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

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.