Document
For 2005,
ICR 201006-0535-002 · OMB 0535-0218 · Object 18158001.
This document may belong to an older filing. More recent activity for OMB 0535-0218:
Document Viewer [doc]
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | For 2005, |
| Author | salmmi |
| Last Modified By | Writer |
| File Modified | 2008-06-17 |
| File Created | 2026-10-14 |
| Conversion State | complete |
Extracted Text
Project 143 OMB No. 0535-0218 Approval Expires 9/30/2008 20xx Layers Contractor Expense Survey NATIONAL AGRICULTURAL STATISTICS SERVICE U.S. Department of Agriculture, xx Field Office Field Office Street address xxxx City, State zip-xxxx 1-800-xxx-xxxx Fax: 1-xxx-xxx-xxxx e-mail: [email protected] YOUR REPORT IS CONFIDENTIAL and it will only be used for statistical purposes. Your report CANNOT be used for purposes of taxation, investigation, or regulation. The law also provides that copies retained in your files are immune from legal processes. Results from this important data collection will be mailed to all respondents in August 2009 http://www.usda.gov/nass/ and http://www.ers.usda.gov/ For 20xx, please report production cost PER DOZEN. Hatching Eggs Market Eggs TOTAL COST PER DOZEN EGGS $ . __ __ $ . __ __ Of this total, how much was for? a. Grower Pay $ . __ __ $ . __ __ b. Marketing Charges $ . __ __ $ . __ __ c. Disinfectants & Insecticides $ . __ __ $ . __ __ d. Layers placed on the operation $ . __ __ $ . __ __ e. Feed $ . __ __ $ . __ __ f. Litter $ . __ __ $ . __ __ g. Medication, Vaccination, Debeaking, Veterinary, & Custom Services $ . __ __ $ . __ __ h. Fuel 1. Diesel Fuel $ . __ __ $ . __ __ 2. Gasoline $ . __ __ $ . __ __ 3. Natural Gas $ . __ __ $ . __ __ 4. LP Gas $ . __ __ $ . __ __ 5. Other (Specify:___________) $ . __ __ $ . __ __ (Continued on next page) (Continued) For 20xx, please report production cost PER DOZEN. Hatching Eggs Market Eggs TOTAL COST PER DOZEN EGGS $ . __ __ $ . __ __ Of this total, how much was for? i. Utilities 1. Electricity $ . __ __ $ . __ __ 2. Water / Other $ . __ __ $ . __ __ j. Supplies $ . __ __ $ . __ __ k. Taxes $ . __ __ $ . __ __ l. Hauling $ . __ __ $ . __ __ m. Other Expenses (Include admin. costs, depreciation, technical services & other) Specify:______________ $ . __ __ $ . __ __ Reported by: __________________________________ Telephone: ________________ We are collecting information on cost and returns and need your help to make the information as accurate as possible. Authority for collection of information on the Costs and Returns report is Title 7, Section 2204 of the U.S. Code. This information will be used for economic analysis and to compile and publish estimates for your region and the United States. Response to this survey is confidential and voluntary. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The time required to complete this information collection is estimated to average 45 minutes per response.