QID Processed Vegetables Contractor Expense Survey

2012 CONTRACTOR EXPENSE SURVEY – Processed Vegetables
OMB No. 0535-0218
Approval Expires: 12/31/20##
Project Code: 904 QID: 113313
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 grow processed vegetables 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 acre.
Green Peas

Inputs

Sweet Corn

Snap Beans

Beets

Other, 1/
Specify

a. Name of Other Processed
Vegetable. . . . . . . . . . . . . . . . . . .
b. Total Acres Under Contract. . . .
c.

Total Number of Contractees. . .

d. Total Cost per Acre. . . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(iii) seeds, sets, plants,
transplants?. . . . . . . . . . . . . . . .$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(iv) fertilizer, nutrients, lime
& soil conditioners?. . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(v) ag chemicals?. . . . . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(viii) supplies?. . . . . . . . . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(ix) insurance?. . . . . . . . . . . . . . .

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(x) contract labor?. . . . . . . . . . . .

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(vi) fuel?

(vii) utilities?

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

(Specify: ________________) . . . $
1/

To report additional processed vegetables, use the table on the next page.

-2-

Other,
Specify

Inputs

Other,
Specify

Other,
Specify

Other,
Specify

Other,
Specify

a. Name of Other Processed
Vegetable. . . . . . . . . . . . . . . . . . .
b. Total Acres Under Contract. . . .
c.

Total Number of Contractees. . .
. __ __ $

d. Total Cost per Acre. . . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(iii) seeds, sets, plants,
transplants?. . . . . . . . . . . . . . . .$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(iv) fertilizer, nutrients, lime
& soil conditioners?. . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(v) ag chemicals?. . . . . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(viii) supplies?. . . . . . . . . . . . . . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(ix) insurance?. . . . . . . . . . . . . . .

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(x) contract labor?. . . . . . . . . . . .

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

$

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

(Specify: ________________) . . . $

. __ __ $

. __ __ $

. __ __ $

. __ __ $

. __ __

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

(vi) fuel?

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

(vii) utilities?
(1) Electricity. . . . . . . . . . . . .

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

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