CUSTOM RATES SURVEY |
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OMB No. XXXX-XXXX Approval Expires: XX/XX/XXXX Project Code: QID: SMetaKey: Version |
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United States Department of Agriculture |
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MASTER |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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O klahoma State University
USDA/NASS - Oklahoma Southern Plains Region PO Box 70 Austin, TX 78767-0070 Phone: 1-800-626-3142 Fax: 1-855-270-2725 E-mail: NASSRFOSPR@nass.usda.gov |
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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 to this survey 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-XXXX. The time required to complete this information collection is estimated to average 20 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. |
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Please make corrections to name, address and ZIP Code, if necessary. |
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Office Use |
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POID |
Tract |
Subtr. |
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INSTRUCTIONS
1Pay for custom work on your operation 2Perform custom work on another operation 3Have knowledge of rates for custom work 5None of the above (Go to Comments on p. 16)
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Part 1 – Crops Custom Services |
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SECTION 1 |
CUSTOM LAND TILLAGE SERVICES |
1Pay for someone to perform custom land tillage (Go to Item 2) 2Receive payment from someone to perform custom land tillage (Go to Item 2) 3Have direct knowledge of rates related to custom land tillage (Go to Item 2) 4None of the above (Go to Section 2)
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Custom Service in 2019 |
Unit |
Rate |
Custom Service in 2019 |
Unit |
Rate |
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1-pass field preparation |
$/acre |
XX . |
Moldboard plowing: |
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Blade or Wide Sweeps |
$/acre |
XX . |
Stubble |
$/acre |
XX . |
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Chisel Plowing |
$/acre |
XX . |
Mulch finisher |
$/acre |
XX . |
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Chopping Stalks |
$/acre |
XX . |
Offset Disk |
$/acre |
XX . |
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Combination tillage: Finishing |
$/acre |
XX . |
One-way disk tilling |
$/acre |
XX . |
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Combination tillage: Primary |
$/acre |
XX . |
Plowing, Disk |
$/acre |
XX . |
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Cultipack |
$/acre |
XX . |
Rod Weeder |
$/acre |
XX . |
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Cultivator capable of handling residue &/or making ridges |
$/acre |
XX . |
Rolling harrowing after Plowing |
$/acre |
XX . |
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Deep chisel |
$/acre |
XX . |
Rolling Stalk Chopper |
$/acre |
XX . |
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Disk bed (Hipper) |
$/acre |
XX . |
Rotary Hoe |
$/acre |
XX . |
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Disk w/ digger & drag |
$/acre |
XX . |
Row cultivating |
$/acre |
XX . |
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Disk/ripper |
$/acre |
XX . |
Row cultivating w/ fertilizer |
$/acre |
XX . |
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Disk-chiseling |
$/acre |
XX . |
Sandfighter |
$/acre |
XX . |
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Disk-chiseling Disking |
$/acre |
XX . |
Spike Tooth Harrow |
Light |
$/acre |
XX . |
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Heavy |
$/acre |
XX . |
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Disking Disking Shallow |
$/acre |
XX . |
Spring Tooth Harrow |
Light |
$/acre |
XX . |
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Heavy |
$/acre |
XX . |
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Disking Stubble |
$/acre |
XX . |
Stalk pulling |
$/acre |
XX . |
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Disking with Harrow or Cultipacker |
$/acre |
XX . |
Stalk Shredder |
$/acre |
XX . |
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Field Cultivating |
$/acre |
XX . |
Strip Tillage |
$/acre |
XX . |
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Finishing disk |
$/acre |
XX . |
Subsoil and Bed |
$/acre |
XX . |
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Heavy or offset disking |
$/acre |
XX . |
Subsoiling (16-20 in. deep) |
$/acre |
XX . |
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Hill or ditch for irrigation |
$/acre |
XX . |
Surface Chisel |
$/acre |
XX . |
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Land Rolling |
$/acre |
XX . |
Tandem Disk |
$/acre |
XX . |
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Listing/Shaping beds |
$/acre |
XX . |
Terraces |
$/acre |
XX . |
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Moldboard plowing: |
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Vertical tillage |
$/acre |
XX . |
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Deep |
$/acre |
XX . |
V-ripping (over 15 in. deep) |
$/acre |
XX . |
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Shallow |
$/acre |
XX . |
V-ripping with tandem disk |
$/acre |
XX . |
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Sod Breaking |
$/acre |
XX . |
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Custom Service in 2019 |
Circle one |
Dollars per Acre |
Custom Service in 2019 |
Circle one |
Dollars per Acre |
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Drill 7- or 9-inch row |
Conventional/No Till |
XX . |
Drilling by Commodity: |
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Drilling by Commodity: |
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Ryegrass |
Conventional/No Till |
XX . |
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Alfalfa |
Conventional/No Till |
XX . |
Small Grains |
Conventional/No Till |
XX . |
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Canola |
Conventional/No Till |
XX . |
Small Grains |
With Fertilizer/ Without Fertilizer |
XX . |
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Grain sorghum |
Conventional/No Till |
XX . |
Tilling & Seeding |
With Fertilizer/ Without Fertilizer |
XX . |
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Other beans |
Conventional/No Till |
XX . |
Soybeans |
Conventional/No Till |
XX . |
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Rice |
Conventional/No Till |
XX . |
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SECTION 3 |
CUSTOM SEEDING AND PLANTING SERVICES |
1Pay for someone to perform custom seeding and planting (Go to Item 2) 2Receive payment from someone to perform custom seeding and planting (Go to Item 2) 3Have direct knowledge of rates related to custom seeding and planting (Go to Item 2) 4None of the above (Go to Section 4)
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Custom Service in 2019 |
Circle one |
Dollars per Acre |
Custom Service in 2019 |
Circle one |
Dollars per Acre |
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Aerial Seeding |
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XX . |
Extra charge for seed shut-offs |
Conventional/No Till |
XX . |
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Air Seeding (With fertilizer) |
Conventional/No Till |
XX . |
Planting with splitters |
Conventional/No Till |
XX . |
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Corn |
Conventional/No Till |
XX . |
Planting by COMMODITY: |
XX . |
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Small Grains |
Conventional/No Till |
XX . |
Alfalfa, clover, etc. |
Conventional/No Till |
XX . |
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Soybeans |
Conventional/No Till |
XX . |
Bermudagrass seeding |
Conventional/No Till |
XX . |
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Sunflowers |
Conventional/No Till |
XX
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Bermudagrass seeding (without springs) |
Conventional/No Till |
XX
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Air Seeding (Without fertilizer) |
Conventional/No Till |
XX . |
Corn (with fertilizer) |
Conventional/No Till |
XX . |
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Corn |
Conventional/No Till |
XX . |
Corn (no fertilizer) |
Conventional/No Till |
XX . |
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Small Grains |
Conventional/No Till |
XX . |
Cotton |
Conventional/No Till |
XX . |
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Soybeans |
Conventional/No Till |
XX . |
CRP Ground |
Conventional/No Till |
XX . |
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Sunflowers |
Conventional/No Till |
XX . |
CRP Ground (with Depth Bands) |
Conventional/No Till |
XX . |
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Automatic section control charge |
Conventional/No Till |
XX . |
Dry Edible Beans (with fertilizer) |
Conventional/No Till |
XX . |
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Broadcasting seed |
Conventional/No Till |
XX . |
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SECTION 3 |
CUSTOM SEEDING AND PLANTING SERVICES (CONTINUED) |
Custom Service in 2019 |
Circle one |
Dollars per Acre |
Custom Service in 2019 |
Circle one |
Dollars per Acre |
Planting by COMMODITY: |
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Planting by COMMODITY: |
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Dry Edible Beans (without fertilizer) |
Conventional/No Till |
XX
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Sorghum |
Conventional/No Till |
XX
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Forages |
Conventional/No Till |
XX
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Soybeans (with fertilizer) |
Conventional/No Till |
XX
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Grass seeding |
Conventional/No Till |
XX
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Soybeans (without fertilizer) |
Conventional/No Till |
XX
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Grass seeding (with Depth Bands) |
Conventional/No Till |
XX
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Sugarbeets (with fertilizer) |
Conventional/No Till |
XX
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Legumes |
Conventional/No Till |
XX
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Sugarbeets (without fertilizer) |
Conventional/No Till |
XX
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Legumes (with Depth Bands) |
Conventional/No Till |
XX . |
Sunflowers (with fertilizer) |
Conventional/No Till |
XX . |
Milo |
Conventional/No Till |
XX . |
Sunflowers (without fertilizer) |
Conventional/No Till |
XX . |
Peanuts |
Conventional/No Till |
XX . |
Wheat |
Conventional/No Till |
XX . |
Pine trees |
Conventional/No Till |
XX . |
Ridge-till planting |
Conventional/No Till |
XX . |
Small grains |
Conventional/No Till |
XX
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Sod drill sm. Grains into Bermuda |
Conventional/No Till |
XX
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SECTION 4 |
CUSTOM APPLICATION OF FERTILIZERS AND CHEMICALS |
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1Pay for someone to perform custom application of fertilizers and chemicals (Go to Item 2) 2Receive payment from someone to perform custom application of fertilizers and chemicals (Go to Item 2) 3Have direct knowledge of rates related to custom application of fertilizers and chemicals (Go to Item 2) 4None of the above (Go to Section 5)
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Custom Service in 2019 |
Unit |
Rate |
Custom Service in 2019 |
Unit |
Rate |
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Aerating liquid manure in a storage tank |
$/hour
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XXXX . |
Pesticides |
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$/1,000 gallons |
XXXX . |
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Agitation boat |
$/acre |
XXXX . |
Air Application |
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Desiccants |
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Fungicide |
$/acre |
XXXX . |
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Air Application |
$/acre |
XXXX . |
Herbicide |
$/acre |
XXXX . |
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Ground Application |
$/acre |
XXXX . |
Insecticide |
$/acre |
XXXX . |
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Fertilizer |
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Other (All Pesticides) |
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Applying Anhydrous |
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1 gallon per acre |
$/acre |
XXXX . |
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With Knife Applicator |
$/acre |
XXXX . |
2-3 gallons per acre |
$/acre |
XXXX . |
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While Chiseling |
$/acre |
XXXX . |
3-4 gallons per acre |
$/acre |
XXXX . |
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Bulk Dry |
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5+ gallons per acre |
$/acre |
XXXX . |
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Broadcast |
$/acre |
XXXX . |
Ground Application |
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Deep Banded |
$/acre |
XXXX . |
Fungicide |
$/acre |
XXXX . |
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Renting Applicator |
$/acre |
XXXX . |
Herbicide |
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Liquid |
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Boom Sprayer |
$/acre |
XXXX . |
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Applying with drag line |
$/acre |
XXXX . |
Broadcast or banded (only) |
Liquid |
$/acre |
XXXX . |
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Broadcast |
$/acre |
XXXX . |
Dry |
$/acre |
XXXX . |
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Deep Banded |
$/acre |
XXXX . |
Broadcast and incorporated |
Liquid |
$/acre |
XXXX . |
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Dry |
$/acre |
XXXX . |
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Renting Applicator |
$/acre |
XXXX . |
Pipe Wick |
$/acre |
XXXX . |
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Side-Dressing with Drop Nozzles |
$/acre |
XXXX . |
Insecticide |
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Lime Application |
$/acre |
XXXX . |
Broadcast or banded (only) |
Liquid |
$/acre |
XXXX . |
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$/ton |
XXXX . |
Dry |
$/acre |
XXXX . |
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Ground Spraying for Weeds |
$/acre |
XXXX . |
Broadcast and incorporated |
Liquid |
$/acre |
XXXX . |
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Dry |
$/acre |
XXXX . |
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Manure |
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Plant Growth Regulators |
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Application |
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Air Application |
$/acre |
XXXX . |
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Dry |
$/acre |
XXXX . |
Ground Application |
$/acre |
XXXX . |
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With drag line |
$/acre |
XXXX . |
Sidedressing Fertilizer |
$/acre |
XXXX . |
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Without drag line |
$/acre |
XXXX . |
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Loading |
$/hour |
XXXX . |
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Spreading |
$/acre |
XXXX . |
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SECTION 5 |
CUSTOM HARVESTING AND COMBINING SERVICES – FLAT RATE |
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1Pay for someone to perform custom harvesting or combining (Go to Item 2) 2Receive payment from someone to perform custom harvesting or combining (Go to Item 2) 3Have direct knowledge of rates related to custom harvesting or combining (Go to Item 2) 4None of the above (Go to Section 6)
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Custom Service in 2019 |
Unit |
Rate |
Custom Service in 2019 |
Unit |
Rate |
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Bagging and ties |
$/acre |
XXXX . |
Ginning Cotton |
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$/bale |
XXXX . |
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Combining by Commodity: |
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One price |
$/acre |
XXXX . |
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Alfalfa seed |
$/acre |
XXXX . |
Two price |
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Canola |
From Swath |
$/acre |
XXXX . |
Ginning |
$/acre |
XXXX . |
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Straight |
$/acre |
XXXX . |
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Clover |
$/acre |
XXXX . |
Seed Cotton |
$/cwt |
XXXX . |
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Corn |
$/acre |
XXXX . |
Harvest |
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Dry edible beans |
From Swath |
$/acre |
XXXX . |
Corn |
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Straight |
$/acre |
XXXX . |
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Fescue or other grass seed |
$/acre |
XXXX . |
Combine, grain cart, haul local to farm |
$/acre |
XXXX . |
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Grain sorghum |
$/acre |
XXXX . |
Corn Stalks, large bales |
$/bale |
XXXX . |
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Millet |
$/acre |
XXXX . |
Cotton |
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Milo |
$/acre |
XXXX . |
Picking Lint |
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Peanuts |
Straight |
$/acre |
XXXX . |
Straight |
$/acre |
XXXX . |
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$/lb |
XXXX . |
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Combining & Hauling |
$/ton |
XXXX . |
With Onboard Module Building |
$/acre |
XXXX . |
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$/lb |
XXXX . |
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Pulse Crops |
$/acre |
XXXX . |
Stripping |
$/lb |
XXXX . |
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Small Grains |
From Swath |
$/acre |
XXXX . |
Dry beans (Cutting Only/Knifing) |
$/acre |
XXXX . |
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Straight |
$/acre |
XXXX . |
Soybeans (Combine, grain cart, haul local to farm) |
$/acre |
XXXX . |
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Soybeans |
$/acre |
XXXX . |
Sugarbeets |
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Sunflower |
$/acre |
XXXX . |
Lifting |
$/acre |
XXXX . |
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Other ___________ |
$/acre |
XXXX . |
Topping |
$/acre |
XXXX . |
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Crop handling |
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Sunflowers (Combine, grain cart, haul local to farm) |
$/acre |
XXXX . |
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Dry Corn |
$/bu |
XXXX . |
Wheat (Combine, grain cart, haul local to farm) |
$/acre |
XXXX . |
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Shelling Corn |
$/bu |
XXXX . |
Haylage |
$/acre |
XXXX . |
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Digging & Shaking Peanuts |
$/acre |
XXXX . |
Picking up Pecans % for owner |
% |
XXXX . |
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Ear Corn Picking |
Farm Use |
$/acre |
XXXX . |
Shredding Corn Stalks |
$/acre |
XXXX . |
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Seed Corn |
$/acre |
XXXX . |
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Earlage/Snaplage |
$/acre |
XXXX . |
Swathing |
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Elevating Grain |
$/bu |
XXXX
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Canola |
Self-propelled |
$/acre |
XXXX . |
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PTO Unit |
$/acre |
XXXX . |
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$/1,000 bu |
XXXX
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Small grains |
Self-propelled |
$/acre |
XXXX . |
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PTO Unit |
$/acre |
XXXX . |
SECTION 5A |
CUSTOM HARVESTING AND COMBINING SERVICES – EXTRA CHARGE FOR YIELD |
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1Pay for someone to perform custom harvesting or combining with an extra charge for yield (Go to Item 2) 2Receive payment from someone to perform custom harvesting or combining with an extra charge for yield (Go to Item 2) 3Have direct knowledge of rates related to custom harvesting or combining with an extra charge for yield (Go to Item 2) 4None of the above (Go to Section 6)
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Commodity |
Basic Rate ($/acre) |
Extra Charge (per unit) |
Unit |
If Yield Exceeds |
Unit |
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Canola |
XXXX . |
XXXX . |
/cwt |
XXXX . |
cwt/acre |
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Corn |
XXXX . |
XXXX . |
/bushel |
XXXX . |
bushel/acre |
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Cotton (Picking Cotton Lint) |
XXXX . |
XXXX . |
/lb |
XXXX . |
lb/acre |
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Milo |
XXXX . |
XXXX . |
/bushel |
XXXX . |
bushel/acre |
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Soybeans |
XXXX . |
XXXX . |
/bushel |
XXXX . |
bushel/acre |
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Wheat & Small Grains |
XXXX . |
XXXX . |
/bushel |
XXXX . |
bushel/acre |
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SECTION 6 |
CUSTOM HAY HARVEST SERVICES |
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1Pay for someone to perform custom hay harvest (Go to Item 2) 2Receive payment from someone to perform custom hay harvest (Go to Item 2) 3Have direct knowledge of rates related to custom hay harvest (Go to Item 2) 4None of the above (Go to Section 7)
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Custom Service in 2019 (acres) |
Unit |
Rate |
Custom Service in 2019 (bales) |
Unit |
Rate |
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Conditioning hay |
$/acre |
XX . |
Round Bales |
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Mowing hay |
$/acre |
XX . |
4x5 |
$/bale |
XX . |
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Mowing & conditioning hay |
$/acre |
XX . |
4x5 (cutting, raking, & baling) |
$/bale |
XX . |
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Raking hay |
$/acre |
XX . |
5x6 |
$/bale |
XX . |
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Swathing hay |
$/acre |
XX . |
5x6 (cutting, raking, & baling) |
$/bale |
XX . |
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Tedding hay |
$/acre |
XX . |
Square Bales |
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Windrowing hay |
$/acre |
XX . |
Small (<250 lbs) |
$/bale |
XX . |
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Custom Service in 2019 (bales) |
Unit |
Rate |
Large (>250 lbs) |
$/bale |
XX . |
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Baling (Include the cost of twine or plastic wrap) |
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Cost of all haying operations/ small square bales |
$/bale |
XX . |
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$ton |
XX . |
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Round Bales |
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Machine stacking in the field |
$/bale |
XX . |
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Small Bales (<1,500 pounds) |
$/bale |
XX . |
Moving large round bales from field to storage |
$/bale |
XX . |
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Small Bales (Cutting, raking, and baling) |
$/bale |
XX . |
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Large Bales (>1,500 pounds) |
$/bale |
XX . |
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Large Bales (Cutting, raking, and baling) |
$/bale |
XX . |
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SECTION 7 |
CUSTOM HAY HAULING – FIELD TO STORAGE |
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1Pay for someone to perform custom hay hauling (Go to Item 2) 2Receive payment from someone to perform custom hay hauling (Go to Item 2) 3Have direct knowledge of rates related to custom hay hauling (Go to Item 2) 4None of the above (Go to Section 8)
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Custom Service in 2019 |
Dollars per Bale (Base Rate) |
AND |
Extra rate per bale per mile |
If Over ____ Miles |
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Small square bales (50-100 lbs) |
Semi-trailer |
XX . |
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XX . |
XX . |
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Other trailer |
XX . |
XX . |
XX . |
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Large square bales (> 100 lbs) |
Semi-trailer |
XX . |
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XX . |
XX . |
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Other trailer |
XX . |
XX . |
XX . |
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Large round bales (4 ft. x 5 ft.) |
Semi-trailer |
XX . |
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XX . |
XX . |
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Other trailer |
XX . |
XX . |
XX . |
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Large round bales (5 ft. x 6 ft.) |
Semi-trailer |
XX . |
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XX . |
XX . |
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Other trailer |
XX . |
XX . |
XX . |
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By the Load: |
Loading Charge |
Rate per Loaded Mile |
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Less than 10 tons per load |
XX . |
XX . |
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10 - 20 tons per load |
XX . |
XX . |
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Over 20 tons per load |
XX . |
XX . |
SECTION 8 |
CUSTOM CROPS HAULING AND TRUCKING (NOT INCLUDING HAY) |
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1Pay for someone to perform custom hauling or trucking (Go to Item 2) 2Receive payment from someone to perform custom hauling or trucking (Go to Item 2) 3Have direct knowledge of rates related to custom hauling or trucking (Go to Item 2) 4None of the above (Go to Section 9)
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Commodity Hauled in 2019 |
Commodity unit (i.e. bushels, tons, etc.) |
Dollars per Unit (Basic Charge) |
AND |
Maximum One Way Mileage |
Extra Charge per 10 Miles Over Base Mileage |
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Barley |
_________________ |
XX . |
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XX (miles) . |
XX . |
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Canola |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Corn |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Corn silage |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Cotton to Gin (lb) |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Cotton to Gin (module) |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Dry Beans |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Flax |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Grains and oilseeds |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
SECTION 8 |
CUSTOM CROPS HAULING AND TRUCKING (NOT INCLUDING HAY) (CONTINUED) |
||||||
Commodity Hauled in 2019 |
Commodity unit (i.e. bushels, tons, etc.) |
Dollars per Unit / Basic Charge |
AND |
Maximum One Way Mileage |
Extra Charge per 10 miles Over Basic Rate |
||
Grain sorghum |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Milo |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Oats |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Peanuts |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Rice |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Silage |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Sorghum |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Soybeans |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Sugar beets |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
Sunflower |
_________________ |
XX . |
|
XX (miles) . |
XX . |
||
All Wheat |
_________________ |
XX
. |
|
XX (miles)
. |
XX
. |
SECTION 9 |
CUSTOM SILAGE AND HAYLAGE MAKING SERVICES |
||||||
1Pay for someone to perform custom silage making (Go to Item 2) 2Receive payment from someone to perform custom silage making (Go to Item 2) 3Have direct knowledge of rates related to custom silage making (Go to Item 2) 4None of the above (Go to Section 10)
|
|||||||
|
|||||||
Custom Service in 2019 |
Unit |
Rate |
Custom Service in 2019 |
Unit |
Rate |
|
|
Bagging silage |
$/acre |
XX . |
Pull-Type Chopper and Tractor |
$/hour |
XX
. |
|
|
$/hour |
XX . |
|
|||||
$/ton |
XX . |
|
|||||
Blower |
$/hour |
XX
. |
Self-Propelled Chopper |
$/hour |
XX
. |
|
|
Chopping silage |
|
|
Silo filling, upright |
$/acre |
XX . |
|
|
Corn |
|
|
$/hour |
XX . |
|
||
Chopping Only |
$/acre |
XX . |
$/ton |
XX . |
|
||
$/hour |
XX . |
Silo filling, trench or bunker |
$/acre |
XX . |
|
||
$/ton |
XX . |
$/hour |
XX . |
|
|||
Chopping and Hauling Only |
$/acre |
XX . |
$/ton |
XX . |
|
||
$/hour |
XX . |
Labor: |
|
|
|
||
$/ton |
XX . |
|
|||||
Chopping, Hauling, and Filling |
$/acre |
XX . |
|
||||
$/hour |
XX . |
1 man, 1 truck |
$/hour |
XX
. |
|
||
$/ton |
XX . |
|
|||||
Other Silage |
|
|
|
||||
Chopping Only |
$/acre |
XX . |
1 man, 2 wagons, 1 tractor |
$/hour |
XX
. |
|
|
$/hour |
XX . |
|
|||||
$/ton |
XX . |
|
|||||
Chopping and Hauling Only |
$/acre |
XX . |
2 men, 2 wagons, 2 tractors |
$/hour |
XX
. |
|
|
$/hour |
XX . |
|
|||||
$/ton |
XX . |
|
|||||
Chopping, Hauling, and Filling |
$/acre |
XX . |
|
|
|||
$/hour |
XX . |
|
|||||
$/ton |
XX . |
|
SECTION 10 |
CUSTOM SEED CLEANING |
|
|||||
1Pay for someone to perform custom seed cleaning (Go to Item 2) 2Receive payment from someone to perform custom seed cleaning (Go to Item 2) 3Have direct knowledge of rates related to custom seed cleaning (Go to Item 2) 4None of the above (Go to Section 11)
|
|
||||||
|
|
||||||
Commodity |
Circle one |
Dollars per Unit |
Commodity |
Circle one |
Dollars per Unit |
||
Alfalfa: |
|
|
Soybeans: |
|
|
||
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
||
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
||
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX . |
||
Flaxseed: |
|
|
Wheat: |
|
|
||
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX
. |
||
Gross Bushel |
XX . |
||||||
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX
. |
||
Gross Bushel |
XX . |
||||||
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX
. |
||
Gross Bushel |
XX . |
||||||
Red Clover: |
|
|
Other:_______ |
|
|
||
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
||
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
||
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX . |
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX . |
||
Seed Grain (Wheat, Barley, Oats): |
|
|
|
|
|||
Cleaning Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
|
|
|
||
Gross Bushel |
XX . |
|
|
|
|||
Treating Only |
Pound/Bushel/Ton/ Other:___________ |
XX . |
|
|
|
||
Gross Bushel |
XX . |
|
|
|
|||
Cleaning and Treating (One charge) |
Pound/Bushel/Ton/ Other:___________ |
XX . |
|
|
|
||
Gross Bushel |
XX . |
|
|
|
SECTION 11 |
CUSTOM GRAIN AND PEANUT DRYING SERVICES |
|||||
1Pay for someone to perform custom grain or peanut drying (Go to Item 2) 2Receive payment from someone to perform custom grain or peanut drying (Go to Item 2) 3Have direct knowledge of rates related to custom grain or peanut drying (Go to Item 2) 4None of the above (Go to Section 12)
|
||||||
|
||||||
Commodity |
Unit |
Basic Rate |
Basic Rate – Up to What % Moisture |
Extra Charge for Each Additional 1% Moisture Removed |
|
|
Corn |
$/bushel |
XX . |
XX . % |
XX . |
|
|
$/bushel/point |
XX . |
XX . % |
XX . |
|
||
Flax |
$/bushel |
XX . |
XX . % |
XX . |
|
|
$/bushel/point |
XX . |
XX . % |
XX . |
|
||
Peanuts |
$/bushel |
XX . |
XX . % |
XX . |
|
|
$/bushel/point |
XX . |
XX . % |
XX . |
|
||
Soybeans |
$/bushel |
XX . |
XX . % |
XX . |
|
|
$/bushel/point |
XX . |
XX . % |
XX . |
|
||
Small Grains (wheat, barley, etc) |
$/bushel |
XX . |
XX . % |
XX . |
|
|
$/bushel/point |
XX . |
XX . % |
XX . |
|
||
Sunflower |
$/cwt |
XX . |
XX . % |
XX . |
|
|
$/bushel |
XX . |
XX . % |
XX . |
|
||
$/bushel/point |
XX . |
XX . % |
XX . |
|
SECTION 12 |
CUSTOM CROP FARMING |
|||||
1Pay for someone to perform custom farming (Go to Item 2) 2Receive payment from someone to perform custom farming (Go to Item 2) 3Have direct knowledge of rates related to custom farming (Go to Item 2) 4None of the above (Go to Section 13)
|
||||||
|
||||||
Commodity Farmed in 2019 |
Unit |
Rate |
Commodity Farmed in 2019 |
Unit |
Rate |
|
Crop Production (Consulting) |
$/acre |
XX . |
Small Grains |
$/acre |
XX . |
|
Commodity Custom Farming: |
|
|
Soybean production: conventional tillage |
$/acre |
XX . |
|
Canola |
$/acre |
XX . |
Soybean production: no till |
$/acre |
XX . |
|
Corn production: conventional tillage |
$/acre |
XX . |
Wildlife plot establishment |
$/acre |
XX . |
|
Corn production: no till |
$/acre |
XX . |
Winter Wheat (no fallow ground) |
$/acre |
XX . |
|
Milo |
$/acre |
XX . |
Winter Wheat (including fallow ground) |
$/acre |
XX . |
|
Pasture |
$/acre |
XX . |
Other |
$/acre |
XX . |
|
Row Crops |
$/acre |
XX . |
|
|
|
Part 2 – Livestock Custom Services |
|||
SECTION 13 |
CUSTOM MANURE REMOVAL AND SPREADING |
||
1Pay for someone to perform custom manure removal and/or spreading (Go to Item 2) 2Receive payment from someone to perform custom manure removal and/or spreading (Go to Item 2) 3Have direct knowledge of rates related to custom manure removal and/or spreading (Go to Item 2) 4None of the above (Go to Section 14)
|
|||
|
|||
Custom Service in 2019 |
Unit |
Rate |
|
Dry Manure Removal |
|
|
|
Manure removal |
$/ton |
XX . |
|
Manure removal and spreading |
$/ton |
XX . |
|
Manure spreading |
$/ton |
XX . |
|
Liquid Manure applied by drag line |
$/gallon |
XX . |
|
Liquid Manure Removal |
|
|
|
Manure removal |
$/1,000 gallons |
XX . |
|
Manure removal and spreading |
$/1,000 gallons |
XX . |
|
Manure spreading |
$/1,000 gallons |
XX . |
SECTION 14 |
CUSTOM FEED PREPARATION |
|
||||||||||||
1Pay for someone to perform custom feed preparation (Go to Item 2) 2Receive payment from someone to perform custom feed preparation (Go to Item 2) 3Have direct knowledge of rates related to custom feed preparation (Go to Item 2) 4None of the above (Go to Section 15)
|
|
|||||||||||||
|
|
|||||||||||||
Custom Service in 2019 |
Unit |
Rate |
Custom Service in 2019 |
Unit |
Rate |
|
||||||||
Grinding Hay Only |
$/cwt |
XX . |
Pelleting, Including Grinding & Mixing of Ingredients |
$/cwt |
XX . |
|
||||||||
$/ton |
XX . |
$/ton |
XX . |
|
||||||||||
Grinding and Mixing |
$/cwt |
XX . |
Pneumatic (Vacuum) Handling of Grain |
$/bu |
XX . |
|
||||||||
$/ton |
XX . |
|
||||||||||||
Grinding Grain Only |
$/cwt |
XX . |
Rolling Grain Only |
$/cwt |
XX . |
|
||||||||
$/ton |
XX . |
|
$/ton |
XX . |
|
|||||||||
Grinding Grain and Mixing: |
|
|
Rolling and Mixing |
$/cwt |
XX . |
|
||||||||
Mobile Truck |
$/cwt |
XX . |
$/ton |
XX . |
|
|||||||||
$/ton |
XX . |
Sacking Feed |
$/cwt |
XX . |
|
|||||||||
PTO Unit |
$/cwt |
XX . |
$/ton |
XX . |
|
|||||||||
$/ton |
XX . |
|
||||||||||||
Mixing Feed Only |
$/cwt |
XX . |
Tub Grinding Hay |
|
|
|||||||||
$/ton |
XX . |
|||||||||||||
Pelleting Feed Only |
$/cwt |
XX . |
Farmer Supplies Power |
$/hour |
XX . |
|||||||||
$/ton |
XX . |
Power Supplied |
$/hour |
XX . |
||||||||||
|
|
|
Self Contained Unit |
$/hour |
XX . |
|
||||||||
SECTION 15 |
CUSTOM LIVESTOCK SERVICES |
|
||||||||||||
1Pay for someone to perform custom livestock services (Go to Item 2) 2Receive payment from someone to perform custom livestock services (Go to Item 2) 3Have direct knowledge of rates related to custom livestock services (Go to Item 2) 4None of the above (Go to Section 16)
|
|
|||||||||||||
|
|
|||||||||||||
Custom Service in 2019 |
Unit |
Rate |
Custom Service in 2019 |
Unit |
Rate |
|
||||||||
Cattle |
|
|
Hogs |
|
|
|
||||||||
Artificial Insemination |
$/day |
XX . |
Artificial Insemination |
$/day |
XX . |
|
||||||||
$/head |
XX . |
$/head |
XX . |
|
||||||||||
Backgrounding |
$/day |
XX . |
Castrating |
$/day |
XX . |
|
||||||||
$/head |
XX . |
$/head |
XX . |
|
||||||||||
Branding |
$/day |
XX . |
Chute fee |
$/day |
XX . |
|
||||||||
$/head |
XX . |
$/head |
XX . |
|
||||||||||
Castrating |
$/day |
XX . |
Hauling |
$/day |
XX . |
|
||||||||
$/head |
XX . |
$/mile |
XX . |
|
||||||||||
Chute fee |
$/day |
XX . |
Pregnancy Testing |
$/day |
XX . |
|
||||||||
$/head |
XX . |
$/head |
XX . |
|
||||||||||
Custom Feeding: |
|
|
Spraying |
$/day |
XX . |
|
||||||||
$/head |
XX . |
|
||||||||||||
Calving Out Cows |
$/head/day |
XX . |
Sheep |
|
|
|
||||||||
Weaned Calves |
$/head/day |
XX . |
Artificial Insemination |
$/day |
XX . |
|
||||||||
$/head |
XX . |
|
||||||||||||
Wintering Pregnant Beef Cows |
$/head/day |
XX . |
Castrating |
$/day |
XX . |
|
||||||||
$/head |
XX . |
|
||||||||||||
Yearlings and Cull Cows |
$/head/day |
XX . |
Shearing |
$/day |
XX . |
|
||||||||
$/head |
XX . |
|
||||||||||||
Dehorning |
$/day |
XX . |
Tagging |
$/day |
XX . |
|
||||||||
$/head |
XX . |
$/head |
XX . |
|
||||||||||
Hauling: 18-wheeler |
$/day |
XX . |
Spraying or Dipping |
$/day |
XX . |
|
||||||||
$/mile |
XX . |
$/head |
XX . |
|
||||||||||
Hauling: Flat truck |
$/day |
XX . |
Other |
|
|
|
||||||||
$/mile |
XX . |
|
||||||||||||
Hauling: Other |
$/day |
XX . |
Day Labor |
$/day |
XX . |
|
||||||||
$/mile |
XX . |
$/head |
XX . |
|
||||||||||
Pregnancy testing |
$/day |
XX . |
|
|
|
|
||||||||
$/head |
XX . |
Hauling, Rate per Load |
|
|
|
|||||||||
Processing |
$/day |
XX . |
|
|
|
|||||||||
$/head |
XX . |
|
Cwt per Load |
Rate per Mile |
|
|||||||||
Spraying |
$/day |
XX . |
|
(cwt) |
($/mile) |
|
||||||||
$/head |
XX . |
Gooseneck Trailer |
XX . |
XX . |
|
|||||||||
Worming |
$/day |
XX . |
Semi Trailer |
XX . |
XX . |
|
||||||||
$/head |
XX . |
|
|
Part 3 – Other Custom Services |
||||||
SECTION 16 |
CUSTOM LAND PREPARATION AND OTHER SERVICES |
|||||
1Pay for someone to perform custom land preparation or other services (Go to Item 2) 2Receive payment from someone to perform custom land preparation or other services (Go to Item 2) 3Have direct knowledge of rates related to custom land preparation or other services (Go to Item 2) 4None of the above (Go to Section 17)
|
||||||
|
||||||
Custom Service in 2019 |
Length of Rental Time |
Dollars per Time Unit (circle one) |
Custom Service in 2019 |
Length of Rental Time (circle one) |
Dollars per Time Unit |
|
Brushhogging |
Month/Day/Hour |
XX
. |
Machine Shed Rental |
Cents/Sq. Ft./Year |
XX . |
|
Cents/Sq. Ft./Month |
XX . |
|||||
Brush spraying (aerial) |
Month/Day/Hour |
XX
. |
Mowing/Clipping CRP |
$/hour |
XX . |
|
$/acre |
XX . |
|||||
Brush spraying (ground) |
Month/Day/Hour |
XX
. |
Mowing Road Ditches |
$/hour |
XX . |
|
$/mile |
XX . |
|||||
Brush spraying (individual plant treatment) |
Month/Day/Hour |
XX
. |
Land planing |
Month/Day/Hour |
XX
. |
|
Bulldozer operations |
|
|
Laying out irrigation pipe |
Month/Day/Hour |
XX . |
|
Heavy offset plowing |
Month/Day/Hour |
XX . |
Leveling |
Month/Day/Hour |
XX . |
|
Land clearing |
Month/Day/Hour |
XX
. |
On Farm Grain Bin Storage |
Cents/Bushel/Year |
XX . |
|
Cents/Bushel/Month |
XX . |
|||||
Rake and stack |
Month/Day/Hour |
XX . |
Pasture aeration |
Month/Day/Hour |
XX . |
|
Root plowing |
Month/Day/Hour |
XX . |
Pasture shredding |
Month/Day/Hour |
XX . |
|
Checking pivots during irrigation season |
Month/Day/Hour |
XX . |
Pond construction |
Month/Day/Hour |
XX . |
|
Clearing cedar trees |
Month/Day/Hour |
XX . |
Rice canal maintenance |
Month/Day/Hour |
XX . |
|
Closing pivot tracks |
Month/Day/Hour |
XX . |
Rock Picking |
$/hour |
XX . |
|
Ditch construction |
Month/Day/Hour |
XX . |
Sawing wood, chainsaw |
Month/Day/Hour |
XX . |
|
Dozing – D6 or smaller |
Month/Day/Hour |
XX . |
Snow Removal |
|
|
|
Dozing – D7 or larger |
Month/Day/Hour |
XX . |
Tractor Blower |
$/hour |
XX . |
|
Excavator |
Month/Day/Hour |
XX . |
Front End Loader |
$/hour |
XX . |
|
Grade and shape waterways |
Month/Day/Hour |
XX
. |
Stock tank construction and/or maintenance |
Month/Day/Hour |
XX
. |
|
Grubbing |
Month/Day/Hour |
XX . |
Surface Drainage / Field Ditching |
$/hour |
XX . |
|
Installing Drainage Tile |
$/acre |
XX . |
Terracing |
Month/Day/Hour |
XX . |
|
$/hour |
XX . |
$/foot |
XX . |
|||
Land Leveling |
$/hour |
XX . |
Welding |
Month/Day/Hour |
XX . |
SECTION 17 |
CUSTOM BULK FEED DELIVERY |
|||||
1Pay for someone to perform custom bulk feed delivery (Go to Item 2) 2Receive payment from someone to perform custom bulk feed delivery (Go to Item 2) 3Have direct knowledge of rates related to custom bulk feed delivery (Go to Item 2) 4None of the above (Go to Section 18)
|
||||||
|
||||||
Method of Charging |
Charge per Load |
Dollars per Loaded Mile |
OR |
Dollars per Ton |
Average Load (in Tons) |
|
Load Charge + Charge per Mile |
XX . |
XX . |
|
XX . |
XX . |
|
Straight Charge per Mile |
|
XX . |
|
XX . |
XX . |
|
Flat rate per Load |
XX . |
|
|
|
XX . |
|
Load Charge + Charge per Ton |
XX . |
XX . |
|
XX . |
XX . |
|
Straight Charge per Ton |
|
XX . |
|
XX . |
XX . |
|
Charge per Ton per Mile |
|
XX . |
|
XX . |
XX . |
SECTION 18 |
CUSTOM FACILITY RENTAL |
|||||
1Pay for custom facility rental (Go to Item 2) 2Receive payment from someone for custom facility rental (Go to Item 2) 3Have direct knowledge of rates related to custom facility rental (Go to Item 2) 4None of the above (Go to Section 19)
|
||||||
|
||||||
Facility |
Length of Time Facility was Rented (circle one) |
Dollars per Time Unit |
Facility |
Length of Time fFacility was Rented (circle one) |
Dollars per Time Unit |
|
Dairy free stall barn |
Year/Month/Day |
XX . |
Loose housing |
Year/Month/Day |
XX . |
|
Farrowing house |
Year/Month/Day |
XX . |
Machinery storage |
Year/Month/Day |
XX . |
|
Finishing building |
Year/Month/Day |
XX
. |
Milking parlor, loafing shed, equip, manure handling, feed storage |
Year/Month/Day |
XX
. |
|
Hay storage |
Year/Month/Day |
XX . |
Swine nursery |
Year/Month/Day |
XX . |
SECTION 19 |
CUSTOM TRACTOR AND MACHINE RENTAL |
||||||||||||||
1Pay for custom tractor or machine rental (Go to Item 2) 2Receive payment from someone for custom tractor or machine rental (Go to Item 2) 3Have direct knowledge of rates related to custom tractor or machine rental (Go to Item 2) 4None of the above (Go to Section 20)
|
|||||||||||||||
|
|||||||||||||||
Machine Rented in 2019 |
Length of Time Tractor/Machine was Rented (circle one) |
Dollars per Time Unit |
Machine Rented in 2019 |
Length of Time Tractor/Machine was Rented (circle one) |
Dollars per Time Unit |
|
|
||||||||
Anhydrous Applicator |
Month/Day/Hour |
XX . |
Liquid Applicator |
Month/Day/Hour |
XX . |
|
|
||||||||
Bulk Dry Fertilizer Applicator |
Month/Day/Hour |
XX . |
Mower conditioner |
Month/Day/Hour |
XX . |
|
|
||||||||
Combines |
Month/Day/Hour |
XX . |
No-till Drill |
Month/Day/Hour |
XX . |
|
|
||||||||
$/acre |
XX . |
|
|
||||||||||||
Corn head only |
Month/Day/Hour |
XX . |
No-till planter |
Month/Day/Hour |
XX
. |
|
|
||||||||
$/acre |
XX . |
|
|
||||||||||||
Corn planter |
Month/Day/Hour |
XX . |
Power washer |
Month/Day/Hour |
XX . |
|
|
||||||||
Diesel Fuel |
$/gallon |
XX
. |
Roller or hammer mill |
Month/Day/Hour |
XX . |
|
|
||||||||
$/acre |
XX . |
|
|
||||||||||||
Field roller |
Month/Day/Hour |
XX . |
Rotary mower |
Month/Day/Hour |
XX . |
|
|
||||||||
$/acre |
XX . |
|
|
||||||||||||
Generator |
Month/Day/Hour |
XX . |
Saw and split trees for firewood |
Month/Day/Hour |
XX . |
|
|
||||||||
Grain bin rental |
$/bushel |
XX . |
|
|
|||||||||||
Grain cart |
Month/Day/Hour |
XX . |
Skid steer loader |
Month/Day/Hour |
XX . |
|
|
||||||||
$/bushel |
XX . |
|
|
||||||||||||
Grain cart with auger, corn (acre) |
Month/Day/Hour |
XX . |
Track hoe/excavator |
Month/Day/Hour |
XX
. |
|
|
||||||||
$/bushel |
XX . |
|
|
||||||||||||
$/acre |
XX . |
|
|
||||||||||||
Grain cart with auger, soybeans (acre) |
Month/Day/Hour |
XX . |
Tractor |
|
|
|
|
||||||||
$/bushel |
XX . |
|
|
||||||||||||
$/acre |
XX . |
|
|
||||||||||||
Grain cleaner |
Month/Day/Hour |
XX . |
Tractor loader |
Month/Day/Hour |
XX . |
|
|
||||||||
Grain drill |
Month/Day/Hour |
XX . |
2 wheel drive, > 250 hp |
Month/Day/Hour/ Tachometer |
XX . |
|
|
||||||||
Grain truck (non-semi) |
Month/Day/Hour |
XX . |
2 wheel drive, 150-250 hp |
Month/Day/Hour/ Tachometer |
XX . |
|
|
||||||||
Grain truck (semi) |
Month/Day/Hour |
XX . |
2 wheel drive, 100 - 150 hp |
Month/Day/Hour/ Tachometer |
XX . |
|
|
||||||||
Grain vacuum |
Month/Day/Hour |
XX . |
4 wheel drive, < 175 hp |
Month/Day/Hour/ Tachometer |
XX . |
|
|
||||||||
Grain wagon |
Month/Day/Hour |
XX . |
4 wheel drive, > 175 hp) |
Month/Day/Hour/ Tachometer |
XX . |
|
|
||||||||
Hay conditioner |
Month/Day/Hour |
XX . |
Tree shearer |
Month/Day/Hour |
XX . |
|
|
||||||||
Industrial loader |
Month/Day/Hour |
XX . |
Tub grinder |
Month/Day/Hour |
XX . |
|
|
||||||||
Less than 100 belt horsepower |
Month/Day/Hour |
XX . |
Other ______________ |
Month/Day/Hour |
XX . |
|
|
||||||||
SECTION 20 |
CUSTOM FENCE BUILDING |
||||||||||||||
1Pay for someone to perform custom fence building (Go to Item 2) 2Receive payment from someone to perform custom fence building (Go to Item 2) 3Have direct knowledge of rates related to custom fence building (Go to Item 2) 4None of the above (Go to Comments)
|
|||||||||||||||
|
|||||||||||||||
Custom Service in 2019 |
Rate per hour, or Rate per mile (circle one) |
Dollars per Unit |
|||||||||||||
Building new fence with materials |
Hours / Miles / Rod |
XX . |
|||||||||||||
Building new fence without materials |
Hours / Miles / Rod |
XX . |
|||||||||||||
Deer-proof fencing |
Hours / Miles / Rod |
XX . |
|||||||||||||
Digging line fencepost holes |
Hours / Miles / Hole |
XX . |
|||||||||||||
Post Hole Digging |
Hours / Miles / Hole |
XX . |
|||||||||||||
Fence building |
|
|
|||||||||||||
Barbed wire |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
Board |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
Easy terrain |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
Rough terrain |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
High tensile |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
Woven wire |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
4 to 6 wire w/ steel |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
4 to 6 wire w/ wood |
With materials |
Hours / Miles / Hole |
XX . |
|
|||||||||||
Without materials |
Hours / Miles / Hole |
XX . |
|
||||||||||||
Fence work: inspection & minor repairs |
Hours / Miles / Rod |
XX . |
|||||||||||||
Fence work: removal |
Hours / Miles / Rod |
XX . |
|
|
OFFICE USE ONLY |
|
|
|
||||||||
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-PASI (Mail) 2-PATI (Tel) 33-PAPI (Face-toFace) 6-Email 7-Fax 19-Other |
9903 |
9998 |
9900 |
9985 |
9989 |
__ __ __ - __ __ __ - __ __ __ |
|||
|
|
||||||||||||
R. Unit |
|
Optional Use |
|||||||||||
9921 |
9907 |
|
9908 |
9906 |
9916 |
||||||||
S/E Name |
|
|
|
|
|
|
COMMENTS: |
|
||
|
|
||
|
|||
|
|||
|
|||
|
9911
Phone: (______) _____--_________ |
9910 MM DD YY
Date: __ __ __ __ __ __ |
|
|
This completes the survey. Thank you for your help. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Fischer, Anthony - NASS |
File Modified | 0000-00-00 |
File Created | 2021-05-11 |