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pdfATTACHMENT D
Department of Commerce
United States Census Bureau
Annual Survey of Manufactures (ASM)
OMB Control No. 0607-0449
Draft Questionnaire Paths
Multiple-establishment Path – MA-10000
Single-establishment Path - MA-10000
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MA-10000 - Annual Survey of Manufactures
Location Information
DEFINITION OF ESTABLISHMENT
The reporting unit for this questionnaire is an establishment. An establishment is generally a single physical location where business is conducted or where services
or industrial operations are performed.
PHYSICAL ADDRESS
Please update the location's physical address if needed.
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2018 Annual Surv ey of M anufact ures (ASM )
Name 1
Store/Plant
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Name 2
Number and Street
City, town, village, etc.
State
ZIP Code
Select State or Territory
99999-9999
For Census Bureau Use Only
CFN
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MA-10000 - Annual Survey of Manufactures
Legal Boundary and Municipality
EIN:
Store / Plant:
CFN:
LEGAL BOUNDARY AND MUNICIPALITY
Is this establishment physically located inside the legal boundaries of the city, town, village, etc.?
Yes
No
No legal boundaries
Do not know
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In what type of municipality is this establishment physically located?
City, village, or borough
Town or township
Other
Do not know
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2018 Annual Surv ey of M anufact ures (ASM )
MA-10000 - Annual Survey of Manufactures
Item 1: Employer Identification Number
EIN:
Store / Plant:
CFN:
ITEM 1: EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) used on this establishment's latest Internal Revenue Service Form 941, Employer’s Federal Quarterly Tax Return?
Yes
No
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MA-10000 - Annual Survey of Manufactures
Item 1: Employer Identification Number - Enter/Update EIN
EIN:
Store / Plant:
CFN:
ITEM 1: EMPLOYER IDENTIFICATION NUMBER
What is this establishment’s 9-digit Employer Identification Number (EIN) used on its latest Internal Revenue Service Form 941, Employer’s Federal Quarterly Tax
Return?
EIN
99-9999999
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Item 3: Operational Status
EIN:
Store / Plant:
CFN:
ITEM 3: OPERATIONAL STATUS
Which of the following best describes this establishment's operational status at the end of 2018?
In operation
Under construction, development, or exploration
Temporarily or seasonally inactive
Ceased operation
Sold or leased to another operator
If this establishment ceased operation or was sold or leased to another operator, what was the date?
MMDDYYYY
MMDDYYYY
If this establishment was sold or leased to another operator, what is the name, address, and 9-digit Employer Identification Number (EIN) of this establishment's new
owner or operator?
Name of new owner/operator
Mailing Address (Number and Street, P.O.
Box, etc.)
City, town, village, etc.
State
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CEASED OPERATION OR SOLD OR LEASED INFORMATION
ZIP Code
Select State or Territory
99999-9999
EIN
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99-9999999
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Item 4: Months in Operation
EIN:
Store / Plant:
CFN:
ITEM 4: MONTHS IN OPERATION
Check
if
None
What was the number of months in operation during 2018?
2018
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MA-10000 - Annual Survey of Manufactures
General Reporting Guidelines
,
EIN:
Store / Plant:
CFN:
GENERAL REPORTING GUIDELINES
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Reporting Period:
Responses should cover calendar year 2018.
If your fiscal year covers at least 10 months of calendar year 2018, you may report by fiscal year on all items EXCEPT payroll.
Calendar year figures for payroll may be available from:
IRS Form 941 (Employer’s Quarterly Federal Tax Return)
IRS Form 944 (Employer’s Annual Federal Tax Return)
If you report by fiscal year, indicate the exact dates of the fiscal year on the submission certification screen.
Prior Year Data:
Where available, your establishment's Prior Year data is prelisted in the 2017 column.
Check these figures and make any necessary corrections as needed.
If 2017 Inventories figures are not prelisted, report these figures in the appropriate sections as instructed.
Providing Estimates:
If book figures are not available, estimates are acceptable.
How to Report Dollar Figures:
Dollar figures should be rounded to thousands of dollars. EXAMPLE - DO NOT ENTER DATA
Check
if
None
EXAMPLE - if a dollar figure is $2,036,355.25, report 2036:
2018
$
2036
,000.00
EXAMPLE - DO NOT ENTER DATA
EXAMPLE - if a dollar figure is "0" (or less than $500.00), check the None box:
X
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Check
if
None
2018
$
,000.00
How to Report Percents:
Percents should be rounded to whole percents. EXAMPLE - DO NOT ENTER DATA
2018
39
EXAMPLE - if figure is 38.76% of total sales, report 39:
MA-10000_mu.pdf Generated at 2018-10-29 02:05 PM
%
7
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MA-10000 - Annual Survey of Manufactures
Item 5: Sales, Shipments, Receipts, or Revenue Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 5: SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. What was the total value of products shipped and other receipts
for this establishment?
(Report detail in Item 22.)
Exclude:
Freight charges
Excise taxes
Check
if
None
2018
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Include:
All products physically shipped from this establishment
during 2018
2017
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. What was the market value of products shipped to other
domestic plants of your company for further assembly,
fabrication, or manufacture?
(This is a breakout of the $,000.00 reported in Item 5, line A.)
Include:
A reasonable portion of other costs (company overhead)
A reasonable portion of profits
Exclude:
Products that are shipped to or on order from your
company’s sales or wholesale offices and sold to customers
outside your company
C. What percent of the $,000.00 reported in Item 5, line A was for
goods that were ordered or whose movement was controlled or
coordinated over electronic networks?
(Report whole percent.)
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E-shipments are online orders accepted for manufactured
products from customers. These include shipments to other
domestic plants of your own company for further manufacture,
assembly, or fabrication. The price and terms of sale for these
shipments are negotiated over an online system. Payment may
or may not be made online.
Include:
Electronic Data Interchange (EDI)
E-mail
Internet
Extranet
Other online systems
%
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%
8
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MA-10000 - Annual Survey of Manufactures
Item 7: Employment, Payroll, and Fringe Benefits Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 7: EMPLOYMENT, PAYROLL, AND FRINGE BENEFITS
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Include:
Full- and part-time employees working at this establishment whose payroll was reported on Internal Revenue Service Form 941, Employer's Quarterly
Federal Tax Return, and filed under the Employer Identification Number (EIN)
All persons on paid sick leave, paid holidays, and paid vacation during the year at this establishment
Exclude:
Full- or part-time leased employees whose payroll was filed under an employee leasing company's EIN (Report values in Item 16, line C1.)
Temporary staffing obtained from a staffing service (Report values in Item 16, line C1.)
Purchased professional and technical services (Report values in Item 16, line C9.)
Subcontractors and their employees (Report cost of contract work in Item 16, line A3.)
Fishermen, agricultural employees, members of the Armed Forces, and pensioners carried on your active rolls
A. What was the number of production workers at this establishment (direct labor including first-line supervisors) for the pay period including:
Include:
Workers engaged in fabricating, processing, assembling, inspecting, receiving, packing, warehousing, shipping (but not delivering), maintenance, repair,
janitorial, guard services, product development, auxiliary production for plant’s own use (e.g., power plant), recordkeeping, and other closely associated
services (including truck drivers delivering ready-mixed concrete)
Check
if
None
2. June 12 (Q2)?
3. September 12 (Q3)?
4. December 12 (Q4)?
Sum of four quarters of production workers at this
establishment (direct labor including first-line supervisors)
(Add lines A1 through A4.)
B. What was the Average number of annual production workers at
this establishment (direct labor including first-line supervisors)?
(Divide sum of four quarters of production workers by 4 and
round to the nearest whole number.)
2017 Number
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1. March 12 (Q1)?
2018 Number
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C. What was the number of all other (non production) employees at
this establishment for the first quarter (January - March 2018)?
Include:
Officers at this establishment, if a corporation
Supervision above line-supervisor level
Sales employees, including delivery (truck driver and
helpers)
Advertising, clerical, credit, collection, purchasing, finance,
legal, executive, and technical employees
Employees installing and servicing this establishment's
products
Exclude:
Proprietors and partners, if an unincorporated concern
Temporary staff and leased employees (Report values in
Item 16, line C1.)
TOTAL (Add lines B and C.)
What was the annual number of hours worked by the
production workers at this establishment (direct labor
including first-line supervisors) reported in line B?
Exclude:
Hours paid for vacations, holidays, or sick leave unless
an employee elects to work during their vacation
period. Report only actual hours worked by such
employee. Overtime hours should be reported as
actual hours worked and not as straight-time equivalent
hours.
2018 Hours
2017 Hours
,000
,000
E. PAYROLL
What was the annual payroll at this establishment before deductions for:
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D. HOURS WORKED:
Exclude:
Employer-paid annual cost for fringe benefits reported in lines F1 through F3
2018
2017
$
,000.00
$
,000.00
2. All other employees reported in line C?
$
,000.00
$
,000.00
TOTAL (Add lines E1 and E2.)
$
,000.00
$
,000.00
What was the first quarter payroll at this establishment before
deductions (January - March 2018)?
$
,000.00
$
,000.00
F. EMPLOYER-PAID ANNUAL COST FOR FRINGE BENEFITS
(This is the employer’s annual cost at this establishment for legally required programs and programs not required by law. If any of the items here are maintained
in your records only at the company level, allocate their costs to the manufacturing establishment. You may distribute the total on the basis of the ratio of the
payroll of each manufacturing establishment to the total company payroll unless you have developed your own method of making such allocations. Specify the
method used and the approximate portion that has been allocated in the Item 31: REMARKS section at the end of the instrument.)
Include:
Premium equivalents for self-insured plans and fees paid to third-party administrators (TPAs)
Spread on stock options that are taxable to employees at this establishment as wages
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1. Production workers reported in line B?
Exclude:
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Exclude:
Employee contributions
Disbursements from trusts or funds to satisfy health insurance claims
What were the employer's annual costs at this establishment for:
1. Health Insurance? - Insurance premiums on hospitals, medical
plans, and single-service plans such as dental, vision, and
prescription drug plans
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
2. Retirement Plans?
a. Defined benefit pension plans (qualified and nonqualified)
- Plans that specify the benefit to be paid to employees
upon retirement, generally either a specific amount or a
percentage of compensation. Employer contributions are
based on actuarial computations that include employee's
compensation and years of service and are not allocated
to specific accounts maintained for employees.
b. Defined contribution plans - Plans that define the
employer contributions to a separate account provided
for each employee. The employee "benefit" at
retirement depends on the amount contributed and the
results of the account's activity.
Examples:
Profit sharing plans
Money purchases (e.g., 401k, 403b)
Stock bonus plans (e.g., ESOPs)
3. Payroll taxes, employer-paid insurance premiums, and other
employer-paid benefits?
Include:
Legally-required fringe benefits (e.g., Social Security,
workers compensation insurance, state disability
insurance programs, long- and short- term disability,
unemployment tax, and Medicare)
Life insurance benefits
"Quality of life” benefits (e.g., childcare assistance,
adoption assistance, subsidized commuting, long-term
care insurance, flexible workplace, employer-provided
home PC, etc.)
Employer contributions to pre-tax benefit accounts (e.g.,
health savings account)
Education assistance
Stock options
Other benefits not specified above (e.g., job-related
travel accident insurance, education assistance, wellness
programs, fitness centers, employee assistance
programs, etc.)
Exclude:
Disbursements from trusts or funds to satisfy health
insurance claims
4. TOTAL (Add lines F1 through F3.)
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$
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MA-10000 - Annual Survey of Manufactures
Item 9: Value of Inventories Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 9: VALUE OF INVENTORIES
Report inventories at cost or market using generally accepted accounting practices, and report all inventories owned by this establishment regardless of where the
inventories are held. If this establishment is part of a multiple-establishment company, assign to each establishment those inventories that the establishment is
responsible for as if it owned them .
Check
if
None
A. Finished goods (final output of this establishment,
but still within ownership)?
B. Work-in-process (goods that have been
substantially transformed in the manufacturing
process, but are not yet the final output of the
establishment)?
C. Materials, supplies, fuels, etc. (goods that are raw
inputs to the manufacturing process and will be
substantially altered to produce this establishment’s
output)?
TOTAL (Add lines A through C.)
Check
if
None
2018
$
,000.00
$
2017
$
,000.00
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
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What was the value of inventories owned by this establishment as of December 31 before Last-In, First-Out (LIFO) adjustment (if any) for:
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Item 10: Inventories by Valuation Method Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 10: INVENTORIES BY VALUATION METHOD
Of the $,000.00 reported in Item 9 as the total value of inventories owned by this establishment as of December 31, 2018 and the $,000.00 reported in Item 9 as the
total value of inventories owned by this establishment as of December 31, 2017, how much is subject to the following valuation methods:
Check
if
None
Check
if
None
2018
,000.00
2017
$
,000.00
2. Average Cost?
$
,000.00
$
,000.00
3. Standard Cost?
$
,000.00
$
,000.00
4. Other non-LIFO valuation method(s)?
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. LIFO Valuation Method (gross LIFO amount)?
$
,000.00
$
,000.00
TOTAL Non-LIFO and LIFO methods (Add TOTAL of
lines A1 through A4 and B.)
$
,000.00
$
,000.00
C. What is the amount of LIFO reserve (if any)?
(If the value of reserve is negative, use "-".)
$
,000.00
$
,000.00
Describe
TOTAL (Add lines A1 through A4.)
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1. First-In, First-Out (FIFO)?
$
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A. Non-LIFO (Last-In, First-Out) valuation methods
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Item 13: Capital Expenditures Additional Information
EIN:
Store / Plant:
CFN:
ITEM 13: CAPITAL EXPENDITURES
Include:
Dollar value of capital expenditures
Buildings, structures, and equipment used directly or indirectly by this establishment to produce the goods and services reported in Item 5, line A and Item 22
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What were the capital expenditures for new and used depreciable assets in 2018 for:
A. New and used buildings and other structures?
Check
if
None
Exclude:
The value of land on which structures stand
2018
2017
$
,000.00
$
,000.00
1. Automobiles, trucks, etc. for highway use?
$
,000.00
$
,000.00
2. Computers and peripheral data processing equipment?
$
,000.00
$
,000.00
3. All other expenditures for machinery and equipment?
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. New and used machinery and equipment?
TOTAL (Add lines A and B1 through B3.)
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Item 14: Rental Payments Additional Information
EIN:
Store / Plant:
CFN:
ITEM 14: RENTAL PAYMENTS
Include:
Operating leases
Exclude:
Capital leases (leases with a contract to own at the end of the lease)
At this establishment, what were the payments for:
A. Rental or lease of buildings and other structures?
Check
if
None
2018
2017
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. Rental or lease of machinery and equipment?
Include:
Production, loading, and transportation machinery and
equipment
Construction equipment
Tools
Office equipment
Furniture
Vehicles
Exclude:
Computer time-sharing charges for machinery and
equipment rentals from computer service companies
where the computer is not on site at the establishment
TOTAL (Add lines A and B.)
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Include:
Job-site trailers
Land on which the buildings and other structures stand
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Item 16: Selected Expenses Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 16: SELECTED EXPENSES
A. For this establishment, what were the production-related costs in 2018 for:
Include:
Cost of production-related materials purchased by
this establishment for other companies (contractors).
Exclude:
Non-production-related expenses that were paid to
other companies (contractors) by this establishment.
(Report these expenses on the next screen in Item
16, line C.)
Check
if
None
2018
2017
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
5. Purchased electricity? (Report comparable quantity on line
B1.)
$
,000.00
$
,000.00
TOTAL (Add lines A1 through A5.)
$
,000.00
$
,000.00
2. Products bought and sold without further processing?
(Report sales in Item 5, line A and in Wholesaling Services
product codes in Item 22.)
3. Work done for you by others on your materials (work
contracted to others)? (Report on line A1 the cost of
production-related materials purchased by this
establishment for other companies (contractors).)
4. Purchased fuels consumed for heat, power, or the
generation of electricity? (Report on line B2 the quantity of
electricity generated (Gross less generating station use).)
B. For this establishment, what was the quantity of:
2018 Kilowatt Hours
2017 Kilowatt Hours
1. Purchased electricity? (Quantity comparable to cost
reported in line A5)
,000
,000
2. Generated electricity (gross less generating station use)?
(Quantity comparable to cost reported in line A4)
,000
,000
3. Electricity sold or transferred to other establishments?
(Also include quantity on lines B1 and/or B2.)
,000
,000
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1. Materials, parts, containers, packaging, supplies, etc. used
for manufacturing processes, repairs, services for others,
or other operating supplies?
16
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Item 16: Selected Expenses - Continued
,
EIN:
Store / Plant:
CFN:
ITEM 16: SELECTED EXPENSES
C. What were the other operating expenses paid by this establishment in 2018 for:
1. Temporary staff and leased employees? (Professional
Employer Organizations and staffing agencies for
personnel)
Include:
All charges for payroll, benefits, and services
Check
if
None
2018
2017
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
2. Expensed equipment? (Expensed computer hardware and
other equipment)
Include:
Copiers
Fax machines
Telephones
Shop and lab equipment
CPUs
Monitors
Laptops
Tablets
Exclude:
Packaged software (Report on line C3.)
Leased and rented equipment (Report in Item 14,
line B.)
3. Expensed purchases of software? (Purchases of
prepackaged, custom-coded or vendor-customized
software)
Include:
Software developed or customized by others
Web-design services and purchases
Licensing agreements
Upgrades of software
Maintenance fees related to software upgrades and
alterations
Exclude:
Costs associated with computer software developed
within your own company
Capitalized computer software costs
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Include:
Expenses normally considered as non-production-related costs purchased from other companies
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4. Purchased communication services?
Include:
Telephone, cellular, and fax services
Computer-related communications (e.g., Internet,
connectivity, online)
Other wired and wireless communication services
Credit card transaction fees
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
5. Data processing and other purchased computer services?
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2018 Annual Surv ey of M anufact ures (ASM )
Include:
Computer facilities management services
Computer input preparation
Data storage
Computer time rental
Optical scanning services
Other computer-related advice and services,
including training
6. Purchased repairs and maintenance to buildings and/or
machinery and equipment?
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Exclude:
Services provided by other establishments of this
company (such as a separate central data processing
unit)
Expensed integrated systems (Report in line C4.)
Repair and maintenance of computer equipment
(Report on line C6.)
Payroll processing and credit card transaction fees
(Report payroll processing fees on line C9 and credit
card transaction fees on line C4.)
Expenses for telecommunication services (e.g.,
Internet, connectivity, telephone) (Report on line C4.)
Include:
Repairs for painting, roof repairs, replacing parts,
over-hauling of equipment, and other repairs
chargeable as current operating costs
Cost of repair and maintenance of any leased
property if this establishment assumes the cost
MA-10000_mu.pdf Generated at 2018-10-29 02:05 PM
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Exclude:
Extensive "repairs" or reconstruction that is
capitalized. Report these as a capital expenditure in
Item 13.
Costs of materials, parts, and supplies directly
incurred by this establishment using its own work
force to perform repairs and maintenance
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7. Water, sewer, refuse removal, and other non-electric utility
payments?
(Report electric utility payments on line A5. If the costs of
these utilities are included in a lease or rental payment,
report in Item 14, line A.)
Include:
Cost of hazardous waste removal or treatment
Exclude:
Cost of refuse removal services if included in rental
payments
Machinery or equipment reported as a capital
expenditure in Item 13
Cost of salaries paid to employees of this
establishment whose work involves refuse removal
and/or hazardous waste removal or treatment
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
8. Purchased advertising and promotional services?
Exclude:
Salaries paid to employees of this establishment for
advertising work
9. Purchased professional and technical services?
Include:
Management consulting
Accounting
Auditing
Bookkeeping
Legal
Actuarial
Payroll processing
Architectural
Engineering
Other professional services (i.e. janitorial, security,
or landscape services)
Exclude:
Salaries paid to your own employees for these
services (Report in Item 7.)
Include:
Business and property taxes
Exclude:
Income taxes
11. All other operating expenses not reported elsewhere?
Exclude:
Purchases of merchandise for resale
Non-operating expenses
Other expenses reported in Items 7, 13, 14, and 16
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10. Governmental taxes and licensing fees? (Payments to
government agencies for taxes and licenses)
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Include:
Marketing and public relations services
Describe
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TOTAL (Add lines 1 through 11.)
$
,000.00
$
,000.00
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MA-10000 - Annual Survey of Manufactures
Item 17: Principal Business or Activity
,
EIN:
Store / Plant:
CFN:
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ITEM 17: PRINCIPAL BUSINESS OR ACTIVITY
Which ONE of the following best describes this establishment's principal kind of business or activity in 2018?
If none of the provided selections seem appropriate, provide a specific description of the primary business activity.
Select only ONE.
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Item 22: Detail of Sales, Shipments, Receipts, or Revenue
,
EIN:
Store / Plant:
CFN:
ITEM 22: DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Of the $,000.00 of Sales, Shipments, Receipts, or Revenue reported in Item 5, what was the value of each product or service?
Exclude:
Wholesale products (previously Resales), which include products that are bought from other establishments or transferred from other establishments of your
company and then sold without further manufacture, processing, or assembly by this establishment. Report Wholesale products in any relevant prelisted
product code, click the "add Product Not Listed" button and search for an existing Wholesale product or use the section for "Add product(s) not listed above."
Products made from materials owned by others (i.e. the customer). Report your commission or contract receipts in the appropriate Contract Manufacturing
products line(s).
Freight charged
Excise taxes
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General – Please do not combine product lines. If the information is not directly available from your records, reasonable estimates are acceptable.
The manufactured products and services listed below are generally made in your industry. If you make products or have revenue from sources not listed, click the
“Add Product Not Listed” button and search for an existing product or use the section for “Add product(s) not listed above.”
Manufacturing of Products – Report the value of the products shipped and services performed at the net selling value, free on board (FOB) plant to the customer,
after discounts and allowances.
Include:
Products made elsewhere by others from materials supplied by this establishment. Report these products on the specific lines as if they were made in this
establishment.
Products transferred to other establishments within your company. These products should be assigned the full economic value (market value); i.e., include all
direct costs of production and a reasonable proportion of all other costs and profits.
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MA-10000 - Annual Survey of Manufactures
Item 28: Special Inquiries - Industrial Robots and Robotic Equipment
,
EIN:
Store / Plant:
CFN:
ITEM 28: SPECIAL INQUIRIES - INDUSTRIAL ROBOTS AND ROBOTIC EQUIPMENT
REPORTING INDUSTRIAL ROBOTIC EQUIPMENT
Estimates are acceptable.
In (A), report capital expenditures in 2018 for new and used industrial robotic equipment for this establishment. Include other one-time costs, including
software and installation.
In (B) and (C), report the number of industrial robots in operation at this establishment and purchased for this establishment in 2018.
For robots purchased as part of a work cell or other integrated robotic equipment, it may not be possible to report the expenditures on only the robots. In this
case, report the expenditures on the integrated robotic equipment.
Examples of operations industrial robotic equipment can perform may include:
Palletizing
Pick and place
Machine tending
Machine handling
Dispensing
Welding
Packing/repacking
A. What were the capital expenditures in 2018 for new and used industrial robotic equipment, including
software, installation, and other one-time costs?
B. What was the number of industrial robots IN OPERATION at this plant in 2018?
If you are unable to provide the number of industrial robots IN OPERATION in 2018, please explain:
Check
if
None
2018
$
2018 Number
MA-10000_mu.pdf Generated at 2018-10-29 02:05 PM
,000.00
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Exclude:
Automated guided vehicles (AGVs)
Driverless forklifts
Automated storage and retrieval systems
CNC machining equipment
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INDUSTRIAL ROBOTIC EQUIPMENT
Industrial robotic equipment (or industrial robots) are automatically controlled, reprogrammable, and multipurpose machines used in the industrial
automated operations.
Industrial robots may be mobile, incorporated into stand-alone stations, or integrated into a production line.
An industrial robot may be part of a robotic cell (or work cell) or incorporated into another piece of equipment.
Industrial robots are commonly used in operations such as welding, material handling, machine tending, dispensing, cleanroom, and pick and place.
23
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C. What was the number of industrial robots PURCHASED for this plant in 2018?
If you are unable to provide the number of industrial robots PURCHASED in 2018, please explain:
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Item 29: Burden Estimate
,
EIN:
Store / Plant:
CFN:
ITEM 29: BURDEN ESTIMATE
Approximately how long did it take to complete the survey for this location, including time spent reviewing instructions
and gathering the necessary data?
Hours
Minutes
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Item 31: Remarks
,
EIN:
Store / Plant:
CFN:
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ITEM 31: REMARKS (Optional - Enter remarks only if necessary)
Please use this space only for any explanations that may be essential in understanding your reported data. (Maximum length is 1,000 characters.)
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You have 1000 characters remaining
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Location Information
DEFINITION OF ESTABLISHMENT
The reporting unit for this questionnaire is an establishment. An establishment is generally a single physical location where business is conducted or where services
or industrial operations are performed.
MAILING ADDRESS
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2018 Annual Surv ey of M anufact ures (ASM )
ATTN
Name 1
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Store/Plant
Name 2
Number and Street
City, town, village, etc.
State
ZIP Code
Select State or Territory
99999-9999
PHYSICAL LOCATION
Please update the physical location if needed.
(P.O. Box and rural route addresses are not physical locations.)
Number and Street
City, town, village, etc.
State
ZIP Code
99999-9999
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Select State or Territory
For Census Bureau Use Only
CFN
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Legal Boundary and Municipality
EIN:
Store / Plant:
CFN:
LEGAL BOUNDARY AND MUNICIPALITY
Is this establishment physically located inside the legal boundaries of the city, town, village, etc.?
Yes
No
No legal boundaries
Do not know
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In what type of municipality is this establishment physically located?
City, village, or borough
Town or township
Other
Do not know
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MA-10000 - Annual Survey of Manufactures
Item 1: Employer Identification Number
EIN:
Store / Plant:
CFN:
ITEM 1: EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) used on this establishment's latest Internal Revenue Service Form 941, Employer’s Federal Quarterly Tax Return?
Yes
No
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Item 1: Employer Identification Number - Enter/Update EIN
EIN:
Store / Plant:
CFN:
ITEM 1: EMPLOYER IDENTIFICATION NUMBER
What is this establishment’s 9-digit Employer Identification Number (EIN) used on its latest Internal Revenue Service Form 941, Employer’s Federal Quarterly Tax
Return?
EIN
99-9999999
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Item 2: Ownership or Control
EIN:
Store / Plant:
CFN:
ITEM 2: OWNERSHIP OR CONTROL
Is your company owned or controlled by another domestic company?
Yes
No
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Item 2: Ownership or Control - Voting Stock Validation
EIN:
Store / Plant:
CFN:
ITEM 2: OWNERSHIP OR CONTROL - VOTING STOCK VALIDATION
Does another domestic company own more than 50 percent of the voting stock of your company?
Yes
No
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Item 2: Ownership or Control - Management and Policy
EIN:
Store / Plant:
CFN:
ITEM 2: OWNERSHIP OR CONTROL - MANAGEMENT AND POLICY
Does another domestic company have the power to control the management and policies of your company?
Yes
No
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Item 2: Ownership or Control - Percent of Voting Stock Held
EIN:
Store / Plant:
CFN:
ITEM 2: OWNERSHIP OR CONTROL - PERCENT OF VOTING STOCK HELD
What percent of voting stock was held by the owning or controlling company?
Less than 50%
50%
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Item 2: Ownership or Control - Company Information
EIN:
Store / Plant:
CFN:
ITEM 2: OWNERSHIP OR CONTROL - COMPANY INFORMATION
What is the name, address, and 9-digit Employer Identification Number (EIN) of the owning or controlling company?
Name of owning or controlling company
Home office address (Number and street)
State
ZIP Code
Select State or Territory
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City, town, village, etc.
99999-9999
EIN
99-9999999
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Item 3: Operational Status
EIN:
Store / Plant:
CFN:
ITEM 3: OPERATIONAL STATUS
Which of the following best describes this establishment's operational status at the end of 2018?
In operation
Under construction, development, or exploration
Temporarily or seasonally inactive
Ceased operation
Sold or leased to another operator
If this establishment ceased operation or was sold or leased to another operator, what was the date?
MMDDYYYY
MMDDYYYY
If this establishment was sold or leased to another operator, what is the name, address, and 9-digit Employer Identification Number (EIN) of this establishment's new
owner or operator?
Name of new owner/operator
Mailing Address (Number and Street, P.O.
Box, etc.)
City, town, village, etc.
State
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CEASED OPERATION OR SOLD OR LEASED INFORMATION
ZIP Code
Select State or Territory
99999-9999
EIN
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99-9999999
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Item 4: Months in Operation
EIN:
Store / Plant:
CFN:
ITEM 4: MONTHS IN OPERATION
Check
if
None
What was the number of months in operation during 2018?
2018
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Consolidating Data for Multiple Locations
EIN:
Store / Plant:
CFN:
CONSOLIDATING DATA FOR MULTIPLE LOCATIONS
If multiple physical locations (establishments) operate under EIN , report on a consolidated basis (sum the total of each location and combine) for:
Item 5: Sales, Shipments, Receipts, or Revenue
Item 7: Employment, Annual Payroll, and First Quarter Payroll
Item 22: Detail of Sales, Shipments, Receipts, or Revenue
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Other Item Questions should be reported individually for just this location.
At the end of the Survey, after Remarks, Item 32: Number of Establishments will ask for the number of locations operated under this EIN. Please provide
information for each establishment individually.
Name, Store/Plant, Address, Kind of Business
Number of Employees; Annual Payroll; First Quarter Payroll; Sales, Shipments, Receipts, or Revenue
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MA-10000 - Annual Survey of Manufactures
General Reporting Guidelines
,
EIN:
Store / Plant:
CFN:
GENERAL REPORTING GUIDELINES
Prior Year Data:
Where available, your establishment's Prior Year data is prelisted in the 2017 column.
Check these figures and make any necessary corrections as needed.
If 2017 Inventories figures are not prelisted, report these figures in the appropriate sections as instructed.
Providing Estimates:
If book figures are not available, estimates are acceptable.
How to Report Dollar Figures:
Dollar figures should be rounded to thousands of dollars. EXAMPLE - DO NOT ENTER DATA
Check
if
None
EXAMPLE - if a dollar figure is $2,036,355.25, report 2036:
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Reporting Period:
Responses should cover calendar year 2018.
If your fiscal year covers at least 10 months of calendar year 2018, you may report by fiscal year on all items EXCEPT payroll.
Calendar year figures for payroll may be available from:
IRS Form 941 (Employer’s Quarterly Federal Tax Return)
IRS Form 944 (Employer’s Annual Federal Tax Return)
If you report by fiscal year, indicate the exact dates of the fiscal year on the submission certification screen.
2018
$
2036
,000.00
EXAMPLE - DO NOT ENTER DATA
EXAMPLE - if a dollar figure is "0" (or less than $500.00), check the None box:
X
2018
$
,000.00
How to Report Percents:
Percents should be rounded to whole percents. EXAMPLE - DO NOT ENTER DATA
2018
39
EXAMPLE - if figure is 38.76% of total sales, report 39:
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%
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Check
if
None
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MA-10000 - Annual Survey of Manufactures
Item 5: Sales, Shipments, Receipts, or Revenues Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 5: SALES, SHIPMENTS, RECEIPTS, OR REVENUE
A. What was the total value of products shipped and other receipts
for this establishment?
(Report detail in Item 22.)
Exclude:
Freight charges
Excise taxes
Check
if
None
2018
2017
$
,000.00
$
,000.00
B. What percent of the $,000.00 reported in Item 5, line A was for
goods that were ordered or whose movement was controlled or
coordinated over electronic networks?
(Report whole percent.)
E-shipments are online orders accepted for manufactured
products from customers. These include shipments to other
domestic plants of your own company for further manufacture,
assembly, or fabrication. The price and terms of sale for these
shipments are negotiated over an online system. Payment may
or may not be made online.
Include:
Electronic Data Interchange (EDI)
E-mail
Internet
Extranet
Other online systems
%
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Include:
All products physically shipped from this establishment
during 2018
%
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MA-10000 - Annual Survey of Manufactures
Item 7: Employment, Payroll, and Fringe Benefits Additional Information
,
EIN:
Store / Plant:
CFN:
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ITEM 7: EMPLOYMENT, PAYROLL, AND FRINGE BENEFITS
Exclude:
Full- or part-time leased employees whose payroll was filed under an employee leasing company's EIN (Report values in Item 16, line C1.)
Temporary staffing obtained from a staffing service (Report values in Item 16, line C1.)
Purchased professional and technical services (Report values in Item 16, line C9.)
Subcontractors and their employees (Report cost of contract work in Item 16, line A3.)
Fishermen, agricultural employees, members of the Armed Forces, and pensioners carried on your active rolls
A. What was the number of production workers at this establishment (direct labor including first-line supervisors) for the pay period including:
Include:
Workers engaged in fabricating, processing, assembling, inspecting, receiving, packing, warehousing, shipping (but not delivering), maintenance, repair,
janitorial, guard services, product development, auxiliary production for plant’s own use (e.g., power plant), recordkeeping, and other closely associated
services (including truck drivers delivering ready-mixed concrete)
Check
if
None
2. June 12 (Q2)?
3. September 12 (Q3)?
4. December 12 (Q4)?
Sum of four quarters of production workers at this
establishment (direct labor including first-line supervisors)
(Add lines A1 through A4.)
B. What was the Average number of annual production workers at
this establishment (direct labor including first-line supervisors)?
(Divide sum of four quarters of production workers by 4 and
round to the nearest whole number.)
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2017 Number
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1. March 12 (Q1)?
2018 Number
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Include:
Full- and part-time employees working at this establishment whose payroll was reported on Internal Revenue Service Form 941, Employer's Quarterly
Federal Tax Return, and filed under the Employer Identification Number (EIN)
All persons on paid sick leave, paid holidays, and paid vacation during the year at this establishment
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C. What was the number of all other (non production) employees at
this establishment for the first quarter (January - March 2018)?
Include:
Officers at this establishment, if a corporation
Supervision above line-supervisor level
Sales employees, including delivery (truck driver and
helpers)
Advertising, clerical, credit, collection, purchasing, finance,
legal, executive, and technical employees
Employees installing and servicing this establishment's
products
Exclude:
Proprietors and partners, if an unincorporated concern
Temporary staff and leased employees (Report values in
Item 16, line C1.)
TOTAL (Add lines B and C.)
What was the annual number of hours worked by the
production workers at this establishment (direct labor
including first-line supervisors) reported in line B?
Exclude:
Hours paid for vacations, holidays, or sick leave unless
an employee elects to work during their vacation
period. Report only actual hours worked by such
employee. Overtime hours should be reported as
actual hours worked and not as straight-time equivalent
hours.
2018 Hours
2017 Hours
,000
,000
E. PAYROLL
What was the annual payroll at this establishment before deductions for:
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D. HOURS WORKED:
Exclude:
Employer-paid annual cost for fringe benefits reported in lines F1 through F3
2018
2017
$
,000.00
$
,000.00
2. All other employees reported in line C?
$
,000.00
$
,000.00
TOTAL (Add lines E1 and E2.)
$
,000.00
$
,000.00
What was the first quarter payroll at this establishment before
deductions (January - March 2018)?
$
,000.00
$
,000.00
F. EMPLOYER-PAID ANNUAL COST FOR FRINGE BENEFITS
(This is the employer’s annual cost at this establishment for legally required programs and programs not required by law. If any of the items here are maintained
in your records only at the company level, allocate their costs to the manufacturing establishment. You may distribute the total on the basis of the ratio of the
payroll of each manufacturing establishment to the total company payroll unless you have developed your own method of making such allocations. Specify the
method used and the approximate portion that has been allocated in the Item 31: REMARKS section at the end of the instrument.)
Include:
Premium equivalents for self-insured plans and fees paid to third-party administrators (TPAs)
Spread on stock options that are taxable to employees at this establishment as wages
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1. Production workers reported in line B?
Exclude:
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Exclude:
Employee contributions
Disbursements from trusts or funds to satisfy health insurance claims
What were the employer's annual costs at this establishment for:
1. Health Insurance? - Insurance premiums on hospitals, medical
plans, and single-service plans such as dental, vision, and
prescription drug plans
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
2. Retirement Plans?
a. Defined benefit pension plans (qualified and nonqualified)
- Plans that specify the benefit to be paid to employees
upon retirement, generally either a specific amount or a
percentage of compensation. Employer contributions are
based on actuarial computations that include employee's
compensation and years of service and are not allocated
to specific accounts maintained for employees.
b. Defined contribution plans - Plans that define the
employer contributions to a separate account provided
for each employee. The employee "benefit" at
retirement depends on the amount contributed and the
results of the account's activity.
Examples:
Profit sharing plans
Money purchases (e.g., 401k, 403b)
Stock bonus plans (e.g., ESOPs)
3. Payroll taxes, employer-paid insurance premiums, and other
employer-paid benefits?
Include:
Legally-required fringe benefits (e.g., Social Security,
workers compensation insurance, state disability
insurance programs, long- and short- term disability,
unemployment tax, and Medicare)
Life insurance benefits
"Quality of life” benefits (e.g., childcare assistance,
adoption assistance, subsidized commuting, long-term
care insurance, flexible workplace, employer-provided
home PC, etc.)
Employer contributions to pre-tax benefit accounts (e.g.,
health savings account)
Education assistance
Stock options
Other benefits not specified above (e.g., job-related
travel accident insurance, education assistance, wellness
programs, fitness centers, employee assistance
programs, etc.)
Exclude:
Disbursements from trusts or funds to satisfy health
insurance claims
4. TOTAL (Add lines F1 through F3.)
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$
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Item 9: Value of Inventories Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 9: VALUE OF INVENTORIES
Report inventories at cost or market using generally accepted accounting practices, and report all inventories owned by this establishment regardless of where the
inventories are held. If this establishment is part of a multiple-establishment company, assign to each establishment those inventories that the establishment is
responsible for as if it owned them .
Check
if
None
A. Finished goods (final output of this establishment,
but still within ownership)?
B. Work-in-process (goods that have been
substantially transformed in the manufacturing
process, but are not yet the final output of the
establishment)?
C. Materials, supplies, fuels, etc. (goods that are raw
inputs to the manufacturing process and will be
substantially altered to produce this establishment’s
output)?
TOTAL (Add lines A through C.)
Check
if
None
2018
$
,000.00
$
2017
$
,000.00
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
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What was the value of inventories owned by this establishment as of December 31 before Last-In, First-Out (LIFO) adjustment (if any) for:
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Item 10: Inventories by Valuation Method Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 10: INVENTORIES BY VALUATION METHOD
Of the $,000.00 reported in Item 9 as the total value of inventories owned by this establishment as of December 31, 2018 and the $,000.00 reported in Item 9 as the
total value of inventories owned by this establishment as of December 31, 2017, how much is subject to the following valuation methods:
Check
if
None
Check
if
None
2018
,000.00
2017
$
,000.00
2. Average Cost?
$
,000.00
$
,000.00
3. Standard Cost?
$
,000.00
$
,000.00
4. Other non-LIFO valuation method(s)?
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. LIFO Valuation Method (gross LIFO amount)?
$
,000.00
$
,000.00
TOTAL Non-LIFO and LIFO methods (Add TOTAL of
lines A1 through A4 and B.)
$
,000.00
$
,000.00
C. What is the amount of LIFO reserve (if any)?
(If the value of reserve is negative, use "-".)
$
,000.00
$
,000.00
Describe
TOTAL (Add lines A1 through A4.)
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1. First-In, First-Out (FIFO)?
$
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A. Non-LIFO (Last-In, First-Out) valuation methods
19
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Item 13: Capital Expenditures Additional Information
EIN:
Store / Plant:
CFN:
ITEM 13: CAPITAL EXPENDITURES
Include:
Dollar value of capital expenditures
Buildings, structures, and equipment used directly or indirectly by this establishment to produce the goods and services reported in Item 5, line A and Item 22
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What were the capital expenditures for new and used depreciable assets in 2018 for:
A. New and used buildings and other structures?
Check
if
None
Exclude:
The value of land on which structures stand
2018
2017
$
,000.00
$
,000.00
1. Automobiles, trucks, etc. for highway use?
$
,000.00
$
,000.00
2. Computers and peripheral data processing equipment?
$
,000.00
$
,000.00
3. All other expenditures for machinery and equipment?
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. New and used machinery and equipment?
TOTAL (Add lines A and B1 through B3.)
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MA-10000 - Annual Survey of Manufactures
Item 14: Rental Payments Additional Information
EIN:
Store / Plant:
CFN:
ITEM 14: RENTAL PAYMENTS
Include:
Operating leases
Exclude:
Capital leases (leases with a contract to own at the end of the lease)
At this establishment, what were the payments for:
A. Rental or lease of buildings and other structures?
Check
if
None
2018
2017
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
B. Rental or lease of machinery and equipment?
Include:
Production, loading, and transportation machinery and
equipment
Construction equipment
Tools
Office equipment
Furniture
Vehicles
Exclude:
Computer time-sharing charges for machinery and
equipment rentals from computer service companies
where the computer is not on site at the establishment
TOTAL (Add lines A and B.)
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Include:
Job-site trailers
Land on which the buildings and other structures stand
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MA-10000 - Annual Survey of Manufactures
Item 16: Selected Expenses Additional Information
,
EIN:
Store / Plant:
CFN:
ITEM 16: SELECTED EXPENSES
A. For this establishment, what were the production-related costs in 2018 for:
Include:
Cost of production-related materials purchased by
this establishment for other companies (contractors).
Exclude:
Non-production-related expenses that were paid to
other companies (contractors) by this establishment.
(Report these expenses on the next screen in Item
16, line C.)
Check
if
None
2018
2017
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
5. Purchased electricity? (Report comparable quantity on line
B1.)
$
,000.00
$
,000.00
TOTAL (Add lines A1 through A5.)
$
,000.00
$
,000.00
2. Products bought and sold without further processing?
(Report sales in Item 5, line A and in Wholesaling Services
product codes in Item 22.)
3. Work done for you by others on your materials (work
contracted to others)? (Report on line A1 the cost of
production-related materials purchased by this
establishment for other companies (contractors).)
4. Purchased fuels consumed for heat, power, or the
generation of electricity? (Report on line B2 the quantity of
electricity generated (Gross less generating station use).)
B. For this establishment, what was the quantity of:
2018 Kilowatt Hours
2017 Kilowatt Hours
1. Purchased electricity? (Quantity comparable to cost
reported in line A5)
,000
,000
2. Generated electricity (gross less generating station use)?
(Quantity comparable to cost reported in line A4)
,000
,000
3. Electricity sold or transferred to other establishments?
(Also include quantity on lines B1 and/or B2.)
,000
,000
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$
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1. Materials, parts, containers, packaging, supplies, etc. used
for manufacturing processes, repairs, services for others,
or other operating supplies?
22
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MA-10000 - Annual Survey of Manufactures
Item 16: Selected Expenses - Continued
,
EIN:
Store / Plant:
CFN:
ITEM 16: SELECTED EXPENSES
C. What were the other operating expenses paid by this establishment in 2018 for:
1. Temporary staff and leased employees? (Professional
Employer Organizations and staffing agencies for
personnel)
Include:
All charges for payroll, benefits, and services
Check
if
None
2018
2017
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
2. Expensed equipment? (Expensed computer hardware and
other equipment)
Include:
Copiers
Fax machines
Telephones
Shop and lab equipment
CPUs
Monitors
Laptops
Tablets
Exclude:
Packaged software (Report on line C3.)
Leased and rented equipment (Report in Item 14,
line B.)
3. Expensed purchases of software? (Purchases of
prepackaged, custom-coded or vendor-customized
software)
Include:
Software developed or customized by others
Web-design services and purchases
Licensing agreements
Upgrades of software
Maintenance fees related to software upgrades and
alterations
Exclude:
Costs associated with computer software developed
within your own company
Capitalized computer software costs
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$
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Include:
Expenses normally considered as non-production-related costs purchased from other companies
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4. Purchased communication services?
Include:
Telephone, cellular, and fax services
Computer-related communications (e.g., Internet,
connectivity, online)
Other wired and wireless communication services
Credit card transaction fees
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
5. Data processing and other purchased computer services?
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Include:
Computer facilities management services
Computer input preparation
Data storage
Computer time rental
Optical scanning services
Other computer-related advice and services,
including training
6. Purchased repairs and maintenance to buildings and/or
machinery and equipment?
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Exclude:
Services provided by other establishments of this
company (such as a separate central data processing
unit)
Expensed integrated systems (Report in line C4.)
Repair and maintenance of computer equipment
(Report on line C6.)
Payroll processing and credit card transaction fees
(Report payroll processing fees on line C9 and credit
card transaction fees on line C4.)
Expenses for telecommunication services (e.g.,
Internet, connectivity, telephone) (Report on line C4.)
Include:
Repairs for painting, roof repairs, replacing parts,
over-hauling of equipment, and other repairs
chargeable as current operating costs
Cost of repair and maintenance of any leased
property if this establishment assumes the cost
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Exclude:
Extensive "repairs" or reconstruction that is
capitalized. Report these as a capital expenditure in
Item 13.
Costs of materials, parts, and supplies directly
incurred by this establishment using its own work
force to perform repairs and maintenance
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7. Water, sewer, refuse removal, and other non-electric utility
payments?
(Report electric utility payments on line A5. If the costs of
these utilities are included in a lease or rental payment,
report in Item 14, line A.)
Include:
Cost of hazardous waste removal or treatment
Exclude:
Cost of refuse removal services if included in rental
payments
Machinery or equipment reported as a capital
expenditure in Item 13
Cost of salaries paid to employees of this
establishment whose work involves refuse removal
and/or hazardous waste removal or treatment
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
$
,000.00
8. Purchased advertising and promotional services?
Exclude:
Salaries paid to employees of this establishment for
advertising work
9. Purchased professional and technical services?
Include:
Management consulting
Accounting
Auditing
Bookkeeping
Legal
Actuarial
Payroll processing
Architectural
Engineering
Other professional services (i.e. janitorial, security,
or landscape services)
Exclude:
Salaries paid to your own employees for these
services (Report in Item 7.)
Include:
Business and property taxes
Exclude:
Income taxes
11. All other operating expenses not reported elsewhere?
Exclude:
Purchases of merchandise for resale
Non-operating expenses
Other expenses reported in Items 7, 13, 14, and 16
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10. Governmental taxes and licensing fees? (Payments to
government agencies for taxes and licenses)
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Include:
Marketing and public relations services
Describe
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TOTAL (Add lines 1 through 11.)
$
,000.00
$
,000.00
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Item 17: Principal Business or Activity
,
EIN:
Store / Plant:
CFN:
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ITEM 17: PRINCIPAL BUSINESS OR ACTIVITY
Which ONE of the following best describes this establishment's principal kind of business or activity in 2018?
If none of the provided selections seem appropriate, provide a specific description of the primary business activity.
Select only ONE.
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MA-10000 - Annual Survey of Manufactures
Item 22: Detail of Sales, Shipments, Receipts, or Revenue
,
EIN:
Store / Plant:
CFN:
ITEM 22: DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Of the $,000.00 of Sales, Shipments, Receipts, or Revenue reported in Item 5, what was the value of each product or service?
Exclude:
Wholesale products (previously Resales), which include products that are bought from other establishments or transferred from other establishments of your
company and then sold without further manufacture, processing, or assembly by this establishment. Report Wholesale products in any relevant prelisted
product code, click the "add Product Not Listed" button and search for an existing Wholesale product or use the section for "Add product(s) not listed above."
Products made from materials owned by others (i.e. the customer). Report your commission or contract receipts in the appropriate Contract Manufacturing
products line(s).
Freight charged
Excise taxes
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General – Please do not combine product lines. If the information is not directly available from your records, reasonable estimates are acceptable.
The manufactured products and services listed below are generally made in your industry. If you make products or have revenue from sources not listed, click the
“Add Product Not Listed” button and search for an existing product or use the section for “Add product(s) not listed above.”
Manufacturing of Products – Report the value of the products shipped and services performed at the net selling value, free on board (FOB) plant to the customer,
after discounts and allowances.
Include:
Products made elsewhere by others from materials supplied by this establishment. Report these products on the specific lines as if they were made in this
establishment.
Products transferred to other establishments within your company. These products should be assigned the full economic value (market value); i.e., include all
direct costs of production and a reasonable proportion of all other costs and profits.
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MA-10000 - Annual Survey of Manufactures
Item 28: Special Inquiries - Industrial Robots and Robotic Equipment
,
EIN:
Store / Plant:
CFN:
ITEM 28: SPECIAL INQUIRIES - INDUSTRIAL ROBOTS AND ROBOTIC EQUIPMENT
REPORTING INDUSTRIAL ROBOTIC EQUIPMENT
Estimates are acceptable.
In (A), report capital expenditures in 2018 for new and used industrial robotic equipment for this establishment. Include other one-time costs, including
software and installation.
In (B) and (C), report the number of industrial robots in operation at this establishment and purchased for this establishment in 2018.
For robots purchased as part of a work cell or other integrated robotic equipment, it may not be possible to report the expenditures on only the robots. In this
case, report the expenditures on the integrated robotic equipment.
Examples of operations industrial robotic equipment can perform may include:
Palletizing
Pick and place
Machine tending
Machine handling
Dispensing
Welding
Packing/repacking
A. What were the capital expenditures in 2018 for new and used industrial robotic equipment, including
software, installation, and other one-time costs?
B. What was the number of industrial robots IN OPERATION at this plant in 2018?
If you are unable to provide the number of industrial robots IN OPERATION in 2018, please explain:
Check
if
None
2018
$
2018 Number
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,000.00
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Exclude:
Automated guided vehicles (AGVs)
Driverless forklifts
Automated storage and retrieval systems
CNC machining equipment
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INDUSTRIAL ROBOTIC EQUIPMENT
Industrial robotic equipment (or industrial robots) are automatically controlled, reprogrammable, and multipurpose machines used in the industrial
automated operations.
Industrial robots may be mobile, incorporated into stand-alone stations, or integrated into a production line.
An industrial robot may be part of a robotic cell (or work cell) or incorporated into another piece of equipment.
Industrial robots are commonly used in operations such as welding, material handling, machine tending, dispensing, cleanroom, and pick and place.
29
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C. What was the number of industrial robots PURCHASED for this plant in 2018?
If you are unable to provide the number of industrial robots PURCHASED in 2018, please explain:
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Item 29: Burden Estimate
,
EIN:
Store / Plant:
CFN:
ITEM 29: BURDEN ESTIMATE
Approximately how long did it take to complete the survey for this location, including time spent reviewing instructions
and gathering the necessary data?
Hours
Minutes
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Item 31: Remarks
,
EIN:
Store / Plant:
CFN:
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ITEM 31: REMARKS (Optional - Enter remarks only if necessary)
Please use this space only for any explanations that may be essential in understanding your reported data. (Maximum length is 1,000 characters.)
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You have 1000 characters remaining
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Item 32: Number of Establishments
,
EIN:
Store / Plant:
CFN:
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ITEM 32: NUMBER OF ESTABLISHMENTS
2018
How many establishments operated under EIN at the end of 2018?
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Item 32: Number of Establishments - Establishment Information
,
EIN:
Store / Plant:
CFN:
ITEM 32: NUMBER OF ESTABLISHMENTS - ESTABLISHMENT INFORMATION
Name
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Secondary Name
Store/Plant
Number and Street
City, town, village, etc.
State
ZIP Code
Select State or Territory
99999-9999
Describe kind of business at this location
For employees that worked at more than one location, report the employment and payroll data for employees at the ONE location where they spent most of their
working time.
2018
What was the number of employees for pay period including March 12?
$
What was the annual payroll?
,000.00
2018
What was the first quarter payroll (January - March 2018)?
$
What were the sales, shipments, receipts, or revenue?
$
,000.00
2018
MA-10000_su.pdf Generated at 2018-10-25 10:15 AM
,000.00
Do Not Mail - Report Online
2018
34
| File Type | application/pdf |
| Author | Blynda K Metcalf (CENSUS/EWD FED) |
| File Modified | 2018-10-29 |
| File Created | 2018-10-29 |