| QSS - Questionnaire Matrix |
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| Form Type |
NAICS |
Type of respondent |
Tax Status |
Content |
| QSS‑1A |
51, 54, 5611, 5612, 56131, 56132, 5614, 5615, 5616, 5617, 5619, 562 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑1E |
51, 54, 5611, 5612, 56131, 56132, 5614, 5615, 5616, 5617, 5619, 562 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS-1PA |
56133 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS-1PE |
56133 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |
| QSS‑2A |
622 |
Company respondents |
Taxable and Tax-Exempt |
Revenue, expenses, inpatient and discharge days |
| QSS‑2E |
622 |
Employer Identification Number (EIN) respondents |
Taxable and Tax-Exempt |
Revenue, expenses, inpatient and discharge days |
| QSS‑3A |
61, 621, 623, 624 |
Company respondents |
Taxable and Tax-Exempt |
Revenue, expenses |
| QSS‑3A |
7111, 7113, 712, 7139, 813 |
Company respondents |
Tax-Exempt |
Revenue, expenses |
| QSS‑3E |
61, 621, 623, 624 |
Employer Identification Number (EIN) respondents |
Taxable and Tax-Exempt |
Revenue, expenses |
| QSS‑3E |
7111, 7113, 712, 7139, 813 |
Employer Identification Number (EIN) respondents |
Tax-Exempt |
Revenue, expenses |
| QSS-3SA |
61, 621, 623, 624 - ONLY cases requiring company-specific instructions |
Company respondents |
Taxable and Tax-Exempt |
Revenue, expenses |
| QSS-3SA |
7111, 7113, 712, 7139, 813 - ONLY cases requiring company-specific instructions |
Company respondents |
Tax-Exempt |
Revenue, expenses |
| QSS-3SE |
61, 621, 623, 624 - ONLY cases requiring company-specific instructions |
Employer Identification Number (EIN) respondents |
Taxable and Tax-Exempt |
Revenue, expenses |
| QSS-3SE |
7111, 7113, 712, 7139, 813 - ONLY cases requiring company-specific instructions |
Employer Identification Number (EIN) respondents |
Tax-Exempt |
Revenue, expenses |
| QSS‑4A |
22, 48, 49, 53, 7113, 7114, 7115, 712, 7132, 7139, 72111, 72112, 72119, 7212, 7213, 811, 812 |
Company respondents |
Taxable |
Revenue |
| QSS‑4E |
22, 48, 49, 53, 7113, 7114, 7115, 712, 7132, 7139, 72111, 72112, 72119, 7212, 7213, 811, 812 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue |
| QSS-4FA |
521, 522, 5231, 5232, 5239, 524 |
Company respondents |
Taxable |
Revenue |
| QSS-4FE |
521, 522, 5231, 5232, 5239, 524 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue |
| QSS-4SA |
22, 48, 49, 51, 53, 54, 56, 7113, 7114, 7115, 712, 7132, 7139, 811, 812 - ONLY cases requiring company-specific instructions |
Company respondents |
Taxable |
Revenue |
| QSS-4SE |
22, 48, 49, 51, 53, 54, 56, 7113, 7114, 7115, 712, 7132, 7139, 811, 812 - ONLY cases requiring company-specific instructions |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue |
| QSS‑5A |
7111, 7112, 7131 |
Company respondents |
Taxable |
Revenue, source of revenue |
| QSS‑5E |
7111, 7112, 7131 |
Employer Identification Number (EIN) respondents |
Taxable |
Revenue, source of revenue |