QID 030350 Commercial Dry Bean Seed Survey - July 1, 2015 - CA - (D

COMMERCIAL DRY BEAN SEED SURVEY - July 1, 2015
							OMB No. 0535-0002 Approval Expires: 8/31/2015 Project Code: 192 QID: QID 030350 SMetaKey: 1382 Version 6
	(Dealer Inquiry) (Beans Sold)							NATIONAL AGRICULTURAL STATISTICS SERVICE
							California Pacific Region 650 Capitol Mall, #6-100 Sacramento, CA 95814 Phone: 1-916-498-5161 Fax: 1-855-270-2722 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.

REPORT FOR THE WAREHOUSE YOU OPERATE
Variety 1/		Quantity of Dry Bean Seed Distributed to Growers for the Dry Bean Crop	Estimated Seeding Rate Per Acre	Estimated Yield Per Acre of Dry Beans From Seed You Distributed
		Cwt.	Pounds	Cwt.
Large Lima		     	     	     
Baby Lima		     	     	     
Blackeye		     	     	     
Small White		     	     	     
Pink		     	     	     
Light Red Kidney		     	     	     
Dark Red Kidney		     	     	     
Garbanzo Small (small than 20/64 in.)		     	     	     
Garbanzo Large (larger than 20/64 in.)		     	     	     
Flat White		     		     
Small Red		     	     	     
Cranberry		     	     	     
Green Baby Lima (for dry beans)		     	     	     
Other Varieties Specify: ____________	     	     	     	     
Other Varieties Specify: ____________	     	     	     	     
1/ Please exclude all seed distributed for garden seed or to be grown for freezer or fresh market beans.
THANK YOU FOR YOUR HELP.

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 □ – No	9990

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