Form QID 113310 QID 113310 Contractor Expense Survey - 2011 Broilers and Starter Pu

Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys

0218 - Contractor Expense Survey - Broilers and Starter Pullets

Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys

OMB: 0535-0218

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Project 904 – ARMS Phase III – QID 113310

OMB No. 0535-0218 Approval Expires 12/31/2014

Contractor Expense Survey

NATIONAL

AGRICULTURAL

STATISTICS

SERVICE

2011 Broilers and Starter Pullets



Alabama Field Office

P.O. Box 240578
4121 Carmichael Road
Montgomery, AL 36124-0578


Phone: 334-279-3555

Fax: 334-279-3590

Email: [email protected]


We are collecting information on costs 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. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary.

1. During 2011, were you a production contractor where you paid a fee to someone else to raise starter pullets or broilers that you owned? A production contract is a verbal or written agreement setting terms, conditions, and fees to be paid by the contractor to the operation for the production of crops, livestock, or poultry.

Yes - Continue No - Record name and telephone number on back page

2. For 2011, please report the average cost of inputs provided to contract growers per head.


Inputs

Pullets for

Hatching Flock

Pullets for

Table Egg Flock

Broilers

a. Total Head Under Contract . . . . . . . . .

hd


hd


hd


b. Total Number of Contractees. . . . . . . .

#


#


#


c. Total Cost per Head . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

Of the total cost per head, how much was for--


(i) fee paid to contractee?. . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(ii) marketing charges? . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(iii) disinfectants & insecticides? . . . . . .

$

. __ __

$

. __ __

$

. __ __

(iv) chicks placed on the operation?. . . .

$

. __ __

$

. __ __

$

. __ __

(v) feed?. . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(vi) litter?. . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(vii) medication, vaccination, debeaking,

veterinary & custom services?. . . . . .

$

. __ __

$

. __ __

$

. __ __

(viii) fuel?




(1) Diesel Fuel. . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(2) Gasoline. . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(3) Natural Gas . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(4) LP Gas. . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(5) Other (Specify: _____________)

. .

$

. __ __

$

. __ __

$

. __ __

Please continue on back

Inputs

Pullets for

Hatching Flock

Pullets for

Table Egg Flock

Broilers

(ix) utilities?




(1) Electricity . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(2) Water / Other. . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(x) supplies?. . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(xi) taxes?. . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(xii) hauling? . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(xiii) other expenses? (Include admin. cost, depreciation, technical services & other)

(Specify:________________________)

.

$

. __ __

$

. __ __

$

. __ __


Reported by:_______________________________________________

Telephone (_____)_________________________________________



Response

Respondent

Mode

Enum

Eval

Duplication

Adjustor

Date

MM DD YY

Optional

1-Comp

2-R

3-Inac


9901

1-Op/Mgr

2-Sp

3-Acct/Bkpr

4-Partner

9-Other

9902

2-Tel

3-Face-to -Face


9903

0098

0100

0922

9910


__ __ __ __ 11

0003

Office Use for POID

0919


__ __ __ - __ __ __ - __ __ __

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 0535-0218. The time required to complete this information collection is estimated to average 45 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.



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