Survey for Business Owners In The 5th District

Note: Fields marked with an * are required.

Please share some examples of those unnecessary federal regulations that are burdensome for you and your business. As we work to try to get our economy back on track, your opinion on this matter is very important to me.

Business Information

Business Name *

Street Address *

Street Address Continued

City *

State *

Zip Code *

Telephone Number *

Your Industry

What industry best describes your business? Agriculture Construction eCommerce Finance Food/Service Healthcare Manufacturing Real Estate Natural Resources Retail Other (please indicate below)

Other Industry

Name and Title of Requestor

Prefix

First Name *

MI

Last Name *

Suffix

Title *

Email *

Regulations & Federal Agency

What federal regulations are particularly burdensome for your business?

Please indicate the federal government agencies that oversee the regulations identified in your response (check all that apply).

Consumer Product Safety Commission

Environmental Protection Agency

Federal Communications Commission

Food and Drug Administration

Health and Human Services

Department of Homeland Security

Department of Interior

Department of Labor

National Labor Relations Board

Occupational Safety and Health Review Commission

Security and Exchange Commission

Department of Transportation

U.S. Army Corps of Engineers

Other