QID Broilers/Starter Pullets Contractor Expense Survey

2012 CONTRACTOR EXPENSE SURVEY – Broilers and Starter Pullets
OMB No. 0535-0218
Approval Expires: 12/31/20##
Project Code: 904 QID: 113310
SMetaKey: ####
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

XXXXX Field Office
P.O. Box #####
XXXXX, XX #####
Phone: ###-###-####
Fax: 1-800-###-####
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 107347), facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary. You may skip any question(s) you
prefer not to answer.
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.

1. During 2012, 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 2012, please report the average cost of inputs provided to contract growers per head.
Pullets for
Hatching Flock

Inputs

Pullets for
Table Egg Flock

Broilers

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

hd

hd

#

#

#

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

. __ __

$

. __ __

$

. __ __

$

. __ __

$

. __ __

$

. __ __

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

. __ __

$

. __ __

$

. __ __

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

$

. __ __

$

. __ __

$

. __ __

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

$

. __ __

$

. __ __

$

. __ __

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

$

. __ __

$

. __ __

$

. __ __

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

$

. __ __

$

. __ __

$

. __ __

(vii) medication, vaccination, debeaking,
veterinary & custom services?. . . . . . . . . . . . $

. __ __

$

. __ __

$

. __ __

Total Cost per Head. . . . . . . . . . . . . . . . . . . . . . $
Of the total cost per head, how much was for-(i) fee paid to contractee?. . . . . . . . . . . . . . . . .

Please continue on back

-2-

Pullets for
Hatching Flock

Inputs

Pullets for
Table Egg Flock

Broilers

(viii) fuel?
(1) Diesel Fuel. . . . . . . . . . . . . . . . . . . . . . . . $

. __ __

$

. __ __

$

. __ __

$

. __ __

$

. __ __

$

. __ __

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

. __ __

$

. __ __

$

. __ __

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

. __ __

$

. __ __

$

. __ __

(5) Other (Specify: ___________________) . . . $

. __ __

$

. __ __

$

. __ __

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

. __ __

$

. __ __

$

. __ __

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

. __ __

$

. __ __

$

. __ __

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

$

. __ __

$

. __ __

$

. __ __

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

$

. __ __

$

. __ __

$

. __ __

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

. __ __

$

. __ __

$

. __ __

(xiii) other expenses? (Include admin. cost,
depreciation, technical services & other)
(Specify: _____________________________) . . . $

. __ __

$

. __ __

$

. __ __

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

(ix) utilities?

9911

Reported by:_______________________________________________

Response
1-Comp

9901

2-R
3-Inac

Respondent
1-Op/Mgr
2-Sp

9902

Mode
2-Tel

Enum
9903

0098

Telephone (_____)_________________________________________

Eval
0100

Rep.
Unit
0921

Duplication
Adjustor
0922

MM

YY

9910

Optional
0003

__ __ __ __ 12

3-Face-to -Face

3-Acct/Bkpr
4-Partner

Date
DD

Office Use for POID
0789

9-Other
__ __ __ - __ __ __ - __ __ __
S/E Name