QID 030357 Dry Bean Cleaners Inquiry - September 2015

DRY BEAN CLEANERS INQUIRY SEPTEMBER 2015
OMB No. 0535-0002 Approval Expires: 8/31/2015 Project Code: 191 QID: 030357 SMetaKey: 2025 Version 16
								NATIONAL AGRICULTURAL STATISTICS SERVICE
							Idaho Northwest Region PO Box 609 Olympia, WA 98507-0609 Phone: 1-360-709-2400 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.  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 20 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.

CLASS		QUANTITY OF DRY BEANS RECEIVED AND TO BE RECEIVED – 2015 CROP
		THRESHER – RUN OR SCALPED		EQUIVALENT CLEAN WEIGHT 1/
		IDAHO	OTHER STATES Specify: _________	IDAHO	OTHER STATES Specify: _________
		100 Lb. Bags		100 Lb. Bags
1. Pinto		     	     	     	     
2. Great Northern		     	     	     	     
3. Small Red		     	     	     	     
4. Pinks		     	     	     	     
5. Small White		     	     	     	     
6. Pea (Navy) Beans		     	     	     	     
7. Dark Red Kidney		     	     	     	     
8. Light Red Kidney		     	     	     	     
9. Black Turtle		     	     	     	     
10. Cranberry		     	     	     	     
11. Small Garbanzo (Desi)		     	     	     	     
12. Large Garbanzo (Kabuli)		     	     	     	     
13. Other Classes__	     	     	     	     	     
14. Total All Classes		     	     	     	     
15. Garden Seed Varieties		     	     	     	     

Reported by:__________________________________________	Date:______________________________

	Survey Results: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results Would you rather have a brief summary mailed to you at a later date? 1Yes 3No . . . . . . . . . . . . . . .	OFFICE USE
		9990

Respondent Name:

9911 Phone: ( )

9910 MM DD YY Date: __ __ __ __ __ __

OFFICE USE ONLY

Response

Respondent

Mode

Enum.

Eval.

R. Unit

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

9921

9985

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

Optional Use

9907

9908

9906

9916

S/E Name