QID Aquaculture Loss Survey

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Project 667 QID      				OMB No. 0535-0150 Approval Expires 03/31/2014
	AQUACULTURE LOSS SURVEY 20XX						NATIONAL AGRICULTURAL STATISTICS SERVICE
					U.S. Department of Agriculture, Rm 5030, South Building 1400 Independence Ave., S.W. Washington, D.C. 20250-2000 1-800727-9540 Fax: 202-690-2090 E-mail: [email protected]
Please make corrections to name, address and Zip Code, if necessary...			Due to recent conditions in your area. NASS has decided to conduct a special survey to measure the extent of damage to the aquaculture industry in your area. Your reply to the questions on this form will be very helpful in measuring change in production and sales from previous estimates. The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107–347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents. By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or your operation.  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 0535-0150. The time required to complete this information collection is estimated to average 15 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. Thank you for your cooperation.

REPORT FOR THE TOTAL AREA YOU OPERATE
Due to recent conditions (oil spill, chemical contamination, hurricanes, etc.) how many of your acres of production of aquaculture were impacted?. . . . . . . . . . . . . . . . . . . . . . .	101
How many units (number, pounds, etc.) of live fish (trout, catfish, bass, etc.) were lost due to the circumstances listed above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	102
How many units (number, pounds, etc.) of live shellfish (oysters, clams, etc) were lost due to the circumstances listed above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	103
How many units (number, pounds, etc) of live crustaceans (crawfish, lobster, crabs, etc.) were lost due to the circumstances listed above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	104
How many units (head, pounds, etc.) of processed seafood, stored on your operation, were lost due to the circumstances listed above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	105
Of the total aquaculture production (both live and processed) that were on your operation at the time of the incident, what is the total value in dollars that were lost?. . . . . . . . . . . . . . . . . . . . . . . . .	106
Do you plan to produce any aquaculture next year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	107
Your comments are greatly appreciated. Please comment on the condition of the aquaculture industry in your area.
COMMENTS
To receive the complete results of the survey on the release date, go to www.nass.usda.gov/results. Would you rather have a brief summary sent to you at a later date? 1 Yes 3No