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DS-2021I, Part 4  
INSTRUCTIONS FOR COMPLETING THE  
EMBASSY OR CONSULATE STORE REPORT  
This form, combined with the DS-2020, Part 1-3, constitutes a completed Retail Price Schedule.  
The Office of Allowances uses this report to determine the Post (cost-of-living) Allowance. If your  
post or location does not have an embassy store, submit only DS-2020, Part 1-3.  
a. If there has been a previous survey, use it as a guide in preparing this report.  
b. Report the prices of goods and services available at the embassy, consulate, or employee  
association store.  
c. Follow item specifications listed below and on the form..  
d. Report prices in U.S. Dollars; prices should be inclusive of transportation costs.  
e. Use the comment of space provided to describe brand, quality, origin or other pertinent  
details and for clarification of any issues relating to the item or service.  
f. Substitute items are items bought if the typical item is not available. Report both.  
g. Leave blank items not carried in the store. However, if previously reported, annotate in  
comments why there is no price.  
h. The majority of the subcategory items are by weight, volume, or as specified.  
SPECIFICATIONS  
Name of Embassy or  
Consulate Facility  
Name of the store.  
Survey Date  
Date prices were collected.  
SUBCATEGORY  
ITEM  
SPECIFICATIONS  
BEEF  
The specified meat cuts are those common to most parts of the world.  
These meat cuts may be either fresh or uncooked frozen.  
Report by weight - not  
pieces or package  
It is important that the same types of meat cuts be priced in  
subsequent reports.  
PORK  
The comments on beef apply to pork.  
Report by weight - not  
pieces or package  
Exclude smoked, cured, cooked, or canned products.  
LAMB  
Identify and report prices for fresh or uncooked frozen cuts of lamb  
as specified.  
Report by weight - not  
pieces or package  
DS-2021I  
12-2007  
Page 1 of 6  
CHICKEN  
Report fresh or uncooked frozen parts (dressed) from broilers,  
Report by weight - not  
pieces or package  
fryers, roasters, or hens.  
Identify and report prices for the types of fresh filet or frozen fish filet,  
describe type, and report brand, if applicable.  
FISH, Fresh  
Report by weight - not  
pieces or packages  
Exclude lobster, shrimp, prawns, clams, and other shellfish.  
Identify and report prices of types and sizes such as tuna and salmon.  
FISH, Canned  
Exclude sardines, shrimp, prawns, clams, and other shellfish.  
EGGS  
Report dozen  
Specify size (i.e., jumbo, large, medium, small) and price eggs per  
dozen (about 24 oz.).  
ICE CREAM  
CHEESE  
Price ice cream most frequently purchased by volume. Price by liter or  
quart (or nearest equivalent) and specify size.  
Report only natural, firm-to-hard cheese (i.e., Cheddar, Edam,  
Gouda, Mozzarella, Provolone, Romano, Swiss).  
MILK, Fresh  
Identify and price types and sizes by volume. When fresh milk is  
unavailable, report price of UHT or long-life milk. Explain need for this  
product in the comments section.  
Carefully identify any necessary substitutes.  
Report weight of sliced white loaf bread.  
BREAD, White  
Exclude hot dog, hamburger, and dinner rolls.  
Report package sizes of general purpose flour.  
FLOUR, General  
purpose  
Exclude small packages and special types.  
CEREAL, Breakfast  
ready to eat  
Identify and report type and size of dry, ready-to-eat breakfast cereals  
most frequently purchased.  
Identify and report type and volume of regular rice.  
Exclude pre-cooked types (i.e., instant or minute).  
RICE, Regular  
PASTA, Uncooked  
Identify and price type and volume of processed but uncooked pasta  
commonly purchased (i.e., spaghetti, macaroni, linguini, etc.).  
Exclude macaroni/cheese and Hamburger Helper, etc.  
Report and identify brands, package sizes, and common types  
TEA, Bags  
(regular or decaffeinated). Report by bag.  
Exclude loose tea, special blends, herb teas, and instant tea  
mixes.  
Page 2 of 6  
DS-2021I  
Report and identify brands, package or can sizes, and common types  
(regular or decaffeinated) of coffee.  
COFFEE, Ground  
and Instant  
Exclude specialty, flavored, or spiced coffees  
Report sizes and types of soft drink (i.e. liter, milliliter, quart, fluid  
ounces, etc.). The quantity reported should correspond to the price  
listed.  
SOFT DRINKS,  
Carbonated  
BOTTLED  
DRINKING WATER  
Report non-carbonated bottled water.  
CANDY, Chocolate  
Bar (plain)  
Report only plain chocolate candy bar without nuts or other fillers. If  
not imported to store, report regular baker's chocolate used for  
cooking.  
Report and identify package sizes of granulated sugar only.  
SUGAR,  
Granulated  
Exclude brown, powered, cube, lump, and single-packet types.  
Report only strained vegetables or fruit in the sizes commonly  
purchased.  
BABY FOOD,  
Non meats  
Exclude pure meats, dry cereals, and specialty items.  
COOKING OIL  
Price and identify brands and sizes of cooking oil.  
Report smooth peanut butter by weight. Use standard packing of  
18oz or nearest equivalent.  
PEANUT BUTTER  
Exclude brands with nuts (crunchy style).  
Report and identify brands and bottle sizes (i.e., liter, milliliter,  
quart, fluid ounces, etc.) of reasonably priced imported table wines.  
WINE, Table  
Report and identify non-premium brands and bottle sizes (e.g., liter,  
milliliter, quart, fluid ounces, etc.) of bourbon, scotch, rye, and  
blends.  
WHISKEY,  
Bourbon, Scotch,  
Rye and blends  
Exclude all premium whiskeys (i.e., 12 year-old types) and products  
whose price is affected by a special or unusual container.  
BEER  
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).  
Report any bottle deposit separately.  
Report and identify, by brands, cartons of cigarettes (10 packs/20  
cigarettes)  
CIGARETTES  
Specify if size is other than 200 cigarettes and if the brand is a local  
manufacture or import.  
DS-2021I  
Page 3 of 6  
FRUITS, Fresh  
Report the price of imported fruits by weight. Identify them in the  
"brand and description" column.  
VEGETABLES,  
Fresh  
Include vegetables available at time of survey. Report 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.  
Report prices for smaller size cans only when the 1304 g (46 oz.) cans  
are not available.  
FRUITS, Canned  
If canned juice is not imported but boxes juice is, report one liter or  
larger containers.  
Use 822-879 g (29-31 oz.) size or the nearest equivalent. Prices  
reported must correspond to the reported weights.  
FRUIT JUICES,  
Canned  
Substitute and identify local varieties only when types specified are not  
available.  
VEGETABLES,  
Canned  
Use 425-482 g (15-17 oz.) size or the nearest equivalent. Prices  
reported must correspond to the reported weights.  
Substitute and identify local varieties only when types specified are  
not available.  
VEGETABLES,  
Frozen  
Use 284 g (10 oz.) package or the nearest equivalent. Prices reported  
must correspond to the reported weights.  
Substitute and identify local varieties only when types specified are not  
available.  
TOOTHPASTE  
Report types most often purchased for normal tooth care. Use 198 gr.  
(7 oz.) 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.  
Exclude special sensitive types and denture cleaners.  
RAZOR BLADES  
Include twin blades, disposable razors, and/or cartridges. Identify the  
type and number of blades in each package size reported.  
Use package of 5-10 stainless steel twin blades or the nearest  
equivalent.  
Price and identify the brands and types most commonly purchased.  
Use box of 24 or the nearest equivalent.  
SANITARY NAPKINS  
Page 4 of 6  
DS-2021I  
SHAMPOO  
Price and identify types and brands most frequently used by U.S.  
Nationals.  
Use 450 g (16 oz.) size or the nearest equivalent.  
Use package of 48 or price and specify the package count of the  
nearest equivalent.  
DIAPERS,  
Disposable  
Exclude diapers for children over age 2.  
Report brands and identify weights and sizes of liquid and/or powdered  
laundry detergent purchased for household laundry only.  
LAUNDRY  
DETERGENT,  
Liquid and/or  
Powdered  
Exclude fabric softeners, liquid hand wash cleaners, and special  
purpose products.  
List the cost of a typical pain releliver, 100 tabs, 325 mg strength.  
PAIN RELIEVER  
COMPOUND  
MUSIC CD  
Report the cost of a typical American music CD (single, no sets)  
DVD MOVIE  
Report the cost of an America movie (single, no sets) on DVD (non  
High-Definition).  
FILM PROCESSING  
CAMERA FILM  
Price processing for 24 exposures, 35mm color prints. If film "mailers"  
require postage, report this extra cost separately. Specify if rolls are  
other than 24 exposures.  
Price film for 24 exposures, 35mm color prints. Specify if rolls are  
other than 24 exposures.  
Report prices for paperback books of approximately 4x7 inches,  
300-500 pages. List representative titles and approximate number of  
pages of books priced.  
PAPERBACK  
BOOK  
Exclude special editions and those not really pocket size. If possible,  
report cost of English language paperbacks.  
Page 5 of 6  
DS-2021I  
NEWSPAPER,  
Daily  
Report "newsstand" prices for single copies of the most popular  
weekday papers available locally. Specify newspaper titles and  
languages.  
Exclude weekend editions.  
Report "newsstand" prices for single copies of the most frequently  
purchased weekly news magazines. Report titles and languages of  
magazines.  
NEWS MAGAZINE,  
Weekly  
Exclude magazines which are not general news types.  
List the cost of food sold in the employee or post restaurant  
FOOD AWAY  
Breakfast: list the typical breakfast priced.  
Lunch: list the side order costs if not included with the entree.  
Dinner: list side order costs if not included with the entree.  
DS-2021I  
Page 6 of 6