Small Business Pulse Survey

Small Business Pulse Survey

D Crosswalk of Survey Content and Agency Requesting Item

Small Business Pulse Survey

OMB: 0607-1014

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Census Bureau pre-decisional





D: Crosswalk of Survey Content and Agency Requesting Item


Item

Concept

Question

Categories

Agency Requesting Item

1

Subjective well being

Overall, how has this business been affected by the COVID-19 pandemic?

Select only one:
• Large negative effect
• Moderate negative effect
• Little or no effect
• Moderate positive effect
• Large positive effect

CENSUS

2

Operating revenue

In the last week, did this business experience a change in operating revenues?

Select only one:
• Yes, increased
• Yes, decreased
• No

MBDA, CENSUS

3

Operating revenue (bins)

In the last week, what was the total operating revenue for this business?

Select only one:
• $0 - $500
• $501 - $2,500
• $2,501 - $5,000
• $5,001 - $15,000
• $15,001 - $50,000
• $50,001 - $125,000
• $125,001 - $200,000
• $200,001 - $500,000
• $500,001 or more
• Don’t know

CENSUS

4

Operating status

In the last week, did this business temporarily close any of its locations for at least one day?

Y/N

FRB, SBA, CENSUS

5

# Employees

In the last week, did this business have a change in the number of paid employees?

Select only one:
• Yes, increased
• Yes, decreased
• No

ITA, MBDA, CENSUS

6

# Hours worked

In the last week, did this business have a change in the total number of hours worked by paid employees?

Select only one:

Yes, increased

Yes, decreased

No

BLS, ITA, CENSUS

7

Supply chain

In the last week, did this business have disruptions in its supply chain?

Y/N

BEA, ITA, CENSUS

8

Product/service offerings

In the last week, did this business shift to the production of other goods or services?

Y/N

ITA, CENSUS

9

Mode of product/service delivery

In the last week, did any of this business’s locations adopt pickup/carry-out/delivery as their only means of providing goods and services to their customers?

Y/N

CENSUS

10

Cash flow

How would you describe the current availability of cash on hand for this business? Currently, cash on hand will cover:

Select only one:

1-7 days of business operations

1-2 weeks of business operations

3-4 weeks of business operations

1-2 months of business operations

3 or more months of business operations

No cash available for business operations

Don’t know

BEA, FRB, CENSUS

11

Loan defaults

The White House declared a national emergency because of the COVID-19 pandemic on March 13, 2020. Since then, has this business missed any loan payments?

Y/N

BEA, FRB, CENSUS

12

Other payment defaults

Since March 13, 2020, has this business missed any other scheduled payments, not including loans? Examples of other scheduled payments include rent, utilities, and payroll.

Y/N

BEA, FRB, CENSUS

13

Application for financial assistance

Since March 13, 2020, has this business requested financial assistance from any of the following sources?

Select all that apply:

o Paycheck Protection Program (PPP)

o Economic Injury Disaster Loans (EIDL)

o SBA Loan Forgiveness

o Other Federal Programs

o State or Local Government

o Banks

o Self

o Family or Friends

o Other

o This business has not sought financial assistance from any source

BEA, FRB, SBA, CENSUS

14

Receipt of financial assistance

Since March 13, 2020, has this business received financial assistance from any of these programs from the federal government?

Select all that apply:
o Paycheck Protection Program (PPP)
o Economic Injury Disaster Loans (EIDL)
o SBA Loan Forgiveness
o Other Federal Programs
o This business has not received financial assistance from any Federal Program.

BEA, FRB, SBA, CENSUS

15

Subjective return to normal operations

In your opinion, how much time do you think will pass before this business returns to its usual level of operations?

Select only one:

1 month or less

2-3 months

4-6 months

More than 6 months

I do not believe this business will return to its usual level of operations.

There has been little or no effect on this business's usual level of operations.

BEA, FRB, SBA, CENSUS

16

 

What is this establishment's 9-digit Employer Identification number (EIN) used on its latest Internal Revenue Service 941 Employer's Federal Quarterly Tax Return?

Text box for 9 digit numeric EIN

CENSUS





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMichael A Lopez Pelliccia (CENSUS/ADEP FED)
File Modified0000-00-00
File Created2021-01-14

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