OMB No. 0581-0093
National Honey Board
Honey Packers and Importers Research, Promotion, Consumer Education and Industry Information Order
Honey Handling Questionnaire
Confidential
Use an estimate of pounds for the past two years to complete this questionnaire.
Company Name: ____________________________________________________________________
Who in your organization is responsible for maintaining the records for honey purchases?
Name: ___________________________________ Title: ______________________________
Approximately how many pounds of honey did you sell in each of the past two years? Year/Pounds____________________________Year/Pounds___________________________
Do you produce your own honey and package it for sale? _________ (Yes or No)
If yes, continue with 3a. If no, skip to question 4.
3a. Approximately how many pounds of honey did you produce in each of the past two years? Year/Pounds________________________Year/Pounds_________________________
If you do not purchase any honey skip to question 5.
Approximately how many pounds of honey did you purchase in each of the past two years? Year/Pounds___________________________Year/Pounds____________________________
Do you import honey or honey products directly as the importer of record? _________(Yes or No)
5a. If so, approximately how many pounds of honey or honey products did you import directly in each of the past two years?
Year/Pounds________________________Year/Pounds_________________________
Do you buy imported honey through a broker or other agency? ___________(Yes or No)
6a. If so, approximately how many pounds of honey did you import through a broker or agency in each of the past two years?
Year/Pounds________________________Year/Pounds_________________________
Do you buy bulk honey from another honey packer? ___________ (Yes or No)
7a. If so, approximately how many pounds of bulk honey did you purchase from other honey packers in each of the past two years? Year/Pounds________________________Year/Pounds_________________________
Do you buy already packaged honey from another honey packer? _________(Yes or No)
8a. If so, approximately how many pounds of packaged honey did you buy from other honey packers in each of the past two years? Year/Pounds________________________Year/Pounds_________________________
Which best describes your organization (check as many as apply)?
_____I produce honey and package it for sale.
_____I produce and purchase honey and package it for sale.
_____I don’t produce honey but I buy it in bulk to pack for sale.
_____I don’t produce honey but I buy it in bulk to use in other products.
_____I import honey (directly or indirectly).
_____I produce, import and pack honey.
_____I buy already packaged honey for resale.
_____Other_____________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Please call should you require assistance using this form.
We appreciate your time completing this questionnaire.
All information provided is held in confidence by the National Honey Board.
This report is authorized by the Honey Packers and Importers Research, Promotion, Consumer Education and Industry Information Order.
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 0581-0093. The time required to complete this information collection is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
HON-HHQ (08/10)
File Type | application/msword |
Author | Marlys Fallon |
Last Modified By | FV_Profile |
File Modified | 2010-09-14 |
File Created | 2010-07-27 |