QID 051050 Seed Potato Price Inquiry - Northeastern Region

SEED POTATO PRICE INQUIRY - 2016
				OMB No. 0535-0003 Approval Expires: 5/31/2016 Project Code: 171 QID: 051050 SMetaKey: 3501
					United States Department of Agriculture
					NATIONAL AGRICULTURAL STATISTICS SERVICE

						USDA/NASS Northeastern Regional Field Office P O Box 60607 Harrisburg, PA 17106-0607 Phone: 1-800-498-1518 Fax: 1-800-498-1548 Email: nass-pa@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.

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 0535-0003. The time required to complete this information collection is estimated to average 5 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.

INSTRUCTIONS:

• Report total quantity of seed potatoes purchased or under contract for future from potato growers.

• Include seed potatoes grown outside your state.

• You may report either average price paid per unit or total dollars paid.

• You may report quantity of seed purchased and prices paid using hundredweight (cwt) or barrels (bbls) as the unit of measurement.

• Include transportation and handling charges.

• Exclude sales tax.

QUANTITY of seed potatoes purchased or under contract (Select cwt or bbls)		AVERAGE PRICE PAID or to be paid for seed potatoes purchased or contracted for future delivery (Select cwt or bbls)		OR	TOTAL DOLLARS PAID
101		201 $ . __ __ / cwt	$ . __ __ / bbls		202 $
cwt	bbls

COMMENTS about size, quality, supplies, etc. of 2016 seed potatoes are appreciated.

SURVEY RESULTS: To receive the complete results of this survey, go to http://www.nass.usda.gov/results
Would you rather have a brief summary mailed to you at a later date?. . . .	1Yes 3No	9990

Respondent Name:

9911 Phone:

9910 MM DD YY Date: __ __ __ __ 16

OFFICE USE

Response

Respondent

Mode

Enum.

Eval.

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

9985

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

R. Unit

Optional Use

9921

9907

9908

9906

9916

S/E Name