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Formulaire DS-2020 Instructions

Instructions pour remplir l'annexe des prix de détail DS-2020 (parties 1, 2 et 3)

Formulaires associés

  • Formulaire DS-2020-P1P2 - Annexe des prix de détail (Résumé du questionnaire de la partie 1 - Rapport de sortie et de la partie 2 - Modèle de vie)
  • Formulaire DS-2020-P3 - Calendrier des prix de détail (Prix de détail de la troisième partie)
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DS-2020I,  
INSTRUCTIONS FOR COMPLETING THE  
DS-2020-RETAIL PRICE SCHEDULE, PARTS 1-3  
Part 1 - Cover Sheet  
a. Please follow all instructions carefully. When in doubt, contact the U.S. Department of State.  
b. Thoroughly review the completed survey. The Office of Allowances' Regional Analysis must validate any  
inaccuracies, inconsistencies, or missing data from the Retail Price Schedule.  
c. Ensure the report is properly coordinated through all agencies.  
d. Ensure the final report is certified.  
e. Attach original DS-1996s if a new survey was conducted.  
f. Ensure you have the correct mailing address for the method you choose to send the report under (pouch vs.  
courier such as DHL, FedEX).  
U.S. Department of State, Office of Allowances  
2401 E St. NW, Room L314, SA1  
Washington, DC 20522-0103  
ITEM  
SPECIFICATIONS  
Post  
Location of survey  
US Agency  
Date of Survey  
Agency submitting survey  
The month in which most prices were collected  
Before Beginning the  
Report  
Read items a.-h. carefully  
The amount listed here is the percentage added to EACH particular type of goods or  
services. The Price Collector must validate if merchants have included taxes in the product  
price, or if taxes are applied at the time of checkout. Use the comment line in the survey  
for further explanation.  
Sales Taxes  
Check if the applicable taxes are refundable. Explain if not.  
This is the rate commonly available to and used by U.S. citizen employees for their  
personal expenses.  
Survey Exchange Rate  
LPQ Summary  
Number of employees eligible to complete the DS-1996; the number of received and  
summarized, and percentage of participation (must be 67% or greater).  
Each agency at the survey location must review and concur. Show concurrence by  
Agency and Officer name. Document non-concurrence and explain in a cover memo.  
Concurrence  
Identify the name of the Price Collector(s) and the agency assigned to or hired by.  
Price Collector(s)  
The officer at post with the overall responsibility for this survey must certify the survey and  
submit it to the Office of Allowances. Annotate the date the survey was initiated and  
completed.  
Certifying Official  
Part 1 - Outlet Report  
a. The Outlet Report is based on the tabulated results using the latest DS-1966 "Living Pattern Questionnaires".  
b. Price Collectors will use these outlets for collecting subcategory retail prices.  
c. Transfer the outlet names to the appropriate subcategories in Part 3.  
ITEM  
SPECIFICATIONS  
Consumer Goods and  
Services  
As listed. Some categories are combined such as meats. If separate outlets are used  
during price collecting, identify them in the Description/Comments column of the survey.  
Tally all Primary outlets from the LPQs. Identify the top outlet for each subcategory. The  
column will be a mix of primary outlets shopped.  
Primary Local Outlet  
Tally all Secondary outlets from the LPQs. The secondary outlet is not the number 2 outlet  
under the primary outlet summary.  
Secondary Local Outlet  
List the currency used for each subcategory. Do not convert local currency to U.S. dollars.  
If U.S. dollars are used for any purchases however, annotate for the appropriate goods or  
services.  
Currency  
DS-2020I  
12-2007  
Page 1 of 12  
Part 2 - Relative Importance of Various Sources of Supply  
a. The information on this page is based on the tabulated results of the submitting locations using the latest  
DS-1996 "Living Pattern Questionnaire".  
b. Round all percentages on this page to the nearest whole number.  
c. Percentages across must add up to 100%.  
d. Note: For each percentage entered, there must be a price collected for that item in that facility.  
ITEM  
SPECIFICATIONS  
Local Market Column  
Items or services purchased locally regardless of country of origin.  
Embassy Commissary: Ensure a DS-2021 accompanies the Retail Price Schedule if  
percentage is reported in this column.  
Special Facilities  
Military Commissary or Exchange: List name in Relative Use of Commodities and Services,  
Special Facilities.  
Report the proportion of goods purchased in anticipation of assignment, or conveyed to the  
foreign location at US Government expense in your House Hold Effects, Unaccompanied  
Air Baggage, accompanied (checked) baggage, or pouch.  
Supply Brought to  
Current Location  
U.S. - Items purchased from a source in the U.S. (internet, fax, mail order), or purchased  
during home leave/TDY/other visit in the US.  
Subsequent Purchases  
Other - Purchases from other posts or foreign locations. Provide the city or country where  
most of the purchases are made.  
Part 2 - Relative Use of Commodities and Services  
Any items indicated as consumed must have corresponding prices elsewhere in the report or on enclosed price lists.  
ITEM  
SPECIFICATIONS  
Tally the relative use percentages from all LPQs for each category on this page. Must total  
100%.  
1 to 3  
The Human Resources Officer (HRO) should provide the total of USG employees assigned  
to post. Tally the remaining items from the LPQs.  
4. Post Employees  
5. Special Facilities  
Identify any commissary or exchange if used by post employees. Be sure to specify any  
shipping costs or markups that have not been included in the commissary survey. If the  
commissary and exchanges used are not located near the post, specify the actual location  
and distance from the post.  
6. Other Foreign  
Locations.  
If more than one foreign location was identified on the LPQs, report the most used location.  
Please submit a separate summary for Uniformed Service members if their LPQs differ  
substantially from civilian LPQs.  
Note:  
Part 3 - Retail Price Collecting  
a. The prices collected in this report must reflect the consumption habits of the average U.S. family (3-4 persons -  
average income of $44,500) living in Washington, DC. This family has budget constraints in D.C. as well as  
abroad.  
b. Tax Rate. For all subcategory items, list the Tax Rate and check if it is already included in the price.  
c. Most Frequently Used and Second Most Frequently Used Outlets. Enter outlets identified in Part 1, Outlet  
Report.  
d. Substitute items are items bought if the typical item is not available for purchase. Report both prices.  
e. Unless otherwise noted, report items by weight or volume.  
f. Where indicated throughout the report, price both Typical and Substitute items.  
CATEGORY: MEATS AND DAIRY PRODUCTS  
ITEM  
SPECIFICATIONS  
Report meats by weight - not pieces or packages  
The specified meat cuts are those common to most parts of the world. These cuts may be either fresh or uncooked  
frozen. If local meat cuts are not listed in this report, every effort should be made to use cuts corresponding to those  
found in the United States. List the local name for the cut of meat (translated into English if possible) in the  
description column and add comments if applicable for clarification.  
It is important that the same types of meat cuts be priced in subsequent reports.  
Exclude smoked, cured, cooked, or canned products.  
Page 2 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
BEEF  
Steak, roast, and hamburger.  
SUBCATEGORY:  
PORK  
Chops and Loin roast.  
SUBCATEGORY:  
LAMB  
Chops and Leg.  
SUBCATEGORY:  
POULTRY  
Chicken: whole, breast, leg.  
Note: for this item, if no fresh chicken is available, report canned chicken if prices  
are available.  
Chicken  
SUBCATEGORY:  
SEAFOOD  
Identify and report prices for the types of fresh filet most readily available in the  
area and typically purchased by U.S. nationals.  
Fish, fresh  
If fresh fish filet is not available, price fresh whole or frozen fish filet; describe type,  
and report brand, if applicable.  
Exclude lobster, shrimp, prawns, clams, and other shellfish.  
Identify and report prices of types and sizes commonly used by U.S. nationals,  
such as tuna and salmon.  
Fish, canned  
Exclude sardines, shrimp, prawns, clams, and other shellfish.  
CATEGORY: DAIRY PRODUCTS  
SPECIFICATIONS  
ITEM  
SUBCATEGORY:  
DAIRY PRODUCTS  
Specify size (i.e., jumbo, large, medium, small) and price eggs per dozen (about  
24 oz).  
Eggs  
Price bulk ice cream most frequently purchased by volume. Price by liter or quart  
(or nearest equivalent) and specify size.  
Ice Cream  
Report only natural, firm-to-hard cheese (i.e., Cheddar, Edam, Gouda, Mozzarella,  
Provolone, Romano, Swiss)  
Cheese  
Identify and price brands and package sizes most frequently purchased by U.S.  
nationals.  
CATEGORY: GROCERIES  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
DAIRY PRODUCTS  
Identify and price types and sizes most frequently purchased by U.S. nationals by  
volume.  
Milk, fresh  
When fresh milk is unavailable or is unsafe, report price of UHT or long-life milk.  
Explain need for this product in the comments section.  
Carefully identify any necessary substitutes in comments.  
SUBCATEGORY:  
BREAD, FLOUR  
Report prices and weights of sliced white or wheat loaf bread commonly used by  
U.S. nationals.  
Bread, white or wheat  
Exclude hot dog, hamburger, and dinner rolls.  
Identify and report package sizes of bread or general purpose flour most  
frequently purchased by U.S. nationals.  
Flour  
Exclude small packages and special types.  
SUBCATEGORY:  
CEREAL  
Report types and sizes of dry, ready-to-eat breakfast cereals most frequently  
purchased.  
Page 3 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
RICE/PASTA  
Report and describe types of regular rice most frequently purchased by U.S.  
nationals.  
Rice, Regular  
Exclude pre-cooked types (i.e., instant or minute).  
Identify and price types of processed but uncooked pasta commonly purchased  
(i.e., spaghetti, macaroni, linguini, etc.).  
Pasta, Uncooked  
Exclude macaroni/cheese and Hamburger Helper, etc..  
SUBCATEGORY: TEA  
Report by bag. Identify brands, package sizes, and common types (regular or  
decaffeinated) most frequently purchase by U.S. nationals.  
Tea Bags  
Exclude loose tea, special blends, herbal teas, and instant tea mixes.  
SUBCATEGORY:  
COFFEE  
Report and identify brands, package or can sizes, and common types (regular or  
decaffeinated) of coffee most frequently purchased by U.S. nationals.  
Instant and Ground  
Exclude specialty, flavored, or spiced coffees.  
SUBCATEGORY:  
SOFT DRINKS/  
BOTTLED WATER  
Report sizes and types of soft drink and non-carbonated bottled water containers  
(i.e., liter, milliliter, quart, fluid ounces, etc.) most often used at home. The  
quantity reported should correspond to the price listed.  
Report any bottle deposit separately.  
SUBCATEGORY:  
CANDY/SUGAR  
Report only plain chocolate candy bar without nuts or other fillers. If not available  
report regular baker's chocolate used for cooking  
Candy, Chocolate Bar  
(plain)  
Report and identify package sizes of granulated sugar only.  
Sugar, Granulated  
Exclude brown, powdered, cube, lump, and single-packet types  
SUBCATEGORY:  
BABY FOOD  
Report only strained vegetables or fruits in the sizes commonly purchased.  
Exclude pure meats, dry cereals, and specialty items.  
SUBCATEGORY:  
FATS, Other  
Price and identify brands and sizes of cooking oil most frequently purchased by  
U.S. nationals.  
Cooking Oil  
Report smooth peanut butter most frequently purchased by U.S. nationals.  
Peanut Butter  
Exclude brands with nuts (crunchy-style).  
CATEGORY: FRUITS AND VEGETABLES  
Report duty-free arrangements other than commissaries in the comments sections when available.  
ITEM  
SPECIFICATIONS  
Include specified fruits when available at time of survey. Do not estimate  
"off-season" prices. If imported fruits are notably higher priced than local fruits,  
identify them in the "brand and description" column and report percent of use of  
SUBCATEGORY:  
FRUITS, FRESH  
imported versus local.  
All items should be identified by weight. If weight is not given, estimate the  
weight. The quantity reported should correspond to the price listed.  
Include vegetables available at time of survey. Do not estimate "off-season"  
prices.  
SUBCATEGORY:  
VEGETABLES,  
FRESH  
All items should be identified by weight. When vegetables are sold by "each,  
bunch" etc., weigh the item or carefully estimate the weight. In addition, describe  
the approximate size of the item or bunch.  
Page 4 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
Use 822-879g. (29-31 oz.) size or the nearest equivalent. Prices reported must  
correspond to the reported weights.  
SUBCATEGORY:  
FRUITS, CANNED  
Substitute and identify local varieties only when types specified are not available.  
If the specified types of juice are not available or in stock, list and identify local  
substitutes.  
SUBCATEGORY:  
FRUIT JUICES,  
CANNED  
Report prices for smaller size cans only when the 1304g (46oz.) cans are not  
available.  
If canned juice is not available, report cost of boxed juice in one liter or larger  
containers.  
Use 425-482g. (15-17 oz.) size or the nearest equivalent. Prices reported must  
SUBCATEGORY:  
VEGETABLES,  
CANNED  
correspond to the reported weights.  
Substitute and identify local varieties only when types specified are not available.  
Use 284g. (10 oz.) package or the nearest equivalent. Prices reported must  
SUBCATEGORY:  
VEGETABLES,  
FROZEN  
correspond to the reported weights.  
Substitute and identify local varieties only when types specified are not available.  
CATEGORY: ALCOHOL AND TOBACCO  
ITEM  
SPECIFICATIONS  
Report and identify brands and bottle sizes (i.e., liter, milliliter, quart, fluid ounces,  
etc.) of locally produced, non-vintage table wine only. If local wines are not  
available, report the costs of reasonably priced imported table wines.  
SUBCATEGORY:  
WINE, Table  
Report and identify non-premium brands and bottle sizes (i.e., liter, milliliter,  
quart, fluid ounces, etc.) of bourbon, scotch, rye, and blends as purchased by the  
average U.S.family.  
SUBCATEGORY:  
WHISKEY  
Exclude all premium whiskeys (i.e., 12 year-old types) and products whose price  
is affected by a special or unusual container.  
Report brand and size of container for each price level. If the item is sold by case,  
then indicate the size of the containers in the description column (e.g., 12-oz  
cans). The quantity reported should correspond to the price listed.  
SUBCATEGORY:  
BEER  
Include local brands, when available, if used by U.S. nationals.  
Report any bottle deposit separately.  
Report and identify, by brand, cartons of cigarettes (10 packs/20 cigarettes).  
SUBCATEGORY:  
CIGARETTES  
Specify if size is other than 200 cigarettes and if the brand is a local manufacture  
or import.  
CATEGORY: CLOTHING  
SPECIFICATIONS  
ITEM  
SUBCATEGORY:  
MEN'S CLOTHING  
(1) Slacks, Man's Dress  
(2) Shirt, Man's Dress  
Include only ready-made types, brands, and fabrics typically worn to the office.  
Exclude suits, evening wear, and items made with unusually expensive fabrics  
(e.g., silk and cashmere).  
(3) Shoes, Man's Dress  
Include the leather or simulated types commonly used for office wear. Price by  
pair.  
Page 5 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
WOMEN'S CLOTHING  
Include only ready-made types, styles, and fabrics typically most commonly used  
for office wear.  
(1) Blouse, Woman's  
(2) Skirt, Woman's  
Exclude evening wear, suits, dresses, and items made with extravagant  
ornamentation (e.g., leather or fur trim).  
Report only those types most frequently used.  
(3) Slacks, Woman's Dress  
Include only ready-made types, brands, and fabrics typically worn to the office.  
CHILDREN'S  
CLOTHING  
Report jeans commonly worn by children ages10-12. Include prices for girls' or  
boys's jeans.  
(1) Jeans, Child's  
Report leather or other simulated types commonly used for school wear by  
children aged 10-12.  
(2) Shoes, Child's Athletic  
CATEGORY: PERSONAL CARE  
Use of hotel shops for items in the Laundry and Dry Cleaning or Hair Services must be warranted by local conditions  
and fully explained in the description or comments sections of this form.  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
TOILETRIES  
Report types most often purchased for normal tooth care.  
Use 198g (7oz.) size or the nearest equivalent size. If the weight is not listed  
on the tube, estimate and report the length and diameter of a tube.  
Toothpaste  
Exclude special sensitive types and denture cleaners.  
Include twin blades, disposable razors, and/or cartridges. Identify the type and  
number of blades in each package size reported.  
Razor Blades  
Use package of 5-10 stainless steel twin blades or the nearest equivalent.  
Price and identify the brands and types most commonly purchased.  
Sanitary Napkins  
Shampoo  
Use box of 24 or the nearest equivalent.  
Price and identify types and brands most frequently used by Americans.  
Use 450 ml/16 fl oz. size or the nearest equivalent.  
SUBCATEGORY:  
LAUNDRY AND DRY  
CLEANING  
Report only "regular service" prices for laundering a man's single cotton/polyester  
shirt commonly worn in the office.  
Exclude charges for special handling and laundering evening-type dress shirts or  
unusual fabrics.  
Launder Man's Shirt  
Dry Clean Man's  
Slacks  
Report only prices for dry cleaning a pair of man's slacks commonly worn to the  
office.  
Exclude charges for special handling, unusual fabrics, and formal attire.  
Special Arrangements for  
Government Employees  
Report costs at facilities available only to mission personnel, such as Embassy  
Co-Op or local retailer's "diplomatic discount".  
SUBCATEGORY:  
HAIR SERVICES  
Report prices for a man's regular shampoo/haircut; as well as the average tip (%)  
in spaces provided.  
Haircut, Man's Regular  
If any prices include other items or services, note this in the description or  
comments section.  
Shampoo, Haircut, and  
Blow Dry, Woman's  
Report prices for a woman's regular shampoo/haircut; as well as the average tip  
(%) in spaces provided.  
If any prices include other items or services, note this in the description or  
comments section.  
Page 6 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
Report prices for a woman's permanent; as well as the average tip (%) in spaces  
provided.  
Permanent, Woman's  
If any prices include other items or services, note this in the description of  
comments section.  
Report prices for child's haircut. If the price varies by type of cut or age of child,  
specify separately. Report average tip (%) in spaces provided.  
Haircut, Child's  
Special Arrangements for  
Government Employees  
Report costs at facilities available only to mission personnel, such as Embassy  
Co-Op or local retailer's "diplomatic discount".  
CATEGORY: HOUSEHOLD FURNISHINGS  
ITEM  
SPECIFICATIONS  
Specify any discounts for cash purchases.  
SUBCATEGORY:  
APPLIANCES  
Only basic mid-sized electric portable models.  
Ovens should be between 800-1000 watts and approximately one cubic foot or  
25-30 liters in capacity.  
Microwave, Portable  
Specify wattage and capacity.  
Only report pop-up types of bread toasters.  
Toaster, Two Slice  
Coffee Maker  
Exclude toaster ovens.  
Report prices for basic 10-12 cup coffee maker.  
Exclude specialty types used to make espresso or cappuccino.  
Report prices for electric automatic types commonly used by U.S. nationals, and  
specify the capacity.  
SUBCATEGORY:  
WASHING MACHINE  
Exclude washer-dryer combinations.  
Specify any extra costs for delivery and installation.  
Report prices for computer supplies normally used by U.S. nationals.  
SUBCATEGORY:  
COMPUTER ACCESSORIES  
Price a single black ink cartridge of a make/model normally bought and used by  
U.S. nationals.  
Cartridge, Black Ink (single)  
Price a single package (500 sheets) of plain bond paper used for computer  
printers.  
Paper, package  
Price a package (5 each) of compact diskettes, read/write, capacity of 650-700  
MB.  
Blank data CD's, R/W  
Use package of 48 or price and specify the package count of the nearest  
equivalent.  
SUBCATEGORY:  
HOUSEHOLD CONSUMABLES  
Exclude diapers for children over age 2.  
Diapers, Disposable  
Report brands and identify weights and sizes of liquid laundry detergent  
purchased for household laundry only.  
Exclude fabric softeners, liquid hand wash cleaners, and special purpose  
products.  
Laundry Detergent,  
Liquid  
Specifications: Report brands and identify weights (appro 48oz) and sizes of  
liquid laundry detergent purchased for laundry only.  
Price a 3 minute long distance call to the continental U.S., either in a lump sum or  
per minute with any connection fees.  
SUBCATEGORY:  
TELEPHONE SERVICE  
List the company under Provider.  
Long Distance Call to the US  
Page 7 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
Report monthly costs of unlimited online service. If not available, explain  
alternatives and include the number of online hours available at reported price.  
List the company name under Provider.  
Internet Service,  
Monthly  
Price both Dial up and DSL.  
CATEGORY: MEDICAL  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
MEDICINE  
Report name or house brands of analgesic compound available in 100 tablet (325  
mg.) or nearest equivalent size.  
Pain Reliever Compound  
Compounds may include any pain reliever available (i.e., aspirin, acetaminophen,  
ibuprofen) combined with other ingredients such as caffeine, buffering agents,  
and/or coatings. Specify the type of compound priced.  
If specified common pain reliever compounds are not available, price and carefully  
identify local substitute pain relievers.  
Exclude child-strength or extra strength products.  
Adults Multi Vitamins  
100 Tablets  
Price a bottle of adult multi-vitamins of 100 tablets. Place difference of quality  
under description or comments.  
Children's Vitamins  
100 Tablets  
See Adult multi-vitamins.  
SUBCATEGORY:  
DOCTOR  
Report only the typical fees for an office visit when simple medical advice or  
treatment is needed. If the charge is for given time period, specify the length of  
time covered. If the reported fees cover more than simple advice or treatment,  
fully explain what fees include.  
General Practitioner,  
General Visit  
Exclude any charges for medical history, regular physical examination, injections,  
medication, or lab tests.  
Report only the typical fees for an office visit when simple medical advice or  
treatment is needed. If the charge is for given time period, specify the length of  
time covered. If the reported fees cover more than simple advice or treatment,  
fully explain what fees include.  
Pediatrician,  
General Visit  
Exclude any charges for medical history, regular physical examination, injections,  
medication, or lab tests.  
SPECIAL ARRANGEMENTS  
FOR GOVERNMENT  
EMPLOYEES  
Report cost of contract physician or any other special arrangement.  
Embassies/Consulates: Report number of Regional Medical Officer (RMO) visits  
in the past 12 months.  
General Practitioner &  
Pediatrician,  
General Visit  
Report whether a U.S. Department of State Nurse Practitioner is resident at post.  
SUBCATEGORY: DENTIST  
The filling charge should be for a simple cavity, amalgam filling, requiring work on  
only one tooth surface.  
Filling, Simple  
If reported charges cover more than the simple services described above, fully  
explain what charges do include.  
The extraction charge should be for a simple type of tooth extraction without x-ray.  
Extraction, Simple  
Prophylaxis  
If reported charges cover more than the simple services described above, fully  
explain what charges do include.  
Prophylaxis should be cleaning of teeth without special treatment of gums or  
teeth.  
If reported charges cover more than the simple services described above, fully  
explain what charges do include.  
X-ray should be bitewing only.  
Bitewing  
Page 8 of 12  
DS-2020I  
ITEM  
SPECIFICATIONS  
SPECIAL ARRANGEMENT FOR  
GOVERNMENT EMPLOYEES  
Report the cost of contract dentist or other special arrangement for the same  
items above.  
SUBCATEGORY:  
HOSPITAL FACILITIES  
Report daily charges for private and semi-private accommodations at the most  
frequently used or suitable hospital. Indicate the number of each type of room  
available in each hospital in the "description".  
Private Room and Semi-  
Private Room  
Include food and routine care.  
Exclude cost of operating room, surgery, medicine, and lab fees. If this is not  
possible, provide appropriate comments.  
Explain if local hospitals are inadequate and very rarely used by post personnel.  
Report the "medevac" location in the description section.  
CATEGORY: RECREATION  
SPECIFICATIONS  
ITEM  
SUBCATEGORY:  
AUDIO AND VISUAL SUPPLIES  
Report the cost of a single music CD (no sets) typically purchased by USG  
personnel.  
Music CD  
Report the cost of a single (no sets) movie on DVD (non high-definition) typically  
purchased by USG personnel.  
DVD Movie  
Report the cost of a DVD player only. Do not report a combo player or high  
definition player.  
DVD Player  
SUBCATEGORY:  
PHOTOGRAPHIC SUPPLIES  
Price processing for 24 exposure, 35 mm color prints.  
If film "mailers" require postage, report this extra cost separately. Specify if rolls  
are other than 24 exposures.  
Film Processing  
Camera film  
Price film for 24 exposures, 35mm color prints. Specify if rolls are other than 24  
exposures.  
SUBCATEGORY:  
READING MATERIAL  
Report prices for paperback books of approximately 4x7 inches, 300-500 pages.  
List representative titles and approximate number of pages of books priced.  
Book, Paperback  
Newspaper, Daily  
Exclude special editions and those not really pocket size. If possible, report cost  
of English language paperbacks.  
Report "newsstand" prices for single copies of the most popular weekday papers  
available locally. Specify newspaper titles and languages.  
Exclude weekend editions.  
News Magazine,  
Weekly  
Report "newsstand" prices for single copies of the most frequently purchased  
weekly news magazines. Report titles and languages of magazines.  
Exclude magazines which are not general news types.  
SUBCATEGORY:  
RECREATIONAL  
EQUIPMENT  
Include touring or all terrain (10-15 speed) bicycles typically purchased for  
teenagers. Indicate if only single or 3-speed bicycles are available, and provide  
prices and specify types.  
Bicycle  
Specify any discounts allowed for cash purchases. Report assembly charge  
separately and indicate whether included in or excluded from the reported price.  
Exclude motor bicycles and bicycles designed for racing.  
RECREATIONAL ACTIVITIES  
Report prices for adult evening and matinee admission to first-run, regular length  
films. If rates differ between weekdays and weekends, show both levels. Specify  
whether movies are in English or a foreign language.  
Movie Theater  
Exclude performances with live entertainment.  
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ITEM  
SPECIFICATIONS  
Report prices for adults attending typical professional performances. If rates differ  
between weekdays and weekends, show both levels.  
Performing Arts  
Ticket costs should be for the type of performance in progress at the time of the  
survey (i.e., symphony, drama, opera, ballet, etc.). Describe type of performance  
period.  
Report price of tourist shows or amateur productions only if professional programs  
are not available locally. Describe event in the description section.  
Report prices for adults attending typical professional sports events. If rates differ  
between weekdays and weekends, show both levels.  
Sports Events  
Ticket costs should be for the type of sports (i.e., soccer, football, baseball, etc.).  
Describe the type of sports event priced.  
Report the cost of a one-year membership to a local gym or fitness center used  
by typical U.S. nationals.  
Gym Membership  
SPECIAL ARRANGEMENT FOR  
GOVERNMENT EMPLOYEES  
List the cost of movies at the Marine House and any other special arrangements  
for government employees.  
SUBCATEGORY: PET FOOD  
Price a 10-lb bag of dry dog or cat food.  
CATEGORY: PUBLIC TRANSPORTATION  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
TAXI  
Report price of individual hire of a taxi for a distance of approximately 1 1/4 miles  
(or 2 km) in the "downtown" area. If prices are based on time units, so indicate  
and report one-passenger fare for 15 minutes. Report customary tip in the  
appropriate column, preferably as a percentage. If the reported tip is a flat rate,  
so indicate.  
Report any special rates for rush hour service, telephone hire, luggage, or other  
services separately. Report minimum fare, if available, and specify corresponding  
distance (in miles or kilometers) or time.  
SUBCATEGORY:  
MUNICIPAL BUS  
Report the standard fare and describe the length of a typical trip without transfer.  
SUBCATEGORY:  
SUBWAY  
Report fare and length of a typical trip.  
SUBCATEGORY:  
AIRFARE  
Report cost of a round-trip full-fare coach class airplane ticket without restrictions  
to a major city at least 1,000 miles (one-way) from the post. Specify the  
approximate distance. The destination should be a location generally used by  
employees for R&R, vacation travel, or medical evacuation. Report destination  
city.  
CATEGORY: PERSONALLY OWNED VEHICLE  
a. Price for a SIX-CYLINDER, MEDIUM-SIZED CAR ABOUT TWO YEARS OLD.  
b. If this type of car is not commonly used at post, specify the type of car priced and report applicable prices.  
ITEM  
SPECIFICATIONS  
SUBCATEGORY:  
AUTO FUEL  
Be sure to indicate whether gas prices are in gallons or liters.  
Report local retail price levels available for automobile use.  
Gasoline  
Exclude price of diesel or ethanol fuel.  
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ITEM  
SPECIFICATIONS  
DUTY FREE/SPECIAL  
ARRANGEMENTS  
Report cost of reduced price gasoline obtained at the post or duty station, with  
coupons at a local station, or through a formal VAT-back program or any other  
type of special arrangement. Be sure to indicate whether gas prices are in  
gallons or liters.  
Report percentage of permanently assigned direct-hire personnel at post eligible  
to purchase duty-free gasoline.  
Report in the comments section if duty-free gasoline is rationed and include  
amount of any ration.  
SUBCATEGORY:  
AUTO MAINTENANCE  
Include labor charge, the cost of 5 quarts (or 5 liters) of oil, and a standard oil  
filter.  
Oil Change  
Exclude chassis lube and other lubrication services.  
Motor Tune-Up  
Include cost of new air filter, installation of six spark plugs, setting timing, and  
necessary labor.  
Exclude cost for all other replacement parts not specified above.  
Labor Charge Per Hour  
Report average hourly labor charge of a skilled mechanic as used in determining  
labor costs to customer.  
SPECIAL ARRANGEMENT  
FOR GOVERNMENT  
EMPLOYEES  
Report costs of special arrangements for automobile maintenance available to  
government employees, such as after-hours work by the GSO mechanic, for the  
services described above.  
SUBCATEGORY:  
AUTO PARTS  
Report price and size of a single radial tire commonly used for a medium-sized  
car.  
Specify any allowance for an old tire, any discount allowed for cash purchase, and  
any recycling fee.  
Tire, Radial  
Exclude any separate fees for mounting and balancing tires.  
SPECIAL ARRANGEMENTS  
FOR GOVERNMENT  
EMPLOYEES  
Report price and size of a single radial tire available to government employees  
through an Embassy Co-Op, duty-free purchase, or any other means.  
SUBCATEGORY:  
AUTO INSURANCE  
SPECIFICATIONS  
a. Price insurance for a TWO-YEAR-OLD, SIX-CYLINDER, POV.  
b. Driven to and from work less than 10 miles one way.  
c. Driver: 25 year old married male driver.  
Describe insurance coverage and report any special discounts in the comments  
section.  
Indicate, in the description or comments section, whether locally purchased  
liability insurance is required by host country law.  
If employees typically purchase additional insurance from a U.S. company, report  
costs for the car described above and described coverage in the description or  
comments section.  
All Inclusive Coverage  
Liability  
If employees typically carry all-risk insurance, report the customary premium cost  
for all-risk insurance carried by the average family on the specified car. All risk  
insurance is typically the combined cost of liability, collision, and comprehensive  
insurance. Report any discount for a safe driving record. Include percentage of  
discount and number of years of safe driving needed to qualify.  
When not included in "All-inclusive Coverage," report cost and describe customary  
third party liability coverage as typically carried by the average family. Report any  
discount for a safe driving record. Include percentage of discount and number of  
years of safe driving needed to qualify.  
In addition, report any mandatory, legal minimum third party liability insurance  
coverage. Describe additional mandatory costs for items such as coverage for  
uninsured motorists. Describe coverage for each type of required insurance.  
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ITEM  
SPECIFICATIONS  
Comprehensive  
When not included in "All-inclusive Coverage," report cost of typical  
comprehensive insurance covering fire, theft, and glass breakage. Report any  
discount for a safe driving record. Include percentage of discount and number of  
years of safe driving needed to qualify.  
Collision  
When not included in "All-inclusive Coverage." report cost of typical policy  
providing $200 deductible collision coverage for the specified automobile. Report  
any discount for a safe driving record. Include percentage of discount and  
number of years of safe driving needed to qualify.  
If employees do not normally carry collision insurance because of its very high  
cost, some comment should be made.  
If there is a legal minimum requirement, the charge and extent of the minimum  
coverage should be reported.  
CATEGORY: HOUSEHOLD HELP  
SPECIFICATIONS  
ITEM  
SUBCATEGORY:  
CHILDCARE  
Report hourly rate for a 5-day week in a commercial day care facility and/or in  
home of provider, with and without lunch or snack, for a child of 3-4 years. If  
possible, exclude any facility providing preschool education instruction.  
Childcare, Outside the  
Home  
Specify length of day.  
Report the hourly rate of day care in the home of the child's parents for a child of  
3-4 years.  
Childcare, in the Home of  
the Parent  
Specify length of day.  
SUBCATEGORY:  
HOUSEHOLD HELP  
Report hourly rate for only the types of domestic help typically employed by an  
average employee (FS 2-5, GS 9-14, or Uniformed Services equivalent).  
Maid, Cook, Day Worker  
Check appropriate boxes, as determined by the most recent LPQs.  
Information explaining why domestic help is necessary at the foreign location is  
extremely important. The data provided must be supported by information  
describing actual use of domestic help at post. When domestic help is used  
primarily because it is readily available or inexpensive, state this clearly.  
If the use of particular types of domestic help is essential to normal life at the post,  
the specific reasons why each type of help is necessary must be carefully  
explained, in the comments section. Include justification based on security  
concerns, environmental factors - such as the additional cleaning required by the  
local climate, language difficulties encountered while marketing, and food  
preparation problems. Exclude child-care needs, representational responsibilities  
as well as any difficulties encountered only by single employees and dual career  
couples.  
Use additional pages as necessary.  
CATEGORY: FOOD AWAY  
SPECIFICATIONS  
ITEM  
The restaurants in this section represent the most frequently used facilities for  
meals away from the home as indicated by the LPQ summary.  
Justify in the description or comments section any hotel restaurants for meals as  
opposed to local restaurants.  
Restaurants and Fast  
Food Facilities  
List the average price levels for all main courses and additional meal items  
requested.  
Soup and salads are intended to be small servings, as often provided with a full  
meal. Note if the prices listed represent full or large portions.  
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