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OMB No. 0535-0003 Approval Expires: 3/31/2014 Project Code: 171 QID: 050801 SMetaKey: 1991 |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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Iowa Field Office 210
Walnut St., Room 833 Phone: 1-800-772-0825 Fax: 1-800-719-1794 E-mail: [email protected]
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Please make corrections to name, address and ZIP Code, if necessary. |
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Data from this survey are
used to compute the index of Prices Paid by Farmers. This index
measures price trends and changes that affect farm production
input costs. Specifically, data from this survey are used for:
1) Evaluation of Farm policy and legislation, 2) Updating cost of
production estimates used in determination of net farm income ,
3) Computation of Parity Prices for selected agricultural
commodities. 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.
However, your cooperation is very important in order to estimate
these prices accurately. |
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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 is 0535-0003. The time required to complete this information collection is estimated to average 5 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. |
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INSTRUCTIONS: |
TAXES |
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Report prices currently in effect. |
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GASOLINE: Include Federal, State and local taxes. |
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Report the price for the brand or quality with the largest volume of sales. |
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DIESEL FUEL and L.P. GAS: Exclude ALL TAXES. |
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Report prices only for items sold. |
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Deduct any discounts normally given. |
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Report an average price, not a range of prices. |
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1. Did this operation have Fuel on hand for sale to farmers in the U.S. on March 15, 2013? |
Yes - [Go to Question 3.] No - [Go to Question 2.] |
2. Will this operation have Fuel on hand for sale to farmers in the U.S. in the future? |
1Yes - Please return this form. 3No - Please return this form. |
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Over Please |
3. Report price per unit of Fuel on hand for sale to farmers in the U.S. on March 15, 2013 in the following table. |
FUELS |
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Dollars and Cents |
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GASOLINE, unleaded, pumped at service station |
500
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1Card Lock 2Key Lock 3Self Service 4Full Service |
per gallon |
508
$ |
▪ ___ ___ ___ |
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GASOLINE, unleaded, bulk delivery (Include Federal, State and local per gallon taxes) |
per gallon |
526
$ |
▪ ___ ___ ___ |
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DIESEL FUEL, bulk delivery (Exclude all taxes) |
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per gallon |
504
$ |
▪ ___ ___ ___ |
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L.P. GAS, propane, butane, etc, bulk delivery (Exclude all taxes) |
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per gallon |
511
$ |
▪ ___ ___ ___ |
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COMMENTS: |
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Respondent Name: |
9911
Phone: ( ) |
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9910 MM DD YY
Date: __ __ __ __ __ __ |
Response |
Respondent |
Mode |
Enum. |
Eval. |
R. Unit |
Change |
Office Use for POID |
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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
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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 |
921 |
785 |
789
__ __ __ - __ __ __ - __ __ __ |
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Optional Use |
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407 |
408 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | georgo |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |