**QUESTIONNAIRE FOR PRODUCERS IN HAITI OF**

**APPAREL PRODUCTS**

***Return completed questionnaire to:***

Russell Duncan (Tel: 202-708-4727, <russell.duncan@usitc.gov>)

**UNITED STATES INTERNATIONAL TRADE COMMISSION**

Office of Investigations, Room 615-U

500 E Street, SW, Washington, DC 20436

**So as to be received by the Commission by no later than September 7,
2007**

The information called for in this voluntary questionnaire is for use by
the United States International Trade Commission in connection with its
investigation No. 5003-1, *Textiles and Apparel: Effects of Special
Rules for Haiti on Trade Markets and Industries*, under section 5003 of
the Tax Relief and Health Care Act of 2006 (TRHCA) (Public Law
No.109-432). The commercial and financial data furnished in response to
this questionnaire that reveal the individual operations of your firm
will be treated as confidential by the Commission to the extent that
such data are not otherwise available to the public and will not be
disclosed except as described in the certification paragraph below, and
as may be required by law.

+-----------------------------------------------------------------------+
| > **Name of firm [     ]{.underline}**                                |
| >                                                                     |
| > **Address** [     ]{.underline}                                     |
| >                                                                     |
| > **City** [     ]{.underline} **Arrondissement** [     ]{.underline} |
| >                                                                     |
| > **Department** [     ]{.underline} **Zip Code** [     ]{.underline} |
| > **Country** [     ]{.underline}                                     |
| >                                                                     |
| > **World Wide Web address** [     ]{.underline}                      |
| >                                                                     |
| > Has your firm produced or finished any apparel product (as defined  |
| > in the instruction booklet) in Haiti at any time since January 1,   |
| > 2004?                                                               |
| >                                                                     |
| > **NO** (Sign the certification below and promptly return only this  |
| > page of the questionnaire to the Commission)                        |
| >                                                                     |
| > **YES** (Read the instruction booklet carefully, complete all parts |
| > of the questionnaire, and return the entire                         |
| >                                                                     |
| > questionnaire to the Commission so as to be received by September   |
| > 7, 2007)                                                            |
+-----------------------------------------------------------------------+

**CERTIFICATION**

***I certify that the information herein supplied in response to this
questionnaire is complete and correct to the best of my knowledge and
belief and understand that the information submitted is subject to
verification by the Commission. I acknowledge that information submitted
in this questionnaire response and throughout this investigation may be
used by the Commission, its employees, and contract personnel who are
acting in the capacity of Commission employees, for developing or
maintaining the records of this investigation or related proceedings for
which this information is submitted, or in internal audits and
investigations relating to the programs and operations of the Commission
pursuant to 5 U.S.C. Appendix 3. I understand that all contract
personnel will sign non-disclosure agreements.***

***I understand that the Commission will not publish or release
confidential business information submitted in response to this
questionnaire in its report in a manner that would reveal the individual
operations of the firm supplying the information except in accordance
with the notice given in the instructions manual.***

[     ]{.underline} [     ]{.underline} [     ]{.underline}

***Name of Authorized Official*** ***Title of Authorized Official
Date***

[     ]{.underline} ***Phone:*** [(   )     ]{.underline}
[     ]{.underline}

***Signature*** ***Fax*** [(   )     ]{.underline} ***E-mail address***

Public reporting burden for this questionnaire is estimated to average
15 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering the data needed, and
completing and reviewing the questionnaire. Send comments regarding the
accuracy of this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to Louise
Gillen, Office of Operations, U.S. International Trade Commission, 500 E
Street, SW, Washington, DC 20436 (louise.gillen@usitc.gov).

I-1. Please report below the actual number of hours required and the
cost to your firm of preparing the reply to this questionnaire and
completing the form.

[     ]{.underline} hours [     ]{.underline} dollars

I-2. Provide the name and address of establishment(s) covered by this
questionnaire (See the instructions for definitions).

> [     \
> ]{.underline}

I-3. Is your firm owned, in whole or in part, by any other firm?

> No Yes\--List the following information

  ----------------------- -------------------------------- ------------------------
  [Firm name]{.underline} [Address]{.underline}            [Extent of
                                                           ownership]{.underline}

  [     ]{.underline}     [     ]{.underline}              [     ]{.underline}

  [     ]{.underline}     [     ]{.underline}              [     ]{.underline}

  [     ]{.underline}     [     ]{.underline}              [     ]{.underline}

  [     ]{.underline}     [     ]{.underline}              [     ]{.underline}
  ----------------------- -------------------------------- ------------------------

I-4. Does your firm have any related firms, either in Haiti or in other
countries, which are engaged in the production of apparel?

> No Yes\--List the following information

  ----------------------- -------------------------- ---------------------------
  [Firm name]{.underline} [Address]{.underline}      [Affiliation]{.underline}

  [     ]{.underline}     [     ]{.underline}        [     ]{.underline}

  [     ]{.underline}     [     ]{.underline}        [     ]{.underline}

  [     ]{.underline}     [     ]{.underline}        [     ]{.underline}

  [     ]{.underline}     [     ]{.underline}        [     ]{.underline}
  ----------------------- -------------------------- ---------------------------

Further information on this part of the questionnaire can be obtained
from Russell Duncan (202-708-4727 [russell.duncan@usitc.gov]{.underline}
). **Supply** **all data requested on a [calendar-year]{.underline}
basis**.

II-1. **[Contact information]{.underline}:** Who should be contacted
regarding the data requested in this questionnaire?

> Company contact: [     ]{.underline}
>
> Name and title
>
> [(   )      ]{.underline} [     ]{.underline}
>
> Phone number E-mail address

II-2a. **[Changes in operations]{.underline}:** Has your firm
experienced any of the following in relation to the production of
apparel since December 20, 2006?

  ----------------------------- -----------------------------------------
  (*check as many as            (*please describe*)
  appropriate*)                 

  Plant openings                [     \
                                \
                                ]{.underline}

  Relocations                   [     \
                                \
                                ]{.underline}

  Expansions                    [     \
                                \
                                ]{.underline}

  Additional product lines      [     \
                                \
                                ]{.underline}

  New foreign investment        [     \
                                \
                                ]{.underline}

  New domestic investment       [     \
                                \
                                ]{.underline}
  ----------------------------- -----------------------------------------

II-2. **[Changes in operations]{.underline}:*\--Continued***

  ----------------------------- -----------------------------------------
  (*check as many as            (*please describe*)
  appropriate*)                 

  Changes in employment         [     \
                                \
                                ]{.underline}

  Acquisitions                  [     \
                                \
                                ]{.underline}

  Consolidations                [     \
                                \
                                ]{.underline}

  Closures                      [     \
                                \
                                ]{.underline}

  Prolonged shutdowns           [     \
                                \
                                ]{.underline}

  None of the above             [     \
                                \
                                ]{.underline}

  Other                         [     \
                                \
                                ]{.underline}
  ----------------------------- -----------------------------------------

> Please indicate whether any of the above events occurred largely or
> solely as a result of the U.S. Haitian HOPE Act.
>
> [     \
> \
> ]{.underline}

II-3. **[Constraints]{.underline}:** Please describe any constraints
that limit your capacity to produce apparel.

> [     \
> \
> \
> ]{.underline}

II-4. **[Shared Production Workers]{.underline}:** Does your firm
produce non-apparel products using the same production workers employed
to produce apparel?

> No Yes\--List the following information.
>
> Basis for allocation of capacity data (*e.g.*, sales, production, or
> other): [     ]{.underline}
>
> Products produced using the same workers and share of total production
> in 2006 (in percent):

  ----------------------------------------------- ---------------------------
  **[Product]{.underline}**                       **[Percent]{.underline}**

  [Apparel]{.underline}                           [     ]{.underline}

  [     ]{.underline}                             [     ]{.underline}

  [     ]{.underline}                             [     ]{.underline}

  [     ]{.underline}                             [     ]{.underline}

  [     ]{.underline}                             [     ]{.underline}
  ----------------------------------------------- ---------------------------

II-5. **[Employment]{.underline}:** Report your firm's employment of
production workers involved in the production of *[apparel]{.underline}*
in your establishment(s) in Haiti during the specified periods.

  ---------------------------- ------------ ---------- ---------- ------------------ ----------
  **Value (*in Haitian                                                               
  Gourde*)**                                                                         

  **Item**                     **Calendar                         **January-June**   
                               years**                                               

                               **2004**     **2005**   **2006**   **2006**           **2007**

  **Employment data:**                                                               

  Average number of production                                                            
  workers (*number*)                                                                 

  Hours worked by production                                                              
  workers (*1,000 hours*)                                                            

  Wages paid to production                                                                
  workers (*value, HTG*)                                                             
  ---------------------------- ------------ ---------- ---------- ------------------ ----------

> Has your firm's employment changed since the U.S. Haitian HOPE Act?
>
> No Yes\--Please describe these changes and explain whether you
> attribute them to the U.S. Haitian HOPE Act.
>
> [     \
> \
> \
> \
> \
> ]{.underline}

II-6. **[Production and shipments]{.underline}:** Report your firm's
production, shipments, and inventories of apparel produced in your
establishment(s) in Haiti during the specified periods. (See definitions
in the instruction booklet.)

+-----------------------------+-------+-------+------+-------+-------+
| **Quantity (*in dozens*)    |       |       |      |       |       |
| and value (*in US           |       |       |      |       |       |
| dollars*)**                 |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **Item**                    | **Cal |       |      | *     |       |
|                             | endar |       |      | *Janu |       |
|                             | ye    |       |      | ary-J |       |
|                             | ars** |       |      | une** |       |
+-----------------------------+-------+-------+------+-------+-------+
|                             | **2   | **2   | **20 | **2   | **2   |
|                             | 004** | 005** | 06** | 006** | 007** |
+-----------------------------+-------+-------+------+-------+-------+
| **HTS 6109** (t-shirts,     |       |       |      |       |       |
| singlets, tank tops and     |       |       |      |       |       |
| similar garments, knitted   |       |       |      |       |       |
| or crocheted)               |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:^1^**             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **HTS 6110** (sweaters,     |       |       |      |       |       |
| pullovers, sweatshirts,     |       |       |      |       |       |
| waistcosts (vests) and      |       |       |      |       |       |
| similar articles, knitted   |       |       |      |       |       |
| or crocheted)               |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:^1^**             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| Table continued on next     |       |       |      |       |       |
| page.                       |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+

II-6. **[Production and shipments]{.underline}**\--*Continued*

+-----------------------------+-------+-------+------+-------+-------+
| **Quantity (*in dozens*)    |       |       |      |       |       |
| and value (*in US           |       |       |      |       |       |
| dollars*)**                 |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **Item**                    | **Cal |       |      | *     |       |
|                             | endar |       |      | *Janu |       |
|                             | ye    |       |      | ary-J |       |
|                             | ars** |       |      | une** |       |
+-----------------------------+-------+-------+------+-------+-------+
|                             | **2   | **2   | **20 | **2   | **2   |
|                             | 004** | 005** | 06** | 006** | 007** |
+-----------------------------+-------+-------+------+-------+-------+
| **HTS 6203** (men's or      |       |       |      |       |       |
| boys' suits, ensembles,     |       |       |      |       |       |
| suit-type jackets, blazers, |       |       |      |       |       |
| trousers, bib and brace     |       |       |      |       |       |
| overalls, breeches and      |       |       |      |       |       |
| shorts (other than          |       |       |      |       |       |
| swimwear))                  |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:^1^**             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **HTS 6105** (men's or      |       |       |      |       |       |
| boys' shirts, knitted or    |       |       |      |       |       |
| crocheted)                  |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:**                |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| Table continued on next     |       |       |      |       |       |
| page.                       |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+

II-6. **[Production and shipments]{.underline}**\--*Continued*

+-----------------------------+-------+-------+------+-------+-------+
| **Quantity (*in dozens*)    |       |       |      |       |       |
| and value (*in US           |       |       |      |       |       |
| dollars*)**                 |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **Item**                    | **Cal |       |      | *     |       |
|                             | endar |       |      | *Janu |       |
|                             | ye    |       |      | ary-J |       |
|                             | ars** |       |      | une** |       |
+-----------------------------+-------+-------+------+-------+-------+
|                             | **2   | **2   | **20 | **2   | **2   |
|                             | 004** | 005** | 06** | 006** | 007** |
+-----------------------------+-------+-------+------+-------+-------+
| **HTS 6205** (men's or      |       |       |      |       |       |
| boys' shirts,               |       |       |      |       |       |
| *[not]{.underline}* knitted |       |       |      |       |       |
| or crocheted)               |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:^1^**             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **HTS 6212.10**             |       |       |      |       |       |
| (brassieres)                |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:^1^**             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| Table continued on next     |       |       |      |       |       |
| page.                       |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+

II-6. **[Production and shipments]{.underline}**\--*Continued*

+-----------------------------+-------+-------+------+-------+-------+
| **Quantity (*in dozens*)    |       |       |      |       |       |
| and value (*in US           |       |       |      |       |       |
| dollars*)**                 |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| **Item**                    | **Cal |       |      | *     |       |
|                             | endar |       |      | *Janu |       |
|                             | ye    |       |      | ary-J |       |
|                             | ars** |       |      | une** |       |
+-----------------------------+-------+-------+------+-------+-------+
|                             | **2   | **2   | **20 | **2   | **2   |
|                             | 004** | 005** | 06** | 006** | 007** |
+-----------------------------+-------+-------+------+-------+-------+
| **All other apparel^2^**    |       |       |      |       |       |
| (*i.e.*, apparel not        |       |       |      |       |       |
| reported above under the    |       |       |      |       |       |
| HTS subheadings: 6109,      |       |       |      |       |       |
| 6110, 6203, 6105, 6205, or  |       |       |      |       |       |
| 6212.20)                    |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Beginning-of-period     |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Production**            |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Home market             |       |       |      |       |       |
| > shipments:**              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **Export shipments:**     |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To the United States:** |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **To Other Export         |       |       |      |       |       |
| > Markets:^1\ ^**           |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Quantity* of shipments   |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > *Value* of shipments      |       |       |      |       |       |
|                             |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| > **End-of-period           |       |       |      |       |       |
| > inventories**             |       |       |      |       |       |
| > (*quantity*)              |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+
| ^1^ Please identify your    |       |       |      |       |       |
| firm's principle export     |       |       |      |       |       |
| markets other than the      |       |       |      |       |       |
| United States by product    |       |       |      |       |       |
| category:                   |       |       |      |       |       |
|                             |       |       |      |       |       |
| HTS 6109 (                  |       |       |      |       |       |
| [     ]{.underline} )       |       |       |      |       |       |
|                             |       |       |      |       |       |
| HTS 6110 (                  |       |       |      |       |       |
| [     ]{.underline} )       |       |       |      |       |       |
|                             |       |       |      |       |       |
| HTS 6203 (                  |       |       |      |       |       |
| [     ]{.underline} )       |       |       |      |       |       |
|                             |       |       |      |       |       |
| HTS 6105 (                  |       |       |      |       |       |
| [     ]{.underline} )       |       |       |      |       |       |
|                             |       |       |      |       |       |
| HTS 6205 (                  |       |       |      |       |       |
| [     ]{.underline} )       |       |       |      |       |       |
|                             |       |       |      |       |       |
| HTS 6212.20 (               |       |       |      |       |       |
| [     ]{.underline} )       |       |       |      |       |       |
|                             |       |       |      |       |       |
| ^2^ Please describe the     |       |       |      |       |       |
| types of products included  |       |       |      |       |       |
| in this category and        |       |       |      |       |       |
| provide their corresponding |       |       |      |       |       |
| 4-digit HTS subheadings. (  |       |       |      |       |       |
| [     \                     |       |       |      |       |       |
| ]{.underline})              |       |       |      |       |       |
|                             |       |       |      |       |       |
| **Note.\--** Reconciliation |       |       |      |       |       |
| of data.\--Please note that |       |       |      |       |       |
| the                         |       |       |      |       |       |
| *[quantities]{.underline}*  |       |       |      |       |       |
| reported above should       |       |       |      |       |       |
| reconcile as follows:       |       |       |      |       |       |
| beginning-of-period         |       |       |      |       |       |
| inventories, plus           |       |       |      |       |       |
| production, less total      |       |       |      |       |       |
| shipments, equals           |       |       |      |       |       |
| end-of-period inventories   |       |       |      |       |       |
| for each break-out. Do the  |       |       |      |       |       |
| data reported reconcile?    |       |       |      |       |       |
|                             |       |       |      |       |       |
| Yes No\--Please explain:    |       |       |      |       |       |
| [     ]{.underline} .       |       |       |      |       |       |
+-----------------------------+-------+-------+------+-------+-------+

II-7. **[Production and shipment changes]{.underline}:** Have your
firm's production and/or shipments of apparel changed since the
enactment of the U.S. Haitian HOPE Act?

> No Yes\-- Please describe and quantify these changes.
>
> [     \
> \
> \
> \
> ]{.underline}

II-8. **[Machinery]{.underline}:** Please indicate whether your firm
owns or leases the equipment used to produce apparel. (check all that
apply)

> Own Lease Provided free of charge by customer

If your firm does not own all of the equipment it uses in the production
of apparel, please report below the name(s) and address(es) of the
entity(ies) from which your firm leases equipment and/or from which your
firm procured the equipment free of charge for use in contract assembly.

> [     \
> \
> \
> \
> ]{.underline}

II-9. **[Raw material input decisions]{.underline}:** Does your firm
make its own raw material input sourcing decisions (*i.e.* does your
firm purchase fabric from suppliers or producers directly)?

> Yes No (If not, who does? [     ]{.underline} )
>
> If your firm controls the sourcing decision for its raw material
> inputs, please describe how your firm sourced its raw material inputs
> both prior to and following the U.S. Haitian HOPE Act.

+-----------------------------------+-----------------------------------+
| **[Prior to March 20,             | **[Following March 20,            |
| 2007]{.underline}**               | 2007]{.underline}**               |
|                                   |                                   |
| [     \                           | [     \                           |
| \                                 | \                                 |
| \                                 | \                                 |
| ]{.underline}                     | ]{.underline}                     |
+-----------------------------------+-----------------------------------+

II-10 **[Raw material inputs]{.underline}:**

\(a\) What was the share (by quantity) of fabric and other raw material
inputs for each source out of the total (by quantity) fabric and other
raw material inputs your firm sourced in the following two periods?

+-------------------------------+------------------+------------------+
| **Source**                    | **January to     | **January to     |
|                               | June 2006**      | June 2007**      |
| **(see Instructions for       |                  |                  |
| definitions)**                | **(*in           | **(*in           |
|                               | percent*)**      | percent*)**      |
+-------------------------------+------------------+------------------+
| United States                 |                  |                  |
+-------------------------------+------------------+------------------+
| CBTPA countries^1^            |                  |                  |
+-------------------------------+------------------+------------------+
| Countries with which the U.S. |                  |                  |
| has an FTA^1^                 |                  |                  |
+-------------------------------+------------------+------------------+
| AGOA countries                |                  |                  |
+-------------------------------+------------------+------------------+
| ATPA countries                |                  |                  |
+-------------------------------+------------------+------------------+
| Foreign sources               |                  |                  |
+-------------------------------+------------------+------------------+
| Total                         | 100.0%           | 100.0%           |
+-------------------------------+------------------+------------------+
| ^1^ For the purposes of this  |                  |                  |
| question, please group any    |                  |                  |
| CAFTA countries as CBTPA.     |                  |                  |
+-------------------------------+------------------+------------------+

II-10 **[Raw material inputs]{.underline}:\--*Continued***

\(b\) Are fabric and other raw material produced in the United States
and in other countries interchangeable with fabric and other raw
materials produced elsewhere?

> Yes No.\--Please describe.
>
> [     \
> ]{.underline}

\(c\) Please rank the following characteristics of fabric in order of
importance in your firm's sourcing decisions (1= most important, 9 =
least important, please check only one box per row and per column,
*i.e.* please do not check number "1" for more than one characteristic).

  ------------------------------ ------- ------- ------- ------- ------- ------- ------- ------- -------
  **Characteristic**             **1**   **2**   **3**   **4**   **5**   **6**   **7**   **8**   **9**

  Price                                                                                          

  Availability                                                                                   

  Delivery time                                                                                  

  Minimum quality requirements                                                                   

  Technical support                                                                              

  Extension of credit terms                                                                      

  Special characteristics of                                                                     
  fabric                                                                                         

  Other business relationships                                                                   

  Low transportation costs                                                                       
  ------------------------------ ------- ------- ------- ------- ------- ------- ------- ------- -------

II-11. **[Suppliers]{.underline}:** Please identify below the names and
addresses of your firm's five (5) largest suppliers for the raw material
inputs for the apparel your firm produces, *i.e.* fabric, trimmings, and
fasteners in 2006?

+---+----------------+----------------+----------------+---------------+
| * | **Supplier's   | **Street       | **Contact      | **Country     |
| * | Name**         | address (not   | Person**       | code, area    |
| N |                | P.O. box),     |                | code and      |
| o |                | city, state,   | **and e-mail   | telephone     |
| . |                | and zip code** | address**      | number**      |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 1 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 2 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 3 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 4 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 5 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+

II-12. **[Customers]{.underline}:** Please identify below the names and
addresses of your firm's five (5) largest customers for apparel produced
in Haiti in 2006.

+---+----------------+----------------+----------------+---------------+
| * | **Customer's   | **Street       | **Contact      | **Country     |
| * | Name**         | address (not   | Person**       | code, area    |
| N |                | P.O. box),     |                | code and      |
| o |                | city, state,   | **and e-mail   | telephone     |
| . |                | and zip code** | address**      | number**      |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 1 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 2 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 3 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 4 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+
| * |                |                |                |               |
| * |                |                |                |               |
| 5 |                |                |                |               |
| * |                |                |                |               |
| * |                |                |                |               |
+---+----------------+----------------+----------------+---------------+

II-13. **[Security premiums]{.underline}:** Please describe and quantify
(to the extent possible) the security risks facing your firm's
operations in Haiti.

+--------------------------------------------------+-------------------+
| **[Security Risk]{.underline}**                  | **[Cost in        |
|                                                  | 20                |
| (*please list and describe*)                     | 06]{.underline}** |
|                                                  |                   |
| 1\. [     \                                      | (*in Haitian      |
| ]{.underline}                                    | Gourde*)          |
|                                                  |                   |
|                                                  | [                 |
|                                                  |     ]{.underline} |
+--------------------------------------------------+-------------------+
| 2\. [     \                                      | [                 |
| ]{.underline}                                    |     ]{.underline} |
+--------------------------------------------------+-------------------+
| 3\. [     \                                      | [                 |
| ]{.underline}                                    |     ]{.underline} |
+--------------------------------------------------+-------------------+
| 4\. [     \                                      | [                 |
| ]{.underline}                                    |     ]{.underline} |
+--------------------------------------------------+-------------------+

Has there been an improvement in the security situation of your firm's
operations in 2007?

> No Yes (Please describe)
>
> [     \
> \
> ]{.underline}

II-14. **[New Competition]{.underline}:** Has your firm become aware of
any new entrants to the Haitian apparel assembly industry (*i.e.* new
apparel assembly firms) following the enactment of the U.S. Haitian HOPE
Act in December 20, 2006?

> No Yes (Please identify the new competition)
>
> [     \
> \
> ]{.underline}

II-15. **[New Suppliers]{.underline}:** Has your firm become aware of
the establishment of any new suppliers of raw material inputs in Haiti
following the enactment of the U.S. Haitian HOPE Act?

> No Yes.\--Please identify this firms below.
>
> [     \
> ]{.underline}

II-16. **[Competitors]{.underline}:** Please indicate the companies
and/or countries that are your firm's leading competitors for apparel
assembly contracts.

+---------------------------------+------------------------------------+
| **[Firm name and                | **[Comparative                     |
| location]{.underline}**         | strengths]{.underline}**           |
|                                 |                                    |
| 1\. [     \                     | (*please provide as much detail as |
| ]{.underline}                   | possible as to the factors most    |
|                                 | frequently cited by your customers |
|                                 | as to the reason or reasons for    |
|                                 | choosing an alternative supplier*) |
|                                 |                                    |
|                                 | [     \                            |
|                                 | ]{.underline}                      |
+---------------------------------+------------------------------------+
| 2\. [     \                     | [     \                            |
| ]{.underline}                   | ]{.underline}                      |
+---------------------------------+------------------------------------+
| 3\. [     \                     | [     \                            |
| ]{.underline}                   | ]{.underline}                      |
+---------------------------------+------------------------------------+
| 4\. [     \                     | [     \                            |
| ]{.underline}                   | ]{.underline}                      |
+---------------------------------+------------------------------------+

II-17. **[Contracts]{.underline}:** Please describe how your firm
obtains business (contracts) for apparel production. Please include
information on the typical terms of your firm's apparel production
contracts or arrangements.

> [     \
> \
> ]{.underline}

II-18. **[New Contracts]{.underline}:** Has the nature of your firm's
contracts, or business in general, changed as a result of the U.S.
Haitian HOPE Act?

> No Yes (Please describe and quantify these new or changed contracts or
> business arrangements, *e.g.* new customers, different contract terms,
> new product lines, different order size, *et cetera*.)
>
> [     \
> \
> \
> ]{.underline}

II-19. **[New Investment]{.underline}:** Has your firm received either
domestic or foreign investment (*e.g.*, expanded production facility,
purchase of new machinery, *et cetera*) as a result of the U.S. Haitian
HOPE Act since December 20, 2006?

> No Yes (Please describe and quantify these investments)

+--------------------------------------------------+-------------------+
| **[New Investments]{.underline}**                | **[Total Value in |
|                                                  | 20                |
| (*please list and describe including the source  | 07]{.underline}** |
| of the investment*)                              |                   |
|                                                  | (*in Haitian      |
| 1\. [     \                                      | Gourde*)          |
| ]{.underline}                                    |                   |
|                                                  | [                 |
|                                                  |     ]{.underline} |
+--------------------------------------------------+-------------------+
| 2\. [     \                                      | [                 |
| ]{.underline}                                    |     ]{.underline} |
+--------------------------------------------------+-------------------+
| 3\. [     \                                      | [                 |
| ]{.underline}                                    |     ]{.underline} |
+--------------------------------------------------+-------------------+
| 4\. [     \                                      | [                 |
| ]{.underline}                                    |     ]{.underline} |
+--------------------------------------------------+-------------------+

II-20. **[Cost share]{.underline}:** What share of your total production
costs of apparel is represented by each of the following?

  ---------------------------------------------------- ---------------------
  1\. Labor                                            [     ]{.underline}
                                                       percent

  2\. Plant and equipment                              [     ]{.underline}
                                                       percent

  3\. Raw material inputs                              [     ]{.underline}
                                                       percent

  4\. Security premiums                                [     ]{.underline}
                                                       percent

  5\. Other (specify: [     ]{.underline} )            [     ]{.underline}
                                                       percent

  6\. Other (specify: [     ]{.underline} )            [     ]{.underline}
                                                       percent

  Total                                                100 percent
  ---------------------------------------------------- ---------------------

II-21. **[Debt]{.underline}:** Is part of your plant and equipment
financed through a loan?

> No Yes (Please respond to the following)

(a) What share of your plant and equipment is financed with debt? [     
    percent]{.underline}

(b) What is average rate of interest for your firm's debt? [     
    percent]{.underline}

(c) If additional financing were available, what would you use it for?

> [     \
> \
> \
> ]{.underline}

II-22. **[Obstacles to Compliance]{.underline}:** Please describe any
obstacles or constraints facing your firm in terms of being able to
receive trade benefits under the U.S. Haitian HOPE Act.

> [     \
> \
> \
> ]{.underline}