Census Small Business Pulse Survey Phase 7 questionnaire

Summary

The U.S. Census Bureau's Small Business Pulse Survey Phase 7 questionnaire, which asks businesses about the effect of the Coronavirus pandemic on their business. It states that the survey is 21 questions and will take approximately 6 minutes. The questions ask about effects on the business, operating revenues, paid employees and hours worked, vaccination and testing requirements, hiring difficulties, supplier delays, cash on hand, demand and prices compared with before March 13, 2020, and financial assistance received since December 27, 2020, including Paycheck Protection Program (PPP) loan forgiveness, Economic Injury Disaster Loans (EIDL) and Shuttered Venue Operators Grants. The form states that the OMB approval number is 0607-1014 and cites Title 13, United States Code, Sections 131 and 182 as authority.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Full text

                                      Small Business Pulse Survey
                                                Phase 7

                             Welcome to the Small Business Pulse Survey

The U.S. Census Bureau is requesting your assistance in understanding the effect of changing business
conditions due to the Coronavirus pandemic on your business. Your response is especially important
right now as it helps policy makers, government officials, and businesses like yours understand these
effects. Please complete this short 21 question survey; it will take approximately 6 minutes.


For the completion of this survey, please provide data for: [Name of company]

Q1. Is XX-XXXXXXX the Employer Identification Number (EIN) used on this business’s latest
Internal Revenue Service Form 941, Employer's Federal Quarterly Tax Return?

• Yes
• No

If no, please provide EIN:




Q2. Overall, how has this business been affected by the Coronavirus pandemic?

• Large negative effect
• Moderate negative effect
• Little or no effect
• Moderate positive effect
• Large positive effect


Q3. In the last month, what were the total operating revenues/sales/receipts for this business, not
including any financial assistance or loans?

• $0 - $500
• $501 - $2,500
• $2,501 - $5,000
• $5,001 - $15,000
• $15,001 - $50,000
• $50,001 - $125,000
• $125,001 - $200,000
• $200,001 - $500,000
• $500,001 or more
• Don’t know




                                                                                                        1
                                       Small Business Pulse Survey
                                                 Phase 7

Q4. In the last week, did this business have a change in operating revenues/sales/receipts, not including
any financial assistance or loans?

• Yes, increased
• Yes, decreased
• No change


Q5. In the last week, did this business do any of the following?

• Open a previously closed location
• Temporarily close a location
• Permanently close a location
• None of the above


Q6. In the last week, did this business have a change in the number of paid employees?

• Yes, increased
• Yes, decreased
• No change


Q7. In the last week, did this business have a change in the total number of hours worked by paid
employees?

• Yes, increased
• Yes, decreased
• No change


Q8. In the last week, did this business require employees to have proof of COVID-19 vaccination before
physically coming to work?

• Yes
• No
• Not applicable, this business did not have employees physically coming to work in the last week.


Q9. In the last week, did this business require employees to test negative for COVID-19 before physically
coming to work?

• Yes
• No
• Not applicable, this business did not have employees physically coming to work in the last week.




                                                                                                         2
                                       Small Business Pulse Survey
                                                 Phase 7

Q10. In the last week, did this business have difficulties hiring paid employees?

• Yes
• No
• Not applicable


Q11. In the last week, did this business have any of the following?

• Domestic supplier delays
• Foreign supplier delays
• Difficulty locating alternative domestic suppliers
• Difficulty locating alternative foreign suppliers
• Production delays at this business
• Delays in delivery/shipping to customers
• None of the above


Q12. How would you describe the current availability of cash on hand for this business, including any
financial assistance or loans?

Currently, cash on hand will cover:

 1-7 days of business operations
 1-2 weeks of business operations
 3-4 weeks of business operations
 1-2 months of business operations
 3 or more months of business operations
 No cash available for business operations
 Don’t know


Q13. The White House declared a national emergency because of the Coronavirus pandemic on March
13, 2020.

Comparing now to what was normal before March 13, 2020, how has the number of paid employees at
this business changed?

 Large increase in number of paid employees
 Moderate increase in number of paid employees
 Little or no change in number of paid employees
 Moderate decrease in number of paid employees
 Large decrease in number of paid employees




                                                                                                        3
                                       Small Business Pulse Survey
                                                 Phase 7

Q14. Comparing now to what was normal before March 13, 2020, how has the number of hours
paid employees worked from home changed?

 Large increase in number of hours worked from home
 Moderate increase in number of hours worked from home
 Little or no change in number of hours worked from home
 Moderate decrease in number of hours worked from home
 Large decrease in number of hours worked from home


Q15. Comparing now to what was normal before March 13, 2020, how has demand for this business’s
goods or services changed?

 Large increase in demand
 Moderate increase in demand
 Little or no change in demand
 Moderate decrease in demand
 Large decrease in demand


Q16. Comparing now to what was normal before March 13, 2020, how have the prices this business
pays for goods and services changed?

• Large increase in prices
• Moderate increase in prices
• Little or no change in prices
• Moderate decrease in prices
• Large decrease in prices


Q17. Comparing now to what was normal before March 13, 2020, has this business done any of the
following?

Select all that apply:

 Adopted or expanded use of digital technologies
 Changed management practices
 Changed business strategies
 Introduced new goods or services
 Improved existing goods or services
 Improved methods of producing goods or services
 Improved methods of logistics, delivery, or distribution
 This business has not made any of these changes




                                                                                                  4
                                        Small Business Pulse Survey
                                                  Phase 7

Q18. On December 27, 2020, the Consolidated Appropriations Act 2021 was enacted providing a second
round of Coronavirus pandemic relief. In March 2021, the American Rescue Plan Act of 2021 was
enacted providing further Coronavirus pandemic relief.

Since December 27, 2020, has this business received financial assistance from any of the following
sources?

• Paycheck Protection Program (PPP) loan forgiveness
• Economic Injury Disaster Loans (EIDL)
• Shuttered Venue Operators Grants
• Child Care Stabilization Fund
• Other Federal programs
• Other sources
• This business has not received financial assistance from any source since December 27, 2020.


Q19. In the next 6 months, do you think this business will have business travel expenditures for air, rail,
car rental, or lodging?

• Yes
• No
• Not applicable, this business does not usually have business travel expenditures


Q20. In the next 6 months, do you think this business will need to do any of the following?

• Obtain financial assistance or additional capital
• Identify new supply chain options
• Develop online sales or websites
• Increase marketing or sales
• Identify and hire new employees
• Make a capital expenditure
• Cancel or postpone a planned capital expenditure
• Identify potential markets for exporting goods or services
• Permanently close this business
• None of the above


Q21. In your opinion, how much time do you think will pass before this business returns to its normal
level of operations?

• 1 month or less
• 2-3 months
• 4-6 months
• More than 6 months
• I do not believe this business will return to its normal level of operations.
• This business has permanently closed.


                                                                                                              5
                                       Small Business Pulse Survey
                                                 Phase 7

• There has been little or no effect on this business's normal level of operations.
• This business has returned to its normal level of operations


Would you like to provide any information about your responses to these questions or this business's
experiences during the Coronavirus pandemic?

Remarks (500 characters)




OMB Number

This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB
approval number is 0607-1014 and appears in the top right corner of each reporting screen. Without
this approval, we could not conduct this survey.

Authority and Confidentiality

Title 13, United States Code, Sections 131 and 182, authorizes the U.S. Census Bureau to conduct this
collection and to request your voluntary assistance. The Census Bureau is required by Section 9 of the
same law to keep your information confidential and 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 Cybersecurity Enhancement Act of 2015, your data
are protected from cybersecurity risks through screening of the systems that transmit your data.

Burden Estimate Statement

We estimate the Small Business Pulse Survey will take an average of 6 minutes to complete. Factors
such as company size, complexity and activity will affect your actual time to complete the survey. This
estimate includes the time to review instructions, search existing data sources, gather and maintain the
data needed, and complete and review the survey.

Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to:

EID Survey Comments 0607-1014
U.S. Census Bureau
4600 Silver Hill Road
Room EID-6K081
Washington, DC 20233

You may email comments to econ.pulse.comments@census.gov. Be sure to use “EID Survey Comments
0607-1014” as the subject.



                                                                                                           6


File and source

File

why-are-black-employers-more-likely-than-white-employers-to-hire-blacks.pdf

Size

636,080 bytes

SHA-256

5df4d1107f0875d9400407653da16af9ac204acdca5e482435be6e49a0e24ee8

Our copy

why-are-black-employers-more-likely-than-white-employers-to-hire-blacks.pdf

Original

portal.census.gov