us department of commerce economics and statistics administration census bureau form ps 54111 02 06 2007 economic other professional scientific technical services omb no 0607 0934 approval expires 12 31 2008 penalty for failure to report uscensusbureau continue on page 2 54111018 due date february mail your completed 1201 east 10th street jeffersonville in 47134 0001 please read the accompanying information sheet s before answering questions need help or have about filling out this visit www gov econhelp call 1 800 233 6136 between 8 00 am 6 pm eastern time monday through friday write address above include 11 digit file number cfn printed mailing correct any errors response is required by law title 13 united states code requires businesses organizations that receive questionnaire answer return same confidential it may be seen only persons sworn uphold confidentiality
