QID 090260V rev Dairy Product Prices Survey, Annual Validation

8

Project 934 QID 090260V			OMB No. 0535-0020 Approval Expires 1/31/2011
	DAIRY PRODUCT PRICES SURVEY Annual Validation Worksheet					NATIONAL AGRICULTURAL STATISTICS SERVICE
					U.S. Department of Agriculture, Rm 5030, South Building 1400 Independence Ave., S.W. Washington, DC 20250-2000 Phone: 1-800-727-9540 Fax: 202-690-2090 Email: nass@nass.usda.gov
				USDA NASS collects weekly information on sales and prices of dairy products such as cheddar cheese to be published in the Dairy Products Prices Release. The information you provide is important to establish U.S. dairy product prices used in setting minimum class prices under the Federal milk order program. An accurate response to this survey is mandatory and subject to verification by the Agricultural Marketing Service (AMS) under Public Law No. 106-532. This law specifically protects the confidentiality of your report from public disclosure except as directed by the US Secretary of Agriculture or the US Attorney General for enforcement purposes to ensure compliance with the Dairy Product Mandatory Reporting program.
Please make corrections to name, address and Zip Code, if necessary.

OFFICE USE: COMPLETED BY OFFICE PRIOR TO APPOINTMENT
Produces more than 1 million pounds	Cheddar Cheese 40	Cheddar Cheese 500	Butter	NFDM	Dry Whey
Current Reporter
New Reporter
Enumerator Note: Complete Office Use Boxes for all applicable commodity sections based on above coding.
This worksheet should be completed by a NASS representative with the individual who completes the weekly reports.

		Yes1	No3
Does this operation have any other locations producing Dairy Products? [Enumerator Note: If yes, complete the Multiple Plant List on Page 8 and complete the HQ Supplement.]. . . . . . . . . . . . . . . . . . . . . . .2691
2. Does this firm produce and sell one million pounds of:
a. Cheddar cheese in 40 pound blocks, colored between 6 and 8 on the National Cheese Institute color chart, meeting Wisconsin State Brand, USDA Grade A, or better standards? [Enumerator Note: If yes complete Section 1a and 1b]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2600
b. Cheddar cheese in 500 pound barrels, white, meeting Wisconsin State Brand, USDA Extra Grade, or better standards? [Enumerator Note: if yes complete Section 1a and 1]. . . . . 2500
c. Salted butter (80% butterfat), fresh or storage, in 25 kilogram and 68 pound boxes meeting USDA Grade AA standards? [Enumerator Note: if yes complete Section 2]. . . . . . . . . . . . . . . . . . . . . . .2200
d. Non-fortified, nonfat dry milk in 25 kilogram bags, 50 pound bags, totes, and tankers meeting USDA Extra Grade or USPH Grade A standards? [Enumerator Note: if yes complete Section 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2300
e. Edible non-hygroscopic dry whey in 25 kilogram bags, 50 pound bags, totes, and tankers meeting USDA Extra Grade standards? [Enumerator Note: if yes complete Section 4]. . . . . . . . . . . . .2400
3. If any of the above are checked “No”, please explain:
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	Enumerator Note: If all parts of Question 2 are “no” conclude survey. If any are checked “yes” complete all applicable commodity sections.

Section 1a – All Cheddar Cheese Sales			OFFICE USE BOX
		Cur. Reporter			New Reporter
1. When reporting weekly Cheddar Cheese sales data to NASS (insert column heading): [Enumerator Note: Insert correct column heading {Based on OFFICE USE BOX }, also if Column 1 is “No” ask Column 2 ]		Did you			Can you
	N/A7	Yes1		No3	Yes2	No4
a. report price as f.o.b. plant if the product is “shipped out” from a plant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2601
b. report price as f.o.b. storage facility if the product is “shipped out” from a storage facility?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2602
c. report only complete transactions, i.e. cheddar cheese is “shipped out” and title transfer occurs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2603
d. report only sales of cheddar cheese 4 to 30 days in age?. . . . . . . . . . . . . . . . . . . . . . 2604
e. report prices without deduction for brokerage fees paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2605
f. report prices without deduction for clearing charges paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2606
g. include CCC purchases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2607
h. include sales of products labeled or contracted as sourced from cows not treated with recombinant bovine somatotropin (rbST)?. . . . . . . . . . . .2608
i. exclude forward pricing sales: sales in which the selling price is established (and not adjusted) 30 or more days before the transaction is completed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2609
j. exclude intra-company sales of cheddar cheese?. . . . . . . . . . . . . . . . . . . . . . . . . . . .2610
k. exclude re-sales of purchased cheddar cheese?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2611
l. exclude cheddar cheese certified as organic by a USDA-accredited certifying agent?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2612
m. exclude sales of cheddar cheese produced under faith-based close supervision and marketed at a higher price than the manufacturer’s wholesale market price for the basic commodity (for example, kosher cheddar cheese produced with a rabbi on site who is involved in the supervision of the production process)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2613
n. exclude sales under the Dairy Export Incentive Program (DEIP) or other premium assisted sales (for example: export assistance sales through the Cooperatives Working Together (CWT) program)?. . . . . . . . . . . . . . . . . .2614
2. If any of the above are checked “No”, please explain:
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Section 1b – Cheddar Cheese 40 Pound Block Sales			OFFICE USE BOX
		Cur. Reporter			New Reporter
1. When reporting weekly sales data for Cheddar Cheese in 40 Pound blocks to NASS (insert column heading): [Enumerator Note: Insert correct column heading {Based on OFFICE USE BOX}, also if Column 1 is “No” ask Column 2]		Did you			Can you
	N/A7	Yes1		No3	Yes2	No4
a. report only cheese colored between 6 and 8 on the National Cheese Institute color chart? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2641
b. report only cheese meeting Wisconsin State Brand, USDA Grade A, or better standards?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2642
c. report price reflecting packaging costs for cheese wrapped in a sealed, airtight package in corrugated or solid fiberboard container with a reinforcing inner liner or sleeve (excluding all other packaging costs from the reported price)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2643
d. exclude all cheese that will be aged?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2644
2. If any of the above are checked “No”, please explain:
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Section 1c – Cheddar Cheese 500 Pound Barrel Sales			OFFICE USE BOX
		Cur. Reporter			New Reporter
1. When reporting weekly sales data for Cheddar Cheese in 500 Pound barrels to NASS (insert column heading): [Enumerator Note: Insert correct column heading {Based on OFFICE USE BOX}, also if Column 1 is “No” ask Column 2]		Did you			Can you
	N/A7	Yes1		No3	Yes2	No4
a. report only white cheese?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2501
b. report only cheese meeting Wisconsin State Brand, USDA Extra Grade, or better standards?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2502
c. report the moisture content of the cheddar cheese?. . . . . . . . . . . . . . . . . . . . . . . . 2503
d. exclude all packaging costs from reported price?. . . . . . . . . . . . . . . . . . . . . . . . . . .2504
e. exclude all cheese with a moisture content greater than 37.7%?. . . . . . . . . . . . . . .2505
2. If any of the above are checked “No”, please explain:
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Section 2 – Butter Sales			OFFICE USE BOX
		Cur. Reporter			New Reporter
1. When reporting weekly Butter sales data to NASS insert column heading): [Enumerator Note: Insert correct column heading {Based on OFFICE USE BOX}, also if Column 1 is “No” ask Column 2]		Did you			Can you
	N/A7	Yes1		No3	Yes2	No4
a. report only salted butter with butterfat of 80% in 25 kilogram and 68 pound boxes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2201
b. report all fresh or storage butter sales meeting the other reporting specifications?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2202
c. report only butter meeting USDA Grade AA standards?. . . . . . . . . . . . . . . . . . . . . .2203
d. report price as f.o.b. plant if the product is “shipped out” from a plant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2204
e. report price as f.o.b. storage facility if the product is “shipped out” from the storage facility?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2205
f. report only complete transactions, i.e. butter is “shipped out” and title transfer occurs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2206
g. report prices without deduction for brokerage fees paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2207
h. report prices without deduction for clearing charges paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2208
i. include CCC purchases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2209
j. include sales of products labeled or contracted as sourced from cows not treated with recombinant bovine somatotropin (rbST)?. . . . . . . . . . . .2210
k. exclude forward pricing sales: sales in which the selling price is established (and not adjusted) 30 or more days before the transaction is completed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2211
l. exclude intra-company sales of butter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2212
m. exclude re-sales of purchased butter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2213
n. exclude butter certified as organic by a USDA-accredited certifying agent?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2214
o. exclude sales of butter produced under faith-based close supervision and marketed at a higher price than the manufacturer’s wholesale market price for the basic commodity (for example, kosher butter produced with a rabbi on site who is involved in the supervision of the production process)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2215
p. exclude sales under the Dairy Export Incentive Program (DEIP) or other premium assisted sales (for example: export assistance sales through the Cooperatives Working Together (CWT) program)?. . . . . . . . . . . . . . . . . .2216
q. exclude all sales of unsalted butter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2217
r. exclude all sales of Grade A butter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2218
2. If any of the above are checked “No”, please explain:
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Section 3 – Nonfat Dry Milk Sales			OFFICE USE BOX
		Cur. Reporter			New Reporter
1. When reporting weekly Nonfat Dry Milk sales data to NASS (insert column heading): [Enumerator Note: Insert correct column heading {Based on OFFICE USE BOX}, also if Column 1 is “No” ask Column 2]		Did you			Can you
	N/A7	Yes1		No3	Yes2	No4
a. report only non-fortified, nonfat dry milk in 25 kilogram bags, 50 pound bags, totes, and tankers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2301
b. report only nonfat dry milk meeting USDA Extra Grade or USPH Grade A standards?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2302
c. report price as f.o.b. plant if the product is “shipped out” from a plant?. . . . . . . . . . . 2303
d. report price as f.o.b. storage facility if the product is “shipped out” from the storage facility?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2304
e. report only complete transactions, i.e. nonfat dry milk is “shipped out” and title transfer occurs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2305
f. report only nonfat dry milk manufactured using low or medium heat process?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2306
g. report prices without deduction for brokerage fees paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2307
h. report prices without deduction for clearing charges paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2308
i. include CCC purchases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2309
j. include sales of products labeled or contracted as sourced from cows not treated with recombinant bovine somatotropin (rbST)?. . . . . . . . . . . .2310
k. exclude forward pricing sales: sales in which the selling price is established (and not adjusted) 30 or more days before the transaction is completed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2311
l. exclude intra-company sales of nonfat dry milk?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2312
m. exclude re-sales of purchased nonfat dry milk?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2313
n. exclude nonfat dry milk certified as organic by a USDA-accredited certifying agent? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2314
o. exclude sales of nonfat dry milk produced under faith-based close supervision and marketed at a higher price than the manufacturer’s wholesale market price for the basic commodity (for example, kosher nonfat dry milk produced with a rabbi on site who is involved in the supervision of the production process)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2315
p. exclude all sales of nonfat dry milk using high heat process? . . . . . . . . . . . . . . . . . 2316
q. exclude sales under the Dairy Export Incentive Program (DEIP) or other premium assisted sales (for example: CCC Bonuses from the Dairy Export Incentive Program)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2317
r. exclude all sales of nonfat dry milk more than 180 days old?. . . . . . . . . . . . . . . . . . . 2318
s. exclude all sales of instant nonfat dry milk? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2319
t. exclude all sales of dry buttermilk products? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2320
2. If any of the above are checked “No”, please explain:
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Section 4 – Dry Whey Sales			OFFICE USE BOX
		Cur. Reporter			New Reporter
1. When reporting weekly Dry Whey sales data to NASS (insert column heading): [Enumerator Note: Insert correct column heading {Based on OFFICE USE BOX – Page 1}, also if Column 1 is “No” ask Column 2]		Did you			Can you
	N/A7	Yes1		No3	Yes2	No4
a. report only edible non-hygroscopic dry whey in 25 kilogram bags, 50 pound bags, totes, and tankers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2401
b. report only dry whey meeting USDA Extra Grade standards?. . . . . . . . . . . . . . . . .2402
c. report price as f.o.b. plant if the product is “shipped out” from a plant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2403
d. report price as f.o.b. storage facility if the product is “shipped out” from the storage facility?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2404
e. report only complete transactions, i.e. dry whey is “shipped out” and title transfer occurs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2405
f. report prices without deduction for brokerage fees paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2406
g. report prices without deduction for clearing charges paid by the manufacturer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2407
h. include sales of products labeled or contracted as sourced from cows not treated with recombinant bovine somatotropin (rbST)?. . . . . . . . . . . .2408
i. exclude forward pricing sales: sales in which the selling price is established (and not adjusted) 30 or more days before the transaction is completed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2409
j. exclude intra-company sales of dry whey?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2410
k. exclude re-sales of purchased dry whey?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2411
l. exclude dry whey certified as organic by a USDA-accredited certifying agent?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2412
m. exclude sales of dry whey produced under faith-based close supervision and marketed at a higher price than the manufacturer’s wholesale market price for the basic commodity (for example, kosher dry whey produced with a rabbi on site who is involved in the supervision of the production process)? . . . . . . . . . . . . . . . . . . . . . . 2412
n. exclude premium assisted sales (for example: seller receives additional monetary value above sale price from a third party {i.e. government or private entity} for the export of dairy products based on criteria defined by the third party) ?. . . . . . . . . . . . 2414
o. exclude all sales of dry whey more than 180 days old?. . . . . . . . . . . . . . . . . . . . . . . . 2415
p. exclude all Grade A dry whey?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2416
2. If any of the above are checked “No”, please explain:
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Section 5 – Other Information
1. Does another firm report any Dairy Products Price data for this operation? If yes, who and what products? [Enumerator Note: If no, skip to Question 2]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2693		Yes1	No3
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a. If yes, does this plant have production sales not included in data submitted through your reporting firm?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2694
b. If yes, what products? [Enumerator Note: If no, skip to Question 2]
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2. When completing the weekly Dairy Product Prices Survey will all plants listed in the Multiple Plant List be included in the information submitted to NASS? [If no, please identify and explain the reason for not including a particular plant.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2692
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3. Do you understand the instructions and requirements of the weekly Dairy Product Prices program? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2695
4. Do you need any additional explanation of any definition, question, or issues Discussed in the Annual Validation Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2696 If yes, review all sections respondent would like more clarification.
5. Who will be the primary contact at your operation for completing the weekly survey?
Name:___________________________________________	Position:______________________________________________
Telephone: ( ) ____________________________	Email:________________________________________________
6. Who will be the secondary contact at your operation for completing the weekly survey?
Name:___________________________________________	Position:______________________________________________
Telephone: ( ) ____________________________	Email:________________________________________________

Multiple Plants List Table: [Enumerator Note: List Plant Name, Address, Telephone, and Dairy Products Produced for all company locations.]
Office Use					Plant Name	Location	Telephone Number	Products Produced
ST ID	Reporting POID	ST ID	Line POID	PP
9001	9002	9003	9004	9005			( )
9006	9007	9008	9009	9010			( )
9011	9012	9013	9014	9015			( )
9016	9017	9018	9019	9020			( )
9021	9022	9023	9024	9025			( )
9026	9027	9028	9029	9030			( )
9031	9032	9033	9034	9035			( )
9036	9037	9038	9039	9040			( )
9041	9042	9043	9044	9045			( )
9046	9047	9048	9049	9050			( )
General Survey Comments:
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Respondent Name:

Phone: ( )

9910 MM DD YY Date: __ __ __ __ __ __

Response

Respondent

Mode

Enum.

Eval.

Office Use for POID

1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est 8-Known Zero

9901

1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth

9902

1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other

9903

098

100

789 __ __ __ - __ __ __ - __ __ __

Optional Use

407

408

S/E Name

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