QSS Questionnaire Matrix

QSS - Questionnaire Matrix

For 2006, the QSS questionnaires will include the: QSS-1(A); QSS-1(E); QSS-2(A); QSS-2(E); QSS-3(A);QSS-3(E); QSS-4(A); QSS-4(E); QSS-5(A); QSS-5(E).

Form Number	NAICS	Type of Respondent	Questionnaire Content
QSS-1(E)	51, 54, 56	Employer Identification Number (EIN) respondents	See Attachment 2, QSS - 1(E). VARIABLE CONTENT: In year 2007, for select industries, we may ask the following variable content instead of class of customer: A. What percent of revenue is received from cable distribution, internet, basic telephony, and other services (applies only to NAICS industry 5132)? B. What percent of revenue is received from fixed local and fixed long-distance services (applies only to NAICS industry 51331)? C. What percent of revenue is received from internet access(applies only to NAICS industry 5141)? D. What percent of revenue is attributable to lawsuit settlements (applies only to NAICS industries 5411 and 5412)? E. What percent of revenue is received from residential non-hazardous waste and recyclable material collection services (applies only to NAICS industry 562)?
QSS-1(A)	51, 54, 56	Company respondents	See Attachment 2, QSS - 1(A). VARIABLE CONTENT: In year 2007, for select industries, we may ask the following variable content instead of class of customer: A. What percent of revenue is received from cable distribution, internet, basic telephony, and other services (applies only to NAICS industry 5132)? B. What percent of revenue is received from fixed local and fixed long-distance services (applies only to NAICS industry 51331)? C. What percent of revenue is received from internet access(applies only to NAICS industry 5141)? D. What percent of revenue is attributable to lawsuit settlements (applies only to NAICS industries 5411 and 5412)? E. What percent of revenue is received from residential non-hazardous waste and recyclable material collection services (applies only to NAICS industry 562)?

Form Number	NAICS	Type of Respondent	Questionnaire Content
QSS-2(E)	622	Company respondents	See Attachment 2, QSS - 2(E)
QSS-2(A)	622	EIN respondents	See Attachment 2, QSS - 2(A).
QSS-3(E)	621, 623, 624, 813, 71-tax exempt	EIN respondents	See Attachment 2, QSS - 3(E). In year 2007, we may add the following content for NAICS 813: A. What percent of revenue is received from contributions, gifts, and grants?

QSS-3(A)	621, 623, 624, 813, 71-tax exempt	Company respondents	See Attachment 2, QSS - 3(A). In year 2007, we may add the following content for NAICS 813: A. What percent of revenue is received from contributions, gifts, and grants?
QSS-4(E)	484,492, 493, 532, 811, 812, 7113, 7114, 7115, 712, 7132, 7139	EIN respondents	See Attachment 2, QSS - 4(E).
QSS-4(A)	484,492, 493, 532, 811, 812, 7113, 7114, 7115, 712, 7132, 7139	Company respondents	See Attachment 2, QSS - 4(A).

Form Number	NAICS	Type of Respondent	Questionnaire Content
QSS-5(E)	7111, 7112, 7131 (taxable only)	Company respondents	See Attachment 2, QSS - 5(E).
QSS-5(A)	7111, 7112, 7131 (taxable only)	Company respondents	See Attachment 2, QSS - 5(A).