QID 050100 Grain Prices Received by Farmers - IA

GRAIN PRICES RECEIVED BY FARMERS
			OMB No. 0535-0003 Approval Expires: 5/31/2016 Project Code: 185 QID: 050100 SMetaKey: 3762
				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.

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 0535-0003. 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.

February 2016

1. Report grains and oilseeds purchased directly from U.S. Farmers in January 2016. If no purchase of any commodity listed, check box .
COMMODITY (Report all varieties, grades, and qualities.)	TOTAL QUANTITY PURCHASED Dry or "shrunk" basis Delivered any time prior to the end of January		UNIT REPORTED Circle one				TOTAL VALUE Gross dollars plus quality premiums minus quality discounts. 1/ WHOLE DOLLARS
Winter Wheat . . . . . . . . . . . . . . .	091	092	Bu. 1	Lbs. 2	Tons3	Cwt.4	093 $
Oats . . . . . . . . . . . . . . . . . . . . . . .	231	232	Bu. 1	Lbs. 2	Tons3	Cwt.4	233 $
Corn (Yellow and White) . . . . . . .	011	012	Bu.1	Lbs. 2	Tons3	Cwt.4	013 $
Soybeans . . . . . . . . . . . . . . . . . .	211	212	Bu. 1	Lbs. 2	Tons3	Cwt.4	213 $
1/ Add or deduct quality factors including-- test weight, protein content, foreign matter, damage, moisture content, and farmer delivery. DO NOT deduct check-off fees, drying, cleaning, handling, storage, grading or other marketing or service fees. For more information go to instructions.

Reported by:								Title:									Date
							OFFICE USE							ENTER ALL CODES THAT APPLY
Telephone	9911 ( ) -						1 Re-contact/verified 2 Re-contact/ changed 3 Rounded 4 Circled Units					5 Changed Units 6 Office Error 7 Other- comment		801	802					803		804
Fax Number	( ) -													805	806					807
														9910 MM DD YY
														DATE: __ __ __ __ __ __
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 6-e-mail 2-Tel 7-Fax 3-Face-to-Face 8-CAPI 4-CATI 19-Other 5-Web				9903	9998	9900		9985	9989 __ __ __ - __ __ __ - __ __ __
														R Unit		Optional Use
														9921		9907		9908			9906		9916
S/E Name

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