US Producer questionnaire

OMB No. 3117-0016/USITC No. xx-x-xxx; Expiration Date: 6/30/08
(No response is required if currently valid OMB control number is not displayed)

U.S. PRODUCERS’ QUESTIONNAIRE
PRODUCT FROM COUNTRY

This questionnaire must be received by the Commission by no later than INSERT DATE
See page 4 of the Instruction Booklet for filing instructions.
The information called for in this questionnaire is for use by the United States International Trade Commission in
connection with its countervailing duty/antidumping investigation concerning PRODUCT from COUNTRY (Inv. No.
701/731-TA-xxx (Preliminary/Final)). The information requested in the questionnaire is requested under the authority
of the Tariff Act of 1930, title VII. This report is mandatory and failure to reply as directed can result in a subpoena or
other order to compel the submission of records or information in your possession (19 U.S.C. § 1333(a)).

Name of firm
Address
State

City

Zip Code

World Wide Web address
Has your firm produced PRODUCT (as defined in the instruction booklet) at any time since January 1, 2004?

NO

(Sign the certification below and promptly return only this page of the questionnaire to the Commission)

YES

(Read the instruction booklet carefully, complete all parts of the questionnaire, and return the entire
questionnaire to the Commission so as to be received by the date indicated above)

CERTIFICATION
I certify that the information herein supplied in response to this questionnaire is complete and correct to the best of my knowledge
and belief and understand that the information submitted is subject to audit and verification by the Commission.
By means of this certification I also grant consent for the Commission, and its employees and contract personnel, to use the
information provided in this questionnaire and throughout this investigation in any other import-injury investigations conducted
by the Commission on the same or similar merchandise.
I acknowledge that information submitted in this questionnaire response and throughout this investigation may be used by the
Commission, its employees, and contract personnel who are acting in the capacity of Commission employees, for developing or
maintaining the records of this investigation or related proceedings for which this information is submitted, or in internal audits
and investigations relating to the programs and operations of the Commission pursuant to 5 U.S.C. Appendix 3. I understand that
all contract personnel will sign non-disclosure agreements.

Name of Authorized Official

Signature

Title of Authorized Official
Phone: (
Fax ( )

Date

)
E-mail address

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PART I.—GENERAL INFORMATION
The questions in this questionnaire have been reviewed with market participants to ensure that issues of
concern are adequately addressed and that data requests are sufficient, meaningful, and as limited as
possible. Public reporting burden for this questionnaire is estimated to average 50 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering the data needed,
and completing and reviewing the questionnaire. Send comments regarding the accuracy of this burden
estimate or any other aspect of this collection of information, including suggestions for reducing the
burden, to the Office of Investigations, U.S. International Trade Commission, 500 E Street, SW,
Washington, DC 20436.
I-1a.

Please report below the actual number of hours required and the cost to your firm of preparing the
reply to this questionnaire and completing the form.
hours

dollars

I-1b.

We are interested in any comments you may have for improving this questionnaire in general or
the clarity of specific questions. Please attach such comments to your response or send them to
the above address.

I-2.

Provide the name and address of establishment(s) covered by this questionnaire (see page 3 of the
instruction booklet for reporting guidelines). If your firm is publicly traded, please specify the
stock exchange and trading symbol.

I-3.

Do you support or oppose the petition?
Support

Oppose

Take no position

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PART I.--GENERAL INFORMATION--Continued
I-4.

Is your firm owned, in whole or in part, by any other firm?
No

Firm name

I-5.

Address

Extent of
ownership

Does your firm have any related firms, either domestic or foreign, which are engaged in
importing PRODUCT from COUNTRY into the United States or which are engaged in
exporting PRODUCT from COUNTRY to the United States?
No
Firm name

I-6.

Yes--List the following information

Yes--List the following information
Address

Affiliation

Does your firm have any related firms, either domestic or foreign, which are engaged in the
production of PRODUCT?
No
Firm name

Yes--List the following information
Address

Affiliation

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PART II.--TRADE AND RELATED INFORMATION
Further information on this part of the questionnaire can be obtained from INVESTIGATOR (202-xxxxxxx, NAME@usitc.gov). Supply all data requested on a calendar-year basis.
II-1.

Who should be contacted regarding the requested trade and related information?
Company contact:
Name and title
(
)
Phone number

II-2.

Has your firm experienced any plant openings, relocations, expansions, acquisitions,
consolidations, closures, or prolonged shutdowns because of strikes or equipment failure;
curtailment of production because of shortages of materials; or any other change in the character
of your operations or organization relating to the production of PRODUCT since January 1,
2004?
No

II-3.

E-mail address

Yes--Supply details as to the time, nature, and significance of such changes.

Does your firm produce other products on the same equipment and machinery used in the
production of PRODUCT?
No

Yes--List the following information.

Basis for allocation of capacity data (e.g., sales):
Products produced on same equipment and share of total production in 2006 (in percent):
Product
PRODUCT

Percent

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PART II.--TRADE AND RELATED INFORMATION--Continued
II-4.

Please describe the constraint(s) that set the limit(s) on your production capacity and your ability
to shift production capacity between products.

II-5.

Does your firm produce other products using the same production and related workers employed
to produce PRODUCT?
No

Yes--List the following information.

Basis for allocation of capacity data (e.g., sales):
Products produced using the same workers and share of total production in 2006 (in percent):
Product

Percent

PRODUCT

II-6.

Since January 1, 2004, has your firm been involved in a toll agreement (see definition in the
instruction booklet) regarding the production of PRODUCT?
No

II-7.

.

Does your firm produce PRODUCT in a foreign trade zone (FTZ)?
No

II-8.

Yes--Name firm(s):

Yes--Identify FTZ(s):

Since January 1, 2004, has your firm imported PRODUCT?
No

Yes--COMPLETE AND RETURN A U.S. IMPORTERS’
QUESTIONNAIRE

.

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PART II.--TRADE AND RELATED INFORMATION--Continued
II-9.

Report your firm’s production capacity, production, shipments, inventories, and employment
related to the production of PRODUCT in your U.S. establishment(s) during the specified
periods. (See definitions in the instruction booklet.)
Quantity (in SPECIFY) and value (in $1,000)
Calendar years
Item

2004

2005

January-March
2006

2006

2007

1

Average production capacity (quantity)
Beginning-of-period inventories (quantity)
Production (quantity)
U.S. shipments:
Commercial shipments:
Quantity of commercial shipments
Value of commercial shipments
Internal consumption:
Quantity of internal consumption
Value2 of internal consumption
Transfers to related firms:
Quantity of transfers
Value2 of transfers
Export shipments:3
Quantity of export shipments
Value of export shipments
End-of-period inventories4 (quantity)
Channels of distribution:
U.S. shipments to distributors (quantity)
U.S. shipments to end users (quantity)
Employment data:
Average number of PRWs (number)
Hours worked by PRWs (1,000 hours)
Wages paid to PRWs (value)
1

The production capacity (see definitions in instruction booklet) reported is based on operating
hours per week,
weeks per year. Please describe the methodology used to calculate production capacity, and explain any changes in
reported capacity (use additional pages as necessary).
2

Internal consumption and transfers to related firms must be valued at fair market value. In the event that you use a
different basis for valuing these transactions, please specify that basis (e.g., cost, cost plus, etc.) and provide value data
using that basis for 2004, 2005, and 2006 below:
3

Identify your principal export markets:
.
Reconciliation of data.--Please note that the quantities reported above should reconcile as follows: beginning-of-period
inventories, plus production, less total shipments, equals end-of-period inventories. Do the data reported reconcile?
4

Yes

No--Please explain:

.

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PART II.--TRADE AND RELATED INFORMATION--Continued
II-10.

If you reported transfers to related firms in question II-9, please indicate the nature of the
relationship between your firm and the related firms (e.g., joint venture, wholly owned
subsidiary), whether the transfers were priced at market value or by a non-market formula,
whether your firm retained marketing rights to all transfers, and whether the related firms also
processed inputs from sources other than your firm.

II-11.

Other than direct imports, has your firm otherwise purchased PRODUCT since January 1, 2004?
(See definitions in the instruction booklet.)
Yes--Report such purchases below for the specified periods.1

No

(Quantity in SPECIFY, value in $1,000)
Calendar years
Item

2004

2005

January-March
2006

2006

2007

PURCHASES FROM U.S. IMPORTERS2
OF PRODUCT FROM-COUNTRY:
Quantity
Value
All other countries:
Quantity
Value
PURCHASES FROM DOMESTIC
PRODUCERS:2
Quantity
Value
PURCHASES FROM OTHER SOURCES:2
Quantity
Value
1

2

Please indicate your reasons for purchasing this product. If your reasons differ by source, please elaborate.

Please list the name of the firm(s) from which you purchased this product. If your suppliers differ by source,
please identify the source for each listed supplier.

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PART III.--FINANCIAL INFORMATION
Address questions on this part of the questionnaire to AUDITOR (202-xxx-xxxx, NAME@usitc.gov).
III-1.

Who should be contacted regarding the requested financial information?
Company contact:
Name and title
(
)
Phone number

III-2.

E-mail address

Briefly describe your financial accounting system.
A.

When does your fiscal year end (month and day)?
If your fiscal year changed during the period examined, explain below:

B.1.

Describe the lowest level of operations (e.g., plant, division, company-wide) for
which financial statements are prepared that include subject merchandise:

2.
3.

4.

Does your firm prepare profit/loss statements for the subject merchandise:
Yes
No
How often did your firm (or parent company) prepare financial statements
(including annual reports, 10Ks)? Please check relevant items below.
Audited,
unaudited,
annual reports,
10Ks,
10 Qs,
Monthly,
quarterly,
semi-annually,
annually
Accounting basis:
GAAP,
cash,
tax, or
other comprehensive
(specify)

Note: The Commission may request that your company submit copies of its financial statements,
including internal profit-and-loss statements for the division or product group that includes
PRODUCT, as well as those statements and worksheets used to compile data for your firm’s
questionnaire response.

III-3.

Briefly describe your cost accounting system (e.g., standard cost, job order cost, etc.).

III-4.

Briefly describe your allocation basis, if any, for COGS, SG&A, and interest expense and other
income and expenses.

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PART III.--FINANCIAL INFORMATION--Continued
III-5.

Other products.--Please list any other products you produced in the facilities in which you
produced PRODUCT, and provide the share of net sales accounted for by these other products in
your most recent fiscal year:
Products

III-6.

Share of sales

Does your firm receive inputs (raw materials, labor, energy, or any other services) used in the
production of PRODUCT from any related firm?
Yes—Continue to question III-7 below.

III-7.

In the space provided below, identify the inputs related to the production of PRODUCT that your
firm receives from related parties whose financial statements are consolidated with the financial
statements of your firm.
Input

III-8.

No--Continue to question III-10 below.

Related party

With respect to the related companies identified in response to question III-7 above, are their
financial statements consolidated with your firm’s financial statements? (In other words, are
profits or losses arising from intercompany transactions eliminated?
Yes—Continue to question III-9 below.

No--Continue to question III-10 below.

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PART III.--FINANCIAL INFORMATION--Continued

III-9.

All intercompany profit on inputs purchased from related parties that is eliminated pursuant to
formal financial statement consolidation should also be eliminated from the costs reported to the
Commission in question III-11 (i.e., costs reported in question III-11, to the extent that they
reflect inputs purchased from related parties, should only reflect the related party’s cost and not
include an associated profit component). Reasonable methods for determining and eliminating
the associated profit on inputs purchased from related parties are acceptable.
Has your firm complied with the Commission’s instructions regarding costs associated with
inputs purchased from related parties?
Yes

No—Please contact AUDITOR (202-xxx-xxxx, NAME@usitc.gov).

III-10. Nonrecurring charges.--For each annual and interim period for which financial results are
reported in question III-11, please indicate in the schedule below the specific nonrecurring
charges, the particular expense/cost line items from question III-11 where the associated charges
are included, a brief description of the charges, and the associated values (in $1,000).
Nonrecurring charges would include, but are not limited to, items such as asset write-offs and
accelerated depreciation due to restructuring of the company’s PRODUCT operations.
Fiscal years ended-Item
Non-recurring charges: (In this column please
provide a brief description of each nonrecurring
charge and indicate the particular expense/cost line
items where the associated charges are included in
question III-11.)
1.
2.
3.
4.
5.
6.
7.

January-March
2006

2007

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PART III.--FINANCIAL INFORMATION--Continued
III-11. Operations on PRODUCT.--Report the revenue and related cost information requested below on
the PRODUCT operations of your U.S. establishment(s).1 Do not report resales of products.
Note that internal consumption and transfers to related firms must be valued at fair market value
and purchases from related firms must be at cost.2 Provide data for your three most recently
completed fiscal years in chronological order from left to right, and for the specified interim
periods. If your firm was involved in tolling operations (either as the toller or as the tollee) please
contact AUDITOR at (202) XXX-XXXX before completing this section of the questionnaire.
Quantity (in SPECIFY) and value (in $1,000)
Fiscal years ended-Item

January-March
2006

2007

Net sales quantities:3
Commercial sales
Internal consumption
Transfers to related firms
Total net sales quantities
Net sales values:3
Commercial sales
Internal consumption
Transfers to related firms
Total net sales values
Cost of goods sold (COGS):4
Raw materials
Direct labor
Other factory costs
Total COGS
Gross profit or (loss)
Selling, general, and administrative
(SG&A) expenses:
Selling expenses
General and administrative expenses
Total SG&A expenses
Operating income (loss)
Other income and expenses:
Interest expense
All other expense items
All other income items
All other income or expenses, net
Net income or (loss) before income taxes
Depreciation/amortization included above
1

Include only sales (whether domestic or export) and costs related to your U.S. manufacturing operations.
Please list the expense categories and amounts of any profits on internal inputs or inputs from related firms that are reflected on
your books but which are eliminated from the costs reported below.
3
Less discounts, returns, allowances, and prepaid freight. The quantities and values should approximate the corresponding
shipment quantities and values reported in Part II of this questionnaire.
4
COGS should include costs associated with internal consumption and transfers to related firms.
2

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PART III.--FINANCIAL INFORMATION--Continued
III-12. Asset values.--Report the total assets associated with the production, warehousing, and sale of
PRODUCT. If your firm does not maintain some or all of the specific asset data in the normal
course of business, please estimate it based upon some rational method (such as production, sales,
or costs) that is consistent with your cost allocations in the previous question. Your finished
goods inventory value should reconcile with the inventory quantity data reported in Part II.
Provide data as of the end of your three most recently completed fiscal years in chronological
order from left to right, and as of the end of the specified interim periods.
Value (in $1,000)
Fiscal years ended-Item

January-March
2006

2007

Assets associated with the production,
warehousing, and sale of product:
1. Current assets:
A. Cash and equivalents
B. Accounts receivable, net
C. Inventories (finished goods)
D. Inventories (raw materials and work in
process)
E. Other (describe:

)

F. Total current assets (lines 1.A. through
1.E.)
2. Property, plant, and equipment
A. Original cost of property, plant, and
equipment
B. Less: Accumulated depreciation
C. Equals: Book value of property, plant,
and equipment
3. Other (describe:

)

4. Other (describe:

)

5. Total assets (lines 1.F., 2.C., 3 and 4)

III-13. Capital expenditures and research and development expenditures.--Report your firm’s capital
expenditures and research and development expenditures on PRODUCT. Provide data for your
three most recently completed fiscal years in chronological order from left to right, and for the
specified interim periods.
Value (in $1,000)
Fiscal years ended-Item
Capital expenditures
Research and development expenditures

January-March
2006

2007

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PART III.--FINANCIAL INFORMATION--Continued
III-14. Since January 1, 2004, has your firm experienced any actual negative effects on its return on
investment or its growth, investment, ability to raise capital, existing development and production
efforts (including efforts to develop a derivative or more advanced version of the product), or the
scale of capital investments as a result of imports of PRODUCT from COUNTRY?
No

Yes--My firm has experienced actual negative effects as follows:
Cancellation, postponement, or rejection of expansion projects
Denial or rejection of investment proposal
Reduction in the size of capital investments
Rejection of bank loans
Lowering of credit rating
Problem related to the issue of stocks or bonds
Other (specify)

III-15. Does your firm anticipate any negative impact of imports of PRODUCT from COUNTRY?

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PART IV.--PRICING AND RELATED INFORMATION
Further information on this part of the questionnaire can be obtained from ECONOMIST (202-xxxxxxx, NAME@usitc.gov)
IV-1.

Who should be contacted regarding the requested pricing and related information?
Company contact:
Name and title
(
)
Phone number

E-mail address

PRICE DATA
This section requests quarterly quantity and value data on your firm’s U.S. shipments of the following
products during January 2004-March 2007.
Product 1.--DEFINE
Product 2.--DEFINE
Product 3.--DEFINE
Product 4.--DEFINE
Please note that total dollar values should be f.o.b., U.S. point of shipment and should not include
U.S.-inland transportation costs. Total dollar values should reflect the final net amount paid to you
(i.e., should be net of all deductions for discounts or rebates). See instruction booklet.

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-2a. Report below the quarterly price data1 for pricing products2 produced and sold by your firm.

Period of shipment

(Quantity in SPECIFY, value in dollars)
Product 1
Quantity
Value

Product 2
Quantity
Value

2004
January-March
April-June
July-September
October-December
2005
January-March
April-June
July-September
October-December
2006
January-March
April-June
July-September
October-December
2007
January-March
1
Net values (i.e., gross sales values less all discounts, allowances, rebates, prepaid freight, and the value of
returned goods), f.o.b. your U.S. point of shipment.
2
Pricing product definitions are provided on the first page of Part IV.
Note.--If your product does not exactly meet the product specifications but is competitive with the specified product,
provide a description of your product:
Product 1:
Product 2:

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-2b. Report below the quarterly price data1 for pricing products2 produced and sold by your firm.

Period of shipment

(Quantity in SPECIFY, value in dollars)
Product 3
Quantity
Value

Product 4
Quantity
Value

2004
January-March
April-June
July-September
October-December
2005
January-March
April-June
July-September
October-December
2006
January-March
April-June
July-September
October-December
2007
January-March
1
Net values (i.e., gross sales values less all discounts, allowances, rebates, prepaid freight, and the value of
returned goods), f.o.b. your U.S. point of shipment.
2
Pricing product definitions are provided on the first page of Part IV.
Note.--If your product does not exactly meet the product specifications but is competitive with the specified product,
provide a description of your product:
Product 3:
Product 4:

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Page 17

PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-3.

Please describe how your firm determines the prices that it charges for sales of PRODUCT
(transaction by transaction negotiation, contracts for multiple shipments, set price lists, etc.). If
your firm issues price lists, please include a copy of a recent price list with your submission. If
your price list is large, please submit sample pages.

IV-4.

Please describe your firm’s discount policy (quantity discounts, annual total volume discounts,
etc.).

IV-5.

What are your firm’s typical sales terms for its U.S.-produced PRODUCT (e.g., 2/10 net 30
days)?
. On what basis are your prices of domestic PRODUCT usually quoted
(e.g., f.o.b. warehouse, or delivered)?
.

IV-6.

Approximately what share of your firm’s sales of its U.S.-produced PRODUCT in 2006 were on
a (1) long-term contract basis (multiple deliveries for more than 12 months), (2) short-term
contract basis (multiple deliveries up to 12 months), and (3) spot sales basis (for a single
delivery)?
Type of sale

Share of sales (percent)

Long-term contracts
Short-term contracts
Spot sales
IV-7.

If you sell on a long-term contract basis, please answer the following questions with respect to
provisions of a typical long-term contract.
(a)

What is the average duration of a contract?

(b)

Can prices be renegotiated during the contract period?

(c)

Does the contract fix quantity, price, or both?

(d)

Does the contract have a meet or release provision?

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-8.

IV-9.

If you sell on a short-term contract basis, please answer the following questions with respect to
provisions of a typical short-term contract.
(a)

What is the average duration of a contract?

(b)

Can prices be renegotiated during the contract period?

(c)

Does the contract fix quantity, price, or both?

(d)

Does the contract have a meet or release provision?

What is the average lead time between a customer’s order and the date of delivery for your firm’s
sales of your U.S.-produced PRODUCT?

Source

Share of sales,
2006

Lead time

From inventory
Produced to order
Total

100 %

IV-10. (a)

What is the approximate percentage of the total delivered cost of PRODUCT that is
accounted for by U.S. inland transportation costs?
percent.

(b)

Who generally arranges the transportation to your customers’ locations? (check one)
Your firm
or purchaser

(c)

What proportion of your sales occur within 100 miles of your storage or production
facility?
percent. Within 101 to 1,000 miles?
percent. Over 1,000 miles?
percent.

IV-11. What is the geographic market area in the United States served by your firm’s PRODUCT?
(check all that apply)
Northeast

Mid-Atlantic

Midwest

Southeast

Southwest

Rocky Mountains

West Coast

Northwest

National

Other (describe:

)

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-12. Describe the end uses of the PRODUCT that you manufacture. For each end-use product, what
percentage of the total cost is accounted for by PRODUCT?
End use

IV-13. (a)

Share of total cost (percent)

Please list in order of importance any products that may be substituted for PRODUCT.
(i)
(ii)
(iii)

(b)

For each possible substitute product, please give examples of applications and end uses
for which they are substitutes.

(c)

Have changes in the prices of these products affected the price for PRODUCT?
No

Yes-- To what degree do changes in their prices affect the price for
PRODUCT? Does this effect have a time lag? If so, how
long is the time lag for each substitute product? Does this vary
by type of PRODUCT or final end use?

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-14. How has the demand within the United States (and outside the United States if known) for
PRODUCT changed since January 1, 2004? What principal factors affect changes in demand?
Increased

No change

Decreased

IV-15. Have there been any significant changes in the product range or marketing of PRODUCT since
January 1, 2004?
No

Yes-- Please describe.

IV-16. Does your firm sell PRODUCT over the internet?
No

Yes-- Please describe, noting the estimated percentage of your firm’s total
sales of PRODUCT in 2006 accounted for by internet sales.

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-17. Is PRODUCT produced in the United States and in other countries interchangeable (i.e., can they
physically be used in the same applications)? Please indicate below, using “A” to indicate that
the products from a specified country-pair are always interchangeable, “F” to indicate that the
products are frequently interchangeable, “S” to indicate that the products are sometimes
interchangeable, “N” to indicate that the products are never interchangeable, and “0” to indicate
no familiarity with products from a specified country-pair.1
Country-pair

United States

COUNTRY 1

COUNTRY 2

COUNTRY 3

Other countries

United States
COUNTRY 1
COUNTRY 2
COUNTRY 3
1

For any country-pair producing PRODUCT which is sometimes or never interchangeable, please
explain the factors that limit or preclude interchangeable use:

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-18. Are differences other than price (i.e., quality, availability, transportation network, product range,
technical support, etc.) between PRODUCT produced in the United States and in other countries
a significant factor in your firm’s sales of the products? Please indicate below, using “A” to
indicate that such differences are always significant, “F” to indicate that such differences are
frequently significant, “S” to indicate that such differences are sometimes significant, “N” to
indicate that such differences are never significant, and “0” to indicate no familiarity with
products from a specified country-pair.1
Country-pair

United States

COUNTRY 1

COUNTRY 2

COUNTRY 3

Other countries

United States
COUNTRY 1
COUNTRY 2
COUNTRY 3
1

For any country-pair for which factors other than price always or frequently are a significant factor in
your firm’s sales of PRODUCT, identify the country-pair and report the advantages or disadvantages
imparted by such factors:

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PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-19. Please identify below the names and addresses of your firm’s 10 largest customers for
PRODUCT during 2004-2006. Please also provide the name and telephone number of a contact
person and the share of the quantity of your firm’s total shipments of PRODUCT that each of
these customers accounted for in 2006.

No.

1

2

3

4

5

6

7

8

9

10

Customer’s name

Street address (not P.O.
box), city, state, and zip
code

Contact person

Area
code and
telephone
number

Share of
2006
sales
(%)

Business Proprietary
U.S. Producers’ Questionnaire - PRODUCT

Page 24

PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-20. COMPETITION FROM IMPORTS--LOST REVENUES.-- Instructions for preliminary
phase: THIS SECTION IS TO BE COMPLETED ONLY BY NON-PETITIONERS. (Note:
petitioners may provide allegations involving quotes made AFTER the filing of the petition.) OR
Instructions for final phase: PLEASE DO NOT RE-SUBMIT ALLEGATIONS PROVIDED
IN THE PRELIMINARY PHASE OF THIS INVESTIGATION.
Since January 1, 2004: To avoid losing sales to competitors selling PRODUCT from
COUNTRY, did your firm:
Reduce prices

No

Yes

Roll back announced price increases

No

Yes

If yes, please furnish as much of the following information as possible for each affected
transaction. Document such allegations of lost revenues whenever possible (documentation could
include copies of invoices, sales reports, or letters from customers). Please note that the
Commission may contact the firms named to verify the allegations reported.
Customer name, contact person, phone and fax numbers
Specific product(s) involved
Date of your initial price quotation
Quantity involved
Your initial rejected price quotation (total delivered value)
Your accepted price quotation (total delivered value)
The country of origin of the competing imported product
The competing price quotation of the imported product (total delivered value)
Customer name,
contact person,
phone and fax
numbers

Product

Date of
quote

Quantity
(SPECIFY)

Initial
rejected U.S.
price (total
value-dollars)

Appected
U.S. price
(total value-dollars)

Country of
origin

Competing
import price
(total
value—
dollars)

Business Proprietary
U.S. Producers’ Questionnaire - PRODUCT

Page 25

PART IV.--PRICING AND RELATED INFORMATION--Continued
IV-21. COMPETITION FROM IMPORTS--LOST SALES.-- Instructions for preliminary phase:
THIS SECTION IS TO BE COMPLETED ONLY BY NON-PETITIONERS. (Note:
petitioners may provide allegations involving quotes made AFTER the filing of the petition.) Or
instructions for final phase of the investigation: PLEASE DO NOT RE-SUBMIT
ALLEGATIONS PROVIDED IN THE PRELIMINARY PHASE OF THIS
INVESTIGATION.
Since January 1, 2004: Did your firm lose sales of PRODUCT to imports of these products from
COUNTRY?
No

Yes

If yes, please furnish as much of the following information as possible for each affected
transaction. Document such allegations of lost sales whenever possible (documentation could
include copies of invoices, sales reports, or letters from customers). Please note that the
Commission may contact the firms named to verify the allegations reported.
Customer name, contact person, phone and fax numbers
Specific product(s) involved
Date of your price quotation
Quantity involved
Your rejected price quotation (total delivered value)
The country of origin of the competing imported product
The accepted price quotation of the imported product (total delivered value)
Customer name,
contact person,
phone and fax
numbers

Product

Date of
quote

Quantity
(SPECIFY)

Rejected
U.S. price
(total value-dollars)

Country of
origin

Competing
import price
(total
value—
dollars)