Form 1 BUH MockUp

The questions in this packet are a collection of survey questions that appear across various
economic surveys that are fielded by the U.S. Census Bureau. We are trying to understand how
businesses would answer survey questions if we asked the questions at the industry level, rather
than at the establishment or enterprise level, as is our current practice.
Based on our knowledge of your company, we have assigned your company to various
industries, which we refer to as Kind-of-Activity Units (KAUs). These KAUs are mapped to
various industries as defined by the North American Industry Classification System. Please fill
out this set of questions for each KAU that we have assigned to you. If you believe we have
assigned you to an industry that does not apply to you, please send an email to
kenneth.herrell@census.gov. If you believe we have left out an industry that you do belong to,
please complete one of the blank forms.
Some of these questions may not apply to your company, or a particular industry within your
company. Please skip any questions that do not apply.

Sample Survey Questions
Business Unit
NAICS Code:
NAICS Name:
SALES, SHIPMENTS, RECEIPTS, OR REVENUE
1

What were the sales of merchandise and other operating receipts in 2017?
(Exclude sales taxes or other taxes collected.)
$Bil.

$Mil.

$Thou.

REVENUES FROM ELECTRONIC SOURCES
2

Were there any revenues from customers entering orders directly on the firm's
websites or mobile applications in 2017?
Yes
No

3

Were there any revenues from customers entering orders directly on third-party
websites or mobile applications in 2017?
Yes
No

4

Were there any revenues from customers entering orders via other electronic
systems (such as private networks, dedicated lines, kiosks, etc.) in 2017?
Yes
No

5

Of the total 2017 revenues reported in 1, what was the dollar amount that was
from the revenues identified in Questions 2-4 above? Please provide an estimate
if exact figures are not available.
$Bil.

$Mil.

$Thou.

CAPITAL EXPENDITURES
6

What were the capital expenditures for the following items?
$Bil.
a. Structures (new) …………….
b. Structures (used) ……………
c. Equipment (new) …………….
d. Equipment (used) ……………
e. Other (new) …………………..
f. Other (used) ………………….
g. TOTAL CAPITAL
EXPENDITURES ………..

$Mil.

$Thou.

INVENTORY
7

What was the value of inventories (if applicable, before Last-in, First-out (LIFO)
adjustment) owned by this business unit for:
$Bil.

$Mil.

$Thou.

a. Finished goods (final output
of this business unit, but still
within ownership)?
b. Work-in-process (goods
that have been substantially
transformed in the
manufacturing process, but
are not yet the final output)?
c. Materials, supplies, fuels,
etc. (goods that are raw inputs
to the manufacturing process
and will be substantially
altered to produce the
company's output)?
8

What was the value of total inventories (if applicable, before Last-in, First-out
(LIFO) adjustment)?
$Bil.

9

$Thou.

What was the value of total inventories (if applicable, before Last-in, First-out
(LIFO) adjustment), warehoused in the US?
$Bil.

10

$Mil.

$Mil.

$Thou.

What was the value of inventories stored outside or en route to the 50 states and
the District of Columbia in 2017?
$Bil.

$Mil.

$Thou.

RESEARCH AND DEVELOPMENT (R&D)
11

What was the worldwide R&D expense (both direct and indirect) for your company
in 2017?
If your company is publicly traded, this amount is equivalent to that disclosed on SEC Form 10K as defined in FASB ASC Topic 730, Research and Development.
If your company is foreign-owned, refer to the instructions on page 4. Additional guidance, such
as for privately-owned companies, is available online at https://www.census.gov/programssurveys/brds/information/brdshelp.html#q2-1
NOTE: Report your company’s R&D expense even if the amount is
not considered material for your company’s financial statements.

$Bil.

$Mil.

$Thou.