Sample Form Construction Progress Reporting Survey
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1
2OMB No. 0607-0153: Approval Expires 05/31/2019
C-700
U.S. DEPARTMENT OF COMMERCE
NOTICE – Title 13, United States Code, Sections 131 and 182 authorizes the Census Bureau to conduct this collection
FORM
Economics and Statistics Administration
and to request your voluntary assistance. By Section 9 of Title 13, United States Code, your report is confidential. It may
(11-23-2015)
U.S. CENSUS BUREAU
be seen only by persons sworn to uphold the confidentiality of Census Bureau information, and may be used only for
statistical purposes. The law also provides that copies of your report retained in your files are immune from legal
CONSTRUCTION PROGRESS
process. This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB
approval number is 0607-0153 and appears at the upper right of this page. Without this approval we could not conduct
REPORTING SURVEY
this survey. We estimate this survey will take an average of 10–30 minutes to complete. More information about this
estimate and an address where you may write with comments is on the back of this form.
PRIVATE CONSTRUCTION PROJECTS
In any correspondence pertaining to this report, refer to the control number shown below.
IMPORTANT
Please refer to the back of this form for
more information and instructions for
completing the survey.
DUE DATE:
U.S. Census Bureau
RETURN
1201 East 10th Street
FORM TO
Jeffersonville, IN 47132-0001
FAX
1–800–845–8245
VIA INTERNET
econhelp.census.gov/cprs
OR FOR HELP
Use your unique User ID and original password.
User ID:
Password:
(Please correct any error in name and address including ZIP Code, telephone and fax number)
Section A
PROJECT IDENTIFICATION
Section C
COST ESTIMATES – Continued
The construction project described below is associated with your
7. ESTIMATED AMOUNT OF
Other capital
organization according to published sources. Please correct any errors or
ALL OTHER CAPITAL
expenditures
fill in any blanks in items 1 and 2. If necessary, make your corrections in
(Thousands of dollars)
EXPENDITURES
item 10, Remarks, or use a separate sheet. IF YOU HAVE ANY QUESTIONS
•
INCLUDE
Production machinery
CONCERNING THIS FORM, PLEASE CALL 1–800–845–8246.
and equipment,
1. PROJECT DESCRIPTION
furniture and
office equipment.
•
$
,000.00
EXCLUDE
Expenditures for land
Section D
MONTHLY CONSTRUCTION
PROGRESS REPORT
This form will be returned to you EACH MONTH
2. PROJECT LOCATION
until the project is completed.
•
Continue with item 8 if project has started; otherwise,
skip to section E.
•
Report the value of construction put in place each month.
Include only those construction costs defined in item 5c.
DO NOT include costs reported in items 6 and 7.
•
Report costs in the month in which work was done
Section B
OWNERSHIP, START AND PROJECTED COMPLETION DATES
(including any monthly retainage being withheld from
contractors) rather than in the month in which payment
3. TYPE OF OWNERSHIP – Mark (X) one box.
was made.
Will this project be privately or government owned during construction?
•
When project is completed, enter month and year in item 9.
Privately owned
Government owned
8. MONTHLY VALUE OF CONSTRUCTION PUT IN
PLACE ON PROJECT DESCRIBED IN ITEM 1
4a. START DATE OF CONSTRUCTION
Month and year of actual
or expected start date
When did actual construction work on the
Value of construction put
site start, or when do you estimate it will
Month and year
in place during month
start? Enter month and year.
report period
as defined in item 5c
(Thousands of dollars)
4b. PROJECTED COMPLETION DATE
Month and year of
(a)
(b)
When do you estimate it will complete?
expected completion date
Enter month and year.
$
,000.00
Section C
COST ESTIMATES
$
,000.00
INCLUDE
•
Site preparation and outside construction such as sidewalks and roadways
•
Mechanical and electrical installations which are integral parts of the
$
,000.00
structure, such as elevators, heating equipment, etc.
EXCLUDE
•
$
,000.00
Land and pre-existing structures
•
Architectural, engineering, and owner’s overhead and miscellaneous
costs – See item 6
•
$
,000.00
Furniture, furnishings, and other movable equipment – See item 7
•
Contingency funds
FOR INDUSTRIAL STRUCTURES SEE SPECIAL INSTRUCTIONS ON BACK
$
,000.00
NOTE: If project is on a "cost plus" basis, enter your best estimate of the final cost.
Construction costs
5a. CONTRACT CONSTRUCTION COST
$
,000.00
(Thousands of dollars)
(Amounts to be paid to contractors and subcontractors)
,000.00
$
$
,000.00
5b. OWNER SUPPLIED MATERIALS
AND LABOR
(Construction materials supplied by owner and the
$
,000.00
value of work done by project owner’s own
$
,000.00
construction employees assigned to the project.)
$
,000.00
5c. TOTAL CONSTRUCTION COST
(Sum of 5a + 5b)
$
,000.00
6. ARCHITECTURAL, ENGINEERING, AND MISCELLANEOUS COSTS
$
,000.00
INCLUDE
•
All fees for architectural and engineering services except fees for
$
,000.00
designing production machinery and equipment. If contractor was
authorized to "design and construct" this project, such cost should be
included in item 5a.
$
,000.00
•
Cost of design work by owner’s staff
If construction is complete except for some minor
•
Project owner’s overhead and office costs
work or retainage (up to 3 percent of item 5c), you may
•
Interest and taxes to be paid during construction
stop reporting on this project by entering the completion
•
date in item 9 and indicating any remarks in item 10.
Fees and other miscellaneous costs allocated on
Architectural, engineering,
owner’s books to this project
Month and year
and miscellaneous costs
9. COMPLETION DATE
of completion
(Thousands of dollars)
Enter date when all
EXCLUDE
construction is
•
Cost of production machinery and equipment, land,
actually completed
$
,000.00
and furniture and furnishings – See item 7
NOTE: Be sure to complete section E on the back of the form.
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