Download:
pdf |
pdfAttachment A-2
DRAFT
07201015
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
2012 Commodity Flow Survey
FORM
CFS-2000 (2012)
(05-23-2011) Draft 4
OMB No. xxxx-xxxx: Approval Expires xx/xx/xxxx
DUE DATE:
Return via Mail:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001
OR
Return via Internet:
www.census.gov/econhelp/cfs
Username:
Password:
Need help or have questions?
Call: 1-800-772-7851, option "3"
M-F, 8:30 a.m. - 5:00 p.m. ET
Please make corrections to name, address, and ZIP code if necessary.
YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations that receive
this form to answer the questions and return the report to the U.S. Census Bureau. By the same law, YOUR U.S. CENSUS BUREAU
REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality of U.S. Census Bureau information
and may be used only for statistical purposes. Further, copies retained in respondents’ files are immune from legal process.
INSTRUCTIONS:
• Please refer to the accompanying Instruction Guide for help in answering specific questions.
• More information is available at www.census.gov/cfs or at 1-800-772-7851.
PURPOSE OF THIS SURVEY: To develop information on the characteristics of freight flows in the United States.
The information you provide is critical to understanding transportation markets, investment needs and the economic, energy,
safety, and security consequences of transportation.
Item A
VERIFICATION OF PHYSICAL LOCATION
Verify the address listed above is the location from which this establishment’s shipments originate.
If corrections/additions are necessary, then make them directly to the address label above.
Item B
MAILING ADDRESS
a. What address should the 2012 CFS questionnaire be mailed to?
1
Mail the 2012 CFS questionnaire to this establishment’s physical location. (Proceed to Item C.)
2
Mail the 2012 CFS questionnaire to the address entered below.
b. Enter your mailing address.
Company Name 1
Company Name 2
Address
City
State
ZIP Code + 4
§(5+0¤
07201023
2
Item C
OPERATING STATUS
Which of the following best describes this establishment’s operating status during the week of
?
1
In operation
2
Temporarily or seasonally inactive
3
Ceased operation - Enter date ceased operation
Item D
Date (MM-DD-YYYY)
➤
-
-
TOTAL NUMBER OF OUTBOUND SHIPMENTS
For this survey, it is important to obtain information about a sample of the outbound shipments made from this
establishment.
An outbound shipment in this survey is defined as a movement of commodities from your establishment to
another single location. If a truck makes multiple stops on a delivery route, please count each stop as one
shipment.
•
•
Remember to include only outbound shipments from your physical location (label address or
physical location in Item B).
Also include customer pick-ups, parcels, and all other outbound shipments.
1. What was the total number of all outbound shipments for this establishment the week of
Total number of outbound shipments
?
...................
Estimates are acceptable.
For further information, refer to the Instruction Guide, page 2.
2. Did you enter 40 or fewer shipments above?
1
Yes - Skip Item E and report all outbound shipments in Item F, pages 4-7.
2
No - Continue with Item E, on page 3.
Form CFS-2000
(05-23-2011) Draft 4
§(5+8¤
07201031
3
Item E
SAMPLING INSTRUCTIONS
In order to avoid asking you for information regarding all of your shipments, we will only ask about a sample of
them. This section will help you identify your sample of shipments.
1. Using the table below, mark the row that includes the total number of outbound shipments reported in
Item D, and the corresponding "report every" number.
Number of outbound
shipments reported in Line 1
Mark
(X) one
Report every...
1-40
Report every outbound shipment
41-80
Report every 2nd outbound shipment
81-100
Report every 3rd outbound shipment
101-200
Report every 5th outbound shipment
201-400
Report every 10th outbound shipment
401-800
Report every 20th outbound shipment
801-1600
Report every 40th outbound shipment
1601-3200
Report every 80th outbound shipment
3201-6400
Report every 160th outbound shipment
6401-12800
Report every 320th outbound shipment
More than 12800
Call Census at 1-800-772-7851 or
go to www.census.gov/cfs
2. Using your full set of shipments records for the week named in Item D, follow the steps below.
Step
Step
Step
Step
Step
Step
Step
1.
2.
3.
4.
5.
6.
7.
Count until you reach the "report every" number marked above.
Select that record.
Report that record in Line 1 of Item F, pages 4-5.
Continuing with the next shipment record, count until you reach the "report every" number again.
Select that record.
Report in Line 2 of Item F, pages 4-5.
Repeat this process until you have gone through your full set of shipment records.
3. Report these selected shipments in Item F.
Example:
If an establishment reported 150 shipments in Item D, it would correspond to the
range of 101-200 in the table above, and every 5th outbound shipment record would
be selected. This means the establishment would count 5 shipment records, select
that record, and report it in Item F. Continuing with the next shipment record, the
establishment would count 5 shipment records again, select that record, and report it
in Item F. The establishment would repeat this until it had gone through the full set
of shipment records for the week named in Item D.
For further information, refer to the Instruction Guide, page 3.
Form CFS-2000
(05-23-2011) Draft 4
§(5+@¤
07201049
4
Item F
SHIPMENT CHARACTERISTICS
(C)
Shipment value
(excluding
shipping costs)
in whole dollars.
Estimates
acceptable.
Net
Shipment Weight
in pounds
SCTG
commodity
code from
accompanying
booklet
(E)
(F)
(G)
Commodity Description
(D)
0
123-5
4
26
224,235
4840
34520
Mechanical machinery
00
402H
4
26
1,375
50,125
20222
Sulfuric acid
(A)
(B)
If a
hazardous
material,
enter the
"UN" or
"NA"
number
(H)
Continue with
column (I) on page 5
Shipment
Date
Day
Your
Shipment
ID
Number
Month
Line No.
NOTE: Each line runs across pages 4 and 5. After entering column H data on page 4
for any line, continue with column (I) on page 5 for the same line.
➜
1830
➜
1
➜
2
➜
3
➜
4
➜
5
➜
6
➜
7
➜
8
➜
9
➜
10
➜
11
➜
12
➜
13
➜
14
➜
15
➜
16
➜
17
➜
18
➜
19
➜
20
➜
Form CFS-2000
(05-23-2011) Draft 4
§(5+R¤
07201056
(I)
City
State
ZIP Code
Mode(s) of
transport to
U.S. destination.
Enter all that
apply in
order used.
Use codes
at bottom.
(J)
(K) (L)
Los Angeles
CA
90040
2, 4
Y Y
Newark
NJ
07105
4
N N
Mode of transport codes for columns (J) and (N):
4 - Railroad
1 - Parcel delivery, courier,
5 - Shallow draft vessel
or U.S. Parcel Post
6 - Deep draft vessel
2 - Private truck
3 - For-hire truck
Form CFS-2000
(05-23-2011) Draft 4
Foreign Destination
(for export shipments only)
Note: In column (I) enter the U.S. port,
airport, or border crossing of exit.
(M)
City
Country
Beijing
China
7
8
9
0
-
Pipeline
Air
Other mode
Unknown
§(5+Y¤
Export mode
U.S. Destination
or U.S. Exit Port
(Complete for all shipments.)
Temperature
controlled? (Y/N)
Export? (Y/N)
5
(N)
6
07201064
6
Item F
SHIPMENT CHARACTERISTICS - Continued
(B)
(C)
(D)
Net
Shipment Weight
in pounds
SCTG
Commodity
Code from
accompanying
booklet
(E)
(F)
Commodity Description
If a
hazardous
material,
enter the
"UN" or
"NA"
(G)
(H)
Continue with
column (I) on page 7
Shipment
Date
Shipment value
(excluding
shipping costs)
in whole
dollars.
Estimates
acceptable.
Day
(A)
Your
Shipment
ID
Number
Month
Line No.
NOTE: Each line runs across pages 6 and 7. After entering column H data on page 6
for any line, continue with column (I) on page 7 for the same line.
21
➜
22
➜
23
➜
24
➜
25
➜
26
➜
27
➜
28
➜
29
➜
30
➜
31
➜
32
➜
33
➜
34
➜
35
➜
36
➜
37
➜
38
➜
39
➜
40
➜
Form CFS-2000
(05-23-2011) Draft 4
§(5+a¤
07201072
City
State
ZIP Code
(J)
(K) (L)
Mode of transport codes for columns (J) and (N):
1 - Parcel delivery, courier,
4 - Railroad
or U.S. Parcel Post
5 - Shallow draft vessel
2 - Private truck
6 - Deep draft vessel
3 - For-hire truck
Form CFS-2000
(05-23-2011) Draft 4
Foreign Destination
(for export shipments only)
Note: In column (I) enter the U.S. port,
airport, or border crossing of exit.
(M)
City
Country
7
8
9
0
-
Pipeline
Air
Other mode
Unknown
§(5+i¤
Export mode
(I)
Export? (Y/N)
U.S.Destination
or U.S. Exit Port
(Complete for all shipments.)
Mode(s) of
transport to
U.S. destination.
Enter all that
apply in
order used.
Use codes
at bottom.
Temperature
controlled? (Y/N)
7
(N)
07201080
8
Item G
MONTHLY VALUE OF OUTBOUND SHIPMENTS
Which of the following represents your best estimate of the total value of all outbound shipments
originating from this establishment for the most recently completed month?
1
Less than $1 Million
4
$40 Million or more but less than $100 Million
2
$1 Million or more but less than $10 Million
5
$100 Million or more but less than $400 Million
3
$10 Million or more but less than $40 Million
6
$400 Million or more
Item H
EXPEDITED DELIVERIES
a. During the last 12 months, which of the following shipment services have you used?
Mark (X) all that apply.
1
Same Day/Overnight
2
2-3 Business Days
None - Skip to Contact
3
b. What percentage of shipments were delivered same day/overnight?
%
c. What percentage of shipments were delivered in 2-3 business days?
%
Contact Please provide the information below for the contact person regarding this report.
Name - Please print
Title - Please print
Signature
Area Code
Phone Number
-
-
Extension
-
Remarks Please use this space to clarify your responses, if appropriate.
Please return this survey in the enclosed envelope or send it to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville IN 47132-0001
THANK YOU FOR COMPLETING THIS REPORT.
Form CFS-2000
(05-23-2011) Draft 4
§(5+q¤
File Type | application/pdf |
File Title | CFS2000_p01_12.g |
File Modified | 2011-07-01 |
File Created | 2011-05-23 |