Download:
pdf |
pdfENT OF C
TM
OM
AR
R
EA
S
BU
US
CE
ER
U.S.
D
M
EP
Attachment A
NC-99023 Form
(DRAFT)
U O
F TH E C
EN
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
2007 ECONOMIC CENSUS
General Classification Report
FORM
NC-99023
OMB No. 0607-0000: Approval Expires
(DRAFT)
DUE DATE
30 DAYS AFTER
RECEIPT OF FORM
NC-99023
Mail your completed form to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47134-0001
Public reporting burden for this
collection is estimated to be 10 minutes
to complete this questionnaire. Send
comments regarding this burden
estimate or any other aspect of this
collection of information, including
suggestions for reducing this burden,
to: Paperwork Project 0607-0000,
U.S. Census Bureau, 4700 Silver
Hill Road, Stop 1500, Washington,
DC 20233-1500. You may e-mail
comments to Paperwork@census.gov;
use "Paperwork Project 0607-0000" as
the subject.
An Office of Management and Budget
(OMB) approval number is printed in
the upper right corner of this form.
Without displaying this number, we
could not collect this information or
require your response.
(Please correct any errors in this mailing address.)
YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations
that receive this questionnaire to answer the questions and return the report to the U.S. Census Bureau. By the same
law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality
of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents'
files are immune from legal process.
• Use blue or black ink.
• Please center numbers in their respective boxes. Examples:
• Do not use pencil.
• Do not put slashes through 0 or 7.
0 1 2 3 4 5
• Place an "X" inside the box.
1 EMPLOYER IDENTIFICATION NUMBER
Is the Employer Identification Number (EIN) shown in the mailing address the same as the one used for this
establishment on its latest Internal Revenue Service Form 941, Employer's Quarterly Federal Tax Return?
0021
2
Yes
0022
No - Enter current EIN (9 digits)
6 7 8 9
-
0025
PHYSICAL LOCATION
A. Is this establishment's physical location the same as shown in the mailing
address? (P.O. box and rural route addresses are not physical locations.)
0031
Yes
0035
Number and street
0032
No - Enter physical
location
0036
City, town, village, etc.
0037
State
0038
ZIP Code
99023012
B. Is this establishment physically located inside the legal boundaries of the city, town, village, etc.?
0041
Yes
0042
No
0043
No legal boundaries
0044
Do not know
0000
Other
C. Type of municipality where this establishment is physically located
0046
City, village, or borough
PENALTY FOR FAILURE TO REPORT
0047
Town or township
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
0000
Do not know
CONTINUE ON PAGE 2
Form NC-99023
3
Attachment A
NC-99023 Form
(DRAFT)
Page 2
(DRAFT)
PRINCIPAL BUSINESS OR ACTIVITY
In the past 12 months, what was this establishment's principal business or activity? (Find the Economic Sector
that best describes your business or activity. Within that sector, mark "X" only ONE box that best describes your
PRINCIPAL business or activity.
0700
ACCOMMODATIONS
624 410 00
Child Day Care Service
721 191 00
Bed-and-Breakfast Inn
621 410 00
Family Planning Center
721 120 00
Casino Hotel
621 493 00
Freestanding Ambulatory Surgical or Emergency
Center
721 110 00
Hotel, Motel, or Motor Hotel, except Casino
Hotel
621 610 00
Home Health Care Service
721 214 00
Overnight Recreation or Vacation Camp, except
Campground
621 310 00
Office of Chiropractor
721 310 00
Rooming and Boarding House
621 210 00
Office of Dentist
721 211 00
Trailer Park, RV (Recreational Vehicle) Park, or
Campground, except Residential
621 330 00
Office of Mental Health Practitioner, except
Physician
621 320 00
Office of Optometrist
621 340 20
Office of Physical, Occupational and Speech
Therapist, and Audiologist
621 111 00
Office of Physician (MD or DO), except Mental
Health
722 213 40
Bagel Shop
621 112 00
Office of Physician (MD or DO), Mental Health
722 410 00
Bar, Tavern, Pub, or Other Drinking Place
(Alcoholic Beverages)
621 391 00
Office of Podiatrist
722 212 00
Buffet, Grill Buffet, or Cafeteria
621 420 00
Outpatient Mental Health or Substance Abuse
Center
722 213 50
Coffee Shop
623 210 00
Residential Care for Developmentally Disabled
722 213 60
Cookie Shop
623 312 00
Residential Care for Elderly
722 213 30
Donut Shop
623 990 00
Residential Care for Youth or Offenders
722 310 00
Food Service Contractor
624 110 00
Social Assistance for Children and Youth
722 213 20
Frozen Yogurt Shop
624 120 00
Social Assistance for Elderly and Disabled
722 110 00
Full-Service Restaurant (Waiter/Waitress Service;
Pay After Eating)
624 190 00
Social Assistance for Families and All Others
722 213 10
Ice Cream Shop
722 211 00
Limited-Service Restaurant (Pay Before Eating;
including Delivery-Only Locations)
722 320 00
Social Caterer for Banquets, Weddings, etc.
Other Health Care and Social Assistance Specify
Other Traveler Accommodation - Specify
FOOD SERVICES
Other Food Service - Specify
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
CONTINUE ON PAGE 3
99023020
HEALTH CARE AND SOCIAL ASSISTANCE
Form NC-99023
Attachment A
NC-99023 Form
(DRAFT)
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
PRINCIPAL BUSINESS OR ACTIVITY - Continued
REPAIR AND MAINTENANCE SERVICES
811 412 00
Appliance (Household) Repair and Maintenance
811 122 00
Automotive Glass Replacement Shop
811 191 00
PROFESSIONAL, SCIENTIFIC, AND TECHNICAL
SERVICES
541 219 00
Accounting and Bookeeping Service, except CPA
541 611 00
Administrative and General Management
Consulting Service
Automotive Oil Change and Lubrication Shop
541 810 00
Advertising Agency
811 113 00
Automotive Transmission Repair Shop
541 310 00
Architectural Service
811 192 00
Carwash
541 211 00
Certified Public Accountant (CPA)
811 310 90
Commercial and Industrial Equipment Repair
Shop
541 512 20
Computer Systems Consultant
811 212 30
Computer Repair and Maintenance
541 511 00
Custom Computer Programming Service
811 490 40
Garment Repair and Alteration Service
541 330 00
Engineering Service
811 111 00
General Automotive Repair Shop
541 620 00
Environmental Consulting Service
811 121 10
Paint or Body Repair Shop
541 430 00
Graphic Design Service
811 420 00
Reupholstery and Furniture Repair Shop
541 410 00
Interior Design Service
541 320 00
Landscape Architectural Service
541 110 10
Law Office
541 613 00
Marketing Consulting Service
541 910 00
Marketing Research or Public Opinion Polling
Service
541 921 00
Photographic Studio, Portrait
541 820 00
Public Relations Agency
541 370 00
Surveying or Mapping Service, except
Geophysical
541 213 00
Tax Return Preparation Service
541 191 00
Title Abstract and Settlement Office
541 940 00
Veterinarian's Office
Other Repair and Maintenance Service - Specify
ADMINISTRATIVE AND SUPPORT SERVICES
561 740 00
Carpet and Upholstery Cleaning Service
561 310 00
Employment Placement Agency
561 710 00
Exterminating and Pest Control Service
561 611 00
Investigation Service
561 720 00
Janitorial Service
561 730 00
Landscape Service
561 439 00
Photocopying and Duplicating Service
561 990 90
Printing Broker
561 330 00
Professional Employer Organization (PEO)
561 621 00
Security Systems Service
561 790 20
Swimming Pool Cleaning and Maintenance
561 320 00
Temporary Help Service
Other - Specify
99023038
3
Other Administrative and Support Service Specify
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
CONTINUE ON PAGE 4
Form NC-99023
(DRAFT)
PRINCIPAL BUSINESS OR ACTIVITY - Continued
OTHER SERVICES
TRANSPORTATION
711 510 00
Actor/Actress, Artist, Writer or Performer, except
Musicians
484 220 20
Agricultural Products Trucking, Local
711 130 00
Musical Group or Artist
484 230 20
Agricultural Products Trucking, Long Distance
713 120 00
Arcade or Family Fun Center
488 119 10
Airport Operation and Terminal Service
812 111 00
Barber Shop
621 910 00
Ambulance or Rescue Service, except Air
812 112 00
Beauty Shop
488 510 20
Arrangement of Transportation of Freight/Cargo
813 910 00
Business Trade Association
492 110 20
Courier Service, Air
813 410 40
Civic or Social Club, except Scouting Organization
492 110 10
Courier Service, except Air or Local
812 310 20
Coin-Operated Laundry and Drycleaning
484 220 30
Dump Trucking
611 610 10
Dance School
488 510 10
Freight Forwarding
812 320 20
Drycleaning Plant
484 110 20
General Freight Trucking, LTL, Local
813 312 00
Environment, Conservation and Wildlife
Organization
484 122 00
General Freight Trucking, LTL, Long Distance
611 691 00
Exam Preparation and Tutoring Service
484 110 10
General Freight Trucking, TL, Local
713 940 90
Fitness Center or Gymnasium
484 121 00
General Freight Trucking, TL, Long Distance
713 910 00
Golf Course or Country Club
493 110 10
General Warehousing and Storage
813 211 00
Grantmaking Foundation
562 112 00
Hazardous Waste Collection
512 110 00
Motion Picture or Video Production
485 320 00
Limousine Service
812 113 00
Nail Salon
492 210 00
Local Messenger and Local Delivery
812 910 00
Pet Care Services, except Veterinary
485 410 10
School Bus Service
813 940 00
Political Organization
562 111 00
Solid Waste Collection, Nonhazardous
711 310 00
Promoters of Performing Arts, Sports, and
Similar Events With Facilities
485 991 00
Special Needs Transportation
711 320 20
Promoters of Performing Arts, Sports, and
Similar Events Without Facilities
484 220 40
Specialized Freight (except Waste), Local
813 990 40
Property Owners' Association
484 230 30
Specialized Freight (including Waste), Long
Distance
511 210 00
Software Publishing
485 310 00
Taxicab Service
611 620 00
Sports and Recreation Instruction
488 410 00
Towing Service, Motor Vehicle
711 110 20
Theater Company
561 510 00
Travel Agency
813 212 00
Voluntary Health Organization
484 210 10
Used Household and Office Goods Moving,
Local
Other Service - Specify
484 210 20
Used Household and Office Goods Moving, Long
Distance
Other Transportation - Specify
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
CONTINUE ON PAGE 5
99023046
3
Attachment A
NC-99023 Form
(DRAFT)
Page 4
Form NC-99023
Attachment A
NC-99023 Form
(DRAFT)
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
PRINCIPAL BUSINESS OR ACTIVITY - Continued
RETAIL TRADE
RETAIL TRADE - Continued
453 310 10
Antique Store
453 220 00
Gift, Novelty, Craft and Souvenir Store
453 920 00
Art Dealer or Art Auction
444 130 00
Hardware Store
441 310 40
Automotive Parts and Accessories Store, except
Used
443 111 00
Household Appliance Store
441 310 50
Automotive Parts and Accessories Store, Used
442 299 00
Houseware and Kitchenware Store
445 310 00
Beer, Wine and Liquor Store
448 310 00
Jewelry Store
451 110 21
Bicycle Shop
454 110 82
Mail-Order Pharmacy
441 110 00
Car Dealer, New and Used
454 110 70
Mail-Order Shopping, General Merchandise
441 120 00
Car Dealer, Used Only
454 110 81
Mail-Order Shopping, Computer Hardware and/
or Software
453 991 00
Cigarette, Pipe, and Tobacco Store
454 110 83
Mail-Order Shopping, Specialized Merchandise
448 150 00
Clothing Accessories Store
445 210 00
Meat Market
448 140 00
Clothing Store, Famiily
444 220 40
Nursery and Garden Center
448 110 00
Clothing Store, Men's
453 210 00
Office Supplies and Stationery Store
448 120 00
Clothing Store, Women's
446 130 00
Optical Goods Store
443 120 30
Computer Software Store
444 210 00
Outdoor Power Equipment Store
443 120 10
Computer Store, Custom Assembly
453 910 00
Pet and Pet Supplies Store
443 120 20
Computer Store, except Custom Assembly
446 110 10
Pharmacy and Drug Store
445 120 00
Convenience Food Store
443 112 40
Radio, TV, and Other Electronics Store
446 120 00
Cosmetics, Beauty Supplies, and Perfume Store
453 310 20
Second-Hand Store, except Pawn Shop
454 110 61
Electronic Shopping, Computer Hardware and/or
Software
451 130 00
Sewing, Needlework, and Piece Goods Store
454 110 50
Electronic Shopping, General Merchandise
445 110 00
Supermarket or Grocery Store
454 110 62
Electronic Shopping, Pharmacy
443 112 20
Telephone Store
454 110 63
Electronic Shopping, Specialized Merchandise
441 320 00
Tire Dealer
444 220 20
Farm Supply Store
447 190 20
Truck Stop
442 210 00
Floor Coverings Store
452 990 10
Variety Store
453 110 00
Florist
454 210 00
Vending Machine Operator
446 191 00
Food (Health) Supplement Store
442 291 00
Window Treatment Store, except Custom
442 110 10
Furniture Store
448 210 20
Women's Shoe Store
447 190 10
Gasoline Station Without Convenience Store
451 110 10
General-Line Sporting Goods Store
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
Other Retail Business - Specify
CONTINUE ON PAGE 6
99023053
3
Form NC-99023
(DRAFT)
PRINCIPAL BUSINESS OR ACTIVITY
WHOLESALE TRADE
(Mark "X" only ONE box in part 1 and ONE box in part 2.)
REAL ESTATE AND RENTAL AND LEASING
1. Kind of Business or Activity
532 411 90
Aircraft Rental and Leasing Without Pilot
423 430 12
Computers and Peripheral Equipment, Sold for
End Use
532 111 00
Car (Passenger) Rental Without Driver
423 430 11
Computers and Peripheral Equipment, Sold for
Resale
234 990 40
Construction Equipment Rental With Operator
423 610 00
Electrical Apparatus and Equipment
234 990 30
Crane Rental With Operator
424 210 10
General Line Drugs, Cosmetics and Toiletries
532 220 10
Formal Wear Rental
423 210 10
Household and Lawn Furniture
532 310 00
General Rental Center
423 940 10
Jewelry, Watches, and Gemstones
532 291 00
Home Health Equipment Rental
424 320 00
Men's and Boys' Clothing
532 490 20
Industrial Equipment Rental and Leasing
424 210 20
Specialty-Line Drugs, Cosmetics and Toiletries
531 110 10
Lessor of Apartment Buildings
423 910 00
Sporting and Recreational Goods
531 120 20
Lessor of Manufacturing and Industrial Buildings
423 450 10
Surgical, Medical, Hospital Equipment/Supplies
531 120 90
Lessor of Other Nonresidential Buildings
424 330 00
Women's, Children's and Infants' Clothing
531 110 90
Lessor of Other Residential Buildings
Other Wholesale Trade - Specify
531 120 10
Lessor of Professional and Other Office Buildings
531 120 30
Lessor of Shopping Centers and Retail Stores
532 490 10
Medical Equipment Rental and Leasing
532 420 10
Office Furniture and Machines, except Computer
Rental and Leasing
532 412 90
Oilfield and Well Drilling Equipment Rental and
Leasing
531 312 00
Property Management, Nonresidential Real
Estate
2. Type of Operation
11
Merchant Wholesaler
42
Broker, Representing Buyers and Sellers
46
Manufacturers' Agent
49
Electronic Marketer
531 311 00
Property Management, Residential Real Estate
Other Type of Operation - Specify
531 210 90
Real Estate Agent or Broker, Nonresidential
531 210 10
Real Estate Agent or Broker, Residential
531 320 00
Real Estate Appraiser
532 292 00
Recreational Goods Rental
531 130 00
Self-Storage and Mini-Warehousing
532 120 20
Truck Leasing Without Driver
532 120 10
Truck Rental Without Driver
532 230 00
Video Tape Rental
Other Real Estate and Rental and Leasing Specify
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
CONTINUE ON PAGE 7
99023061
3
Attachment A
NC-99023 Form
(DRAFT)
Page 6
Form NC-99023
Attachment A
NC-99023 Form
(DRAFT)
(DRAFT)
If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
PRINCIPAL BUSINESS OR ACTIVITY - Continued
MANUFACTURING
SPECIALTY TRADE CONTRACTORS
323 110 00
Commercial Lithographic Printing
238 350 00
Carpentry Finishing Contractor
323 113 00
Commercial Screen Printing
238 130 00
Carpentry Framing Contractor
323 115 00
Digital Printing
238 110 00
Concrete Contractor, except Paving and
Precast
332 710 00
Machine Shop
238 990 00
Paving Contractor, except Highways, Bridges,
and Airport Runways
323 114 00
Quick Printing
238 120 00
Structural Steel and Precast Concrete Contractor
339 950 00
Sign Manufacturing
238 310 00
Drywall or Insulation Contractor
337 110 00
Wood Kitchen Cabinet or Counter Top
Manufacturing
238 210 00
Electrical Contractor
Other Manufacturing - Specify
238 910 00
Excavation Contractor, except Highways and
Bridges
238 330 00
Flooring Contractor
238 150 00
Glass Contractor
238 140 00
Masonry, Stone Setting, and Other Stone Work
Contractor
238 390 00 0
Modular Furniture, Window Fixtures and Trade
Show Exhibits Installation Contractors
238 390 00 1
Sheet Metal Contractor, except HVAC, Roofing,
and Siding
238 190 00
Ornamental Metal Work Installation
RESIDENTIAL AND NONRESIDENTIAL BUILDING
CONSTRUCTION
236 220 00
Commerical and Institutional Building
Construction
236 210 00
Industrial Building Construction
236 117 00
New Single-Family and Multifamily Housing
Construction (Built On Land You Own Or
Control, For Sale)
236 115 00
New Single-Family Housing Construction (Built
On Land Customer Owns)
238 320 00
Painting and Wall Covering Contractor
236 116 00
New Multifamily Housing Construction (Built
On Land Customer Owns)
238 220 00
Plumbing, Heating and Air Conditioning
Contractor
236 118 00
Residental Remodelers (Single-Family and
Multifamily)
238 160 00
Roofing Contractor
Other Building Construction - Specify
238 170 00
Siding Contractor, including Gutters and
Downspouts
238 340 00
Tile, Marble, Terrazzo, and Mosaic Contractor
HEAVY AND CIVIL ENGINEERING CONSTRUCTION
237 310 00
Highway, Street, and Bridge Construction,
including Traffic Line Painting
237 210 00
Land Subdivision of Lots for Sale to Builders
237 120 00
Oil or Gas Pipelines, Mains and Related
Structures Construction
237 130 00
Power and Communication Transmission Line
Construction
237 110 00
Water or Sewer Lines, Mains and Related
Structures, including Water Well Drilling
Other Specialty Trade Contractor - Specify
99023079
3
Other Heavy Construction - Specify
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
CONTINUE ON PAGE 8
Form NC-99023
3
4
Attachment A
NC-99023 Form
(DRAFT)
Page 8
(DRAFT)
PRINCIPAL BUSINESS OR ACTIVITY - Continued
FINANCE AND INSURANCE
FINANCE AND INSURANCE - Continued
523 991 90 0
Administrator of Private Estate
524 210 00
Insurance Agency and Brokerage
524 291 00
Insurance Claims Adjusting
523 930 00
Investment Advice, Without Portfolio Management
OTHER
522 310 00
Mortgage and Other Loan Brokers
814 110 00
Private Household (Employing Domestic Help,
e.g., Cooks, Maids, Gardeners, etc.)
523 920 10
Portfolio Management
813 110 00
Churches and Other Religious Organizations
523 120 00
Securities Brokerage
113 310 00
Logging
524 292 90
Third-Party Administration of Insurance Funds
524 292 10
Third-Party Administration, Pension, Health, Welfare
525 920 00
Trust or Estate
Other Finance and Insurance - Specify
Other Business or Activity - Specify
CLASS OF CUSTOMER
A. Was a box marked under Retail Trade or Wholesale Trade headings in
0000
Yes - Go to line B
0000
Trustees in Bankruptcy
523 991 90 1
No - Go to
3
?
5
B. As a general business practice, did this establishment sell to household consumers and individual users in the past
12 months?
0251
Yes - Go to line C
0252
No - Go to line D
C Were 10 percent or more of your sales to household consumers and individual users in the past 12 months?
0000
Yes
0000
No
D. Were 75 percent or more of this establishment's sales to retailers or wholesalers for resale in the past 12 months?
0256
Yes
0257
No
E. Did this establishment require proof of business or professional license from new customers in the past 12 months?
0276
0277
No
DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
Report sales for the principal merchandise lines sold, type of construction work done, products produced, or services
provided as whole percent of the total dollar volume of business (e.g., gasoline 65%, auto repairs 10%, oil 5%) in the
past 12 months.
Whole percent
of sales and
receipts in
the past 12
months
Description of sales, shipments, receipts, or revenue
0000
1.
0000
%
2.
0000
%
3.
0000
%
4.
0000
%
5. TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
1 0 0 %
CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.
0072
Area code
Name of person to contact regarding this report
Telephone
0074
Produced by GIDS AutoFormatter v4.46,
on 04-Jan-2006 at 10:59 AM
Number
-
Extension
99023087
5
Yes
NC-99023-L1
(11-2005)
DC
Attachment A
NC-99023-L1
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
FROM THE DIRECTOR
U.S. CENSUS BUREAU
Your Economic Census Classification Report is enclosed. Please complete and return
your census form within 30 days after receipt.
We need your assistance to accurately classify your firm in the correct industry for the 2007
Economic Census. Economic data are essential to business and government decision making,
and reliable data for your business require accurate industry classification. Since this form
requests no operating data, it should take only a few minutes to complete.
Title 13, United States Code, requires your response to the Economic Census and guarantees that your response is confidential and will be used only for statistical purposes.
We are ready to help you complete this questionnaire. You can use our Web site at
, to get answers to your questions about this questionnaire and the
Economic Census. The site also shows how to use census data and provides links to previous
census results. If you cannot find an answer on the Web site, our customer help line
(1-800-233-6136) is available Monday to Friday, 8 a.m. to 4 p.m. Eastern time.
Thank you in advance for your cooperation.
Sincerely,
Charles Louis Kincannon
Enclosure
Learn more about the Economic Census on the Web: .
Please reply to: U.S. Census Bureau, 1201 East Tenth Street, Jeffersonville, IN 47134-0001.
USCENSUSBUREAU
Helping You Make Informed Decisions
www.census.gov
NC-99023-L11
(11-2005)
DC
Attachment A
NC-99023-L11
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OVERDUE NOTICE
FROM THE ASSOCIATE DIRECTOR
FOR ECONOMIC PROGRAMS
U.S. CENSUS BUREAU
Your Economic Census Classification Report is overdue.
We are enclosing another report form. Please complete and return the report form
within 10 days.
Since this form requests no operating data, it should take only a few minutes to complete.
Census data are essential to business and government decision making and require reliable
data. We need information about your company to accurately assign the proper industry
classification.
Title 13, United States Code, requires your response to the Economic Census and
guarantees that your response is confidential and will be used only for statistical purposes.
We are ready to help you complete this questionnaire:
• You can use our Help Site, , to get answers to your
questions about this questionnaire and the Economic Census. The site also shows how to
use census data and provides links to previous census results.
• If you cannot find an answer on the Internet, our customer help line (1-800-233-6136)
is available Monday to Friday, 8 a.m. to 4 p.m. Eastern time.
Thank you in advance for your cooperation.
Sincerely,
Thomas L. Mesenbourg
Enclosure
Learn more about the Economic Census on the Web: .
Please reply to: U.S. Census Bureau, 1201 East Tenth Street, Jeffersonville, IN 47134-0001.
USCENSUSBUREAU
Helping You Make Informed Decisions
www.census.gov
NC-99023-L21
(11-2005)
DC
Attachment A
NC-99023-L21
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OVERDUE NOTICE
FROM THE ASSOCIATE DIRECTOR
FOR ECONOMIC PROGRAMS
U.S. CENSUS BUREAU
Your Economic Census Classification Report is overdue. This is your second notice.
We are enclosing another report form. Please complete and return the report form within
10 days.
Since this form requests no operating data, it should take only a few minutes to complete. Census
data are essential to business and government decision making and require reliable data. We need
information about your company to accurately assign the proper industry classification.
Title 13, United States Code, requires your response to the Economic Census and guarantees
that your response is confidential and will be used only for statistical purposes. You may be subject to
penalties for not returning this form. Applicable provisions of the law are shown on the back of this letter.
We are ready to help you complete this questionnaire:
• You can use our Help Site, , to get answers to your questions
about this questionnaire and the Economic Census. The site also shows how to use census data and
provides links to previous census results.
• If you cannot find an answer on the Internet, our customer help line (1-800-233-6136) is
available Monday to Friday, 8 a.m. to 4 p.m. Eastern time.
Thank you in advance for your cooperation.
Sincerely,
Thomas L. Mesenbourg
Enclosure
Learn more about the Economic Census on the Web: .
Please reply to: U.S. Census Bureau, 1201 East Tenth Street, Jeffersonville, IN 47134-0001.
USCENSUSBUREAU
Helping You Make Informed Decisions
www.census.gov
Attachment A
NC-99023-L21
• AUTHORITY TO CONDUCT ECONOMIC CENSUSES – SECTION 131
131. Collection and publication; five-year periods
The Secretary shall take, compile, and publish censuses of manufacturers, of mineral industries, and
of other businesses, including the distributive trades, service establishments, and transportation
(exclusive of means of transportation for which statistics are required by law to be filed with, and are
compiled and published by, a designated regulatory body), in the year 1964, then in the year 1968,
and every fifth year thereafter, and each such census shall relate to the year immediately
preceeding the taking thereof.
• MANDATORY PROVISIONS OF LAW – SECTION 224
224. Failure to answer questions affecting companies, businesses, religious
bodies, and other organizations; false answers.
Whoever, being the owner, official, agent, person in charge, or assistant to the person in charge, of
any company, business, institution, establishment, religious body, or organization of any nature
whatsoever, neglects or refuses, when requested by the Secretary or other authorized officer or
employee of the Department of Commerce or bureau or agency thereof, to answer completely and
correctly to the best of his knowledge all questions relating to his company, business, institution,
establishment, religious body, or other organization, or to records or statistics in his official custody,
contained on any census or other schedule or questionnaire prepared and submitted to him under
the authority of this title, shall be fined not more than $500; and if he willfully gives a false answer to
any such question, he shall be fined not more than $10,000.
NC-99023-L21 (11-2005)
NC-99023-L31
(11-2005)
DC
Attachment A
NC-99023-L31
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OVERDUE NOTICE
FROM THE ASSOCIATE DIRECTOR
FOR ECONOMIC PROGRAMS
U.S. CENSUS BUREAU
Your Economic Census Classification Report is overdue. This is your final notice.
We are enclosing another report form. Please complete and return the report form
immediately.
Since this form requests no operating data, it should take only a few minutes to complete. Census
data are essential to business and government decision making and require reliable data. We need
information about your company to accurately assign the proper industry classification.
Title 13, United States Code, requires your response to the Economic Census and guarantees
that your response is confidential and will be used only for statistical purposes. You may be subject
to penalties for not returning this form. Applicable provisions of the law are shown on the back of
this letter.
If we do not receive your completed Economic Census form within 2 weeks, we may refer your
case to the General Counsel of the Department of Commerce for further action.
We are ready to help you complete this questionnaire:
• You can use our Help Site, , to get answers to your
questions about this questionnaire and the Economic Census. The site also shows how to
use census data and provides links to previous census results.
• If you cannot find an answer on the Internet, our customer help line (1-800-233-6136) is
available Monday to Friday, 8 a.m. to 4 p.m. Eastern time.
Thank you in advance for your cooperation.
Sincerely,
Thomas L. Mesenbourg
Enclosure
Learn more about the Economic Census on the Web: .
Please reply to: U.S. Census Bureau, 1201 East Tenth Street, Jeffersonville, IN 47134-0001.
USCENSUSBUREAU
Helping You Make Informed Decisions
www.census.gov
Attachment A
NC-99023-L31
• AUTHORITY TO CONDUCT ECONOMIC CENSUSES – SECTION 131
131. Collection and publication; five-year periods
The Secretary shall take, compile, and publish censuses of manufacturers, of mineral industries, and
of other businesses, including the distributive trades, service establishments, and transportation
(exclusive of means of transportation for which statistics are required by law to be filed with, and are
compiled and published by, a designated regulatory body), in the year 1964, then in the year 1968,
and every fifth year thereafter, and each such census shall relate to the year immediately
preceeding the taking thereof.
• MANDATORY PROVISIONS OF LAW – SECTION 224
224. Failure to answer questions affecting companies, businesses, religious
bodies, and other organizations; false answers.
Whoever, being the owner, official, agent, person in charge, or assistant to the person in charge, of
any company, business, institution, establishment, religious body, or organization of any nature
whatsoever, neglects or refuses, when requested by the Secretary or other authorized officer or
employee of the Department of Commerce or bureau or agency thereof, to answer completely and
correctly to the best of his knowledge all questions relating to his company, business, institution,
establishment, religious body, or other organization, or to records or statistics in his official custody,
contained on any census or other schedule or questionnaire prepared and submitted to him under
the authority of this title, shall be fined not more than $500; and if he willfully gives a false answer to
any such question, he shall be fined not more than $10,000.
NC-99023-L31 (11-2005)
File Type | application/pdf |
File Title | untitled |
File Modified | 2006-01-05 |
File Created | 2005-12-07 |