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pdfInstructions for Completing
The Annual Assessment Report Comment Form P&SP-6020
You may use any of the following methods to submit the form:
1) Mail the document to the following address:
USDA Grain Inspection, Packers and Stockyards Administration
Packers and Stockyards Program, Assessment Report
1400 Independence Ave. SW, Stop 3647
Washington, DC 20250-3647
2) E-mail the form to: pspiad@usda.gov, with the subject line as “Assessment Report,” or
3) Fax the form to: (202) 690-1266, ATTN: Assessment Report Coordinator.
Line
No.
1.
Subject
Instruction
3.
Most Useful Part of the
Report
Least Useful Part of the
Report
Overall Satisfaction
4.
Industry Segment
5.
Industry Roles
6.
7.
Changing Business
Practices
Industry Concerns
8.
Additional Comments
9.
Contact Information
Check the appropriate box to indicate which part of the
report you found most useful.
Check the appropriate box to indicate which part of the
report you found least useful.
Check the appropriate box to indicate your overall opinion
of the report.
Check the appropriate box(es) to indicate each livestock
category you work with.
Check the appropriate box(es) to indicate your primary
roles in the livestock, poultry, or meat industries.
Enter a description of the changing business practices that
you noticed during the past year.
Enter a description of the concerns you experienced in the
livestock, poultry, or meat industries over the past year that
you would like us to address in future publications.
Enter any additional comments that will help to improve
future annual assessment reports.
Enter your name, business name, mailing address, e-mail
address, and telephone number.
2.
P&SP-6020i
Page 1 of 1
OMB No. 0580-0015
Expires: xx/xx/20xx
U.S. DEPARTMENT OF AGRICULTURE
GRAIN INSPECTION, PACKERS AND
STOCKYARDS ADMINISTRATION
PACKERS AND STOCKYARDS
PROGRAM
ANNUAL ASSESSMENT REPORT COMMENT FORM
Thank you for your interest in GIPSA’s Report, Assessment of the Cattle, Hog, Poultry, and
Sheep Industries. As a means of both improving the publication and gaining insight on the
issues arising in the cattle, hog, poultry, and sheep industries we invite your comments and ideas
for future publications.
1. Please indicate which area of the report you found to be the most useful (please check
one box):
General Economic State Changing Business Practices Operations or Activities that Raise Concerns
2. Please indicate which area of the report you found to be the least useful (please check
one box):
General Economic State Changing Business Practices Operations or Activities that Raise Concerns
3. Please rate your overall satisfaction with the report (please check one box):
Excellent
Good
Average
Poor
Very Poor
4. Please identify each industry you are involved with (please check all that apply):
Cattle
Hog
Poultry
Sheep
Other: ____________
5. Please identify your primary role(s) in the industry:
Producer
Processor
Packer
Stockyard
Feedlot
Other: ____________
6. What changing business practices have you witnessed in the livestock, poultry, or meat
industry?
7. What concerns in your industry would you like us to address in future publications?
8. Additional comments or suggestions:
Form P&SP-6020
Page 1 of 2
9. If you would like to provide your contact information, please do so below.
Name: _________________________________________________________________
Last Name
First Name
Business Name (if applicable): ______________________________________________
Mailing Address:_________________________________________________________
Street
_______________________________________________________________________
City/Town
State
Zip Code
E-mail Address: __________________________________________________________
Telephone Number: (including area code) _____________________________________
Thank you for your response to this questionnaire.
Please submit the completed questionnaire using one of the following methods:
1) Mail the document to the following address:
Grain Inspection, Packers and Stockyards Administration
Packers and Stockyards Program, Assessment Report
1400 Independence Ave. SW, Stop 3647
Washington, DC 20250-3647
2) E-mail the form to: pspiad.gipsa@usda.gov with the subject line as “Assessment
Report,” or
3) Fax the form to: (202) 690-1266, ATTN: Assessment Report Coordinator.
According to the Paperwork reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection
of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0580-0015. The
time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin,
age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political
beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to
all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape,
etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA,
Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 7206382 (TDD). USDA is an equal opportunity provider and employer.
Form P&SP-6020
Page 2 of 2
File Type | application/pdf |
File Modified | 2014-03-29 |
File Created | 2014-03-26 |