WS 45 WS Resource Values Survey

Clear Form
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 0579-0335. The time required to complete this information collection is estimated to average 3 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.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
WILDLIFE SERVICES

OMB Approved
0579-0335
EXP: XX/XXXX

SURVEY FOR COLLECTING PRICES FOR MIS RESOURCES PROTECTED

INSTRUCTIONS FOR GATHERING PRICES FOR MIS RESOURCES PROTECTED
1. Enter potential sellers or dealers, their known contact information, and the researched resource or product in Columns 1 through 3. During research, revise or add to the information as necessary.
2. Call or e-mail the contact in Column 2 requesting product availability and a price quote for the item in Column 3.
3. Annotate responses in Columns 4 and 5. Be specific with the unit of measure (e.g., each, per 100, feet, yards, square foot, pounds, tons, etc.) to ensure a fair price comparison can be made between vendors quotes.
4. Enter the date the information was collected in Column 6.
5. Annotate any comments in Column 7.

1. SELLER OR DEALER

2. CONTACT INFORMATION

3. RESOURCE OR PRODUCT

4. PRICE

(name, telephone number, email)

$

$

$

$

$

$

$

$

$

$

$
WS FORM 45
APR 2017

5. UNIT OF
MEASURE

6. DATE
(mm/dd/yyyy)

7. COMMENTS