Annual Business Survey

Attachment D
Survey: OMB No. 0607-XXXX OMB Expiration Date: ________

AN OFFICIAL WEBSITE OF THE UNITED STATES GOVERNMENT

Annual Business Survey

Welcome to the 2017 Annual Business Survey
Please use this website to complete this survey.
• Persons who reported business activity for all or any part of 2017 should respond to this survey.
• Note: Your session will expire if you remain on one screen for 50 minutes without navigating to another screen.
YOUR RESPONSE IS REQUIRED BY LAW. Title 13 United States Code, Sections 8(b), 131, and 182, Title 42 United States Code, Section 1861-76
(National Science Foundation Act of 1950, as amended) and Section 505 within the American COMPETES Reauthorization Act of 2010, authorize this
collection. Sections 224 and 225 of Title 13, United States Code require your response. The U.S. Census Bureau is required by Section 9 of the same law
to keep your information confidential and can use your responses only to produce statistics. The Census Bureau is not permitted to publicly release
your responses in a way that could identify your business, organization, or institution. Per the Federal Cybersecurity Enhancement Act of 2015, your
data are protected from cybersecurity risks through screening of the systems that transmit data.
This collection has been approved by the Office of Management and Budger (OMB). The eight digit- OMB approval number is 0607-XXXX and
appears at the upper right of this screen. Without this approval we could not conduct this survey.

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For help, call 1-888-824-9954, between 8 a.m. and 6 p.m., Eastern time, Monday through Friday.

** WARNING **
You have accessed a UNITED STATES GOVERNMENT computer. Use of this computer without authorization or for purposes for which authorization has
not been extended is a violation of Federal law and can be punished with fines or imprisonment (PUBLIC LAW 99-474). System usage may be
monitored, recorded, and subject to audit. Any information you enter into this system may be used by the Census Bureau for statistical purposes,
including but not limited to improving the efficiency of our data collection programs. For information regarding the use of this system, and how your
privacy is protected, visit our online privacy webpage at http://www.census.gov/privacy/. Use of this system indicates consent to the collection,
monitoring, recording, and use of information provided inside this system.

Burden Statement

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Accessibility

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Privacy

|

Measuring America—People, Places, and Our Economy

Security

Attachment D
Survey: OMB No. 0607-XXXX OMB Expiration Date: ________

A N O FF I C I A L W E BS I T E O F T H E U N I TE D S T A TE S G O V E R N M E N T

Annual Business Survey
Main Menu

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About the Survey

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FAQs

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Main Menu
Please complete the survey below by clicking on the Start button. You will have an opportunity to review your responses at the end.

Please use the 'Previous' or 'Save & Continue' buttons to navigate through the survey. We do not recommend using the 'Back' button
in your web browser.
Action

Status

Resume

Company Address

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Responses

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The letters PDF or the
icon indicate a document is in the Portable Document Format (PDF). To view the file you will need the Adobe® Reader, which
is available for free from the Adobe web site.

Burden Statement

|

Accessibility

|

Privacy

|

Security

Measuring America—People, Places, and Our Economy

Attachment D
Survey: OMB No. 0607-XXXX OMB Expiration Date: ________

A N O FF I C I A L W E BS I T E O F T H E U N I TE D S T A TE S G O V E R N M E N T

Annual Business Survey

Burden Statement
We estimate the average time to complete this survey is 52 minutes, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to:
ERD Survey Comments 0607-XXXX
U.S. Census Bureau
4600 Silver Hill Road
Room ERD-6H128
Washington, DC 20233
You may e-mail comments to [email protected]. Be sure to use "ERD Survey Comments 0607-XXXX" as the subject.

Burden Statement

|

Accessibility

|

Privacy

|

Measuring America—People, Places, and Our Economy

Security