QID Potato Acreage and Disposition Report - General Master

Project 195			OMB No. 0535-0002 Approval Expires 06/30/2012
	<SEASON> POTATO ACREAGE AND DISPOSITION REPORT – GENERAL Master Copy
	NOTE: Will be conducted once each year approximately six months after harvest is complete. Spring season: Conducted in December, Summer season: Conducted in April of the following year. Fall season: Conducted in August of the following year.					NATIONAL AGRICULTURAL STATISTICS SERVICE
					New England Field Office 53 Pleasant St., Room 2100 Concord, NH 03301 1-800-642-9571 Fax: 1-800-754-7607 [email protected] Information requested in this survey is used to prepare final estimates of potato acreage production, and value for the <CROP YEAR> crop year. 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.

PLEASE REPORT FOR THE FARM OR FARMS YOU OPERATE
ACREAGE PLANS AND SEED FOR THE <CROP YEAR + 1> CROP
1. Total <SEASON> potato acreage planted and to be planted in <CROP YEAR + 1>?. . . . . . . .		Acres
2. Total quantity of seed potatoes used to plant <CROP YEAR + 1> acreage?. . . . . .		1 Cwt 2 Bbls
a. How much of the total seed for planting was purchased or received in trade?. . . .		1 Cwt 2 Bbls
ACREAGE AND PRODUCTION - <CROP YEAR> CROP
3. Total <SEASON> potato acreage harvested in <CROP YEAR>:.. . . . . . . . . . . . . . . . . . . . .		Acres
4. Quantity of <SEASON> potatoes harvested from acreage reported in item 3. (Report total quantity hauled from the field.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Cwt 2 Bbls
Comments:
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 20 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

DISPOSITION - <CROP YEAR> CROP
5. Of the potatoes reported harvested in Item 4, what quantity was or will be a. Sold or Contracted for:	Total Quantity	Unit	Average Price at Point of First Sale
1. Fresh Market (Table stock). . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Cwt 2 Bbls	$
2 NOTE: PROCESSING QUESTIONS MAY BE CONSOLIDATED IN SOME STATES. . Processing for Chips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Cwt 2 Bbls	$
3. Processing for Starch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Cwt 2 Bbls	$
4. Processing, (Frozen or other, excluding chips and starch) . . . . .		1 Cwt 2 Bbls	$
5. Seed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Cwt 2 Bbls	$
6. Livestock Feed (If no money received, report in item 6c). . . . . . .		1 Cwt 2 Bbls	$
b. Used on this farm: (Include only potatoes reported in Item 5 used for food, fed to animals, or for planting your <CROP YEAR> crop. Do not include purchased potatoes.)		1 Cwt 2 Bbls	NOTE: GRAY PRICE QUESTIONS ONLY ASKED IN ANNUAL STATES
c. Lost through shrinkage, decay and dumping? (Include loads rejected after shipping that have no value.). . . . . . . . .		1 Cwt 2 Bbls
d. Total (Sum of items 6a, 6b, and 6c should equal Item 4.). . . . . . . . .		1 Cwt 2 Bbls

MONTHLY SALES - <CROP YEAR> CROP

6. Of the <CROP YEAR> potatoes sold in item 5a (1 through 6), what quantity or percentage was sold, or will be sold during:

<CROP YEAR>	Quantity Sold	Unit (Cwt or Bbls)	OR Percentage Sold		<CROP YEAR + 1>	Quantity Sold	Unit (Cwt or Bbls)	OR Percentage Sold
June			%		January			%
July			%		February			%
August			%		March	NOTE: MONTHLY SALES QUESTIONS ASKED ONLY IN CERTAIN STATES		%
September			%		April			%
October			%		May			%
November			%		June			%
December			%		July			%
Total sold and to be sold (Sum should equal 100% or total sales reported in Item 6a.). .

NOTE: QUESTION ONLY ASKED IN 13 POTATO STOCK STATES.

7. What was the Total Storage Capacity of all structures used by you to store potatoes?

1 Cwt 2 Bbls

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

Yes = 1 No = 3 . . .

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