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U.S. Department of Transportation U.S. Department of Transportation Icon United States Department of Transportation United States Department of Transportation

CFS-1000

Tuesday, July 3, 2012

CFS-1000

U.S. DEPARTMENT OF COMMERCE
BUREAU OF THE CENSUS

FORM (9-2-92)

1993 COMMODITY FLOW SURVEY CENSUS OF TRANSPORTATION

(Please correct any error in name, address, and ZIP Code)

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YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations that receive this questionnaire to answer the questions and return the report to the Census Bureau. By the same law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by Census Bureau employees and may be used only for statistical purposes. Further, copies retained in respondents files are immune from legal process.

RETURN TO

BUREAU OF THE CENSUS
1201 East 10th Street
Jeffersonville IN 47132-0001

INSTRUCTIONS

Please read the accompanying instructions before completing this questionnaire. The sampling instructions beginning on page 2 of the questionnaire describe how to take a sample of your outbound shipments covering the two-week period shown above. You should use your sales invoices, bills of lading, and any other file of shipping documents which represents your total outbound shipments (or deliveries).

Item F, Shipment Characteristics- Beginning on page 2, provide the information requested for each of your sampled shipments. If book figures are not available for weight, value, etc., please provide an estimate.

Item A - ESTABLISHMENT NAME

Is the establishment name shown in the mailing address correct?

1 o Yes

2 o No Enter correct name.

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Item B - OPERATIONAL STATUS OF ESTABLISHMENT

Mark (X) the ONE box which best describes this establishment during the 2-week period shown above.

1 o In operation

2 o Temporarily or seasonally inactive

3 o Ceased operation— Give date → (Month/Day/Year) _____________________________

Item C - PHYSICAL LOCATION

(PO boxes or rural routes are not physical locations.)

Is this establishments physical location the same as the address shown in the label?

1 o Yes

2 o No — Enter physical location below.

Number and street

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City, town, village, etc.

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State

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ZIP Code

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Item D - ORIGIN OF SHIPMENTS

During the two-week period, did any of your shipments (or deliveries) originate from locations other than this physical location?

1 o No – Skip to Item E on page 2. Enter an "A" as the origin code in column (k) of item F for all shipments.

2 o Yes – Enter the City, State, and ZIP Code of these other locations in rows B, C, and D.

Origin code City State ZIP Code
A Location in mailing address or in Item C. _______ _______
B
C
D

Does your Census File Number (CFN) shown in the address box above, begin with a "0" (zero)?

1 o Yes – Include shipments from those other locations in your sampling, and use the appropriate origin code (A, B, C, or D) in column (k) of item F for all shipments selected. Now skip to Item E.

2 o No – Do any of these other locations keep their own records for these shipments?

1 o Yes – Omit shipments from these other locations that maintain their own records from your sampling.

2 o No – Include shipments from these other locations in your sample, and place the appropriate origin code (A, B, C, or D) in column (k) of item F for all shipments selected.

Item E - SOURCE DOCUMENT

Please mark (X) the main document that you will use to obtain the requested information.

1 o Sales invoices

2 o Bills of lading

3 o Other – Specify

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SAMPLE SELECTION INSTRUCTIONS

1. Enter your total number of shipments for the 2-week period. →

NOTE Remove any voided invoices, credit memoranda, etc. from the files, if possible, before estimating the total number of shipments.

2. Find the range in column (1) at right that includes the number entered in 1 above. Put an (X) in column (2) beside it.

3 If your total number of shipments is 40 or less, provide data for every shipment during the 2-week period in Item F. If the number of shipments is 41 or more, continue with steps 4 and 5 to select the shipments to report.

Number of shipments Mark (X) one (2) "Take every" number (3) Expected sample size (4)
0-40 Select every shipment 1-40
41100 2 2050
101200 5 2040
201400 10 2040
401800 20 2040
8011600 40 2040
1601 or more Call Census 1-800-528-3049

4. Note the "Take every" number in column (3) next to the "X" you marked in column (2). Beginning with the first shipment in the file for the period, count the shipments until you reach the "Take every" number. Select that shipment as the first one to report on in item F.

Continuing with the next shipment, begin counting from 1 until you reach the "Take every" number again. Select that shipment. Continue this process until you reach the end of the file.

EXAMPLE:

If 176 is entered in 1, mark (X) the third row of the table. The "Take every" number is 5. Begin counting with the first shipment in the file and select the 5th shipment to report in Item F. Now beginning with the 6th shipment, count off 5 more, and select the 10th shipment. Resume counting with the 11th and select the 15th, 20th shipment, etc. until you reach the end of the file. You will have selected 35 shipments to report on in Item F.

NOTE - If your sample of shipments includes any voided invoices, credit memoranda, etc., write "VOID" in column (b) for that shipment. Leave the rest of the line blank.

5. Sample validation After sample selection is done, compare the number of selected shipments to the expected sample size in column (4). If the number of selected shipments is above or below the range, recheck the sample selection.

Item F - SHIPMENT CHARACTERISTICS

Line No. (a) Shipment Total Commodity
Number (b) Date (c) M Date (c) D Value (Dollars) (d) Mil. Value (Dollars) (d) Thou. Value (Dollars) (d) Dol. Weight (Pounds) (e) Code (f) Description (Largest weight) (g)
1                  
2                  
3                  
4                  
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50                  

Mode of transport codes for columns (i) and (n)

1 Parcel delivery, courier, or U.S. Postal Service
2 Private truck
3 For-hire truck
4 Railroad

Hazardous material? (Y/N)(h) Domestic mode(s) of transport Enter all that apply using codes shown below. (i) Containerized? (Y/N) (j) Origin code (k) (l) Domestic destination (or port/airport/border crossing of exit for exports) Export? (Y/N) (m) Export mode (n) Foreign destination (for export shipments only) (o) Line No. (p)
City State Zip Code City Country
                      1
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                      50

5 Inland water and/or Great Lakes
6 Deep sea water
7 Pipeline
8 Air
9 Other mode
0 Unknown

REMARKS

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Item G - CERTIFICATION

Name of person to contact regarding this report - Please print

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Telephone number - Include area code

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Date

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Signature

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Title

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THANK YOU FOR COMPLETING YOUR REPORT