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OMB No. 0535-0002 Approval Expires: 10/31/2018 Project Code: 933 QID: SMetaKey:
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United States Department of Agriculture |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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COLLEGE OF AGRICULTURE
USDA/NASS Great Lakes Region PO
Box 30239 Phone: 1-800-453-7501 Fax: 1-855-270-2709 E-mail: NASSRFOGLR@nass.usda.gov |
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Please make corrections to name, address and ZIP Code, if necessary. |
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Your cooperation is very important to accurately estimate preliminary production and prices of popcorn for the 2018 crop year while finalizing production and prices for the 2017 crop year. 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 0535-0002. 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 2018 crop popcorn purchased or delivered under contract or purchased on the open market by your firm. |
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Report Separately for Each State Where Grown |
Supplies Contracted or Grown By Your Firm for Crop Year 2018 |
Open Market Purchases for Crop Year 2018 |
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Total Quantity Purchased Pay-weight received (Shelled Equivalent Basis) |
Total Value Gross dollars plus quality premiums minus quality discounts. 1/ |
Total Quantity Purchased Pay-weight received (Shelled Equivalent Basis) |
Total Value Gross dollars plus quality premiums minus quality discounts. 1/ |
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Tons |
Dollars |
Tons |
Dollars |
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State: |
__Indiana_______ |
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State: |
_______________ |
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State: |
_______________ |
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State: |
_______________ |
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1/ Add or deduct quality factors including-- test weight, protein content, foreign matter, damage, moisture content, and farmer delivery. DO NOT deduct check-off fees, drying, cleaning, handling, storage, grading or other marketing or service fees. For more information refer to instructions on back of cover letter. |
Please report 2017 crop popcorn purchased or delivered under contract or purchased on the open market by your firm. |
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Report Separately for Each State Where Grown |
Supplies Contracted or Grown By Your Firm for Crop Year 2017 |
Open Market Purchases for Crop Year 2017 |
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Total Quantity Purchased Pay-weight received (Shelled Equivalent Basis) |
Total Value Gross dollars plus quality premiums minus quality discounts. 1/ |
Total Quantity Purchased Pay-weight received (Shelled Equivalent Basis) |
Total Value Gross dollars plus quality premiums minus quality discounts. 1/ |
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Tons |
Dollars |
Tons |
Dollars |
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State: |
__Indiana_______ |
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State: |
_______________ |
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State: |
_______________ |
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State: |
_______________ |
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1/ Add or deduct quality factors including-- test weight, protein content, foreign matter, damage, moisture content, and farmer delivery. DO NOT deduct check-off fees, drying, cleaning, handling, storage, grading or other marketing or service fees. For more information refer to instructions on back of cover letter. |
(Survey continues on the back page)
COMMENTS on the 2017 and 2018 popcorn crop are appreciated:
This completes the survey. Thank you for your help.
Would you like to receive a copy of the results of this survey? 1 Yes 3No |
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Respondent Name: |
9911 Phone: |
9910 MM DD YYYY Date: __ __ __ __ __ __ __ __ |
OFFICE USE |
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Response |
Respondent |
Mode |
Enum. |
Eval. |
Change |
Office Use for POID |
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1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est
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9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth
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9902 |
1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other |
9903 |
9998 |
9900 |
9985 |
9989
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R. Unit |
Optional Use |
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9921 |
9907 |
9908 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | JeweAn |
File Modified | 0000-00-00 |
File Created | 2022-01-25 |