Form BLS 473P BLS 473P Information for the Producer Price Indexes - PPI Pricing

Bureau of labor Statistics

.

U.S. Department of labor

Information for the Producer Price Indexes
The Bureau of labor Statistics, its employees, agents, and rartner statistical
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the Confidential Information Protection and Statistical Efficiency Act of 2002 (Title
5 of Public law 107-347) and other applicable Federal laws, your responses will
not be disclosed in identifiable form without your informed consent.
Public reporting

burden for this collection

time for reviewing

instructions,

searching

of information
existing

is estimated

data sources,

This report is authorized by law 29 US.C. §2.
Your voluntary cooperation is needed to make

the results of this survey comprehensive

.
accurate, and tImely.

to vary from 1 to 30 minutes

gathering

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

and maintaining

'

per response

the data needed,

with an average

and completing

of 18 minutes

and reviewing

you have any comments regarding this estimate or any other aspect of this information collection, including suggestions for reducing
Bureau of Labor Statistics, Producer Price Index Program, 1220-0008, Room 3840, 2 Massachusetts
Avenue N.E., Washington,
respond to this collection of information unless it displays a currently valid OMB control number.

per response,

the collection

this burden,
DC 20212.

including the

of information.

If

please send them to the
You are not required to

DO NOT SEND THE COMPLETED FORM TO THE OFFICE SHOWN ABOVE.
Dear Respondent,

Thank you for your continuing participation in the Producer Price Index (PPI) program. The data that you provide are used in computing the Producer Price Indexes and
constitute the basis for analyzing industrial price changes.
Your continued
Commissioner

cooperation

is greatly appreciated.

of Labor Statistics

Instructions for completing a PPI pricing form:
Item/Service

and Transaction

Descriptions:

If the Item/Service Description or the Terms of Transaction, or both, no longer apply, please select a substitute item/service or transaction terms. Item/service substitution
should only occur when the item/service previously reported is no longer available because it is being or has been permanently discontinued. The substitute item/service
should be as similar as possible to the current item/service and should be expected to remain available for some time. The substitute transaction terms should likewise be as
similar as possible to the discontinued transaction terms.
Report these changes
Adjustments

in the closest open area and provide current price information.

to Price:

Following is a list of the more common adjustments to price. The specific Adjustments to Price on the pricing form were selected originally
either the level of an existing adjustment changes or a new adjustment becomes applicable to the item/service and transaction described.
Deductions

and should be changed

only when

from price include:

1. Standard discounts
2. Rebates

(Cash, Seasonal,

Cumulative

Volume,

and Trade)

3. Other recurring discounts
4. Other nonrecurring
Additions

discounts

(Competitive

and Negotiated)

to price include:

1. Surcharges
2. Other charges

added to price

Taxes should always be excluded

from the price. If this exclusion

is not possible,

note this in REMARKS.

Freight charges should be excluded from the price unless delivery was selected originally as part of the product. Make changes if the currently described freight terms no
longer exist.
QUESTIONS:

Answer whether changes

have (YES) or have not (NO) been made to the Item/Service

Description,

Terms of Transaction,

Adjustments

to Price, or Previously

Reported Prices.

Answer YES or NO depending on whether the shipment/transaction price of the item/service described changed (YES) between the two dates listed or whether the
shipment/transaction price did not change (NO) during the time period. If the answer is NO, the form has been completed and is ready for faxing/mailing.
DO NOT ENTER A PRICE IF THE PRICE HAS NOT CHANGED!
If the answer is YES, please also enter the new price.
Write in any corrections

to the terms or the address to whom this form should be sent in the future. Name and address

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changes

need to be made on only one form.

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Please complete and return within 5 business days all of the pricing forms even if there are no changes.
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- - - - - - - - - n - - -- - - - - - - - - - - - - - - n - h-

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" you anticipate a change in any of the information you provide, please indicate in REMARKS. List the anticipated changes and when they will occur.
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Any questions you have regarding the pricing form or its completion may be resolved by calling the person listed on the reverse side of this form.
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BLS 473P (March 2004)

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Have the Item/Service Description, Adjustments to Price, Terms of Transaction,
or Previously Reported Prices changed since your last report?
I
If "YES," please also enter the necessary changes.

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No

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THIS FORM IS MACHINE PROCESSED.
Please use BLACK pen/pencil only.
This item/service has been selected for use
in the Producer Price Index. You are asked
to provide a price each month for the
item/service described under the terms and
adjustments shown.
Please review each section of this form. If
your firm no longer sells this specific
item/service
under
the terms
and
adjustments, revise the description, terms,
and/or adjustments indicating when the
changes were made.
If the change made to the description
resulted in a change to your production
costs, please provide an estimated value of
the change for Bureau staff to use in
making appropriate
adjustments.
This
value is the production cost difference
including your standard mark-up.
If you have any questions concerning
completion of this form, please call collect:

Please fax to 1-800-553-6024 or, if you are
unable to fax, use the postage-free
envelope to send to:
U.S. Department of labor
Bureau of labor Statistics
Producer Price Index, Mail Code 47
61 Forsyth SI. SW., Suite 7T50
Atlanta, GA 30303-9856

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PRICE INFORMATION

THE LA TEST

TYPE

OF PRICE

REPORTED

WAS (Prices for actual shipments/transactions are desired.):
PREVIOUSL Y REPORTED PRICES

Please review the Previously Reported
Prices. Enter missing prices if available or
correct any incorrect prices that are shown.

CORRECTIONS

Please enter the current price in the boxes
provided ONLY if there has been a change
from the price you previously reported.

bid the price change betWeen [

Nv

- - -

If "YES," please report the price of the last shipment since
If there was no shipment in
price you would have charged on

, please estimate

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USE BLACK PEN/
PENCIL ONL Y.
DO NOT USE BLUE.

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