OMB No. 0535-0004 Approval Expires: 1/31/2016 Project Code: 158 QID: 110004 SMetaKey: 3496 |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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USDA/NASS - North Carolina Eastern Mountain Region
601
West Broadway, Room 645 Phone: 1-800-928-5277 Fax: 1-855-270-2708 E-mail: NASSRFOEMR@nass.usda.gov |
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Please make corrections to name, address and ZIP Code, if necessary. Please fax to the number above or report electronically. If you have any questions, please call our office at 1-800-928-5277 |
The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107–347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents. By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or your operation. Response is voluntary. 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 number is 0535-0004. The time required to complete this information collection is estimated to average 12 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. |
CHICK OPERATIONS (Please report “0” if answer is none.) |
Office Use |
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Broiler-Type Number |
1. Broiler Eggs set in your incubators during the week ending 10/31/2015? (Include: Custom set for others. Breeding flock replacements. All eggs originally set in incubators with the intended purpose of hatching. Do not subtract eggs removed prior to hatching.). . . . . . . . . . |
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111 |
2. Chicks Hatched in your incubators during the week ending 10/31/2015? (Include: Custom hatch for others. Breeding flock replacements.) . . . . . . . . . . . . . . . . . . . . . . . . . . . |
112 |
3. Of the (item 2) chicks hatched, how many were: |
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a. Placed for meat production? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
113 |
b. Placed as: |
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(i) Pullet chicks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
115 |
(ii) Cockerel chicks? (Include any given away.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
116 |
c. Other disposition? (Research, destroyed, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
117 |
d. TOTAL? [Question 3a + 3b + 3c] (Total should equal Question 2: Chicks Hatched.) . . . . . . . . . . |
118 |
4. Of the (item 3a) broiler chicks placed for meat production, how many were: |
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a. Placed within North Carolina?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
141 |
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b. Placed in other States? (Please list each State below.) |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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162 |
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142 |
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c. Exported to other Countries or Puerto Rico? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
143 |
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survey results: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results Would you rather have a brief summary mailed to you at a later date? 1Yes 3No . . . . . . . . . . . . . . . . . . . . . . . . |
9990 |
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Respondent Name: |
Phone: |
9911 |
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9910 MM DD YY |
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Date: __ __ __ __ __ __ |
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Response |
Respondent |
Mode |
R Unit |
Enum. |
Eval. |
Change |
Office Use for POID |
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1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est |
9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth
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9902 |
1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other |
9903 |
9921 |
9998 |
9900 |
9985 |
9989 __ __ __ - __ __ __ - __ __ __ |
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Optional Use |
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9907 |
9908 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | nassuser |
File Modified | 0000-00-00 |
File Created | 2021-01-24 |