Form QID Alfalfa Seed Growers Inquiry

		OMB No. 0535-0002: Approval Expires6/30/2012
	ALFALFA SEED GROWERS INQUIRY 2011 CROP			NATIONAL AGRICULTURAL STATISTICS SERVICE
			Montana Field Office 10 West 15th Street, Suite 3100 Helena, MT 59626 Phone 1-800-835-2612, Fax 1-800-915-6277 E-mail: [email protected]

Please make corrections to name, address and Zip Code, if necessary.

Information requested in this survey is used to prepare estimates of state acreage, production, and average price of alfalfa seed in Montana. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347), data you report are kept confidential and used only for statistical purposes in combination with similar reports from other respondents. Response is voluntary.

Please return your report before January 13, 2012. Survey results will be released mid-February.

Please return your report by mail or fax your report to 1-800-915-6277 by January 13, 2012.

1. Were alfalfa acres harvested for seed from this operation in 2011?
	Yes – [Continue]		No – [Please sign and return]
2. Do you use Leaf Cutter Bees for Alfalfa Seed Production? 5102
		1 Yes – [Continue]		3 No - [Continue]	Irrigated	Non - Irrigated
(i) Acres harvested?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Acres					0821	0823
(ii) Production of clean Seed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . Pounds					0822	5824
(iii) Leaf Cutter Bees used for Alfalfa Seed Production?. . . . . . . ….Gallons/Acre					0700	0701

Comments: _________________________________________________________________________________________

__________________________________________________________________________________________________

Reported by: ________________________________________________ Date: _________________

Office Use:

Response		Respondent		Mode		Unum.	Eval.	Completion Date
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-Other	9902	1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other	9903	98	100	9910 MM DD YY Date: __ __ __ __ __ __

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 number is 0535-0002. The time required to complete this information collection is estimated to average 10 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.