Form QID Oregon Grass Seed Forecast - January 2016

OREGON GRASS SEED FORECAST - January 2016
	OMB No. 0535-0002 Approval Expires: XX/XX/XXXX Project Code: QID: SMetaKey: XXXX
		UNITED STATES DEPARTMENT OF AGRICULTURE
		NATIONAL AGRICULTURAL STATISTICS SERVICE

USDA/NASS - Oregon Northwest Region 112 Henry Street NE, Suite 202 Olympia, WA 98506-4470 Phone: 360-709-2400 Fax: 1-855-270-2721 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 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 control number is 0535-0002. 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.

PLEASE ANSWER THE FOLLOWING QUESTION(S) FOR THE TOTAL ACRES YOU (NAME ON LABEL) OPERATE. PLEASE RETURN BY JANUARY 19, 2016. 1. Did this operation harvest any ryegrass or tall fescue seed in 2015 or plan to harvest any ryegrass or tall fescue seed in 2016?
xxx	1 Yes – Go to Item 2 3 No – Go to Item 3, Back Page

2. Please report the number of acres harvested or to be harvested for the following crops:

TYPE OF SEED	How many acres of seed were harvested in 2015	How many acres of seed were planted for 2016?
Ryegrass
Annual	001	002
Perennial	003	004
Tall Fescue Seed
Turf-type	005	006
Forage-type	007	008
K31 & Other	009	010

(OVER)

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

3. Please comment on crop conditions, weather, insects & disease:

4. Survey Results: To receive the complete results of this survey on the release date go to (http://www.nass.usda.gov/Statistics_by_State/Oregon/index.asp)
Would you rather have a brief summary mailed to you at a later date? 9990	1Yes 3No

Respondent Name: __	9911 Phone: (_____) _____-- __________	9910 MM DD YY Date: __ __ __ __ __ __
This completes the survey. Thank you for your help.