Answer Key for Tasks

Attachment B. Answer Key.docx

Generic Clearance for Questionnaire Pretesting Research

Answer Key for Tasks

OMB: 0607-0725

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Answer Key



Step Two: Company Level Data

[Researcher Note] For ‘Company Mailing Address’ Tell R to feel free to enter fake data for any cells they don’t know off the top of their head, (such as zip code).



  • Answer NO for all of the Yes/No Questions, until you reach the reporting period question.

  • Use the answer key below to fill in the remaining questions.



  1. Company Mailing Address

Your Company Info

  1. Verify

Enter NO

  1. Ownership or Control: Status

Enter NO

  1. Foreign Ownership or Control: Status

Enter NO

  1. Foreign Affiliates Status

Enter NO

  1. Research and Development Status

Enter NO

  1. Professional Employer Organization (PEO) Status

Enter NO

  1. Is this company a cooperative (co-op)

Enter NO

  1. Business Cooperative Status

Enter NO

  1. Reporting Period

    1. Enter Dates

Partial Calendar Year: April 1, 2022 to March 31, 2023

  1. Number of Establishments

Best Guess

  1. Total number of employees

Enter 50

  1. Annual Payroll

2.5 Million

  1. First Quarter Payroll

625 ($625,000)

  1. Sales, Shipments, Receipts, or Revenue

5000 (5,000,000)

  1. Domestic Depreciable Asset Data:

    1. Structures and equipment?

    2. Excluding land?

    3. Gross value of other additions and acquisitions?

    4. Sold, retired, scrapped, destroyed, etc.?

    5. Depreciable assets (structures and equipment)


  1. 125 ($125,000) 

  2. 10 ($10,000)        

  3. $ 0

  4. $ 0

  5. 135 ($135,000)     

  1. Accumulated depreciation & amortization, ending

25 ($25,000)

  1. Capital Leases

Enter 0 for all

  1. Capital Expenditures for Computer Software

Enter 0 for all

  1. Remarks

None



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRebecca Keegan (CENSUS/ESMD FED)
File Modified0000-00-00
File Created2025-08-12

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