QID 0300356 Dry Bean Dealer Inquiry - 2015 Crop - CO

DRY BEAN DEALER INQUIRY - 2015 CROP
	OMB No. 0535-0002 Approval Expires: 8/31/2015 Project Code: 191 QID: 030356
		United States Department of Agriculture
		NATIONAL AGRICULTURAL STATISTICS SERVICE

(Dealer Inquiry) (Beans Purchased)	USDA/NASS - Colorado Mountain Region P.O. Box 150969 Lakewood, CO 80215-0969 Phone: 1-800-392-3202 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 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 0535-0002. 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.

Report 2015 Crop Dry Beans Received and To Be Received From Producers at Your Plant(s).
INSTRUCTIONS: 1. Report only beans received directly from producers. 2. Do not report beans received from another plant. 3. Clean Weight Basis is the total quantity hauled from the field less dirt, broken or discolored beans, and other foreign matter.			Quantity RECEIVED and TO BE RECEIVED (If more than 3 Other Classes, use the Continuation Form on the back)
			Pinto		Other Classes ____________ (Specify)		Other Classes ___________ (Specify)		Other Classes ____________ (Specify)
1. Total quantity of 2015 crop dry beans received and expected to be received directly from producers.			Cwt. (Clean Wt. Basis)		Cwt (Clean Wt. Basis)		Cwt (Clean Wt. Basis)		Cwt (Clean Wt. Basis)
2. Of the total 2015 dry bean crop received and expected to be received (Item 1), how many were produced in each of the following states?
Colorado
Kansas
Nebraska
New Mexico
Utah
Wyoming
Other States (Specify State):
Please Report for Your Locality: This will assist in determining yield estimates by class.
CLASS OF DRY BEAN	Estimated Average Yield Per Acre for this year’s crop. (Report yield on a clean basis)			CLASS OF DRY BEAN		Estimated Average Yield Per Acre for this year’s crop. (Report yield on a clean basis)
	IRRIGATED (Pounds per Acre)	NON-RRIGATED (Pounds per Acre)				IRRIGATED (Pounds per Acre)		NON-RRIGATED (Pounds per Acre)
Pinto	101	201		Pink		106		206
Great Northern	102	202		Cranberry		107		207
Light Red Kidney	103	203		Other (Specify)		108		208
Navy	104	204		Other (Specify)		109		209
Black Turtle	105	205		Other (Specify)		110		210

Continuation Form for Reporting Additional Classes of Beans Received

Report 2015 Crop Dry Beans Received and To Be Received From Producers at Your Plant(s).
INSTRUCTIONS: 1. Report only beans received directly from producers. 2. Do not report beans received from another plant. 3. Clean Weight Basis is the total quantity hauled from the field less dirt, broken or discolored beans, and other foreign matter.	Quantity RECEIVED and TO BE RECEIVED
	Other Classes ____________ (Specify)	Other Classes ____________ (Specify)	Other Classes ___________ (Specify)	Other Classes ____________ (Specify)
1. Total quantity of 2015 crop dry beans received and expected to be received directly from producers.	Cwt. (Clean Wt. Basis)	Cwt (Clean Wt. Basis)	Cwt (Clean Wt. Basis)	Cwt (Clean Wt. Basis)
2. Of the total 2015 dry bean crop received and expected to be received (Item 1), how many were produced in each of the following states?
Colorado
Kansas
Nebraska
New Mexico
Utah
Wyoming
Other States (Specify State):

	Code
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? YES – [Enter code 1.] NO – [Enter code 3.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9990
THANK YOU FOR YOUR COOPERATION

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