QID 030376 Mint Inquiry - 2015 - WI

MINT INQUIRY- 2015
			OMB No. 0535-0002 Approval Expires: 8/31/2015 Project Code: 193 QID: 030376 SMetaKey: 2696 Version 55
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						USDA/NASS - Wisconsin Upper Midwest Region 210 Walnut St., #833 Des Moines, IA 50309 Phone: 1-800-772-0825 Fax: 1-855-271-9802 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 10 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 Farm(s) you Operate

				Peppermint			Spearmint
1. Acres of mint harvested last year, 2014. . . . . . . . . . . . . . . . .		Acres		201			301
2. Acres of mint harvested this year, 2015. . . . . . . . . . . . . . . . .		Acres		202			302
3. Total pounds of oil produced this year, 2015. . . . . . . . . . . . .			Lbs.	203			303
4. Average price per pound received this year for your 2015 crop. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Dollars			204		.___ ___	304		.___ ___

COMMENTS:

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

Respondent Name:

9911 Phone: (______) -- ______________

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

This completes the survey. Thank you for your help.

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

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