QID Alfalfa Seed Growers Inquiry - 2015 Crop

alfalfa seed growers inquiry – 2015 crop
							OMB No. 0535-0002 Approval Expires: 8/31/2015 Project Code: 788
								NATIONAL AGRICULTURAL STATISTICS SERVICE
							USDA/NASS - Montana Mountain Region P.O. Box 150969 Lakewood, CO 80215-0969 Phone: 1-303-236-2300 Fax: 1-866-314-4029 E-mail: [email protected]
	Please make corrections to name, address and zip code, if necessary.
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.  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 0535-0002. 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.

Please return your report by mail or fax your report to 1-866-314-4029 by February 6, 2016.

1. Were alfalfa acres harvested for seed from this operation in 2015?
	Yes – [Continue]		No – [Please sign and return]
2. Do you use Leaf Cutter Bees for Alfalfa Seed Production? 5102
		1 Yes – [Continue]		3 No - [Continue]	Irrigated	Non - Irrigated
(i) Acres harvested?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Acres					0821	0823
(ii) Production of clean Seed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . Pounds					0822	5824
(iii) Leaf Cutter Bees used for Alfalfa Seed Production?. . . . . . . ….Gallons/Acre					0700	0701

Respondent Name:___________________________________	9911 Phone:(___)___________________	9910 MM DD YY Date __ __ __ __ __ __

Response

Respondent

Mode

Enum.

Eval.

Change

Office Use for POID

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

9998

9900

9985

9989 __ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name