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pdfAttachment B
Department of Commerce
United States Census Bureau
OMB Information Collection Request
2020-2022 Report of Organization
OMB Control Number 0607-0444
Form NC-99007
Census
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2020 Report of Organization (Rpt of Org.) and Annual Survey of Manufactures (ASM)
0MB No. 0607--0444, Approval Expires:XX/XX/XXXXIOMB No. 0607--0449, Approval Expires: 4/30/2022
Welcome to the 2020 Report of Organization (Rpt. of Org.) and Annual
Survey of Manufactures (ASM)
Due Date: March 12, 2021
YOUR RESPONSE IS REQUIRED BY LAW. Trtle 13 United States Code (U.S.C.), Sections 131 and 182 authorizes this collection. Sections 224
and 225 require your response The U.S. Census Bureau is required by Section 9 of the same law to keep your information CONFIDENTIAL and
can use your responses only to produce statistics. The Census Bureau is not permitted to publicly release your responses in a way that could
identify your business, organization, or institution. Per the Federal Cybersecuri1y Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmrt your data.
This collection has been approved by the Office of Management and Budget (0MB) The eight-digrt 0MB approval number for Report of
Organization is 0607 -0444 and for ASM is 0607 -0449 and appears at the upper right of this screen. Without this approval we could not conduct
these surveys.
Note: Your session will expire if you remain on one screen for 15 minutes without navigating to another screen. To ensure data are saved. navigate to the next screen.
Continue To Survey
Burden statement I Access1bilrty I Pnvacy I security
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Location Information
DEFINITION OF ESTABLISHMENT
The reporting unit for this questionnaire is an establishment. An establishment is generally a single physical location where business is conducted
or where services or industrial operations are performed.
MAILING ADDRESS
ATTN
Name 1
Store/Plant
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Name 2
Number and Street
City, town, village, etc.
State
Select State or Territory
ZIP Code
99999-9999
PHYSICAL LOCATION
Please update the physical location if needed.
(P.O. Box and rural route addresses are not physical locations.)
Number and Street
City, town, village, etc.
State
Select State or Territory
ZIP Code
99999-9999
For Census Bureau Use Only
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CFN
1
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 1A: Ownership or Control - Voting Stock Validation
,
EIN:
Store / Plant:
CFN:
ITEM 1A: OWNERSHIP OR CONTROL - VOTING STOCK VALIDATION
Does another domestic company own more than 50 percent of the voting stock of your company?
Yes
No
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2
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 1B: Ownership or Control - Management and Policy
,
EIN:
Store / Plant:
CFN:
ITEM 1B: OWNERSHIP OR CONTROL - MANAGEMENT AND POLICY
Does another domestic company have the power to control the management and policies of your company?
Yes
No
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3
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 1C: Ownership or Control - Percent of Voting Stock Held
,
EIN:
Store / Plant:
CFN:
ITEM 1C: OWNERSHIP OR CONTROL - PERCENT OF VOTING STOCK HELD
What percent of voting stock was held by the owning or controlling company?
Less than 50%
50%
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4
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 1D: Ownership or Control - Company Information
,
EIN:
Store / Plant:
CFN:
ITEM 1D: OWNERSHIP OR CONTROL - COMPANY INFORMATION
What is the name, address, and 9-digit Employer Identification Number (EIN) of the owning or controlling company?
Name of owning or controlling company
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Home office address (Number and
street)
City, town, village, etc.
State
Select State or Territory
ZIP Code
99999-9999
EIN
99-9999999
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5
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 4: Remarks
,
EIN:
Store / Plant:
CFN:
ITEM 4: REMARKS (Optional - Enter remarks only if necessary)
Please use this space only for any explanations that may be essential in understanding your reported data. (Maximum length is 1,000 characters.)
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You have 1000 characters remaining
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6
Do Not Submit - For Informational Purposes ONLY
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
OMB No.: 0607-0444
Approval Expires: XX/XX/XXXX
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 5: Number of Establishments
,
EIN:
Store / Plant:
CFN:
ITEM 5: NUMBER OF ESTABLISHMENTS
2020
How many establishments operated under EIN at the end of 2020?
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7
OMB No.: 0607-0444
Do Not Submit - For Informational Purposes ONLY
Approval Expires: XX/XX/XXXX
Mailing this survey to the U.S. Census Bureau does not fulfill your reporting obligation
Do Not Mail - Report Online
2020 Report of Organization
NC-99007 - Report of Organization
Item 5: Number of Establishments - Establishment Information
ITEM 5: NUMBER OF ESTABLISHMENTS - ESTABLISHMENT INFORMATION
CFN
Name
Secondary Name
Store/Plant
City, town, village, etc.
State
Select State or Territory
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Number and Street
ZIP Code
99999-9999
Describe kind of business at this location
For employees that worked at more than one location, report the employment and payroll data for employees at the ONE location
where they spent most of their working time.
2020
What was the number of employees for pay period including March 12?
2020
What was the annual payroll?
$
,000.00
2020
What was the first quarter payroll (January - March 2020)?
$
,000.00
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8
File Type | application/pdf |
Author | Blynda K Metcalf (CENSUS/EWD FED) |
File Modified | 2020-05-15 |
File Created | 2020-05-15 |