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2021 ECONOMIC CENSUS
VEHICLE INVENTORY AND USE SURVEY
U.S. DEPARTMENT OF COMMERCE
U.S. CENSUS BUREAU
FORM
TC-9501 (07-29-2021)
OMB No. 0607-0892: Approval Expires 02/28/2023
DUE DATE:
Return your completed
report form in the envelope
provided or mail to:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001
Need help or have
questions about filling
out this form?
Visit our web site:
www.census.gov/econhelp/vius
OR
Call 1-800-772-7851 between
8:30 a.m. and 5:00 p.m., EST,
Monday through Friday.
(Please correct any errors in this mailing address.)
YOUR RESPONSE IS REQUIRED BY LAW. Title 13 United States Code (U.S.C.), Sections 131 and 182 authorize this collection. Sections 224 and 225
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 you, 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 your data.
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number is 0607-0892 and appears at the
upper right of this page. Without this approval we could not conduct this survey.
We estimate this survey will take an average of 65 minutes to complete. More information about this estimate and an address where you may write with
comments is on the last page of this form.
Estimated responses are acceptable for this survey. For some questions, please indicate if the response is not an
estimate and has been verified from documentation or a record.
START HERE
ჀUse blue or black ink or pencil.
ჀPlease center numbers in their respective boxes.
Example:
A REGISTRATION INFORMATION
All questions on this form refer to the vehicle identified by the following registration information:
Vehicle Identification Number (VIN)
Vehicle model
CAUTION:
1.
Model year
Vehicle make
State
Pay close attention to arrows and bolded instructions throughout this questionnaire.
When present, these instructions will tell you where to go next. When not present, go to
the next question.
Is the vehicle identified above still in your possession OR your company’s possession?
Yes ᇉGO to section C ACQUISITION
No ᇉGO to section B DISPOSAL
Vehicle was never in my OR my company’s possession ᇉGO to section Q CONTACT INFORMATION
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ESTIMATES ARE ACCEPTABLE
B
DISPOSAL
1.
Did you dispose of this vehicle prior to January 1, 2021?
Yes ᇉGO to section Q CONTACT INFORMATION
No
2.
When did you dispose of this vehicle?
Enter 2-digit month and 4-digit year.
Month
Year
/
3.
Don’t know
How did you dispose of this vehicle?
NOTE: If you disposed of this vehicle after January 1, 2021, answer all of the remaining applicable
questions according to how you used the vehicle during 2021. If you disposed of this vehicle prior to
January 1, 2021 go to section Q Contact Information.
Mark ONE box only.
Sold or gave it away
Traded it in
Junked, scrapped, or otherwise destroyed it
Returned it to leasing company
Repossessed
Sent to another country
C ACQUISITION
1.
When did you originally take physical possession of this vehicle?
Enter 2-digit month and 4-digit year.
Month
Year
/
2.
Don’t know
Was this vehicle new when you took physical possession of it?
Yes
No
D LEASING
NOTE: This section pertains to ownership leasing. Rental agreements are NOT covered.
1.
Did you lease this vehicle FROM another person or company during 2021?
Yes ᇉGO to section E TYPE OF VEHICLE
No
2.
Did you lease this vehicle TO another person or company during 2021?
Yes
No
Form TC-9501
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E
95011037
TYPE OF VEHICLE
1.
Which body type most closely resembled this vehicle?
Mark ONE box only.
Pickup
Minivan
Van other than minivan
Sport utility vehicle
Other – please specify
F
C
PHYSICAL CHARACTERISTICS
NOTE: Axles are long steel rods that run parallel with the front and rear bumpers and have wheels
attached to them.
1.
What was the total number of axles on this vehicle?
Include front and rear axles, but do NOT include axles on any trailers pulled.
Mark ONE box only.
Two
Three
2.
How many tires were on the rear axle?
Mark ONE box only.
Two
Four
3.
How many of this vehicle’s axles were powered?
Mark ONE box only.
One
Two
Other – please specify
4.
What type of transmission did this vehicle have?
Mark ONE box only.
Automatic
Manual
Both
Other – please specify
C
Form TC-9501
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F
PHYSICAL CHARACTERISTICS - Continued
5.
In 2021, did this vehicle have any of the following standard features?
Mark ALL that apply.
Air bags
Anti-lock brake system
Cruise control
Driver-facing camera
Global Positioning System (GPS) for fleet transponder use only (no navigational aid)
Global Positioning System (GPS), with navigation
Internet access
Rollover protection
None of the above
6.
In 2021, did this vehicle have any of the following driving control assistance features?
Mark ALL that apply.
Adaptive cruise control – Assists with acceleration and/or braking to maintain a prescribed distance
between it and a vehicle in front. Some systems can come to a stop and continue.
Active driving assistance – Assists with vehicle acceleration, braking, and steering. Some systems
are limited to specific driving conditions. Driver is responsible for primary task of driving.
Lane keeping assistance – Assists with steering to maintain vehicle within driving lane.
Platooning capabilities – Assists with helping a vehicle adjust its speed as it follows the preceding
vehicle in the same lane by using a combination of forward ranging sensors and V2V, V2I, and/or
V2X communications.
Vehicle‐to‐Vehicle (V2V), Vehicle‐to‐Infrastructure (V2I) and/or Vehicle‐to‐Everything (V2X)
communications – Assists with allowing vehicles to exchange information with other vehicles,
infrastructure, or moving parts of the traffic system around them using wireless communication
technologies.
None of the above
7.
In 2021, did this vehicle have any of the following collision warning features?
Mark ALL that apply.
Blind spot warning – Detects vehicles to rear in adjacent lanes while driving and alerts the
driver to their presence.
Forward collision warning – Detects impending collision while traveling forward and alerts driver.
Some systems include pedestrian or other object detection.
Lane departure warning – Monitors vehicle’s position within driving lane and alerts driver as the
vehicle approaches or crosses lane markers.
Parking obstruction warning – Detects obstructions near vehicle during parking maneuvers.
Rear cross traffic warning – Detects vehicles approaching from the side and rear of vehicle while
traveling in reverse and alerts driver.
None of the above
Form TC-9501
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F
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PHYSICAL CHARACTERISTICS - Continued
8.
In 2021, did this vehicle have any of the following collision intervention features?
Mark ALL that apply.
Automatic emergency braking – Detects potential collision while traveling forward and
automatically applies the brakes to avoid or lessen the severity of impact. Some systems
include pedestrian or other object detection.
Automatic emergency steering – Detects potential collision and automatically controls
steering to avoid or lessen the severity of impact. Some systems include pedestrian or
other object detection.
Rear automatic emergency braking – Detects potential collision while traveling in reverse
and automatically applies the brakes to avoid or lessen the severity of impact. Some systems
include pedestrian or other object detection.
None of the above
9.
In 2021, did this vehicle have any of the following parking assistance features?
Mark ALL that apply.
Active parking assistance – Controls steering and potentially other functions during parking.
Driver may be responsible for acceleration, braking, and gear position. Some systems are
capable of parallel and/or perpendicular parking.
Remote parking – Parks vehicle without driver being physically present inside the vehicle.
Automatically controls acceleration, braking, steering, and shifting.
None of the above
10. In 2021, did this vehicle have any of the following other driver assistance systems features?
Mark ALL that apply.
Automated high beams – Switches between high and low beam headlamps automatically
based on lighting, surroundings, and traffic.
Backup camera – Provides view of area behind vehicle when in reverse. Could include trailer
assistance, a system that assists drivers during backing maneuvers with a trailer attached.
Driver monitoring – Monitors drivers to determine if they are actively engaged in the task of
driving. Some systems monitor driver’s eye movement and head position.
Head-up display – Projects image of vehicle data and/or navigational info into the driver’s
forward line of sight.
Night vision – Aids driver vision at night by projecting enhanced images on instrument
cluster or head-up display.
Surround-view camera – Uses cameras located around vehicle to present view of surroundings.
None of the above
Form TC-9501
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F
PHYSICAL CHARACTERISTICS - Continued
11. In 2021, did this vehicle have any of the following fuel economy features?
Mark ALL that apply.
Aerodynamic bumper
Aerodynamic hood
Aerodynamic mirrors
Automatic engine shutoff technology
Automatic tire inflation system
Hybrid‐electric drivetrain (no plug)
Idle‐reducing technology (portable auxiliary pack, electrification, etc.)
Low rolling resistance tires
Plug‐in hybrid‐electric drivetrain
None of the above
12. In 2021, did this vehicle have any of the following other features?
Mark ALL that apply.
Aerial work platform/bucket
Air compressor (except for air brakes)
Air springs
Crane
Hoist
Lift gate
Mounting bar for snowplow
Partitions, shelves, racks, or bins
Power take-off
Telematics (for fleet management)
Toolbox
Winch
None of the above
13. What was this vehicle’s towing capacity in pounds?
Towing capacity depends on the exact model and/or any aftermarket
modifications. Information about towing capacity can be found in the
vehicle manual, online, or calculated from the information inside the door. . . . . . . . . . . . . .
14. What was the height of this vehicle’s cabin (measured
from the ground to the top of the roof)?
Include any equipment that extends above the roof of the
cabin such as an antenna, a fairing, or a smoke stack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Form TC-9501
6
Pounds
Feet
Inches
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G TIME OPERATED
1.
In 2021, how many months was this vehicle used?
Round to the nearest whole month.
Mark ONE box only.
12 months ᇉGO to section H HOME BASE
7-11 months
2-6 months
1 month or less
Vehicle not used (no miles driven)
2.
In 2021, what reasons (if any) was this vehicle NOT in use for periods of 90 consecutive
days or more?
Mark ALL that apply.
Not applicable
Seasonal
Not needed/idle (excluding seasonal)
Under repair
Other – please specify
C
If you reported "Vehicle not used (no miles driven)" to question 1 above, go to section Q
CONTACT INFORMATION
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H
95011086
HOME BASE
1.
What was the primary function of the home base from which this vehicle operated?
NOTE: Home base refers to the location where the vehicle was usually parked when it was
not on the road.
Mark ONE box only.
No home base ᇉGO to section I MILES
Private residence
Corporate office/headquarters
Terminal or motor pool
Distribution center
Manufacturing plant
Farm/agricultural production
Mining or other energy production site
Truck leasing company
Port
Other – please specify
2.
C
Where was the home base of this vehicle on July 1, 2021?
If this vehicle was put into service after July 1, 2021, enter current home base.
City (or city equivalent)
State
ZIP Code
County/Parish/Borough (or equivalent)
3.
In addition to this vehicle, how many other vehicles/trailers were operated from the home base
location?
Pickups, small vans (including minivans), and sport utility vehicles: . . . . . . . . . . . . . . . . . . .
Semi-trucks (tractor/trailer trucks): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Any other trucks or vans: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Trailers (including trailer mounted equipment): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Converter dollies:
A dolly is an unpowered vehicle designed for connection to a tractor unit or truck. . . . . . . . . .
No other vehicles at this home base
Form TC-9501
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I
95011094
MILES
1.
Miles
How many total miles was this vehicle driven in 2021?
Round to the nearest whole mile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total miles verified by records
2.
How was the annual mileage calculated?
Mark ALL that apply.
Odometer readings
Gas or fuel receipts
Trip meter
GPS
Other – please specify
3.
4.
C
How many miles-per-gallon (mpg) did this vehicle average in 2021?
If compressed natural gas (CNG), liquified natural gas (LNG), or electricity was
used, give miles per gasoline gallon equivalent (GGE). 1 GGE = 123 cubic feet
CNG. 1 GGE = 1.5362 gallons of LNG. 1 GGE = 33.7 kWh electricity.
Report to the nearest tenth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MPG
How was miles-per-gallon (mpg) calculated?
Mark ALL that apply.
Odometer readings
Gas or fuel receipts
Trip meter
GPS
Other – please specify
5.
C
What was the approximate percentage of this vehicle’s 2021 mileage for each of the following
jurisdictions? Round to the nearest whole percent. Total should sum to 100%.
Operated within the home base state. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Operated in states other than the home base state (or has no home base) . . . . . . . . . . . . . . . . .
%
Operated in Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Operated in Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 0 0 %
Percentages verified by records
Form TC-9501
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I
MILES - Continued
6.
What was the approximate percentage of this vehicle’s 2021 mileage driven within the following
ranges of operation?
If this vehicle did not operate from a home base, report its average range of operation.
Round to the nearest whole percent. Total should sum to 100%.
50 miles or less from its home base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
51 to 100 miles from its home base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
101 to 200 miles from its home base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
201 to 500 miles from its home base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
More than 500 miles from its home base. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 0 0 %
Percentages verified by records
7.
What was the approximate percentage of this vehicle’s 2021 mileage driven off road
(not on an established public or private road)?
Round to the nearest whole percent. If not applicable, enter zero.
%
Percentage of miles off road . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
How many miles has this vehicle been driven since it was manufactured?
If the odometer has turned over, please enter the figure for the total amount.
If the vehicle is no longer in your possession, enter the figure when you last operated the vehicle.
Round to the nearest whole mile.
Miles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J
FUEL AND MAINTENANCE
1.
In 2021, what type of fuel or fuel combination was most often used in this vehicle?
If a fuel combination was used, select ALL that make up the combination. Otherwise, mark ONE box only.
Gasoline
Diesel (including biodiesel)
Propane (liquefied petroleum gas)
Alcohol fuels – ethanol (E85, E100)
Electricity
Compressed Natural Gas (CNG)
Liquified Natural Gas (LNG)
Other – please specify
C
Form TC-9501
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J
FUEL AND MAINTENANCE - Continued
2.
In 2021, at what type of location was this vehicle typically refueled?
Mark ONE box only.
Gas station
Truck stop
Your own facility (including home, farm, ranch, on-site by mobile supplier, etc.)
Other company’s/contractor’s facility not open to the public
Other – please specify
3.
C
In 2021, who performed any GENERAL maintenance (oil change, brake change, headlight
replacement, etc.) on this vehicle?
Mark ALL that apply.
General repair business or private mechanic (includes gas stations, truck stops, parts store, etc.)
Dealership service department
Leasing company
Yourself, spouse, friend, etc. while not employed/paid by any maintenance type facility
Company-owned maintenance facility
None performed ᇉGO to question 5 below
Other – please specify
4.
5.
C
What was the total cost of all GENERAL maintenance in 2021?
Round to the nearest whole dollar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
In 2021, were any EXTENSIVE repairs over $500 performed on this vehicle?
EXTENSIVE repair means a repair that requires the replacement of a costly part to have the
vehicle fully operational again. Exclusions (i) Repair that can be remedied temporarily without
special tools or parts. (ii) Tire disablement without other damage even if no spare tire is available.
(iii) Headlamp or taillight damage. (iv) Damage to turn signals, horn, or windshield wipers
which makes them inoperative.
Yes ᇉGO to question 6 on page 12
No ᇉGO to question 8 on page 12
Form TC-9501
11
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.00
95011128
ESTIMATES ARE ACCEPTABLE
J
FUEL AND MAINTENANCE - Continued
6.
Who performed these EXTENSIVE repairs?
Mark ALL that apply.
General repair business or private mechanic (includes gas stations, truck stops, parts store, etc.)
Dealership service department
Leasing company
Yourself, spouse, friend, etc. while not employed/paid by any maintenance type facility
Company-owned maintenance facility
Other – please specify
7.
8.
C
What was the total cost of all EXTENSIVE repairs in 2021?
Round to the nearest whole dollar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
.00
Has this vehicle’s engine EVER been rebuilt or overhauled?
Mark ONE box only.
Yes ᇉGO to question 9 below
No ᇉGO to section K VEHICLE CONFIGURATION
Don’t know ᇉGO to section K VEHICLE CONFIGURATION
9.
In what year was this vehicle’s engine LAST rebuilt or overhauled?
Year
Don’t know
K VEHICLE CONFIGURATION
1.
In 2021, was this vehicle used to pull a trailer?
Trailer mounted equipment should be treated as a trailer.
Yes
No ᇉGO to question 6 on page 13
2.
In 2021, did this vehicle pull a trailer for at least half of all miles driven?
Trailer mounted equipment should be treated as a trailer.
Yes, this vehicle pulled a trailer for 50% or more of all miles driven
No, this vehicle pulled a trailer for less than 50% of all miles driven ᇉGO to question 6 on page 13
3.
How many axles were on the trailer unit most often pulled by this vehicle?
Mark ONE box only.
One
Two
Three or more
4.
Feet
What was the length, in feet, of the trailer unit most often pulled by this vehicle?
Round to the nearest whole number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Form TC-9501
12
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K VEHICLE CONFIGURATION - Continued
5.
Did the trailer have any of the following add-on equipment?
Mark ALL that apply.
Aerodynamic reflectors
Aluminum wheels
Front fairing
Lightweight landing gear
Rear fairing (trailer tail, boat tail)
Side skirts
Undercarriage aerodynamic devices
None of the above
Other – please specify
6.
C
Referring to the most common configuration indicated in question 1 (no trailer or trailer pulled),
what was the total length of this vehicle or vehicle/trailer combination?
Report distance, in feet, from front bumper to rear of vehicle or trailer(s).
Mark ONE box only.
Less than 16.0 feet
16.0 to 19.9 feet
20.0 to 27.9 feet
28.0 to 35.9 feet
36.0 to 40.9 feet
41.0 to 44.9 feet
45.0 to 49.9 feet
Other – please specify
L
feet
WEIGHT
1.
What was the empty weight of this vehicle or vehicle/trailer combination?
That is, the weight of the vehicle or vehicle/trailer combination without any goods,
packaging, or parcels for use, delivery, or sale. Round to the nearest whole pound.
Less than 6,001 pounds
6,001 to 8,500 pounds
8,501 to 10,000 pounds
Other – please specify
2.
pounds
In 2021, what was the average weight of this vehicle or vehicle/trailer
combination? That is, the typical weight of the vehicle or vehicle/trailer combination
with any goods, packaging, or parcels for use, delivery, or sale loaded onto the vehicle.
Round to the nearest whole pound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Form TC-9501
13
Pounds
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ESTIMATES ARE ACCEPTABLE
M KIND OF BUSINESS
1.
In 2021, was this vehicle used, at least partially, for any commercial or business-related activities?
Yes, this vehicle was used at least part time for commercial activities ᇉGO to question 2 below
No, this vehicle was strictly used for personal use ᇉGO to section Q CONTACT INFORMATION
2.
Which of the following best described the business activity in which this vehicle was most
often used in 2021?
If vehicle was leased, indicate business of lessee. Mark ONE box only.
Accommodation or food services (for immediate consumption)
Administrative and support and waste management and remediation services
Waste management and remediation
Landscaping
Other administrative and support and waste management and remediation services
Agriculture, forestry, fishing, or hunting
Agriculture (crop and animal production)
Fishing, hunting, trapping
Forestry and logging
Other agriculture, forestry, fishing, and hunting
Arts, entertainment, or recreation services
Construction
Construction – residential (includes land subdivision and development, as well as
construction by special trade contractors)
Construction – non‐residential (includes land subdivision and development, as well as
construction by special trade contractors)
Other construction
Fuel wholesale or distribution
Information services (includes telephone and television)
Manufacturing
Mining (includes quarrying, well operations, and beneficiating)
Retail Trade
Transportation and warehousing
For‐hire transportation (of goods or people)
Warehousing and storage
Other transportation and warehousing
QUESTION CONTINUES ON PAGE 15
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M KIND OF BUSINESS - Continued
2.
Continued
Utilities (includes electric power, natural gas, steam supply, water supply, and sewage removal)
Vehicle leasing or rental (includes short‐term rentals)
Wholesale trade
Other services, including advertising, real estate, nonvehicle leasing or rental, educational,
health care, social assistance, finance, insurance, professional, scientific, or technical services
Other – please describe in detail
3.
C
In 2021, was this vehicle used for any of the following commercial activities?
Mark ALL that apply.
Transporting goods/products belonging to you or your company
Transporting goods/products belonging to another person or company
(e.g., hired motor carrier or owner operator)
Transporting online local goods/products (e.g., grocery store, Uber Eats, Grubhub)
Transporting tools related to your business
Transporting paying passengers (e.g., taxi, Uber, Lyft)
Transporting non‐paying passengers (e.g., shuttle for airports, hotels, car rentals, or social services)
Rental (daily and other short term)
Other – please specify
4.
C
What was the approximate percentage of this vehicle’s 2021 mileage for each of the
following activities?
Follow the instruction for the category with the highest reported percentage.
If your highest percentage occurs for more than one category, choose the category
that you most identify with. Round to the nearest whole percent.
Transporting goods/products belonging to you or your company ᇉGO to section O
PRODUCTS, EQUIPMENT, OR MATERIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Transporting goods/products belonging to another person or company
(e.g., hired motor carrier or owner operator) ᇉGO to section O
PRODUCTS, EQUIPMENT, OR MATERIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Transporting online local goods/products (e.g.,grocery store, Uber Eats,
Grubhub) ᇉGO to section O PRODUCTS, EQUIPMENT, OR MATERIAL. . . . . . . . . . . . . . .
Transporting tools related to your business ᇉGO to section Q CONTACT INFORMATION. .
%
%
Transporting paying passengers (e.g., taxi, Uber, Lyft) ᇉGO to section Q
CONTACT INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Transporting non‐paying passengers (e.g., shuttle for airports, hotels, car rentals, or
social services) ᇉGO to section Q CONTACT INFORMATION . . . . . . . . . . . . . . . . . . . . . . .
%
Rental (daily and other short term) ᇉGO to section Q CONTACT INFORMATION . . . . . . . .
QUESTION CONTINUES ON PAGE 16
Form TC-9501
15
§¢",T¤
%
95011169
ESTIMATES ARE ACCEPTABLE
M KIND OF BUSINESS - Continued
4.
Continued
Personal use (non‐commercial use) ᇉGO to section Q CONTACT INFORMATION . . . . . . . .
%
Other ᇉGO to section Q CONTACT INFORMATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Percentages verified by records
O PRODUCTS, EQUIPMENT, OR MATERIALS
1.
What was the approximate percentage of this vehicle’s 2021 mileage for each
of the following categories?
Round to the nearest whole percent. Total should sum to 100%
Empty – NOT CARRYING any products, tools, equipment, or materials
If 100% empty ᇉGO to section Q CONTACT INFORMATION . . . . . . . . . . . . . . . . . . . . . . . .
%
Loaded – CARRYING products, tools, equipment, or materials. . . . . . . . . . . . . . . . . . . . . . . . . . .
%
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 0 0 %
Percentages verified by records
2.
What was the approximate percentage of this vehicle’s 2021 mileage that this
vehicle was filled to physical capacity (cubed out)?
Round to the nearest whole percent. If not applicable, enter zero.
%
Vehicle was filled to physical capacity (cubed out): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Percentages verified by records
3.
What was the approximate percentage of this vehicle’s 2021 mileage that this
vehicle was filled to weight limit (weighed out)?
Round to the nearest whole percent. If not applicable, enter zero.
%
Vehicle was filled to weight limit (weighed out): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Percentages verified by records
4.
5.
In 2021, when carrying a typical load, what was the average weight
of goods, parcels, or any other products (including packaging) that
were loaded for delivery or sale? Round to the nearest whole pound. . . . . . . . . . . . . .
Pounds
In 2021, for the miles driven while carrying a load, what percentage of those ‘’LOADED miles’’
were driven while carrying the following?
Round to the nearest whole percent. Percentages can add to more than 100% if more than one type of
product was carried at the same time.
Percent of
loaded miles
Products
Agricultural and animal products
Animals and fish, live . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Animal feed and products of animal origin (eggs, hides, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
QUESTION CONTINUES ON PAGE 17
Form TC-9501
16
§¢",f¤
ESTIMATES ARE ACCEPTABLE
95011177
O PRODUCTS, EQUIPMENT, OR MATERIALS - Continued
Percent of
loaded miles
Products
Agricultural and animal products – continued
Grains, cereal (wheat, corn, rye, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
All other agricultural products (crops, live plants, bulbs, flowers, etc.) . . . . . . . . . . . . . . . . . . . . .
%
Chemicals and chemical products
Basic chemicals (hydrogen, oxygen, hydrochloric acid, chlorine, sodium hydroxide etc.) . . . . . . .
%
Fertilizers and fertilizer materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Pharmaceutical products (including blood, organs, gauze, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
All other chemical products and preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Food products, alcohol, and tobacco
Alcoholic beverages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Bakery and milled grain products (baked snack goods, pasta, cereal, etc.) . . . . . . . . . . . . . . . . . .
%
Meat, seafood, and their preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Tobacco products (cigarettes, cigars, chewing tobacco, etc) including electronic devices . . . . . . .
%
All other prepared foodstuffs (dairy products, fats, food oils, sauces, spices, etc.). . . . . . . . . . . . .
%
Forestry, wood, and paper products
Logs and other wood in the rough (logs for lumber, pulping, fuel, etc.) . . . . . . . . . . . . . . . . . . . .
%
Paper or paperboard articles (toilet paper, paper towels, wallpaper, envelopes, etc.) . . . . . . . . . .
%
Printed products (books, brochures, newspapers, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Pulp, newsprint, paper, and paperboard (newsprint in large rolls, napkin stock, etc.) . . . . . . . . . .
%
Wood products (wood chips, plywood, doors, windows, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
QUESTION CONTINUES ON PAGE 18
Form TC-9501
17
§¢",n¤
ESTIMATES ARE ACCEPTABLE
95011185
O PRODUCTS, EQUIPMENT, OR MATERIALS - Continued
Percent of
loaded miles
Products
Manufactured metal and mineral products
Articles of base metal (pipes, nails, screws, tubes, fittings, locks, etc.) . . . . . . . . . . . . . . . . . . . . .
%
Base metal in primary or semifinished forms (bars and rods of steel or iron, etc.) . . . . . . . . . . . .
%
Nonmetallic mineral products (cement, bricks, glass, concrete products, mirrors, etc.) . . . . . . . . .
%
Other manufactured products or equipment
Electronic and other electrical equipment (telephones, computer equipment, etc.) . . . . . . . . . . . .
%
Furniture, mattresses, lamps, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Machinery (motors, turbines, air conditioning equipment, fans, dishwashers, etc.) . . . . . . . . . . . .
%
Miscellaneous manufactured products (toys, sports equipment, jewelry, clocks, etc.) . . . . . . . . . .
%
Precision instruments and apparatus (cameras, eyewear, measuring instruments, etc.). . . . . . . . .
%
Textile, leather, and related articles (footwear, yarns, threads, comforters, etc.) . . . . . . . . . . . . . .
%
Vehicles, including parts (cars, motorcycles, trailers, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
All other transportation equipment (aircraft, boats, locomotives, etc.) . . . . . . . . . . . . . . . . . . . . . .
%
Mining materials (raw form)
Coal (non-agglomerated and agglomerated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Crude petroleum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Gravel or crushed stone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Metallic ores and concentrates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Monumental or building stone (marble, limestone, granite, sandstone, etc.) . . . . . . . . . . . . . . . . .
%
Natural sands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
All other nonmetallic minerals (salt, table salt, clays, asbestos, dolomite, etc.) . . . . . . . . . . . . . . .
%
QUESTION CONTINUES ON PAGE 19
Form TC-9501
18
§¢",v¤
ESTIMATES ARE ACCEPTABLE
95011193
O PRODUCTS, EQUIPMENT, OR MATERIALS - Continued
Percent of
loaded miles
Products
Petroleum products (refined)
Fuel oils (diesel, bunker C, biodiesel, etc) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Gasoline and blends of gasoline w/ up to 10% alcohol volume (E10 or lower). . . . . . . . . . . . . . . .
%
Aviation turbine fuel (types A & B) and kerosene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Ethanol and ethanol blends (more than 10% alcohol volume) and other fuel alcohols. . . . . . . . . .
%
Plastics and rubber (tires, blinds, articles made of plastics or rubber, mud flaps, etc.) . . . . . . . . .
%
All other coal and refined petroleum products (greases, propane, etc.) . . . . . . . . . . . . . . . . . . . . .
%
Waste, refuse, and recycling
Hazardous waste (EPA manifest) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
All other waste and scrap (including trash, yard waste, biosludge,
non-EPA manifested hazardous materials, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Recyclable products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Miscellaneous
Mail and courier parcels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Empty shipping containers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Mixed freight (multiple commodities on the same load) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
Products, equipment, or materials not elsewhere classified – please specify
C
%
Form TC-9501
19
§¢",~¤
95011201
ESTIMATES ARE ACCEPTABLE
Q CONTACT INFORMATION
Name
Street Address
City (or city equivalent)
State
ZIP Code
–
Phone number
–
Extension
–
Email
Signature
Month
Day
/
Year
/
Please use the space below for any comments or explanation pertaining to your responses.
THANK YOU
for completing your 2021 Vehicle Inventory and Use Survey.
Please photocopy this form for your records and return the original to the Census Bureau in the envelope provided.
NOTICE
We estimate this survey will take an average of 65 minutes to complete. Factors such as the number, type(s), and activities of the
sampled truck(s) will affect your actual time to complete the survey. This estimate includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. You may
e-mail comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden to: [email protected]. Be sure to use "ERD Survey Comments 0607-0892" as the subject.
Form TC-9501
20
§¢"-"¤
| File Type | application/pdf |
| Author | OneFormUser |
| File Modified | 2021-08-10 |
| File Created | 2021-08-04 |