified pension plans.
The spread on stock options that is taxable to employees as income.
•
•
•
Exclude:
• Employer’s cost for payroll taxes, employer-paid insurance premiums, pension plans, and other employer-paid
benefits.
• Payments to or withdrawals by proprietors or partners of an unincorporated company.
• Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
• Payrolls of departments or concessions operated by other companies at this establishment.
Attachment E-7
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Transportation and Warehousing Sector (Enterprise Support)
Item 5 – Sales, Shipments, Receipts, or Revenue
For establishments which generate no revenue, report zero and explain in the remarks section, if
available, at the end of the report form.
Include:
•
Gross revenue from services provided, for the use of facilities, and from merchandise sold in 2017, whether
or not payment was received in 2017.
•
Total value of service contracts.
•
Amounts received for work subcontracted to others and from repair services provided to others.
•
Consulting fees received for counseling and advising clients on aspects of operating businesses.
•
Agency or brokerage commissions and fees for arranging transportation of freight and cargo.
•
Rental revenue from leasing of vehicles, equipment, instruments, tools, etc., marketed under operating
leases.
•
Fair sales value of merchandise marketed in 2017 under capital, finance, or "full-payout" leases.
Exclude:
•
Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid
directly to a state, local, or federal tax agency.
•
Rents and revenue from departments or concessions that are operated by others.
•
All cash or noncash subsidies from any agency of local, state, or federal government.
Item 7 – Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and
944, and as described in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
C.
Employment
Include:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s
Employer Identification Number (EIN).
•
Temporary staffing obtained from a staffing service.
D. Payroll
Include:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to
employees during 2017 and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips
(even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other
employer paid benefits.
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Item 9 - Value of Inventories
Report the total value of inventories owned by this establishment on December 31, 2017, and on
December 31, 2017, regardless of where held. Exclude the value of inventories held by this
establishment but owned by others.
A. Answer ‘Yes’ if this establishment had inventories on the last day of either 2017 or 2016. Answer ‘No’ if
the establishment had no inventories, or had inventories during either year but not on the last day of
either year.
B. Report the value of inventories owned by this establishment on December 31, 2017, and on December 31,
2016:
1.
Report the total value of inventories owned by this establishment for each year. If any part of the
inventory is valued using the Last-in, First-out (LIFO) method, report the value of inventories before
any adjustment for LIFO reserve.
2.
Report the value of LIFO reserve or allowance applicable to any amount on line B1 that is valued
using the LIFO method. Establishments that do not use the LIFO method of inventory valuation
should mark “X” the box to indicate "None".
3.
Report the total value of inventories after any LIFO adjustment. This should equal line B1 minus line
B2. Establishments that do not use the LIFO method of valuation should report the same value on
lines B1 and B3.
Attachment E-8
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Transportation and Utilities Sectors
Item 5 – Sales, Shipments, Receipts, or Revenue
For establishments which generate no revenue, report zero and explain in the remarks section, if
available, at the end of the report form.
Include:
•
Gross revenue from services provided, for the use of facilities, and from merchandise sold in 2017, whether
or not payment was received in 2017.
•
Total value of service contracts.
•
Amounts received for work subcontracted to others and from repair services provided to others.
•
Consulting fees received for counseling and advising clients on aspects of operating businesses.
•
Agency or brokerage commissions and fees for arranging transportation of freight and cargo.
•
Rental revenue from leasing of vehicles, equipment, instruments, tools, etc., marketed under operating
leases.
•
Fair sales value of merchandise marketed in 2017 under capital, finance, or "full-payout" leases.
Exclude:
•
Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid
directly to a state, local, or federal tax agency.
•
Rents and revenue from departments or concessions that are operated by others.
•
All cash or noncash subsidies from any agency of local, state, or federal government.
Item 7 – Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and
944, and as described in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
E.
Employment
Include:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
F.
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s
Employer Identification Number (EIN).
•
Temporary staffing obtained from a staffing service.
Payroll
Include:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to
employees during 2017 and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips
(even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other
employer paid benefits.
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Attachment E-9
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Finance and Insurance Sector
Item 5 - Sales, Shipments, Receipts, or Revenue
Revenue should be reported in thousands of dollars.
For establishments which generate no revenue, report zero and explain in the Remarks section at the end of the
report.
Include:
•
Interest, dividends, royalties, and net realized capital gains (losses)
•
Commissions and fees received from all sources, including fees earned for exchanging currencies, selling
money orders, and cashing checks
•
Net gains (losses) from the sale of real property owned by the establishment for investment, rent, or
lease (NOT gross sales)
•
Gross sales (NOT net gains (losses)) of real property developed or buildings built by the establishment
for sale
•
Gross rents from real property leased by the establishment to others
•
Rents from departments or concessions operated by other companies at the establishment
•
Revenue from the rental and leasing of vehicles, equipment, instruments, tools, videos, etc. (Interest
earned from financing leases should be included with interest.)
Exclude:
•
Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and
paid directly to a state, local, or federal tax agency
•
Revenue of departments or concessions operated by other companies at the establishment
Item 7 – Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as
described in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE
location where they spent most of their working time.
A. Employment
Include:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017
•
Salaried officers and executives of a corporation
•
Salaried members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return)
•
Employees on paid sick leave, paid vacations, and paid holidays
•
Agents considered employees of the firm (e.g., full-time life insurance agents) as reported on IRS Form
941 or 944
Exclude:
B.
•
Proprietors or partners of an unincorporated company
•
Employees of departments or concessions operated by other companies at the establishment
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s
Employer Identification Number (EIN)
•
Temporary staffing obtained from a staffing service
•
Agents not considered employees of the firm on IRS Form 941 or 944 (e.g., independent insurance
agents)
Payroll
Include:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to
employees during 2017 and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even
if not subject to income or FICA tax)
•
Salaries of officers and executives of a corporation
•
Salaries of members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return)
•
Employee contributions to qualified pension plans
•
The spread on stock options that is taxable to employees as income
•
Compensation paid to sales agents as reported on IRS Form 941 or 944 (exclude if reported on IRS Form
1099 - MISC - Statement for Recipients of Miscellaneous Income)
Exclude:
•
Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other employer
paid benefits
•
Payments to or withdrawals by proprietors or partners of an unincorporated company
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld
•
Payrolls of departments or concessions operated by other companies at the establishment
•
Compensation paid to agents not considered employees of the firm on IRS Form 941 or 944 (e.g.,
independent insurance agents)
Attachment E-10
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Real Estate and Rental and Leasing Sector
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Interest, dividends, royalties, and net realized capital gains (losses).
•
Commissions and fees received from all sources, including fees earned for exchanging currencies, selling
money orders, and cashing checks.
•
Net gains (losses) from the sale of real property owned by the establishment for investment, rent, or
lease (NOT gross sales).
•
Gross sales (NOT net gains (losses)) of real property developed or buildings built by the establishment
for sale.
•
Gross rents from real property leased by the establishment to others.
•
Rents from departments or concessions operated by other companies at the establishment.
•
Revenue from the rental and leasing of vehicles, equipment, instruments, tools, videos, etc. Interest
earned from financing leases should be included with interest.
Exclude:
•
Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and
paid directly to a state, local, or federal tax agency.
•
Revenue of departments or concessions operated by other companies at the establishment.
7.
EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as
described in Circular E, Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE
location where they spent most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
•
Agents considered employees of the firm as reported on IRS Form 941 or 944.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s
Employer Identification Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Agents not considered employees of the firm on IRS Form 941 or 944 (e.g., real estate agents).
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to
employees during 2017 and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even
if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional service organization or association (operating under state
professional corporation statutes and filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
•
Compensation paid to sales agents as reported on IRS Form 941 or 944 (exclude if reported on IRS Form
1099 - MISC - Statement for Recipients of Miscellaneous Income).
Exclude:
•
Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other employer
paid benefits.
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
•
Compensation paid to agents not considered employees of the firm on IRS Form 941 or 944 (e.g., real
estate agents).
Attachment E-11
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Accommodation and Food Services Sector
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Cash and credit sales of merchandise sold in 2017, whether or not payment was received in 2017.
•
Receipts for delivery, installation, maintenance, repair, alteration, storage, and other services provided in 2017, whether or
not payment was received in 2017.
•
The establishment's share of sales and receipts from departments, concessions, and vending and amusement machines
operated by other companies at the establishment.
•
Receipts from the rental of vehicles, equipment, instruments, tools, and other merchandise.
•
Motor vehicle transportation charges, dealer preparation charges, and dealer-installed options.
•
Fair sales value of motor vehicles marketed under leases negotiated in 2017, regardless of whether the establishment holds
the lease.
•
Sales of motor vehicles formerly used for rental or leasing.
•
Total value of service contracts.
•
Commissions received for the arrangement of financing and the sale of credit life insurance.
•
Amounts received from customers for layaway purchases.
•
Excise taxes (such as those on gasoline, liquor, and tobacco) paid by the manufacturer or wholesaler and included in the cost
of goods purchased by the establishment.
•
Fees for processing money orders and cashing checks.
•
Shipping and handling receipts.
If tax-exempt, include:
•
Gross contributions, gifts, and grants (whether or not restricted for use in operations).
•
Dues and assessments from members and affiliates.
•
Gross receipts from fundraising activities.
•
Income from interest, dividends, gross rents (including display space rentals), royalties, and other investments.
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid directly to a local,
state, or federal tax agency.
•
Gross sales and receipts of departments or concessions operated by other companies at the establishment.
•
Receipts from carrying and other credit charges.
•
Retail Trade only — Commissions or receipts from the sale of lottery tickets.
•
Taxable establishments only — Nonoperating income from sources such as investments, rental or sale of real estate, and
interest.
•
Automotive dealers only — Receipts from customers for tag and title fees, licenses, etc., forwarded to local or state licensing
agencies.
Deduct:
•
Refunds and allowances for returned merchandise.
•
Automotive dealers only — Discounts granted to the purchaser as an increase in trade-in allowance over fair market value
and manufacturers’ rebates and incentives.
Do not deduct:
•
7.
Fair market value of trade-ins taken as partial payment for merchandise.
EMPLOYMENT AND PAYROLL
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer’s Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer’s cost for payroll taxes, employer-paid insurance premiums, pension plans, and other employer-paid benefits.
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Attachment E-12
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Finance and Insurance Sector – Banking and Savings Institutions Consolidated
Questionnaire
Item 5 - Sales, Shipments, Receipts, or Revenue
Report total revenue for the company’s United States locations operating in the industry identified in the Industry field on the
Location Information screen.
Revenue should be reported in thousands of dollars.
For companies which generate no revenue, report zero and explain in the Remarks section at the end of the report form.
Include:
•
Interest, dividends, royalties, and net realized capital gains (losses)
•
Commissions and fees received from all sources, including fees earned for exchanging currencies, selling money orders, and
cashing checks
•
Net gains (losses) from the sale of real property owned for investment, rent, or lease (NOT gross sales)
•
Gross sales (NOT net gains (losses)) of real property developed or buildings built for sale
•
Gross rents from real property leased to others
•
The consolidated reporting unit’s share of revenue from departments, concessions, and vending and amusement machines
operated by others
•
Revenue from the rental and leasing of vehicles, equipment, instruments, tools, videos, etc. (Interest earned from financing
leases should be included with interest.)
Exclude:
•
Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid directly to a state,
local, or federal tax agency
•
Revenue of departments or concessions operated by others
Item 7 - Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
A. Employment
Include:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017
•
Salaried officers and executives of a corporation
•
Salaried members of a professional service organization or association (operating under state professional corporation
statutes and filing a corporate federal income tax return)
•
Employees on paid sick leave, paid vacations, and paid holidays
Exclude:
•
Proprietors or partners of an unincorporated company
•
Employees of departments or concessions operated by others
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN)
•
Temporary staffing obtained from a staffing service
B. Payroll
Include:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax)
•
Salaries of officers and executives of a corporation
•
Salaries of members of a professional service organization or association (operating under state professional corporation
statutes and filing a corporate federal income tax return)
•
Employee contributions to qualified pension plans
•
The spread on stock options that is taxable to employees as income
Exclude:
•
Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other employer paid benefits
•
Payments to or withdrawals by proprietors or partners of an unincorporated company
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld
•
Payrolls of departments or concessions operated by others
29. LOCATIONS OF OPERATION
A. Pre-identified Locations of Operation
We prelisted physical locations of your company that are part of this consolidated reporting unit based on Census records. Please bring
this list up to date as follows:
•
Column (a) — Please correct any errors or omissions in the prelisted information. If the major activity listed is not the major
activity of the location, correct the major activity and do not include this location in the count, item 29C.
•
Column (b), 2017 Employment and Payroll — Report the number of employees and payroll for each establishment. Do not
combine data for locations. If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
•
Column (c), Operational Status — Check only ONE box that best describes the operational status of the establishment at the
end of 2017.
•
In operation — The establishment was open and actively conducting business on December 31, 2017.
•
Temporarily or seasonally inactive — Although not conducting business at the end of 2017, the establishment will eventually
reopen and conduct business under the same Employer Identification Number (EIN). Examples include businesses in resort
areas that close during the "off-season" or establishments that temporarily close for remodeling.
•
Ceased operation — The establishment has gone out of business or closed and does not plan to reopen. Provide the month,
day, and year that the establishment ceased operation. Complete all items for the portion of 2017 during which the
establishment was in operation.
•
Sold or leased to another operator — The establishment was sold or leased to another company or organization. Provide the
month, day, and year that the change occurred and indicate the name and address of the new owner or operator. Complete
all items for the portion of 2017 prior to the change in operator.
•
Other — The establishment’s operational status at the end of 2017 is not accurately described above. Please describe the
establishment’s operational status in the space provided.
B. Additional Locations of Operation
Provide additional establishments not prelisted in item 29A that operate in the industry identified in the Industry field on the
Location Information screen.
C.
•
If your company operates at locations for which you received separate establishment report form(s), do not add them, but
rather complete the other report forms.
•
Column (a) — List separately any locations of your company and its subsidiaries that were not included in item 29A, but were
in operation and engaged in the industry identified in the Industry field on the Location Information screen.
•
Columns (b), 2017 Employment and Payroll — Report the number of employees and payroll for each establishment. Do not
combine data for locations. If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
•
Column (c1) — Enter the two digit code from the MAJOR ACTIVITY CODES list that best describes the major activity of each
location. Please specify the principal products or services.
•
Column (c2) — Provide the name and address of previous owner and date of purchase for each acquired establishment listed.
Number of Locations
Provide a summation of all establishments prelisted in item 29A that are in operation or temporarily inactive, minus the establishments
closed or sold, plus the establishments added in item 29B.
Attachment E-13
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Finance and Insurance Sector – Insurance Carriers Consolidated Questionnaire
Item 5 - Sales, Shipments, Receipts, or Revenue
Report total revenue for the company’s United States locations operating in the industry identified in the Industry field on the
Location Information screen.
Revenue should be reported in thousands of dollars.
For companies which generate no revenue, report zero and explain in the Remarks section at the end of the report.
Include:
•
Interest, dividends, royalties, and net realized capital gains (losses)
•
Commissions and fees received from all sources, including fees earned for exchanging currencies, selling money orders, and
cashing checks
•
Net gains (losses) from the sale of real property owned for investment, rent, or lease (NOT gross sales)
•
Gross sales (NOT net gains (losses)) of real property developed or buildings built for sale
•
Gross rents from real property leased to others
•
The consolidated reporting unit’s share of revenue from departments, concessions, and vending and amusement machines
operated by others
•
Revenue from the rental and leasing of vehicles, equipment, instruments, tools, videos, etc. (Interest earned from financing
leases should be included with interest.)
Exclude:
•
Revenue or other taxes (including Hawaii’s General Excise Tax) collected directly from customers and paid directly to a state,
local, or federal tax agency
•
Revenue of departments or concessions operated by others
Item 7 - Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
A. Employment
Include:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional service organization or association (operating under state professional corporation
statutes and filing a corporate federal income tax return)
•
Employees on paid sick leave, paid vacations, and paid holidays
•
Agents considered employees of the firm (e.g., full-time life insurance agents) as reported on IRS Form 941 or 944
Exclude:
•
Proprietors or partners of an unincorporated company
•
Employees of departments or concessions operated by others
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN)
•
Temporary staffing obtained from a staffing service
•
Agents not considered employees of the firm on IRS Form 941 or 944 (e.g., independent insurance agents)
B. Payroll
Include:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax)
•
Salaries of officers and executives of a corporation
•
Salaries of members of a professional service organization or association (operating under state professional corporation
statutes and filing a corporate federal income tax return)
•
Employee contributions to qualified pension plans
•
The spread on stock options that is taxable to employees as income
•
Compensation paid to sales agents as reported on IRS Form 941 or 944 (exclude if reported on IRS Form 1099 – MISC –
Statement for Recipients of Miscellaneous Income)
Exclude:
•
Employer’s cost for payroll taxes, employer paid insurance premiums, pension plans and other employer paid benefits
•
Payments to or withdrawals by proprietors or partners of an unincorporated company
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld
•
Payrolls of departments or concessions operated by others
•
Compensation paid to agents not considered employees of the firm on IRS Form 941 or 944 (e.g., independent insurance
agents)
29. LOCATIONS OF OPERATION
A. Pre-identified Locations of Operation
We prelisted physical locations of your company that are part of this consolidated reporting unit based on Census records. Please bring
this list up to date as follows:
•
Column (a) — Please correct any errors or omissions in the prelisted information. If the major activity listed is not the major
activity of the location, correct the major activity and do not include this location in the count, item 29C.
•
Column (b), 2017 Employment and Payroll — Report the number of employees and payroll for each establishment. Do not
combine data for locations. If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
•
Column (c), Operational Status — Check only ONE box that best describes the operational status of the establishment at the
end of 2017.
•
In operation — The establishment was open and actively conducting business on December 31, 2017.
•
Temporarily or seasonally inactive — Although not conducting business at the end of 2017, the establishment will eventually
reopen and conduct business under the same Employer Identification Number (EIN). Examples include businesses in resort
areas that close during the "off-season" or establishments that temporarily close for remodeling.
•
Ceased operation — The establishment has gone out of business or closed and does not plan to reopen. Provide the month,
day, and year that the establishment ceased operation. Complete all items for the portion of 2017 during which the
establishment was in operation.
•
Sold or leased to another operator — The establishment was sold or leased to another company or organization. Provide the
month, day, and year that the change occurred and indicate the name and address of the new owner or operator. Complete
all items for the portion of 2017 prior to the change in operator.
•
Other — The establishment’s operational status at the end of 2017 is not accurately described above. Please describe the
establishment’s operational status in the space provided.
B. Additional Locations of Operation
Provide additional establishments not prelisted in item 29A that operate in the industry identified in the Industry field on the
Location Information screen.
C.
•
If your company operates at locations for which you received separate establishment report form(s), do not add them, but
rather complete the other report forms.
•
Column (a) — List separately any locations of your company and its subsidiaries that were not included in item 29A, but were
in operation and engaged in the industry identified in the Industry field on the Location Information screen.
•
Columns (b), 2017 Employment and Payroll — Report the number of employees and payroll for each establishment. Do not
combine data for locations. If employees worked at more than one location, report employment and payroll for employees at
the ONE location where they spent most of their working time.
•
Column (c1) — Enter the two digit code from the MAJOR ACTIVITY CODES list that best describes the major activity of each
location. Please specify the principal products or services.
•
Column (c2) — Provide the name and address of previous owner and date of purchase for each acquired establishment listed.
Number of Locations
Provide a summation of all establishments prelisted in item 29A that are in operation or temporarily inactive, minus the establishments
closed or sold, plus the establishments added in item 29B.
Attachment E-14
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Integrated Record Production and Distribution Consolidated Questionnaire
Item 5 - Sales, Shipments, Receipts, or Revenue
Report total operating receipts for the company’s United States locations engaged in the industry printed in the mailing address
section on the first page of the consolidated report form.
Receipts should be reported in thousands of dollars.
Report total consolidated receipts derived from releasing and distributing sound recordings (e.g., electronic audio files, compact
discs, audio tapes, phonographs), including recordings marketed through sales offices that receive and report on their own census
report form (such as, WH-42341) and are not pre-identified in item 29A.
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017. Includes royalties, license fees, and other payments from the marketing of intangible
•
products (e.g., licensing the use of or granting reproduction rights for software, musical compositions and recordings, and
other intellectual property).
•
Sale or licensing of rights to intellectual property protected by copyright (e.g., literary works, software, audio visual works,
musical compositions and recordings, etc.) or as industrial property (e.g., patents, trademarks).
•
Sales to and receipts from FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to
a local, state, or federal tax agency.
•
Gross receipts collected on behalf of others.
•
Gross receipts from departments or concessions operated by others.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Contributions, gifts, grants, and income from interest, real estate investments, and dividends.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other
employer-paid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Item 9 - Value Of Inventories
Report the total value of inventories owned by this consolidated reporting unit on December 31, 2017, and on December 31, 2016,
regardless of where held. Exclude the value of inventories held by this consolidated reporting unit but owned by others.
Answer ‘Yes’ if this consolidated reporting unit had inventories on the last day of either 2017 or 2016. Answer ‘No’ if this
consolidated reporting unit had no inventories, or had inventories during either year but not on the last day of either year.
Report the value of inventories owned by this consolidated reporting unit on December 31, 2017, and on December 31, 2016:
1-4. Report the value of inventories by stage of fabrication owned by the consolidated reporting unit for each year. If any
part of the inventory is valued using the Last-in, First-out (LIFO) method, report the value of inventories before any
adjustment for LIFO reserve.
5.
Report the value of LIFO reserve or allowance applicable to any amount on line 4 that is valued using the LIFO method.
Consolidated reporting units that do not use the LIFO method of inventory valuation should mark “0” or leave blank to
indicate “None”.
6.
Report the total value of inventories after any LIFO adjustment. This should equal line 4 minus line 5. Consolidated
reporting units that do not use the LIFO method of valuation should have the same value on lines 4 and 6.
Item 29 - Locations Of Operation
A. Pre-identified Locations of Operation
•
We pre-listed physical locations of your company that are part of this consolidated reporting unit based on Census
records. Please bring this list up to date as follows:
•
Column (a) — Please correct any errors or omissions in the pre-listed information. If the major activity listed is not the
major activity of the location, correct the major activity and do not include this location in the count, item 29C.
•
Column (b), 2017 Employment and Payroll — Report separately the number of employees and payroll for each
establishment. Do not combine data for locations.
•
Column (c), Operational Status — Mark “X” the ONE box that best describes the operational status of the establishment
at the end of 2017.
•
In operation — The establishment was open and actively conducting business on December 31, 2017.
•
Temporarily or seasonally inactive — Although not conducting business at the end of 2017, the establishment will
eventually reopen and conduct business under the same Employer Identification Number (EIN). Examples include
businesses in resort areas that close during the "off-season" or establishments that temporarily close for remodeling.
•
Ceased operation — The establishment has gone out of business or closed and does not plan to reopen. Provide the
month, day, and year that the establishment ceased operation. Complete all items for the portion of 2017 during
which the establishment was in operation.
•
Sold or leased to another operator — The establishment was sold or leased to another company or organization.
Provide the month, day, and year that the change occurred and indicate the name and address of the new owner or
operator. Complete all items for the portion of 2017 prior to the change in operator.
•
Other — The establishment’s operational status at the end of 2017 is not accurately described above. Please specify a
description of the establishment’s operational status in the space provided.
B. Additional Locations of Operation
Provide additional establishments not pre-listed in item 29A that operate in the industry printed in the mailing address section on the
first page of the consolidated report form.
C.
•
If your company operates at locations for which you receive separate establishment report form(s), do not add them, but
rather complete the other report form(s).
•
If additional space is needed to add locations, please photocopy a blank page of item 29B and provide the additional
locations.
•
Column (a) — List separately any locations of your company and its subsidiaries that were not included in item 29A, but were
in operation and engaged in the industry printed in the mailing address section on the first page of the consolidated report
form.
•
Column (b), 2017 Employment and Payroll — Report separately the number of employees and payroll for each
establishment. Do not combine data for locations.
•
Column (c1) — Enter the two-digit code from the MAJOR ACTIVITY CODES list that best describes the major activity of each
location. Please specify the principal products or services.
•
Column (c2) — Provide the name and address of previous owner and date of purchase for each acquired establishment
listed.
Number of Locations
Provide a summation of all establishments pre-listed in item 29A that are in operation or temporarily inactive, minus the
establishments closed or sold, plus the establishments added in item 29B.
Attachment E-15
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Management of Companies and Enterprises Sector
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Income from interest, rental of real estate, or dividends.
•
Contributions, gifts, and grants of not-for-profit organizations exempt from federal income tax.
•
Receipts from services performed for FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Sale or licensing of rights to intellectual property protected by copyright or as industrial property (e.g., patents, trademarks).
•
Franchise sales, fees, and royalties.
•
Gain or loss from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to
a local, state, or federal tax agency.
•
Gross receipts from departments or concessions operated by others.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer’s Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional corporation or association (operating under state professional corporation statutes
and filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other
employer-paid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Item 9 - Value Of Inventories
Report the total value of inventories owned by this establishment on December 31, 2017, and on December 31, 2016, regardless of
where held. Exclude the value of inventories held by this establishment but owned by others.
Answer ‘Yes’ if this establishment had inventories on the last day of either 2017 or 2016. Answer ‘No’ if this consolidated
reporting unit had no inventories, or had inventories during either year but not on the last day of either year.
Report the value of inventories owned by this establishment on December 31, 2017, and on December 31, 2016:
1-4. Report the value of inventories by stage of fabrication owned by the establishment for each year. If any part of the
inventory is valued using the Last-in, First-out (LIFO) method, report the value of inventories before any adjustment for
LIFO reserve.
5.
Report the value of LIFO reserve or allowance applicable to any amount on line 4 that is valued using the LIFO method.
Establishments that do not use the LIFO method of inventory valuation should mark “0” or leave blank to indicate
“None”.
6.
Report the total value of inventories after any LIFO adjustment. This should equal line 4 minus line 5. Establishments
that do not use the LIFO method of valuation should have the same value on lines 4 and 6.
Attachment E-16
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Motion Picture and Video Production and Distribution Consolidated Questionnaire
Item 5 - Sales, Shipments, Receipts, or Revenue
Report total operating receipts for the company’s United States locations engaged in the industry printed in the mailing address
section on the first page of the consolidated report form.
Receipts should be reported in thousands of dollars.
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Sale or licensing of rights to intellectual property protected by copyright (e.g., literary works, software, audio visual works,
musical compositions and recordings, etc.) or as industrial property (e.g., patents, trademarks).
•
Sales to and receipts from FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to
a local, state, or federal tax agency.
•
Gross receipts collected on behalf of others.
•
Gross receipts from departments or concessions operated by others.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Contributions, gifts, grants, and income from interest, real estate investments, and dividends.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment and Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other
employer-paid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Item 9 - Value Of Inventories
Report the total value of inventories owned by this consolidated reporting unit on December 31, 2017, and on December 31, 2016,
regardless of where held. Exclude the value of inventories held by this consolidated reporting unit but owned by others.
Answer ‘Yes’ if this consolidated reporting unit had inventories on the last day of either 2017 or 2016. Answer ‘No’ if this
consolidated reporting unit had no inventories, or had inventories during either year but not on the last day of either year.
Report the value of inventories owned by this consolidated reporting unit on December 31, 2017, and on December 31, 2016:
1-4. Report the value of inventories by stage of fabrication owned by the consolidated reporting unit for each year. If any
part of the inventory is valued using the Last-in, First-out (LIFO) method, report the value of inventories before any
adjustment for LIFO reserve.
5.
Report the value of LIFO reserve or allowance applicable to any amount on line 4 that is valued using the LIFO method.
Consolidated reporting units that do not use the LIFO method of inventory valuation should mark “0” or leave blank to
indicate “None”.
6.
Report the total value of inventories after any LIFO adjustment. This should equal line 4 minus line 5. Consolidated
reporting units that do not use the LIFO method of valuation should have the same value on lines 4 and 6.
Item 29 - Locations of Operation
A. Pre-identified Locations of Operation
•
We pre-listed physical locations of your company that are part of this consolidated reporting unit based on Census
records. Please bring this list up to date as follows:
•
Column (a) — Please correct any errors or omissions in the pre-listed information. If the major activity listed is not the
major activity of the location, correct the major activity and do not include this location in the count, item 29C.
•
Column (b), 2017 Employment and Payroll — Report separately the number of employees and payroll for each
establishment. Do not combine data for locations.
•
Column (c), Operational Status — Mark “X” the ONE box that best describes the operational status of the establishment
at the end of 2017.
•
In operation — The establishment was open and actively conducting business on December 31, 2017.
•
Temporarily or seasonally inactive — Although not conducting business at the end of 2017, the establishment will
eventually reopen and conduct business under the same Employer Identification Number (EIN). Examples include
businesses in resort areas that close during the "off-season" or establishments that temporarily close for remodeling.
•
Ceased operation — The establishment has gone out of business or closed and does not plan to reopen. Provide the
month, day, and year that the establishment ceased operation. Complete all items for the portion of 2017 during
which the establishment was in operation.
•
Sold or leased to another operator — The establishment was sold or leased to another company or organization.
Provide the month, day, and year that the change occurred and indicate the name and address of the new owner or
operator. Complete all items for the portion of 2017 prior to the change in operator.
•
Other — The establishment’s operational status at the end of 2017 is not accurately described above. Please specify a
description of the establishment’s operational status in the space provided.
B. Additional Locations of Operation
Provide additional establishments not pre-listed in item 29A that operate in the industry printed in the mailing address section on the
first page of the consolidated report form.
C.
•
If your company operates at locations for which you receive separate establishment report form(s), do not add them, but
rather complete the other report form(s).
•
If additional space is needed to add locations, please photocopy a blank page of item 29B and provide the additional
locations.
•
Column (a) — List separately any locations of your company and its subsidiaries that were not included in item 29A, but were
in operation and engaged in the industry printed in the mailing address section on the first page of the consolidated report
form.
•
Column (b), 2017 Employment and Payroll — Report separately the number of employees and payroll for each
establishment. Do not combine data for locations.
•
Column (c1) — Enter the two-digit code from the MAJOR ACTIVITY CODES list that best describes the major activity of each
location. Please specify the principal products or services.
•
Column (c2) — Provide the name and address of previous owner and date of purchase for each acquired establishment
listed.
Number of Locations
Provide a summation of all establishments pre-listed in item 29A that are in operation or temporarily inactive, minus the
establishments closed or sold, plus the establishments added in item 29B.
Attachment E-17
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Information Sector
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Sale or licensing of rights to intellectual property protected by copyright (e.g., literary works, software, audio visual works,
musical compositions and recordings, etc.) or as industrial property (e.g., patents, trademarks).
•
Advertising sales.
•
Sales of goods and services marketed through sales offices.
•
Sales to and receipts from FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
•
Public broadcast stations and libraries should include contributions, gifts, grants, income from interest, rental of real estate,
and dividends; all others should exclude such revenues.
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to a
local, state, or federal tax agency.
•
Gross receipts collected on behalf of others.
•
Gross receipts from departments or concessions operated by others.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Contributions, gifts, grants, income from interest, real estate investments, and dividends, except for public broadcast stations
and libraries.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017 and
reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other employerpaid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Item 9 - Value Of Inventories
Report the total value of inventories owned by this establishment on December 31, 2017, and on December 31, 2016, regardless of
where held. Exclude the value of inventories held by this establishment but owned by others.
Answer ‘Yes’ if this establishment had inventories on the last day of either 2017 or 2016. Answer ‘No’ if this establishment had no
inventories, or had inventories during either year but not on the last day of either year.
Report the value of inventories owned by this establishment on December 31, 2017, and on December 31, 2016:
1-4. Report the value of inventories by stage of fabrication owned by the establishment for each year. If any part of the
inventory is valued using the Last-in, First-out (LIFO) method, report the value of inventories before any adjustment for
LIFO reserve.
5.
Report the value of LIFO reserve or allowance applicable to any amount on line 4 that is valued using the LIFO method.
Establishments that do not use the LIFO method of inventory valuation should mark “0” or leave blank to indicate
“None”.
6.
Report the total value of inventories after any LIFO adjustment. This should equal line 4 minus line 5. Establishments
that do not use the LIFO method of valuation should have the same value on lines 4 and 6.
Attachment E-18
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Information Sector (Enterprise Support)
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Sale or licensing of rights to intellectual property protected by copyright (e.g., literary works, software, audio visual works,
musical compositions and recordings, etc.) or as industrial property (e.g., patents, trademarks).
•
Advertising sales.
•
Sales of goods and services marketed through sales offices.
•
Sales to and receipts from FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from
departments, concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
• Dues and assessments from members and affiliates.
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to
a local, state, or federal tax agency.
•
Gross receipts collected on behalf of others.
•
Gross receipts from departments or concessions operated by others.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Contributions, gifts, grants, and income from interest, real estate investments, and dividends.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they
spent most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional corporation or association (operating under state professional corporation statutes
and filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
• Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017 and
reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional corporation or association (operating under state professional corporation statutes
and filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other
employer-paid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Attachment E-19
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Professional, Scientific, and Technical Services; Education Services; Health Care and
Social Assistance; Arts, Entertainment, and Recreation; and Other Services Sectors
Item 5 - Sales, Shipments, Receipts, or Revenue
A. Tax status
Sections 501, 521, 527, and 528 of the Internal Revenue Code are those sections under which the Internal Revenue Service may grant
tax-exempt status to certain types of “not-for-profit" organizations, such as charitable, social welfare, educational, or research
organizations. Government establishments should indicate tax-exempt status although they may be exempt under different sections
of the Internal Revenue Code.
B. Operating receipts of this (taxable) establishment Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Advertising agencies, travel industries, and other service establishments operating on a commission basis – commissions,
fees, and other operating income, NOT gross billings or sales.
•
Hospitals and other health care establishments - net patient revenue (the amount actually received or due from payers), NOT
gross patient revenue (the total amount of charges before contractual adjustments and charity care).
•
Capitation revenue (health care providers only).
•
Receipts from services performed for FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
•
Sale or licensing of rights to intellectual property protected by copyright or as industrial property (e.g., patents,
trademarks).
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly
to a local, state, or federal tax agency.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Income from interest, real estate investments, dividends, contributions, and grants.
•
Gross receipts from departments or concessions operated by others.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
C. Revenue and expenses of this (tax-exempt) establishment
1. Revenue Includes:
•
Program service revenue for services provided in 2017, whether or not payment was received in 2017.
•
Gross sales of merchandise, minus returns and allowances.
•
Hospitals and other health care establishments - net patient revenue (the amount actually received or due from payers),
NOT gross patient revenue (the total amount of charges before contractual adjustments and charity care).
•
Capitation revenue (health care providers only).
•
Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
•
Gross contributions, gifts, and grants (whether or not restricted for use in operations).
•
Dues and assessments from members and affiliates.
•
Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
•
Gain or loss from the sale of real estate (land and buildings), investments, or other assets (except inventory held for
resale).
•
Gross receipts from fundraising activities.
Exclude:
•
Sales and other taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
•
Gross receipts of departments or concessions operated by other companies.
•
Amounts transferred to operating funds from capital or reserve funds.
2. Expenses Include:
•
Payroll, employee benefits, and payroll taxes.
•
Contracted or purchased services.
•
Fundraising expenses, including direct expenses for special fundraising events.
•
Depreciation expenses.
•
Rent, supplies used for operating, cost of merchandise sold, and other expenses allocated to operations during 2017.
•
Program service grants, contributions and gifts paid, specific assistance to individuals, and benefits paid to or for
members.
•
Assessments (dues) paid to the parent or other chapters of the same organization.
•
For establishments engaged in raising funds - funds transferred to charities or other organizations for charitable
purposes.
Exclude:
•
Outlays for the purchase of real estate (land and buildings); for construction; for additions, major alterations, and
improvements to existing facilities; and all other capital expenditures.
•
Funds invested.
•
Income taxes.
•
Sales and other taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.
•
Interest paid, bad debt, and inventory impairment.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer’s Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they
spent most of their working time.
A. Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer
Identification Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
B. Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional corporation or association (operating under state professional corporation statutes
and filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other
employer-paid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Attachment E-20
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Professional, Scientific and Technical Services; Administrative and Support and Waste
Management and Remediation Services; Health Care and Social Assistance; Arts, Entertainment and
Recreation; and Other Services Sectors
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not
payment was received in 2017.
•
Advertising agencies, travel industries, and other service establishments operating on a commission basis - commissions,
fees, and other operating income, NOT gross billings or sales.
•
Hospitals and other health care establishments - net patient revenue (the amount actually received or due from payers),
NOT gross patient revenue (the total amount of charges before contractual adjustments and charity care).
•
Capitation revenue (health care providers only).
•
Receipts from services performed for FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from
departments, concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
•
Sale or licensing of rights to intellectual property protected by copyright or as industrial property (e.g., patents, trademarks).
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to a
local, state, or federal tax agency.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Income from interest, real estate investments, dividends, contributions, and grants.
•
Gross receipts from departments or concessions operated by others.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
A. Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017 and
reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other employerpaid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Attachment E-21
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Professional, Scientific and Technical Services; Administrative and Support and Waste
Management and Remediation Services; and Other Services Sectors (Enterprise Support)
Item 5 - Sales, Shipments, Receipts, or Revenue
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Advertising agencies, travel industries, and other service establishments operating on a commission basis - commissions, fees,
and other operating income, NOT gross billings or sales.
•
Receipts from services performed for FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
•
Sale or licensing of rights to intellectual property protected by copyright or as industrial property (e.g., patents, trademarks).
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to a
local, state, or federal tax agency.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Income from interest, real estate investments, dividends, contributions, and grants.
•
Gross receipts from departments or concessions operated by others.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
A. Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Salaried members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Employees of departments or concessions operated by other companies at the establishment.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017 and
reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Salaries of members of a professional corporation or association (operating under state professional corporation statutes and
filing a corporate federal income tax return).
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other employerpaid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Attachment E-22
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2017 Economic Census
OMB Control Number 0607-XXXX
Information Sheet for Telecommunications; Cable and Other Program Distribution Consolidated Questionnaire
Item 5 - Sales, Shipments, Receipts, or Revenue
Report total operating receipts for the company’s United States locations engaged in the industry printed in the mailing address
section on the first page of the consolidated report form. Receipts should be reported in thousands of dollars.
Telephone service companies should exclude receipts collected on behalf of another company. Include receipts from international
calls originating in the United States (including that portion paid to foreign countries for accessing their network); and allowances for
uncollected accounts.
Include:
•
Gross receipts from services provided, from the use of facilities, and from merchandise sold in 2017, whether or not payment
was received in 2017.
•
Sale or licensing of rights to intellectual property protected by copyright (e.g., literary works, software, audio visual works,
musical compositions and recordings, etc.) or as industrial property (e.g., patents, trademarks).
•
Sales to and receipts from FOREIGN clients, including parent firms, subsidiaries, and branches.
•
Rental of nonresidential space in buildings and facilities, including this establishment's share of receipts from departments,
concessions, and vending and amusement machines operated by others.
•
Receipts from the rental and leasing of vehicles, equipment, instruments, tools, etc.
•
Total value of service contracts.
•
Market value of compensation received in lieu of cash.
•
Amounts received for work subcontracted to others.
•
Dues and assessments from members and affiliates.
Exclude:
•
Sales and other taxes (including Hawaii’s General Excise Tax) collected directly from customers or clients and paid directly to
a local, state, or federal tax agency.
•
Gross receipts collected on behalf of others.
•
Gross receipts from departments or concessions operated by others.
•
Sales of used equipment previously rented or leased to customers.
•
Proceeds from the sale of real estate (land and buildings), investments, or other assets (except inventory held for resale).
•
Contributions, gifts, grants, and income from interest, real estate investments, and dividends.
•
Domestic intracompany transfers.
•
Receipts of foreign parent firms and subsidiaries.
•
Other nonoperating income.
Item 7 - Employment And Payroll
Definitions are the same as those used on the Internal Revenue Service (IRS) Forms 941 and 944, and as described in Circular E,
Employer's Tax Guide.
If employees worked at more than one location, report employment and payroll for employees at the ONE location where they spent
most of their working time.
Employment Includes:
•
All full- and part-time employees on the payroll during the pay period including March 12, 2017.
•
Salaried officers and executives of a corporation.
•
Employees on paid sick leave, paid vacations, and paid holidays.
Exclude:
•
Proprietors or partners of an unincorporated company.
•
Full- and part-time leased employees whose payroll was filed under an employee leasing company’s Employer Identification
Number (EIN).
•
Temporary staffing obtained from a staffing service.
•
Independent contractors.
Payroll Includes:
•
Wages, salaries, tips, vacation allowances, bonuses, commissions, and other compensation paid to employees during 2017
and reported on IRS Forms 941 or 944 as taxable Medicare Wages and tips (even if not subject to income or FICA tax).
•
Salaries of officers and executives of a corporation.
•
Employee contributions to qualified pension plans.
•
The spread on stock options that is taxable to employees as income.
Exclude:
•
Employer's cost for fringe benefits (e.g., employer-paid insurance premiums, pension plans, payroll taxes, and other
employer-paid benefits).
•
Payments to or withdrawals by proprietors or partners of an unincorporated company.
•
Annuities or supplemental unemployment compensation benefits, even if income tax was withheld.
•
Payrolls of departments or concessions operated by other companies at the establishment.
Item 29 - Locations Of Operation
A. Pre-identified Locations of Operation
•
We pre-listed physical locations of your company that are part of this consolidated reporting unit based on Census
records. Please bring this list up to date as follows:
•
Column (a) — Please correct any errors or omissions in the pre-listed information. If the major activity listed is not the
major activity of the location, correct the major activity and do not include this location in the count, item 29C.
•
Column (b), 2017 Employment and Payroll — Report separately the number of employees and payroll for each
establishment. Do not combine data for locations.
•
Column (c), Operational Status — Mark “X” the ONE box that best describes the operational status of the establishment
at the end of 2017.
•
In operation — The establishment was open and actively conducting business on December 31, 2017.
•
Temporarily or seasonally inactive — Although not conducting business at the end of 2017, the establishment will
eventually reopen and conduct business under the same Employer Identification Number (EIN). Examples include
businesses in resort areas that close during the "off-season" or establishments that temporarily close for remodeling.
•
Ceased operation — The establishment has gone out of business or closed and does not plan to reopen. Provide the
month, day, and year that the establishment ceased operation. Complete all items for the portion of 2017 during
which the establishment was in operation.
•
Sold or leased to another operator — The establishment was sold or leased to another company or organization.
Provide the month, day, and year that the change occurred and indicate the name and address of the new owner or
operator. Complete all items for the portion of 2017 prior to the change in operator.
•
Other — The establishment’s operational status at the end of 2017 is not accurately described above. Please specify a
description of the establishment’s operational status in the space provided.
B. Additional Locations of Operation
Provide additional establishments not pre-listed in item 29A that operate in the industry printed in the mailing address section on the
first page of the consolidated report form.
C.
•
If your company operates at locations for which you receive separate establishment report form(s), do not add them, but
rather complete the other report form(s).
•
If additional space is needed to add locations, please photocopy a blank page of item 29B and provide the additional
locations.
•
Column (a) — List separately any locations of your company and its subsidiaries that were not included in item 29A, but were
in operation and engaged in the industry printed in the mailing address section on the first page of the consolidated report
form.
•
Column (b), 2017 Employment and Payroll — Report separately the number of employees and payroll for each
establishment. Do not combine data for locations.
•
Column (c1) — Enter the two-digit code from the MAJOR ACTIVITY CODES list that best describes the major activity of each
location. Please specify the principal products or services.
•
Column (c2) — Provide the name and address of previous owner and date of purchase for each acquired establishment
listed.
Number of Locations
Provide a summation of all establishments pre-listed in item 29A that are in operation or temporarily inactive, minus the
establishments closed or sold, plus the establishments added in item 29B.
| File Type | application/pdf |
| Author | Blynda K Metcalf (CENSUS/EWD FED) |
| File Modified | 2017-02-13 |
| File Created | 2017-02-13 |