research.rm.census.gov
Open in
urlscan Pro
104.102.47.15
Public Scan
URL:
https://research.rm.census.gov/jfe/form/SV_6FNssVnXXR7jC0C?Q_DL=gBPNpYAGaDfVUG3_6FNssVnXXR7jC0C_CGC_IdEkOjsaXJ9Q6R6
Submission: On August 08 via api from CZ — Scanned from DE
Submission: On August 08 via api from CZ — Scanned from DE
Form analysis 1 forms found in the DOM
Name: Page —
<form id="Page" name="Page" class="Page ActivePage" data-testid="page-ready">
<meta name="HandheldFriendly" content="true">
<meta name="viewport" content="user-scalable = yes, maximum-scale=10, minimum-scale=1, initial-scale = 1, width = device-width">
<div class="Skin">
<div id="Overlay"></div>
<div id="Wrapper">
<div class="SkinInner">
<div id="LogoContainer">
<div id="Logo"><img src="https://research.rm.census.gov/CP/Graphic.php?IM=IM_6AkXgQtCXq1s6kB" data-image-state="ready"></div>
</div>
<div id="ProgressBar"></div>
<div id="HeaderContainer">
<div id="BrandingHeader"></div>
<div id="Header" role="banner"></div>
</div>
<div id="SkinContent">
<div id="Questions" role="main">
<div id="QID4Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div>
<div class="QuestionOuter BorderColor DB QID4" id="QID4" questionid="QID4" posttag="QID4" data-runtime-remove-class-hidden="runtime.Displayed">
<div id="QR~QID4~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div>
<div id="QR~QID4~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div>
<div class="Inner BorderColor GRB">
<div class="InnerInner BorderColor WOTXB">
<div class="QuestionBody"><img border="0" src="https://research.rm.census.gov/WRQualtricsControlPanel/Graphic.php?IM=IM_elYvzq6vksmHIK9" alt="Consent header" data-image-state="ready"><br></div>
</div>
</div>
</div>
<div id="QID6Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div>
<div class="QuestionOuter BorderColor DB QID6" id="QID6" questionid="QID6" posttag="QID6" data-runtime-remove-class-hidden="runtime.Displayed">
<div id="QR~QID6~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div>
<div id="QR~QID6~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div>
<div class="Inner BorderColor TB">
<div class="InnerInner BorderColor">
<div class="QuestionText BorderColor">PURPOSE <br>The U.S. Census Bureau is conducting a short study. The Census Bureau routinely conducts research on how to collect information in order to produce the best statistics possible. You
are invited to take part in this study, which seeks to help the Census Bureau understand respondents' experiences with questions on the Annual Business Survey. If you agree to participate, you will be asked to review a few survey
questions and discuss your experience with answering these questions during a confidential interview. <br><br>AUTHORITY AND CONFIDENTIALITY<br>This survey is conducted by the Census Bureau under the authority of Title 13 U.S. Code
(U.S.C.), Sections 131, 182, and 193. Section 9 of Title 13 U.S.C. ensures the confidentiality of data reported by private companies. Routine uses of these data are limited to those identified in the Privacy Act System of Record
Notice titled “COMMERCE/CENSUS-4, Economic Survey Collection.” The Census Bureau can use your responses only to produce statistics and is not permitted to publicly release your responses in a way that could identify you, your
business, organization, or institution. Additionally, per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data. This study has
been approved by the Office of Management and Budget (OMB). This eight-digit OMB number, 0607-0725, confirms this approval and expires on 12/31/2023. Without this approval, we could not conduct this study.<br><br>BURDEN ESTIMATE
We estimate that completing this interview will take no more than 20 minutes. You may send comments regarding this estimate or any other aspect of this survey, including suggestions for reducing the time it takes to complete this
survey, to erd.surveys@census.gov. <br></div>
<div class="QuestionBody"></div>
</div>
</div>
</div>
<div id="QID3Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div>
<div class="QuestionOuter BorderColor DB QID3" id="QID3" questionid="QID3" posttag="QID3" data-runtime-remove-class-hidden="runtime.Displayed">
<div id="QR~QID3~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div>
<div id="QR~QID3~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div>
<div class="Inner BorderColor TB">
<div class="InnerInner BorderColor">
<div class="QuestionText BorderColor"><b>CONSENT</b><br>You have volunteered to take part in a study of data collection procedures.<br><br>Only the people who work on this study will see your answers.</div>
<div class="QuestionBody"></div>
</div>
</div>
</div>
<div id="QID5Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div>
<div class="QuestionOuter BorderColor MC QID5" id="QID5" questionid="QID5" posttag="QID5" data-runtime-remove-class-hidden="runtime.Displayed">
<div id="QR~QID5~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div>
<div id="QR~QID5~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div>
<div class="Inner BorderColor MAVR">
<div class="InnerInner BorderColor TX">
<fieldset aria-describedby="QR~QID5~VALIDATION QR~QID5~SDPVALIDATION"> <!-- BEGIN PARTIALS --><!-- Partial for defining the ControlContainerContent --><!-- END PARTIALS -->
<legend>
<div class="QuestionText BorderColor">Please select the appropriate option below to indicate your consent.</div>
</legend>
<div class="QuestionBody">
<ul class="ChoiceStructure">
<li class="Selection reg"> <input choiceid="1" class="checkbox QR-QID5-1 QWatchTimer" type="checkbox" name="QR~QID5~1" id="QR~QID5~1" value="Selected" data-runtime-checked="runtime.Choices.1.Selected"
aria-labelledby="QID5-1-label"><label for="QR~QID5~1" class="q-checkbox" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Selected"></label> <span class="LabelWrapper"> <label for="QR~QID5~1"
id="QID5-1-label" class="MultipleAnswer ChoiceTextPositionLeft" data-runtime-class-q-checked="runtime.Choices.1.Selected"><span>I have read the above, understand that my participation is voluntary, and I agree to
participate.</span></label></span>
<div class="clear"></div>
</li>
</ul>
<div class="clear zero"></div>
</div>
</fieldset>
</div>
</div>
</div>
<div id="QID200Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div>
<div class="QuestionOuter BorderColor TE QID200" id="QID200" questionid="QID200" posttag="QID200" data-runtime-remove-class-hidden="runtime.Displayed">
<div id="QR~QID200~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div>
<div id="QR~QID200~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div>
<div class="Inner BorderColor SL">
<div class="InnerInner BorderColor">
<fieldset aria-describedby="QR~QID200~VALIDATION QR~QID200~SDPVALIDATION">
<legend><label for="QR~QID200" class="QuestionText BorderColor">Please type your name.</label></legend>
<div class="QuestionBody">
<div class="ChoiceStructure"> <input type="TEXT" autocomplete="off" id="QR~QID200" value="" class="InputText QR-QID200 QWatchTimer" name="QR~QID200~TEXT" data-runtime-textvalue="runtime.Value"
aria-describedby="QR~QID200~VALIDATION"> </div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="Buttons" role="navigation"><input id="NextButton" class="NextButton Button" title="→" type="button" name="NextButton" value="→" data-runtime-disabled="runtime.Disabled" data-runtime-aria-label="runtime.ariaLabel"
data-runtime-hide="runtime.Hide" page-id="P_1691501298437" aria-label="Next"></div>
</div>
</div>
<div id="Footer" role="contentinfo"></div>
<div id="PushStickyFooter"></div>
</div>
<div id="Plug" style="display:block !important;"><a target="_blank" aria-label="Powered by Qualtrics: Learn more about Qualtrics in a new tab">Powered by Qualtrics</a></div>
</div>
</form>Text Content
Javascript is required to load this page. Page Loaded PURPOSE The U.S. Census Bureau is conducting a short study. The Census Bureau routinely conducts research on how to collect information in order to produce the best statistics possible. You are invited to take part in this study, which seeks to help the Census Bureau understand respondents' experiences with questions on the Annual Business Survey. If you agree to participate, you will be asked to review a few survey questions and discuss your experience with answering these questions during a confidential interview. AUTHORITY AND CONFIDENTIALITY This survey is conducted by the Census Bureau under the authority of Title 13 U.S. Code (U.S.C.), Sections 131, 182, and 193. Section 9 of Title 13 U.S.C. ensures the confidentiality of data reported by private companies. Routine uses of these data are limited to those identified in the Privacy Act System of Record Notice titled “COMMERCE/CENSUS-4, Economic Survey Collection.” The Census Bureau can use your responses only to produce statistics and is not permitted to publicly release your responses in a way that could identify you, your business, organization, or institution. Additionally, per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data. This study has been approved by the Office of Management and Budget (OMB). This eight-digit OMB number, 0607-0725, confirms this approval and expires on 12/31/2023. Without this approval, we could not conduct this study. BURDEN ESTIMATE We estimate that completing this interview will take no more than 20 minutes. You may send comments regarding this estimate or any other aspect of this survey, including suggestions for reducing the time it takes to complete this survey, to erd.surveys@census.gov. CONSENT You have volunteered to take part in a study of data collection procedures. Only the people who work on this study will see your answers. Please select the appropriate option below to indicate your consent. * I have read the above, understand that my participation is voluntary, and I agree to participate. Please type your name. Powered by Qualtrics