050801 Prices Paid for Fuels

3

Project Code 171 QID 050801		OMB No. 0535-0003: Approval Expires 6/30/2010
	PRICES PAID FOR FUELS March 2009				NATIONAL AGRICULTURAL STATISTICS SERVICE
Please make corrections to name, address and Zip Code, if necessary.				Iowa Field Office 210 Walnut St., Room 833 Des Moines, IA 50309 1-800-772-0825 Fax: 1-800-719-1794 E-mail: [email protected]
			Data from this survey are used to compute the index of Prices Paid by Farmers. This index measures price trends and changes that affect farm production input costs. Specifically, data from this survey are used for: Evaluation of Farm policy and legislation. Updating cost of production estimates used in determination of net farm income. Computation of Parity Prices for selected agricultural commodities. Individual reports are kept confidential. Response to this survey is voluntary and not required by law. However, your cooperation is very important in order to estimate these prices accurately. Please mail your report promptly in the enclosed postage paid envelope. Thank you for your cooperation.

INSTRUCTIONS:		TAXES
	Report prices currently in effect.		GASOLINE: Include Federal, State and local taxes.
	Report the price for the brand or quality with the largest volume of sales.		DIESEL FUEL and L.P. GAS: Exclude ALL TAXES.
	Report prices only for items sold.
	Deduct any discounts normally given.
	Report an average price, not a range of prices.

1. Did this operation have Fuel on hand for sale to farmers in the U.S. on March 16, 2009?

Yes -[Go to Question 3.] No – [Go to Question 2.]

2. Will this operation have Fuel on hand for sale to farmers in the U.S. in the future?

₁Yes – Please return this form. ₃No – Please return this form.

3. Report price per unit of Fuel on hand for sale to farmers in the U.S.on March 16, 2009 in the following tables.

FUELS
GASOLINE, unleaded, pumped at service station (Include Federal, State and local per gallon taxes) Report price for largest volume sold. Check one--		Key Lock Self Service Full Service	per gallon	508 $	▪ ___ ___ ___
GASOLINE, unleaded, bulk delivery (Include Federal, State and local per gallon taxes)			per gallon	526 $	▪ ___ ___ ___
DIESEL FUEL, bulk delivery (Exclude all taxes)			per gallon	504 $	▪ ___ ___ ___
L.P. GAS, propane, butane, etc, bulk delivery (Exclude all taxes)			per gallon	511 $	▪ ___ ___ ___
	Over Please

Comments:

Would you like to receive a free copy of the results of this survey in the mail?
Yes – [Enter code 1.] No – [Enter code 3.]			099
The survey results will also be available in Agricultural Prices, on the Internet at http://www.nass.usda.gov on April 30, after 3 pm ET.

Reported by: ____________________________________	Phone (______) ______________	9910 Date	MM DD YY _ _ _ _ _ _

	921

Response		Respondent		Mode		Enum.	Eval.	Office Use for POID
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	789 __ __ __ - __ __ __ - __ __ __
								Optional Use
								407		408
S/E Name

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 0535-0003. The time required to complete this information collection is estimated to average 5 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.