US Importer Questionnaire

OMB No. 3117-0016/USITC No. xx-x-xxx; Expiration Date: 6/30/2014
(No response is required if currently valid OMB control number is not displayed)

U.S. IMPORTERS’ QUESTIONNAIRE
PRODUCT FROM COUNTRY

This questionnaire must be received by the Commission by no later than INSERT DATE
See 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(s) 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 firm’s possession (19 U.S.C. §
1333(a)).

Name of firm
Address
City

State

Zip Code

World Wide Web address
Has your firm imported PRODUCT (as defined in the instruction booklet) from any country at any time since
January 1, 2011?

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)

Return questionnaire via the U.S. International Trade Commission Drop Box by clicking
on the following link: https://dropbox.usitc.gov/oinv/. (use the following PIN: XXXX)
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 proceeding in any other import-injury proceedings conducted by
the Commission on the same or similar merchandise.
I acknowledge that information submitted in this questionnaire response and throughout this proceeding 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 proceeding or related proceedings for which this information is submitted, or in internal audits and
proceedings 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

Title of Authorized Official

Date

Phone:
Signature

Email address
Fax:

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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 40 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.

OMB statistics.--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.

OMB feedback.--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
firm’s response or send them to the above address.

I-2.

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

I-3.

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

Firm name

Yes--List the following information

Address

Extent of
ownership
(percent)

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

Related importers/exporters.--Does your firm have any related firms, either domestic or
foreign, that are engaged in importing PRODUCT from COUNTRY into the United States or
that are engaged in exporting PRODUCT from COUNTRY to the United States?
No

Yes--List the following information.

Firm name

I-5.

Address

Related producers.--Does your firm have any related firms, either domestic or foreign, that are
engaged in the production of PRODUCT?
No

Yes--List the following information.

Firm name

I-6.

Address

Affiliation

Importing operations.--Please indicate the nature of your firm’s importing operations on
PRODUCT. More than one answer may be applicable.
Importer of record

I-7.

Affiliation

Takes title to the
imported product(s)

Consignee of the
imported products(s)

Customs broker or
freight forwarder

Consignee.--If your firm is an importer of record of PRODUCT but is not the consignee, please
list the consignees below (firm name, address, telephone number, and individual to contact).

Firm name

Address

Contact person
and phone
number

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PART I.--GENERAL INFORMATION--Continued
I-8.

FTZ or bonded warehouses.--Please indicate whether your firm enters PRODUCT into, or
withdraws such merchandise from, foreign trade zones or bonded warehouses.
No

Yes

Foreign trade zones
Bonded warehouses

I-9.

Temporary importation under bond.--Please indicate whether your firm imports PRODUCT
under the TIB (temporary importation under bond) program.
No

I-10.

Yes

Third-country trade activities.--To your knowledge, have the products subject to this
proceeding been the subject of any other import relief proceedings in the United States or in any
other countries?
No

Yes–Please specify.

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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.

Contact information.-- Please identify the responsible individual and the manner by which
Commission staff may contact that individual regarding the confidential information submitted in
part II.
Name
Title
Email
Telephone
Fax

II-2.

Changes in operations.--Please indicate whether your firm has experienced any of the following
changes in relation to the importation of PRODUCT since January 1, 2011.
(check as many as appropriate)
office/warehouse openings ...........

office/warehouse closings ............

relocations ....................................

expansions ....................................

acquisitions...................................

consolidations...............................

prolonged shutdowns or
production curtailments................
revised labor agreements ..............

other (e.g., technology) ................

(please describe)

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PART II.--TRADE AND RELATED INFORMATION--Continued
II-3.

Arranged imports.--Has your firm imported or arranged for the importation of PRODUCT for
delivery after January 1, 2014?
No

Yes–Fill out the table below.
Quantity (in UNITS)

Period/Source

Jan-Mar 2014

Apr-Jun 2014

Jul-Sept 2014

Oct-Dec 2014

COUNTRY
Other sources:1
1

II-4.

Identify your other sources:

Reasons for importing.--If your firm also produces PRODUCT in the United States, please
indicate the reasons for importing this product. If your firm’s reasons differ by source, please
elaborate.

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PART II.--TRADE AND RELATED INFORMATION--Continued
II-5.

IMPORTS FROM SUBJECT SOURCES.–Report your firm’s imports and your firm’s
shipments and inventories of PRODUCT imported from COUNTRY by your firm during the
specified periods. (See definitions in the instruction booklet.) Duplicate (copy and paste)

this table for each subject country and delete this note.

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

2011

2012

January-March
2013

2012

2013

Beginning-of-period inventories (quantity)
Imports:1
Quantity of imports
Value of imports
U.S. shipments:
Commercial shipments:
Quantity of commercial shipments
Value of commercial shipments
Internal consumption/company transfers:
Quantity of internal consumption/transfers
Value2 of internal consumption/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)
1

Please identify the foreign producers, if known:

2

Sales to related firms (including internal consumption) must be valued at fair market value. In the event that your firm uses
a different basis for valuing these sales within your company, please specify that basis (e.g., cost, cost plus, etc.) and provide
value data using that basis for each of the periods noted above:
3

Identify your firm’s principal export markets:
Reconciliation of data.--Please note that the quantities reported above should reconcile as follows: beginning-of-period
inventories, plus imports, 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-6.

IMPORTS FROM NONSUBJECT SOURCES.–Report your firm’s imports and your firm’s
shipments and inventories of PRODUCT imported from all other sources combined by your
firm during the specified periods. (See definitions in the instruction booklet.)

ALL OTHER SOURCES COMBINED
Quantity (in SPECIFY), value (in $1,000)
Calendar years
Item

2011

2012

January-March
2013

2012

2013

Beginning-of-period inventories (quantity)
Imports:1
Quantity of imports
Value of imports
U.S. shipments:
Commercial shipments:
Quantity of commercial shipments
Value of commercial shipments
Internal consumption/company transfers:
Quantity of internal consumption/transfers
Value2 of internal consumption/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)
1

Please identify the sources and foreign producers, if known:

2
Sales to related firms (including internal consumption) must be valued at fair market value. In the event that your firm uses
a different basis for valuing these sales within your company, please specify that basis (e.g., cost, cost plus, etc.) and provide
value data using that basis for each of the periods noted above:

3

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

Yes

No--Please explain:

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PART III.--PRICING AND RELATED INFORMATION
Further information on this part of the questionnaire can be obtained from ECONOMIST (202-xxxxxxx, NAME@usitc.gov)
III-1. Contact information.-- Please identify the responsible individual and the manner by which
Commission staff may contact that individual regarding the confidential information submitted in part III.
Name
Title
Email
Telephone
Fax

PRICE DATA
III-2.

These questions requests quarterly price and quantity data, f.o.b. your firm’s U.S. point of
shipment, for your firm’s commercial shipments to unrelated U.S. customers since January 1,
2011 of the following products your firm imported from COUNTRY:
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
your firm (i.e., should be net of all deductions for discounts or rebates). See instruction booklet.
During January 2011-December 2013, did your firm import from COUNTRY and sell to
unrelated U.S. customers any of the above listed products (or any products that were competitive
with these products)?
Yes--Please complete the following pricing data table as appropriate.
No—Skip to question III-3.

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-2a. Price data.--Report below the quarterly price data1 for pricing products2 imported from
COUNTRY and sold by your firm. Duplicate (copy and paste) this table for each

subject country and delete this note.

COUNTRY
Report data in actual UNITs and actual dollars (not 1,000s).
(Quantity in SPECIFY, value in dollars)
Product 1
Product 2
Product 3
Quantity
Value
Quantity
Value Quantity
Value

Product 4
Period of shipment
Quantity
Value
2011:
January-March
April-June
July-September
October-December
2012:
January-March
April-June
July-September
October-December
2013:
January-March
April-June
July-September
October-December
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 firm’s U.S. point of shipment.
2
Pricing product definitions are provided on the first page of Part III.
Note.--If your firm’s product does not exactly meet the product specifications but is competitive with the specified
product, provide a description of your firm’s product. Also, please explain any anomalies in your firm’s reported
pricing data.
Product 1:
Product 2:
Product 3:
Product 4:

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PART III.--PRICING AND RELATED INFORMATION--Continued

III-3.

Price setting.-- How does your firm determine the prices that it charges for sales of PRODUCT
(check all that apply)? If your firm issues price lists, please submit sample pages of a recent list.
Transaction
by
transaction

III-4.

Contracts

If other, describe

Annual
total
volume
discounts

No
discount
policy

Other

Describe

Pricing terms for PRODUCT.-(a)

What are your firm’s typical sales terms for PRODUCT imported from COUNTRY?
Net 30
days

(b)

Net 60
days

2/10 net 30
days

Other

Other (specify)

On what basis are your firm’s prices of imported PRODUCT from COUNTRY usually
quoted (check one)?
Delivered

III-6.

Other

Discount policy.-- Please indicate and describe your firm’s discount policies (check all that
apply).

Quantity
discounts

III-5.

Set
price
lists

F.o.b.

If f.o.b., specify point

Contract versus spot.--Approximately what share of your firm’s sales of PRODUCT imported
from COUNTRY in 2013 were on a (1) long-term contract basis, (2) short-term contract basis,
and (3) spot sales basis?
Share of
2013 sales

Type of sale
Long-term contracts (multiple deliveries for more
than 12 months)

%

Short-term contracts (multiple deliveries up to and
including 12 months)

%

Spot sales (for a single delivery)

%

Total

100

%

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PART III.--PRICING AND RELATED INFORMATION--Continued

III-7.

Contract provisions.— Please fill out the table with respect to provisions of your firm’s typical
sales contracts for PRODUCT from COUNTRY (or check “not applicable” if your firm does not
sell on a long-term and/or short-term contract basis).

Typical sales contract
provisions

Item

Average contract duration

Number of days

Price renegotiation (during the
contract period)

Yes

Short-term contracts

Long-term contracts

(multiple deliveries up to
and including 12 months)

(multiple deliveries for more
than 12 months)

No
Quantity

Fixed quantity and/or price

Price
Both

Meet or release provision

Yes
No

Not applicable

III-8.

Lead times.--What is your firm’s share of sales of PRODUCT imported from COUNTRY both
from inventory and produced to order and what is the typical lead time between a customer’s
order and the date of delivery for your firm’s sales of PRODUCT?
Source

Share of
2013 sales

From your firm’s U.S. inventory

%

From foreign manufacturers’ inventory

%

Produced to order

%

Total

100 %

Lead time
(days)

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-9.

Shipping information.—
(a)

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

(b)

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

(c)

When your firm sells PRODUCT imported from COUNTRY, from where is it shipped?
Point of importation
Storage facility (check one)

(d)

Indicate the approximate percentage of your firm’s sales of PRODUCT imported from
COUNTRY that are delivered the following distances from your firm’s U.S. point of
shipment.
Distance from your firm’s U.S. point of
shipment

Share

Within 100 miles

%

101 to 1,000 miles

%

Over 1,000 miles

%
Total

100

%

III-10. Geographical shipments--In which U.S. geographic market area(s) has your firm sold
PRODUCT imported from subject countries since January 1, 2011 (check all that apply)?
Geographic area
Northeast.–CT, ME, MA, NH, NJ, NY, PA, RI, and VT.
Midwest.–IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, and WI.
Southeast.–AL, DE, DC, FL, GA, KY, MD, MS, NC, SC, TN, VA,
and WV.
Central Southwest.–AR, LA, OK, and TX.
Mountains.–AZ, CO, ID, MT, NV, NM, UT, and WY.
Pacific Coast.–CA, OR, and WA.
Other.–All other markets in the United States not previously listed,
including AK, HI, PR, and VI, among others.

Subject
country 1

Subject
country 2

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-11. End uses-Describe the end uses of the PRODUCT that your firm imports from COUNTRY.
For each end-use product, what percentage of the total cost is accounted for by PRODUCT and
other inputs?
Share of total cost of end use product
accounted for by
End use product

PRODUCT (percent)

Other inputs (percent)

Total

%

%

100%

%

%

100%

%

%

100%

III-12. Substitutes.-- Can other products be substituted for PRODUCT?
No

Substitute
1.
2.
3.

Yes--Please fill out the table.

End use in which this
substitute is used

Have changes in the prices of this substitute
affected the price for PRODUCT?
No Yes

Explanation

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-13. Demand trends.-- Indicate how demand within the United States and outside of the United States
(if known) for PRODUCT has changed since January 1, 2011. Explain any trends and describe
the principal factors that have affected these changes in demand.

Market

Overall
No
Overall Fluctuate with
increase change decrease no clear trend

Explanation and factors

Within
the United
States
Outside
the United
States

III-14. Product changes.--Have there been any significant changes in the product mix or marketing of
PRODUCT since January 1, 2011?
No

Yes

If yes, please describe.

III-15. Business cycles.-(a) Is the PRODUCT market subject to business cycles (other than general economy-wide
conditions) and/or other conditions of competition distinctive to PRODUCT?
No (skip to question III-16.)
Yes-Business cycles (e.g. seasonal business).
Yes-Other distinctive conditions of competition.
If yes, describe below.
Business cycles
Other conditions
of competition

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-15. Business cycles.-(b) Have there been any changes in the business cycles or conditions of competition for
PRODUCT since January 1, 2011?
No

Yes

If yes, please describe.

III-16. Supply constraints.--Has your firm refused, declined, or been unable to supply PRODUCT
since January 1, 2011 (examples include placing customers on allocation or “controlled order
entry,” declining to accept new customers or renew existing customers, delivering less than the
quantity promised, been unable to meet timely shipment commitments, etc.)?
No

Yes

If yes, please describe.

III-17. Raw materials.--Please describe any trends in the prices of raw materials used to produce
PRODUCT and whether your firm expects these trends to continue.

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-18. Interchangeability.--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 A, F, S, N, or 0 in the table below:
A = the products from a specified country-pair are always interchangeable
F = the products are frequently interchangeable
S = the products are sometimes interchangeable
N = the products are never interchangeable
0 = no familiarity with products from a specified country-pair
Country-pair

COUNTRY 1

COUNTRY 2

COUNTRY 3

Other countries

United States
COUNTRY 1
COUNTRY 2
COUNTRY 3

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

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-19. Factors other than price.--Are differences other than price (e.g., 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 A, F, S, N, or 0 in the table below:
A = such differences are always significant
F = such differences are frequently significant
S = such differences are sometimes significant
N = such differences are never significant
0 = no familiarity with products from a specified country-pair
Country-pair

COUNTRY 1

COUNTRY 2

COUNTRY 3

Other countries

United States
COUNTRY 1
COUNTRY 2
COUNTRY 3

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 III.--PRICING AND RELATED INFORMATION--Continued
III-20. Customer identification--Please identify the names and contact information for your firm’s
10 largest U.S. customers for PRODUCT since January 1, 2011. Indicate the share of the
quantity of your firm’s total shipments of PRODUCT that each of these customers accounted for
in 2013.

Customer’s name

1

Contact person

Email

Telephone

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

Street Address

,
City

2

State

Street Address

,
City

3

State

,
State

,
State

,
State

,
State

,
State

,
State

Zip Code

Street Address

,
City

10

Zip Code

Street Address
City

9

Zip Code

Street Address
City

8

Zip Code

Street Address
City

7

Zip Code

Street Address
City

6

Zip Code

Street Address
City

5

Zip Code

Street Address
City

4

Zip Code

State

Zip Code

Street Address

,
City

State

Zip Code

Share
of 2013
sales
(%)

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PART III.--PRICING AND RELATED INFORMATION--Continued
III-21. Other explanations--If your firm would like to further explain a response to a question in Part III
that did not provide a narrative response box, please note the question number and the
explanation in the space provided below.