QID 001242 Prices Received by Farmers - Operation Profile for Grain

PRICES RECEIVED BY FARMERS OPERATION PROFILE for GRAINS, OILSEEDS and PULSE CROPS 2016
			OMB No. 0535-0003 Approval Expires: 5/31/2016 Project Code: 185 QID: 001242 SMetaKey: 2806
				United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						USDA/NASS - Texas Southern Plains Region PO Box 70 Austin, TX 78767-0070 Phone: 1-800-626-3142 Fax: 1-855-270-2725 E-mail: NASSRFOSPR@nass.usda.gov

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

For our monthly survey of Prices Received by Farmers, this firm will be asked to report total quantities of commodities purchased from U.S. farmers and the total dollar value of those purchases. Information requested in this survey is used to prepare estimates of selected agricultural commodities.

Under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes in combination with similar reports from other producers. 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 control number is 0535-0003. The time required to complete this information collection is estimated to average 10 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.

1. Do you expect this operation to purchase any of these commodities from U.S. farmers during the next 12 months?
	Include all varieties, grades and qualities.		YES	NO		UNITS (Circle one)
	Corn (yellow) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0102	1	3	0103	1 Bu	2 Lbs	3 Tons	4 Cwt
	Corn (white)	0104	1	3	0105	1 Bu	2 Lbs	3 Tons	4 Cwt
	Oats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0128	1	3	0129	1 Bu	2 Lbs	3 Tons	4 Cwt
	Sorghum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0130	1	3	0131	1 Bu	2 Lbs	3 Tons	4 Cwt
	Soybeans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0126	1	3	0127	1 Bu	2 Lbs	3 Tons	4 Cwt
	Winter Wheat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0110	1	3	0111	1 Bu	2 Lbs	3 Tons	4 Cwt
	Flaxseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0132	1	3	0133	1 Bu	2 Lbs	3 Tons	4 Cwt
	Sunflower, Oil Type . . . . . . . . . . . . . . . . . . . . . . . . . . .	0134	1	3	0135	1 Bu	2 Lbs	3 Tons	4 Cwt
	Sunflower, Non-Oil Type . . . . . . . . . . . . . . . . . . . . . . .	0136	1	3	0137	1 Bu	2 Lbs	3 Tons	4 Cwt
	Canola . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0180	1	3	0181	1 Bu	2 Lbs	3 Tons	4 Cwt
	Other – Specify: ____________________ . . . . . . . . .		1			1 Bu	2 Lbs	3 Tons	4 Cwt
	Other – Specify:____________________ . . . . . . . . . .		1			1 Bu	2 Lbs	3 Tons	4 Cwt
	If all commodities are checked ‘NO”, Thank the Respondent, and conclude the interview.
2. Do you purchase organic commodities? 0182 3 NO 1 YES – Specify commodities --_______________________________________________
3. Do you purchase Non-GMO and/or specialty grains? 0228 3 NO 1 YES – Specify --_________________________________________________________
4. Will this operation purchase any commodities from farmers in other States? 0183 3 NO 1 YES – Specify States --____________________________________________________

5. (Ask for elevators which are part of multiple unit firms/locations only.) Please review the attached sheet. (Verify that the list of firms is correct and complete. If necessary, make appropriate deletions, additions, and/or capacity changes. Re-verify the list and continue.) Considering all the elevators and locations listed, how would you prefer to report?
0184 1 Each site individually 2 Combined total for all sites 3 Headquarters reports all locations separately 4 Some other combination. Please list which sites you would like combined for reporting purposes
6. What is the total rated storage capacity of all firms that you will report price data for, along with the preferred reporting unit. (Include capacity of all lines if this is a Headquarters unit of a Multi-unit firm where total quantity purchased and the gross value from all lines are reported.)
CURRENT FIRM LOCATION		STORAGE CAPACITY		UNITS (Circle one)
		0226	0227	1 Bu.			2 Lbs.	3 Tons		4 Cwt
NOTE: Inform the respondent our reporting specifications call for Quantity at standard moisture content and Total Gross Value, adjusted for quality discounts and premiums but not other deductions. Ask the respondent to provide a settlement sheet (check stub, sales ticket, assembling sheet) showing a typical transaction and a monthly summary (monthly report). It will help to determine the firm’s ability to report based on our guidelines.
7. Will your firm report quantities purchased on a dry (shrunk) weight basis (that is at standard moisture content)?
0185 1 YES 5 N/A 3 NO - Ask—On a monthly basis, will you estimate quantities on a dry (standard moisture) basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					0186 1 YES 3 NO
8. Will you exclude commodities purchased from non-farmers such as other elevators, firms, brokers, or truck buyers?
0187 1 YES 5 N/A 3 NO Ask—What percent of your monthly purchases are from non-farmers? . . . . . . . . . . On a monthly basis, will you estimate the purchases from non-farmers and subtract that amount from the total quantity and gross value you report? . . . . . . . .						0188 ____________ % 0189 1 YES 3 NO

9. Will you include all purchases from farmers delivered to a terminal or processing facility (that is, direct or brokered sales)?

0190

1 YES

5 N/A

3 NO – Ask-- On a monthly basis, will you estimate these purchases and include them in the total quantity and gross value you report? . . . . . . . .

0191

1 YES

3 NO

10. Will you exclude commodities purchased from producers or firms in other countries?

0192

1 YES

5 N/A

3 NO – Ask-- On a monthly basis, will you estimate these purchases and exclude them from the total quantity and gross value you report? . . . . . . . .

0193

1 YES

3 NO

11. Will you exclude commodities purchased for resale as seed?

0194

1 YES

5 N/A

3 NO – Ask-- On a monthly basis, will you estimate these purchases and exclude them from the total quantity and gross value you report? . . . . . . . .

0195

1 YES

3 NO

NOTE: For items 12 and 13 , if the respondent answers NO, ask if they will be able to estimate the amount of the discount to be subtracted or the premium to be added to the monthly gross value.

12. Will you report the monthly gross value of purchases from farmers after--

a. subtracting discounts for moisture content . . . . . . . . . . . . . . . . . . . . .

0196

1 YES

5 N/A

3 NO – Will you estimate?

0197

1 YES

3 NO

b. subtracting discounts for quality factors such as grade, test weight, protein content, foreign matter or damage . . . . . . . . . . . . . . . . . . . .

0198

1 YES

5 N/A

3 NO – Will you estimate?

0199

1 YES

3 NO

c. subtracting discounts for transportation charges from farm to elevator (price should reflect point at which grain changes possession.) . . . . . . .

0200

1 YES

5 N/A

3 NO – Will you estimate?

0201

1 YES

3 NO

d. adding premiums for farmer delivering the grains, oilseeds or pulse crops to a mill, processor or terminal . . . . . . . . . . . . . . . . . . . .

0202

1 YES

5 N/A

3 NO – Will you estimate?

0203

1 YES

3 NO

e. adding premiums for quality factors . . . . . . . . . . . . . . . . . . . . .

0204

1 YES

5 N/A

3 NO – Will you estimate?

0205

1 YES

3 NO

13. Will you report the monthly gross value of purchases from farmers before itemized deductions are made for--

a. Drying . . . . . . . . . . . . . . . . . . . . .

0208

1 YES

5 N/A

3 NO – Will you estimate?

0209

1 YES

3 NO

b. Storage . . . . . . . . . . . . . . . . . . . .

0210

1 YES

5 N/A

3 NO – Will you estimate?

0211

1 YES

3 NO

c. Check-off fees . . . . . . . . . . . . . . .

0212

1 YES

5 N/A

3 NO – Will you estimate?

0213

1 YES

3 NO

d. Service fees . . . . . . . . . . . . . . . . .

0214

1 YES

5 N/A

3 NO – Will you estimate?

0215

1 YES

3 NO

e. Cleaning or grading . . . . . . . . . . .

0216

1 YES

5 N/A

3 NO – Will you estimate?

0217

1 YES

3 NO

f. Transportation or handling charges from farm to first point of sale (if billed to farmer) . . . . . . . . . . . .

0218

1 YES

5 N/A

3 NO – Will you estimate?

0219

1 YES

3 NO

14. Will you report contract purchases from farmers so that the quantities and corresponding values are both reported in the same month? (Include: forward contracts, deferred payment contracts, basis, minimum price, option or hedge-to-arrive contracts.)
0220
1 YES – Go to item 15. 5 N/A – Go to item 15.
0221 3 NO – What percentage of your monthly purchases are contract purchases? ______ %
a. Does this change after harvest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							0222 1 YES. 3 NO
b. On a monthly basis, will you estimate contract purchases delivered (settled, closed) and include these purchases in the total quantity and gross value you report? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							0223 1 YES. 3 NO
15. Does your accounting period allow a calendar month? . . . . . .			0224		1 YES. 3 NO				From _______ To _______
16. Who will be the primary contact at your operation for completing our monthly survey?
	Name:	Position:
	Telephone: ( )	Fax: ( )						Email:
17. Who will be the alternate contact at your operation for completing our monthly survey?
	Name:	Position:
	Telephone: ( )	Fax: ( )						Email:
Thanks so much for your assistance today and for your continued help in completing the Prices Received by Farmers report. Each month we will mail you a monthly Prices Received questionnaire to complete. We will also include a copy of the reporting instructions for your reference. You may also fill this survey out on the Internet. Instructions will be made available to you as to how to access the survey. If you have any questions, feel free to contact our office using our toll free number. [If you did not interview the primary contact, ask to speak with the primary contact and take some time to review the reporting instructions with them.]

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