QID 060088 Brewer's Hop Stocks Report - September

BREWER’S HOP STOCKS REPORT – SEPTEMBER 1, 2015

			OMB No. 0535-0007 Approval Expires: 1/31/2016 Project Code: 715 QID: 060088 SMetaKey: 2389
				United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						USDA/NASS - Washington Northwest Region PO Box 609 Olympia, WA 98507-0609 Phone: 1-800-435-5883 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 or your operation.  Response is voluntary. However, your cooperation in furnishing an inventory of your holdings of hops on September 1, will be greatly appreciated. A report will be issued showing stocks in hands of growers, dealers and brewers. Only U.S. totals will be published.

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 0535-0007. The time required to complete this information collection is estimated to average 15 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:

Brewers operating more than one plant and submitting the report from their central office should include all plants on this questionnaire.

DRY HOPS
1. Dry Hops owned by your firm on September 1, 2015:		POUNDS
a. Located on the bonded brewery premises?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	     
b. In storage outside the bonded brewery premises?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	     
c. In transit in the United States?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	     
d. Total (Sum of Items a, b and c) (Exclude extract and pellets)?. . . . . . . . . . . . . . . . . . . . . . . . .	=	     
HOP EXTRACT		POUNDS
2. Hop extract owned by your firm on September 1, 2015? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		     
3. Dry hops used to manufacture the extract reported in Item 2?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		     
PELLETS		POUNDS
4. Pellets owned by your firm on September 1, 2015? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		     
5. Dry hops used to manufacture the pellets reported in Item 4?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		     

[To report Hop Stocks for more than one brewer please complete the back page.]

Email Addres: __________________________________

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

FORM FOR REPORTING HOP STOCKS FOR MORE THAN ONE BREWERY
						Number
1. Number of breweries operated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						     
2. Hops owned by your firm on September 1, 2015 by location:
NAME AND LOCATION OF BREWERY			QUANTITY OWNED (DRY HOPS ONLY)
			Located on the bonded brewery premises (a)	In storage outside the bonded brewery premises (b)	In transit in the United States (c)		Total (Sum of columns a, b and c) (d)
Plant No.	Name of Brewery	City and State	Pounds	Pounds	Pounds		Pounds
1	     	     	     	     	     		     
2	     	     	     	     	     		     
3	     	     	     	     	     		     
4	     	     	     	     	     		     
5	     	     	     	     	     		     
6	     	     	     	     	     		     
7	     	     	     	     	     		     
8	     	     	     	     	     		     
9	     	     	     	     	     		     
10	     	     	     	     	     		     
		Total . . . . . . . . . . . . . .