QID 110013 Chicken and Egg Report

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Project 158 QID 110013								OMB No. 0535-0004 Approval Expires 7/31/2009
			CHICKEN AND EGG REPORT December 1, 2009								NATIONAL AGRICULTURAL STATISTICS SERVICE
			(Used only on small operators)							Alabama Field Office P.O. Box 240578 4121 Carmichael Road Montgomery, AL 36124-0578 Phone: 1-800-832-4181 Fax: 334-279-3590 Email: [email protected]
									Your answers to the questions below are needed to prepare reliable State and National Chicken Statistics. Response to this survey is voluntary and not required by law. However, your cooperation is very important in order to make accurate estimates for your State. Please return this report promptly by fax or in the envelope provided. Your individual report will be kept strictly confidential. Thank you for your cooperation.
Please make corrections to name, address and ZIP Code, if necessary.

						Number
1. On December 1, how many chickens (excluding broilers on feed for meat production) were owned by this operation, regardless of location?						719
2. On December 1, how many chickens (excluding broilers on feed for meat production) were raised by this operation, for others?						914
Who owns these (item 2) chickens?
				POID
				943 __ __ __ - __ __ __ - __ __ __
	Name

Address

City

State

Zip

	Phone

	Code
3. Would you like to receive a free copy of the results of this survey in the mail? (The survey results will also be available on the Internet at http://www.nass.usda.gov) . . . . . . . . . . . . . . . . . . . Yes = 1	099

Respondent Name:	Phone: ( )	9910 MM DD YY Date: __ __ __ __ __ __

Thank you for your help.

OFFICE USE

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 number. The valid OMB number is 0535-0004. 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.