QID 060101 Oregon Nursery and Greenhouse Survey

Project Code 168 QID 060101		OMB No.0535-0244: Approval Expires 01/31/2010
	OREGON NURSERY AND GREENHOUSE SURVEY – 20XX			NATIONAL AGRICULTURAL STATISTICS SERVICE
			Oregon Field Office 1220 S.W. 3rd Ave. Room 1735 Portland, OR 97204, Phone 503-326-2131, Fax 503-326-2549 [email protected] www.nass.usda.gov/or
Please make corrections to name, address, and Zip Code, if necessary.		Information requested in this survey is used to prepare estimates of 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. 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 0535-0039. The time required to complete this information collection is estimated to average 30 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.

Section 1 – Introduction

1. Did you produce, sell, or have growing any nursery or greenhouse crops (including container grown) bulbs, sod, bedding plants, cut flowers, holly and dried flowers, etc. during 20XX?

YES - Please continue with section 2 below. NO - Please go to back page, question # 4.

Section 2 – Gross Sales Value

2. What were your gross (invoice) 20XX sales from your nursery and greenhouse operation for each of the following plant material categories. • If calendar year data are not available, please use the most recent fiscal year period. • Exclude plant material purchased for immediate resale.
Plant Material Categories		20XX Gross Sales (in dollars)
a. Bare Root		311 $ ________________
b. Balled and Burlapped	+	312 $ ________________
c. Container	+	313 $ ________________
d. Greenhouse	+	314 $ ________________
e. Other Nursery Plant Material (include sod, bulbs, tubers, holly, cut greens, etc.)	+	315 $ ________________
f. Total (should equal a + b + c + d+ e)	=	310 $ ________________

Section 2 – Gross Sales Value (continued)

3. List the Oregon county or counties where your nursery or greenhouse acreage is located. • List each county separately • Record the percent of gross sales for each county • Exclude acreage located in other States
County	20XX Gross Sales			Office Use
	Dollar Value OR Percent
	611	621		601
+	612	622		602
+	613	623		603
+	614	624		604
Total (should equal total in item 2f on page 1) =	615	100%

Section 3 – Change in Operation

Workers

Only complete question 4 if you answered NO to question # 1 on page 1.

4. Has this operation been sold, rented out, or turned over to someone else?

Yes – please identify the new operator. Name: ______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip _____________ Phone number: _______________________

No – please check one reason which applies. Retail sales of only. New operation with no 20XX sales. Other (explain) _______________________ Landlord

5. Would you like to receive a copy of the results of this survey?

YES NO

Reported by: ___________________________________ Telephone: __________________ Date: ___________

U.S. DEPARTMENT OF AGRICULTURE Cooperating with OREGON DEPARTMENT OF AGRICULTURE