3495 Monthly Hatchery Report - October

MONTHLY HATCHERY REPORT October 2018
OMB No. 0535-0004
Approval Expires: 1/31/2019
Project Code: 158
SurveyId: 3495

United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS - California
Pacific Region
650 Capitol Mall, #6-100
Sacramento, CA 95814
Phone: 1-800-851-1127
FAX: 1-855-270-2722
Email: NASSRFOPCR@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. Your responses will be kept confidential and any person who willfully discloses ANY
identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey is conducted in accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and other applicable Federal laws. For more information on how we protect your
information please visit: https://www.nass.usda.gov/confidentiality. 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 0535-0004. 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.

Egg-Type
Number

CHICK OPERATIONS - Please report "0" if answer is none
101

1. Chicken Eggs in your incubator/hatchers October 1?
(Include breeding flock replacements, custom set for others. Exclude broiler-type eggs.)
2. Chicks Hatched in your incubators/hatchers during September?
(Include breeding flock replacements, custom set for others. Exclude broiler-type eggs.)

102

3. Of the (question 2) chicks hatched in September,
how many were placed as:
104
a. Straight-run chicks?........................................................................................................................................
105
b. Pullet chicks?..................................................................................................................................................
106
c. Cockerel chicks? (Exclude any given away.)................................................................................................
107
d. Other disposition? (Research, destroyed, etc.)...............................................................................................
108
e. TOTAL? (questions 3a + 3b + 3c + 3d) (Total should equal question 2, Chicks Hatched.)...........................

SURVEY RESULTS: To receive the complete results of this survey on the release date,
go to https://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/
To have a brief summary emailed to you at a later date, please enter your email address:
1095

Would you rather have a brief summary mailed to you at a later date?
9990

1

☐

Yes

3

☐

No

Comments:
9911

Respondent Name:

9910

Phone (

)

Date:

MM

DD

YY

__ __

__ __

__ __

THANK YOU FOR YOUR COOPERATION

OFFICE USE ONLY
Response
1-Comp
9901
2-R
3-Inac
4-Office Hold
5-R – Est
6-Inac – Est
7-Off Hold – Est
S/E Name

Respondent
1-Op/Mgr
2-Sp
3-Acct/Bkpr
4-Partner
9-Oth

9902

Mode
1-PASI (Mail)
2-PATI (Tel)
3-PAPI (Face-toFace)
6-Email
7-Fax
19-Other

Enum.
9903

9998

Eval.
9900

Change
9985

Office Use for POID
9989

__ __ __ - __ __ __ - __ __ __

Optional Use
9921

9907

9908

9906

9916