QID - 050801 Prices Paid for Fuels - IA

PRICES PAID FOR FUELS - March 2013
			OMB No. 0535-0003 Approval Expires: 3/31/2014 Project Code: 171 QID: 050801 SMetaKey: 1991
						NATIONAL AGRICULTURAL STATISTICS SERVICE

Iowa Field Office 210 Walnut St., Room 833 Des Moines, IA 50309 Phone: 1-800-772-0825 Fax: 1-800-719-1794 E-mail: [email protected]

Please make corrections to name, address and ZIP Code, if necessary.
Data from this survey are used to compute the index of Prices Paid by Farmers. This index measures price trends and changes that affect farm production input costs. Specifically, data from this survey are used for: 1) Evaluation of Farm policy and legislation, 2) Updating cost of production estimates used in determination of net farm income , 3) Computation of Parity Prices for selected agricultural commodities. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes in combination with similar reports from other producers. Response is voluntary. However, your cooperation is very important in order to estimate these prices accurately. Please mail your report promptly in the enclosed postage paid envelope. Thank you for your cooperation.
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 0535-0003. 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.

INSTRUCTIONS:		TAXES
	Report prices currently in effect.		GASOLINE: Include Federal, State and local taxes.
	Report the price for the brand or quality with the largest volume of sales.		DIESEL FUEL and L.P. GAS: Exclude ALL TAXES.
	Report prices only for items sold.
	Deduct any discounts normally given.
	Report an average price, not a range of prices.

1. Did this operation have Fuel on hand for sale to farmers in the U.S. on March 15, 2013?

Yes - [Go to Question 3.] No - [Go to Question 2.]

2. Will this operation have Fuel on hand for sale to farmers in the U.S. in the future?

₁Yes - Please return this form. ₃No - Please return this form.

Over Please

3. Report price per unit of Fuel on hand for sale to farmers in the U.S. on March 15, 2013 in the following table.

FUELS					Dollars and Cents
GASOLINE, unleaded, pumped at service station (Include Federal, State and local per gallon taxes) Report price for largest volume sold. Check one--		500	1Card Lock 2Key Lock 3Self Service 4Full Service	per gallon	508 $	▪ ___ ___ ___
GASOLINE, unleaded, bulk delivery (Include Federal, State and local per gallon taxes)				per gallon	526 $	▪ ___ ___ ___
DIESEL FUEL, bulk delivery (Exclude all taxes)				per gallon	504 $	▪ ___ ___ ___
L.P. GAS, propane, butane, etc, bulk delivery (Exclude all taxes)				per gallon	511 $	▪ ___ ___ ___

COMMENTS:
     

4. SURVEY RESULTS: To receive the complete results of this survey on its release date, go to www.nass.usda.gov/results/
Would you rather have a brief summary mailed to you at a later date? 1 Yes 3No	099

Respondent Name:	9911 Phone: ( )		9910 MM DD YY Date: __ __ __ __ __ __

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

098

100

921

785

789 __ __ __ - __ __ __ - __ __ __

Optional Use

407

408

9906

9916

S/E Name