Corps of Engineers Civil Works Questionnaires Generic Clearance

SHIPPER INTERVIEW

(Personal Interview)

OMB 0710-0001

Expires: 30 September 2012

The public report burden for this information collection is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this data collection, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, and the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503, Attn.: Desk Officer for U.S. Army Corps of Engineers. Respondents should be aware that notwithstanding any other provision of law, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Please DO NOT RETURN your completed form to either of these offices.

SHIPPER INTERVIEW

1. Name of firm and dock code number: __________________________________

If this firm is a subsidiary of anyone, please list the parent firm and its home office location.

________________________________________________________________

2. Name the primary types of commodities you receive and ship. Give the number of tons of each commodity moved during a typical year by each mode of transportation listed on the right.

	Name of Commodity	Truck Tons/Year	Rail Tons/Year	Barge Tons/Year	Steamship Tons/Year	Pipeline Tons/yr.
Receipts:	1._________________	_________	_________	_________	_________	_________
	2._________________	_________	_________	_________	_________	_________
	3._________________	_________	_________	_________	_________	_________
	4._________________	_________	_________	_________	_________	_________
	5._________________	_________	_________	_________	_________	_________
	6._________________	_________	_________	_________	_________	_________
	7._________________	_________	_________	_________	_________	_________
	8._________________	_________	_________	_________	_________	_________
	9._________________	_________	_________	_________	_________	_________
	10._________________	_________	_________	_________	_________	_________
Shipments:	1._________________	_________	_________	_________	_________	_________
	2._________________	_________	_________	_________	_________	_________
	3._________________	_________	_________	_________	_________	_________
	4._________________	_________	_________	_________	_________	_________
	5._________________	_________	_________	_________	_________	_________
	6._________________	_________	_________	_________	_________	_________
	7._________________	_________	_________	_________	_________	_________
	8._________________	_________	_________	_________	_________	_________
	9._________________	_________	_________	_________	_________	_________
	10._________________	_________	_________	_________	_________	_________

3. How are each of these products shipped? (Circle one)

Names of Commodities	Form Shipped
	Drums	Pallets	Packages	Dry Bulk	Liquid Bulk
1._______________________________________________	a	b	c	d	e
2._______________________________________________	a	b	c	d	e
3._______________________________________________	a	b	c	d	e
4._______________________________________________	a	b	c	d	e
5._______________________________________________	a	b	c	d	e
6._______________________________________________	a	b	c	d	e
7._______________________________________________	a	b	c	d	e
8._______________________________________________	a	b	c	d	e
9._______________________________________________	a	b	c	d	e
10.______________________________________________	a	b	c	d	e

4. What size barges, railroad cars, and trucks (in terms of tons) do you generally use to receive or ship each of your commodities and what are the specific frequency of shipments of each of these commodities? *Repeat commodity listing for each mode of transportation.

*Names of Commodities	Transport Mode	Mode Size (in tons)	Frequency (Times per mo.)
1._____________________________	______________________________________	______	____________
2._____________________________	______________________________________	______	____________
3._____________________________	______________________________________	______	____________
4._____________________________	______________________________________	______	____________
5._____________________________	______________________________________	______	____________
6._____________________________	______________________________________	______	____________
7._____________________________	______________________________________	______	____________
8._____________________________	______________________________________	______	____________
9._____________________________	______________________________________	______	____________
10.____________________________	______________________________________	______	____________

5. For each mode of movement, what are the line haul rates of shipment for each commodity? You may attach a published rate schedule in lieu of filling out the information below.

	Name of Commodity	Truck $ Per Ton	Rail $ Per Ton	Barge $ Per Ton	Steamship $ Per Ton	Pipeline $ Per Ton
Receipts:	1._________________	_________	_________	_________	_________	_________
	2._________________	_________	_________	_________	_________	_________
	3._________________	_________	_________	_________	_________	_________
	4._________________	_________	_________	_________	_________	_________
	5._________________	_________	_________	_________	_________	_________
	6._________________	_________	_________	_________	_________	_________
	7._________________	_________	_________	_________	_________	_________
	8._________________	_________	_________	_________	_________	_________
	9._________________	_________	_________	_________	_________	_________
	10._________________	_________	_________	_________	_________	_________
Shipments:	1._________________	_________	_________	_________	_________	_________
	2._________________	_________	_________	_________	_________	_________
	3._________________	_________	_________	_________	_________	_________
	4._________________	_________	_________	_________	_________	_________
	5._________________	_________	_________	_________	_________	_________
	6._________________	_________	_________	_________	_________	_________
	7._________________	_________	_________	_________	_________	_________
	8._________________	_________	_________	_________	_________	_________
	9._________________	_________	_________	_________	_________	_________
	10._________________	_________	_________	_________	_________	_________

6. Who generally controls the modal choice (routing) of these movements?

_____________________________________________________________________________

7. Who generally pays the freight of these movements?

_____________________________________________________________________________

8. Who in you organization could I talk to about getting additional line-haul rate information?

Name: _______________________________________________________________________

Address: _____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Phone:_______________________________________________________________________

Location:_____________________________________________________________________

9. Are you anticipating a major shift in transportation modes in the near future? ___Yes ___No

If yes, please explain:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

10. What are the various reasons you ship by each mode of transportation? Are service, cost, or other factors overriding?

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

3