QID 050060 Monthly Hay Price Survey - Dealers - WA

Monthly Hay Price survey- dealers September 2016
			OMB No. 0535-0003 Approval Expires: 05/31/2016 Project Code: 172 QID: 050060
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						Washington Field Office P.O. Box 609 Olympia, WA 98507-0609 Phone: 1-800-435-5883 Fax: 1-800-265-6275 E-mail: nass-wa@nass.usda.gov

The Department of Agriculture publishes prices received by Farmers for hay on a monthly basis. This information is used to compute price indexes, parity prices, and farm income, and is needed to accurately estimate prices received by farmers.

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 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.

A return envelope requiring no stamp is enclosed. A follow-up phone survey will be conducted for those questionnaires not received by mail. Thank you for your cooperation.

INSTRUCTIONS

1. Please report contract purchases for month when payment is made (both quantity of hay and total dollars paid), not when

contract is written or delivery is made, unless delivery date and date of sale coincide.

2. Exclude all hay purchases from dealers or any source other than farmers.

3. Include purchases of any size or type of bale.

Hay (dry, baled)	Purchases Made From Washington Farmers During August		Average Price Paid to Washington Farmers for Hay During First Half of September
	Quantity Purchased From Farmers	Total Price Paid to Farmers for Quantity Reported
	-Tons-	-Dollars-	-Dollars per Ton-
	101	201	901
Alfalfa and alfalfa mixtures			.__ __
	102	202	902
Timothy and timothy mixtures			.__ __
Other hay, including clover,	103	203	903
wild, grain, prairie, range,
and other types			.__ __

4. Report price received at farm gate, excluding freight charges.

OVER PLEASE

4. Has this operation (name of label) been sold, or turned over to someone else?

NO - Go to Item 5 YES - Identify the new operator(s).

Name: _________________________________________________________________________________________

Address: ______________________________________________________ Phone: ________________________________

City: ______________________________________ State: ________________________ Zip:_____________________

a. Did this person operate land individually in this State on June 1, 2011? YES NO

5. 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?

1 Yes 3No

099

				Optional Use
				916

Comments:

Respondent Name:

9911 Phone: (______) -- ______________

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 8-Known Zero

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

098

100

785

789 __ __ __ - __ __ __ - __ __ __

R. Unit

Optional Use

921

407

408

9906

9916

S/E Name