Form LPS-128 Boxed Lamb Report (domestic or Importers)

Livestock Mandatory Reporting Act of 1999

LP-128 Boxed Lamb Rept (domestic or importers) 2-22-19

Livestock Mandatory Reporting Act of 1999

OMB: 0581-0186

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LP-128 (exp. 7/31/2022) Destroy previous edition

17b. LAMB CUT - Description (if IMPS not applicable)

17a. LAMB CUT - IMPS Code

16. CLASSIFICATION CODE

15. REFRIGERATION (1 = Fresh; 2 = Frozen)

22b. BRANDED PRODUCT CODE - Yield

22a. BRANDED PRODUCT CODE - Quality

21. USDA CERTIFIED SCHEDULE CODE (if applicable)

14. DELIVERY PERIOD CODE

19. TOTAL PRODUCT WEIGHT (pounds)

18. WEIGHT (1=Light; 2=Medium; 3= Heavy; 4=Mixed)

20. FOB PLANT PRICE ($/cwt.)

(NOT APPLICABLE)

1 = PRIME
2 = CHOICE
3 = PRIME/CHOICE
4 = GOOD
5 = UNGRADED

CLASSIFICATION CODE

1 = YIELD GRADE 2 or BETTER
2 = YIELD GRADE 1-3
3 = YIELD GRADE 4

BRANDED PRODUCT CODE
YIELD

1 = 0-21 DAYS
2 = 22-60 DAYS
3 = 61-90 DAYS
4 = 91/UP DAYS

DELIVERY PERIOD CODE

NOTE: 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 0581-0186. The time required to complete this information collection is estimated to average 5 m i n u t e s f o r
i m p o r t e r s a n d 1 0 m i n u t e s f o r d o m e s t i c p a c k e r s 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.
USDA’s Nondiscrimination Statement: In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights
regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA
programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender
expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program,
political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all
bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require
alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should
contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal
Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a
program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://
www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of
the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter
to USDA by: Mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW
Washington, D.C. 20250-9410; Fax: (202) 690-7442; or email: program.intake@usda.gov. USDA is an equal opportunity provider,
employer, and lender.

1 = PRIME
2 = CHOICE

QUALITY

1 = NEGOTIATED
2 = FORMULA MARKETING ARRANGEMENT
3 = FORWARD CONTRACT

SALE TYPE CODE

13. SALE TYPE CODE

12. SOURCE (1 = Domestic; 2 = Imported)

11. LOT IDENTIFICATION OR PURCHASE ORDER NUMBER

10. REPORTING TIME

9. REPORTING DATE (mm/dd/yyyy)

8. PHONE NUMBER (include area code)

7. CONTACT NAME

6. PLANT ZIP CODE

5. PLANT STATE

4. PLANT CITY

3. PLANT STREET ADDRESS

2. COMPANY NAME

1. IDENTIFICATION NUMBER

BOXED LAMB REPORT

AGRICULTURAL MARKETING SERVICE

UNITED STATES DEPARTMENT OF AGRICULTURE

FORM APPROVED. - OMB NO. 0581-0186


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