QID Wheat and Barley Variety Survey

Phone 1-800-835-2612, Fax 1-800-915-6277

E-mail: nass-mt@nass.usda.gov

Office Use Only: POID

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Funding for this survey is provided by the Montana Wheat and Barley Committee. This information is used in compiling the 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 number is 0535-0002. 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.

	Please Report Acres Seeded for All Purposes – 20XX Crop Year
	Winter Wheat				Durum Wheat
	Variety		2014 Seeded Acres		Variety		2014 Seeded Acres
	AP503 CL2		1022		AC Avonlea		3305
	Bynum		1006		AC Morse		3329
	Carlisle		1009		Alkabo		3007
	Carter		1007		Alzada		3002
	CDC Falcon		1168		Ben		3389
	Decade		1031		Cando		3302
	Genou		1198		Crosby		3303
	Hawken		1019		Dilse		3100
	Jagalene		1102		Divide		3004
	Jerry		1012		Grande D’Oro		3006
	Judee		1037		Grenora		3003
	Ledger		1199		Kronos		3315
	Morgan		1139		Kyle		3306
	Neeley		1126		Lebsock		3323
	Norris		1005		Medora		3308
	Overland		1032		Monroe		3309
	Promontory		1159		Mountrail		3320
	Pryor		1115		Munich		3301
	Rampart		1151		Pierce		3001
	Redwin		1132		Plaza		3325
	Rocky		1133		Renville		3391
	SY Wolf		1042		Stewart 63		3012
	Tiber		1143		Strongfield		3005
	Vanguard		1145		Tioga		3009
	WB Quake		1034		Vic		3312
	Willow Creek		1004		Wells		3327
	Yellowstone		1003		Westhope		3008
	Other ____________________ (Please Print)				Other ____________________ (Please Print)
	Variety Unknown		1190		Variety Unknown		3390
Please Report Acres Seeded for All Purposes – 20XX Crop Year
Spring Wheat (excluding Durum)				Barley
Variety		2014 Seeded Acres		Variety		2014 Seeded Acres
Amidon		2204		AC Metcalfe		4400
AC Lillian		2009		Baronesse		4462
Alsen		2258		BG 46e		4033
AP 604 CL		2025		Boulder		4012
AP 605 CL		2038		Bowman		4412
Barlow		2042		CDC Copeland		4005
Brennan		2036		CDC Cowboy		4016
Choteau		2201		Celebration		4018
Conan		2209		Champion		4011
Corbin		2300		Conlon		4418
Fortuna		2220		Conrad		4001
Freyr		2101		Gallatin		4420
Glenn		2014		Harrington		4422
Hank		2202		Haxby		4402
Jedd		2010		Haybet		4465
Kelby		2004		Hays		4401
Kuntz		2026		Hector		4424
Len		2228		Hockett		4010
McNeal		2250		Horsford		4425
Mott		2032		Lavina		4007
ONeal		2024		Merit		4452
RB07		2031		Merit 57		4020
Reeder		2213		Moravian 37		4438
Scholar		2260		Moravian 69		4004
Solano		2013		Moravian 115		4028
Steele		2008		Stark		4473
SY Soren		2047		Stockford		4003
SY Tyra		2050		Tradition		4408
Vida		2011		Voyager		4035
WB Gunnison		2037		Westbred Xena		4406
Westbred 936		2270		Westford		4472
Other ____________________ (Please Print)				Other ____________________ (Please Print)
Variety Unknown		2290		Variety Unknown		4490

Thank you for completing the survey, the results will be available at: http://www.nass.usda.gov/mt/ in mid July 20XX.

Response		Respondent		Mode		Enum.	Eval.
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
S/E Name

9910 MM DD YY

Date: __ __ __ __ __ __

Office Use for POID
789 __ __ __ - __ __ __ - __ __ __
R Unit	Optional Use
0921	407	408