Quarterly Services Survey

Quarterly Services Survey

Attachment 1___QSS_Questionnaire_Matrix.wpd.wpd

Quarterly Services Survey

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QSS - Questionnaire Matrix


For 2009, 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), QSS-1A-PEO, QSS-1E-PEO.



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 2010, 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 5152 and 5175)?


B. What percent of revenue is received from fixed local and fixed long-distance services (applies only to NAICS industry 5171)?


C. What percent of revenue is received from internet access(applies only to NAICS industry 5181)?


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 2010, 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 5152 and 5175)?


B. What percent of revenue is received from fixed local and fixed long-distance services (applies only to NAICS industry 5171)?


C. What percent of revenue is received from internet access(applies only to NAICS industry 5181)?


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 2010, 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 2010, we may add the following content for NAICS 813:


A. What percent of revenue is received from contributions, gifts, and grants?


QSS-4(E)















22, 481, 483, 484, 485, 486, 487, 488, 492, 493, 521, 522, 523, 524

531, 532, 533, 61, 7113,7114,7115,712, 7132, 7139

811, 812

EIN respondents

See Attachment 2, QSS - 4(E).









Form Number

NAICS

Type of Respondent

Questionnaire Content

QSS-4(A)












22, 481, 483, 484, 485, 486, 487, 488, 492, 493, 521, 522, 523, 524

531, 532, 533, 61,

7113,7114, 7115, 712, 7132, 7139

811, 812



Company respondents

See Attachment 2, QSS - 4(A).

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).




















Form

Number

NAICS

Type of Respondent

Questionnaire Content

QSS-1E-PEO

56133

Company respondents

See Attachment 2, QSS-1E-PEO

QSS-1A-PEO

56133

Company respondents

See Attachment 2, QSS-1A-PEO



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