BLS 1810A PPI Facesheet

Bureau of Labor Statistics
Producer Price Indexes Facesheet

Form Approved
O.M.B. No. 1220-0008

U.S. Department of Labor

The Bureau of Labor Statistics, its employees, agents, and partner statis ical agencies, will use he information you provide for statistical purposes only and will hold the
information in confidence to the full extent permitted by law. In accordance with the Confidential Informa ion Protection and Statistical Efficiency Act (44 U.S.C. 3572) and
other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. Per the Federal Cybersecurity Enhancement Act of
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This report is authorized by law 29 U.S.C 2. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate, and timely.
Public reporting burden for this collection of information is estimated to average 2 hours, including ime for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and reviewing the collec ion of information. If you have any comments regarding this estimate or any other aspect of this information
collection, including suggestions for reducing this burden, please send them to the Bureau of Labor Sta istics, Producer Price Index Program, 1220-0008, 2 Massachusetts
Avenue, N.E., Wash., DC 20212. You are not required to respond to this collection unless it displays a currently valid OMB control number.

SU ID:

Sample:

Sample NAIC:

Strata:

# Items:

NAIC Title:

INFORMATION FOR SAMPLE UNIT/REPORTING UNIT
NAME:

REC CTR:
Street:
City:
State:
Zip:

LOCATION:
Street:
City:
County:
State:

Shipments & Receipts:

S&R Reference Date:
Mo.

Sampled

Size Measure

Industry S&R Range: NAIC
BLS - 1810A (Revised 10/2020)

:

to

Collected

RU S&R Ratio:

Yr.

Shipments and Receipts Classified by NAIC
Product/Service

S&R

NAIC

Misc
Receipts:

%

Rank

999999

Collected NAIC:

ITEM INFORMATION
Item Item
Num Status MHF
01

MH
of

Rel
WT

Disagg
Code

09

.

04

.

06

.

C:

Certainty Selection

Q:

Product Category Selection w/NO Disagg

COMMENTS

BLS - 1810A (Revised 10/2020)

J:

R:

14

.

15

.

17

.

18

T:

Disagg
Code

.

16

Refusal to Reselect

D: Default Disaggregation

Rel
WT

.

.

Judgmental Selection

MH
of
.

.

12

Item Item
Num Status MHF
13

.

11

Disagg
Code

.

.

10

.

05

Rel
WT

MH
of

08

.

03

Item Item
Num Status MHF
07

.

02

Disagg Code:

Disagg Same for All Items:

.

P: Product Category Selection w/at least 1 step Disagg
Truncation Refusal Prior to Disagg

U: ISDWS Disagg to a Unique Prod