Form Sbo-2 - Survey Of Business Owners And Self-Employed Persons - 2012

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10022010
U.S. DEPARTMENT OF COMMERCE
2012 SURVEY OF BUSINESS OWNERS AND
Economics and Statistics Administration
U.S. CENSUS BUREAU
SELF-EMPLOYED PERSONS
SBO-2
OMB No. 0607-0943: Approval Expires 11/30/2015
FORM
(11/13/2012)
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 U.S. Census Bureau. By the same
law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality
of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents’
files are immune from legal process.
INSTRUCTIONS
COMPLETE THIS SURVEY ONLINE
Please read the enclosed insert before
• Go to: econhelp.census.gov/sbo
answering the questions.
• Log in using the ID and password listed above.
• Use blue or black ink.
• Place an " " inside the box.
Or mail your completed form to:
• Center numbers in boxes.
7
0
U.S. CENSUS BUREAU
• Do not put slashes through 0 or 7.
1201 East 10th Street
Jeffersonville, IN 47132-0001
1
Please PRINT the first and last name of the person
who is filling out this form.
Why did I receive this survey?
Contact Name
We are surveying small and large companies,
self-employed people, and people working for
others as nonemployees or independent
contractors. Your responses will help us produce
Include today’s date and a telephone number so we
can contact you if there is a question.
reliable information about the U.S. economy.
Am I self-employed?
MM
DD
YYYY
Yes, if you earned income working for yourself or
for someone else as a nonemployee during 2012.
Need help or have questions?
• Visit econhelp.census.gov/sbo
Area code
Number
• Call 1-888-824-9954, between 8 a.m. and 6 p.m.,
Eastern time, Monday through Friday.
¿Necesita ayuda?
Extension
Si usted habla español y necesita ayuda para
completar su cuestionario, Ilame sin cargo alguno
al 1-888-824-9954, entre las 8 a.m. y las 6 p.m., hora
del Este, de lunes a viernes.
§+#5+¤

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