2015 2161 ques VIMK14 L1
RAHASIA
REPUBLIK INDONESIA
SURVEI INDUSTRI MIKRO DAN KECIL TAHUN 2014
BADAN PUSAT STATISTIK
PENDAFTARAN PERUSAHAAN/USAHA
INDUSTRI MIKRO DAN KECIL
VIMK14 – L1
BLOK I. KETERANGAN TEMPAT
1. PROVINSI
4. DESA/KELURAHAN *)
2. KABUPATEN/KOTA *)
5. NOMOR BLOK SENSUS (NBS)
3. KECAMATAN
6. NOMOR KODE SAMPEL (NKS)
*) Coret yang tidak sesuai
BLOK II. RINGKASAN
KODE KBLI-2 DIGIT
URAIAN
(1)
Jumlah
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
1. JUMLAH RUMAH TANGGA ( Blok III Kolom (6) nomor urut terakhir pada halaman terakhir )
2.a. POPULASI INDUSTRI MIKRO
(B.III R.c hal. terakhir Kol. 19 s.d 42)
2.b. SAMPEL INDUSTRI MIKRO
(B.IV Kol. 1 s.d 24 R. mhi)
3.
POPULASI INDUSTRI KECIL
(26)
Halaman ……... dari ….….. halaman
BLOK III : PENDAFTARAN
No. Urut
Penggunaan
Bangun
-an
Jika Kol. (4)
kode 2, Apakah
untuk usaha IMK
dan aktif
berproduksi
selama
triwulan I 2014 *)
(Kode)
Ya
Bangunan
S
e
g
m
e
n
F
i
s
i
k
S
e
n
s
u
s
(2)
(3)
Keterangan:
(4)
Nama
Kepala Rumah Tangga
(KRT)
-0
(5)
Ya
Tidak
No.
(6)
(7)
a.
Jumlah halaman ini
b.
Jumlah kumulatif halaman sebelumnya
c.
Jumlah kumulatif halaman ini
Kode Kol. (4)
Selama
triwulan I
2014*),
adakah ART
berusaha di
sektor IMK?
Tempat tinggal
Bukan tempat tinggal
Campuran
-1
-2
-3
-1
Selama
triwulan I 2014*)
adakah pihak lain
yang berusaha
disektor IMK di
Tempat
bangunan ini?
usaha
(Kode)
Ya
-1
-0
Kol. (11)
(8)
(9)
(10)
Nama Perusahaan/Usaha
atau
Pengusaha/Pemilik
Tidak - 0
No.
(11)
(12)
*) Khusus usaha musiman yang aktif berproduksi selama
periode Triwulan II 2013 s.d Triwulan I 2014
Kode Kol. (10)
(13)
Jenis Produksi Utama
(Tuliskan sejelas-jelasnya)
Alamat Lengkap
(Jalan, No., RT/RW)
(15)
(14)
Di bangunan sensus ini
Bukan di bangunan sensus/keliling
Di bangunan sensus lain
-1
-2
-3
Jika Kolom (17) bertanda cek (√)
Isikan tanda
cek (√)
sesuai rata-rata
tenaga kerja
termasuk
pengusaha
Triwulan I 2014
kode 1 atau ; Kol. (11) kode 1
Jika Kol. (8) kode 1
Nama ART
-1
Kol. (12)
Tidak
(1)
Jika Kol. (5) kode 1; Kol. (10)
Jika Kol. (4) kode 1 atau 3
USAHA/RUMAH TANGGA
Isikan tanda cek (√) sesuai kode KBLI 2 digit
Kode
2 digit
1-4
5 - 19
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)
(37)
(38)
(39)
(40)
(41)
(42)
BLOK IV: KETERANGAN
PENARIKAN SAMPEL UTAMA
KBLI 2 digit
KBLI 2 digit
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
= Mhi/mhi
= Mhi/mhi
= …../…..
= …..
Angka Random
= Mhi/mhi
= …../…..
= …..
Angka Random
,
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
= …..
Angka Random
,
Rhi1 ≤ Ihi
TAR
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
,
Rhi1 ≤ Ihi
TAR
Rhi1 ≤ Ihi
TAR
TAR
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R1 =
R2 =
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R2 =
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R3 =
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R4 =
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R4 =
R4 =
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R4 =
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R10 =
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R11 =
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R12 =
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R14 =
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R15 =
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R16 =
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R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R16 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
R17 =
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R18 =
R18 =
R18 =
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R20 =
R20 =
R20 =
Mhi
mhi
Ihi
: jumlah industri mikro menurut KBLI, diambil dari isian Blok III Rincian C Kolom 19-42
: target sampel industri mikro menurut KBLI dalam satu blok sensus (perhitungan dilakukan BPS kabupaten/kota)
: interval sampel
Mhi
mhi
Ihi
: jumlah industri mikro menurut KBLI, diambil dari isian Blok III Rincian C Kolom 19 - 42
: target sampel industri mikro menurut KBLI dalam satu blok sensus (perhitungan dilakukan BPS kabupaten/kota)
: interval sampel
BLOK V . C A T A T A N
Apabila ada hal-hal yang memerlukan keterangan lebih lanjut, tuliskan pada blok ini. Selain informasi dari responden, pencacah, dan pemeriksa juga bisa
menambahkan catatan untuk memperjelas masalah yang berkaitan dengan daftar isian.
BLOK VI. KETERANGAN PETUGAS
URAIAN
Nama petugas
Tanggal
Tanda tangan
PENCACAH
PENGAWAS
REPUBLIK INDONESIA
SURVEI INDUSTRI MIKRO DAN KECIL TAHUN 2014
BADAN PUSAT STATISTIK
PENDAFTARAN PERUSAHAAN/USAHA
INDUSTRI MIKRO DAN KECIL
VIMK14 – L1
BLOK I. KETERANGAN TEMPAT
1. PROVINSI
4. DESA/KELURAHAN *)
2. KABUPATEN/KOTA *)
5. NOMOR BLOK SENSUS (NBS)
3. KECAMATAN
6. NOMOR KODE SAMPEL (NKS)
*) Coret yang tidak sesuai
BLOK II. RINGKASAN
KODE KBLI-2 DIGIT
URAIAN
(1)
Jumlah
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
1. JUMLAH RUMAH TANGGA ( Blok III Kolom (6) nomor urut terakhir pada halaman terakhir )
2.a. POPULASI INDUSTRI MIKRO
(B.III R.c hal. terakhir Kol. 19 s.d 42)
2.b. SAMPEL INDUSTRI MIKRO
(B.IV Kol. 1 s.d 24 R. mhi)
3.
POPULASI INDUSTRI KECIL
(26)
Halaman ……... dari ….….. halaman
BLOK III : PENDAFTARAN
No. Urut
Penggunaan
Bangun
-an
Jika Kol. (4)
kode 2, Apakah
untuk usaha IMK
dan aktif
berproduksi
selama
triwulan I 2014 *)
(Kode)
Ya
Bangunan
S
e
g
m
e
n
F
i
s
i
k
S
e
n
s
u
s
(2)
(3)
Keterangan:
(4)
Nama
Kepala Rumah Tangga
(KRT)
-0
(5)
Ya
Tidak
No.
(6)
(7)
a.
Jumlah halaman ini
b.
Jumlah kumulatif halaman sebelumnya
c.
Jumlah kumulatif halaman ini
Kode Kol. (4)
Selama
triwulan I
2014*),
adakah ART
berusaha di
sektor IMK?
Tempat tinggal
Bukan tempat tinggal
Campuran
-1
-2
-3
-1
Selama
triwulan I 2014*)
adakah pihak lain
yang berusaha
disektor IMK di
Tempat
bangunan ini?
usaha
(Kode)
Ya
-1
-0
Kol. (11)
(8)
(9)
(10)
Nama Perusahaan/Usaha
atau
Pengusaha/Pemilik
Tidak - 0
No.
(11)
(12)
*) Khusus usaha musiman yang aktif berproduksi selama
periode Triwulan II 2013 s.d Triwulan I 2014
Kode Kol. (10)
(13)
Jenis Produksi Utama
(Tuliskan sejelas-jelasnya)
Alamat Lengkap
(Jalan, No., RT/RW)
(15)
(14)
Di bangunan sensus ini
Bukan di bangunan sensus/keliling
Di bangunan sensus lain
-1
-2
-3
Jika Kolom (17) bertanda cek (√)
Isikan tanda
cek (√)
sesuai rata-rata
tenaga kerja
termasuk
pengusaha
Triwulan I 2014
kode 1 atau ; Kol. (11) kode 1
Jika Kol. (8) kode 1
Nama ART
-1
Kol. (12)
Tidak
(1)
Jika Kol. (5) kode 1; Kol. (10)
Jika Kol. (4) kode 1 atau 3
USAHA/RUMAH TANGGA
Isikan tanda cek (√) sesuai kode KBLI 2 digit
Kode
2 digit
1-4
5 - 19
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)
(37)
(38)
(39)
(40)
(41)
(42)
BLOK IV: KETERANGAN
PENARIKAN SAMPEL UTAMA
KBLI 2 digit
KBLI 2 digit
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
Mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
mhi = ………
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
Ihi
= Mhi/mhi
= Mhi/mhi
= …../…..
= …..
Angka Random
= Mhi/mhi
= …../…..
= …..
Angka Random
,
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
TAR
= …..
Angka Random
,
Rhi1 ≤ Ihi
TAR
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
= …..
Angka Random
,
Rhi1 ≤ Ihi
= Mhi/mhi
= …../…..
,
Rhi1 ≤ Ihi
TAR
Rhi1 ≤ Ihi
TAR
TAR
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Halaman :
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Baris
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
Kolom
:
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Mhi
mhi
Ihi
: jumlah industri mikro menurut KBLI, diambil dari isian Blok III Rincian C Kolom 19-42
: target sampel industri mikro menurut KBLI dalam satu blok sensus (perhitungan dilakukan BPS kabupaten/kota)
: interval sampel
Mhi
mhi
Ihi
: jumlah industri mikro menurut KBLI, diambil dari isian Blok III Rincian C Kolom 19 - 42
: target sampel industri mikro menurut KBLI dalam satu blok sensus (perhitungan dilakukan BPS kabupaten/kota)
: interval sampel
BLOK V . C A T A T A N
Apabila ada hal-hal yang memerlukan keterangan lebih lanjut, tuliskan pada blok ini. Selain informasi dari responden, pencacah, dan pemeriksa juga bisa
menambahkan catatan untuk memperjelas masalah yang berkaitan dengan daftar isian.
BLOK VI. KETERANGAN PETUGAS
URAIAN
Nama petugas
Tanggal
Tanda tangan
PENCACAH
PENGAWAS