QID Sweet Potato Buyer Inquiry - Master Copy

	Project Code 195	OMB NO. 0535-0002: Approval expires 6/30/2012
	SWEET POTATO BUYER INQUIRY – Master Copy
					NATIONAL AGRICULTURAL STATISTICS SERVICE
				California Field Office P.O. Box 1258 Sacramento, CA 95812 1-800-851-1127 Fax: 1-888-478-5637 [email protected] Information requested in this survey is used to prepare estimates of potato prices. 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 in combination with similar reports from other producers. Response is voluntary.
Please make corrections to name, address and Zip Code, if necessary.

INSTRUCTIONS:

• Include all sweet potatoes purchased directly from growers, including quantities diverted to other firms.

• Exclude any sweet potatoes purchased from other shippers or warehouses.

• Purchases should be reported separately for each State where the sweet potatoes were grown.

• Average Prices/Total Dollars paid should represent the first delivery point price and exclude transportation or other costs.

1. Did this operation purchase any <CROP YEAR> sweet potatoes directly from growers in <HOME STATE>?

YES – [Continue] NO - [Go to item 2]

SWEET POTATOES PURCHASED DIRECTLY FROM <HOME STATE> FARMERS (include contract and open market sales)	Total Quantity Received (Cwt)	Average Price Paid (Dollars per Cwt)	OR	Total Dollars Paid
a. For fresh market…………………….	Cwt.	$ . __ __	OR	$ . __ __
b. For processing…………………….	Cwt.	$ . __ __	OR	$ . __ __

2. Did this operation purchase any <CROP YEAR> sweet potatoes directly from growers in States other than < HOME STATE>?

YES – [Continue] NO - [Go to item Survey Results]

Please specify the State where the purchased sweet potatoes were grown in the blank provided. Purchases in additional

States should be reported on the back of this form. Exclude sweet potatoes grown outside the United States.

SWEET POTATOES PURCHASED DIRECTLY FROM ___________________ FARMERS (include contract and open market sales)	Total Quantity Received (Cwt)	Average Price Paid (Dollars per Cwt)		Total Dollars Paid
a. For fresh market…………………….	Cwt.	$ . __ __	OR	$ . __ __
b. For processing…………………….	Cwt.	$ . __ __	OR	$ . __ __

SWEET POTATOES PURCHASED DIRECTLY FROM ___________________ FARMERS (include contract and open market sales)	Total Quantity Received (Cwt)	Average Price Paid (Dollars per Cwt)		Total Dollars Paid
a. For fresh market…………………….	Cwt.	$ . __ __	OR	$ . __ __
b. For processing…………………….	Cwt.	$ . __ __	OR	$ . __ __

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 15 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.

– PLEASE CONTINUE ON REVERSE SIDE –

SWEET POTATOES PURCHASED DIRECTLY FROM ___________________ FARMERS (include contract and open market sales)	Total Quantity Received (Cwt)	Average Price Paid (Dollars per Cwt)		Total Dollars Paid
a. For fresh market…………………….	Cwt.	$ . __ __	OR	$ . __ __
b. For processing…………………….	Cwt.	$ . __ __	OR	$ . __ __

SWEET POTATOES PURCHASED DIRECTLY FROM ___________________ FARMERS (include contract and open market sales)	Total Quantity Received (Cwt)	Average Price Paid (Dollars per Cwt)		Total Dollars Paid
a. For fresh market…………………….	Cwt.	$ . __ __	OR	$ . __ __
b. For processing…………………….	Cwt.	$ . __ __	OR	$ . __ __

SWEET POTATOES PURCHASED DIRECTLY FROM ___________________ FARMERS (include contract and open market sales)	Total Quantity Received (Cwt)	Average Price Paid (Dollars per Cwt)		Total Dollars Paid
a. For fresh market…………………….	Cwt.	$ . __ __	OR	$ . __ __
b. For processing…………………….	Cwt.	$ . __ __	OR	$ . __ __

COMMENTS:

SURVEY RESULTS: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/. Would you rather have a brief summary mailed to you at a later date?

1 Yes 3No

099

Respondent Name: ____________

9911 Phone: (_____) _____

9910 MM DD YY Date: __ __ __ __ __ __

OFFICE USE ONLY

Response

Respondent

Mode

Enum.

Eval.

Change

Optional Use

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

785

921

407

408

9906

9916

S/E Name