QID 110001a Monthly Hatchery Report - January

MONTHLY HATCHERY REPORT January 2016

			OMB No. 0535-0004 Approval Expires: 1/31/2016 Project Code: 158 QID: 110001a SMetaKey: 3495
				United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						USDA/NASS - Iowa Upper Midwest Region 210 Walnut St., #833 Des Moines, IA 50309 Phone: 1-800-772-0825 Fax: 1-855-271-9802 E-mail: NASSRFOUMR@nass.usda.gov

Please make corrections to name, address and ZIP Code, if necessary.

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.

Please fax to the number above or mail your report in the enclosed postage paid envelope. Thank you for your cooperation.

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.)	Egg-Type Number
1. Chicken Eggs in your incubators/hatchers January 1? (Include: Breeding flock replacements. Custom set for others. Exclude broiler type eggs.) . . . . .
	101
2. Chicks Hatched in your incubators/hatchers during December? (Include: Breeding flock replacements. Custom hatch for others. Exclude broiler type eggs.) . . .
	102
3. Of the (item 2) chicks hatched in December, how many were placed as:
a. Straight-run chicks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	104
b. Pullet chicks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	105
c. Cockerel chicks? (Include any given away.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	106
d. Other disposition? (Research, destroyed, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	107
e. TOTAL? [Question 3a + 3b + 3c + 3d] (Total should equal Question 2: Chicks Hatched.) . . . . . .	108

						OFFICE USE
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
Comments:
Respondent Name:			9911 Phone: ( )		9910 MM DD YY Date: __ __ __ __ __ __

THANK YOU FOR YOUR COOPERATION

OFFICE USE ONLY

Response

Respondent

Mode

Enum.

Eval.

R. Unit

Change

Office Use for POID

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

9902

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

9903

9998

9900

9921

9985

9989 __ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name