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OMB No. 0535-0254 Approval Expires: 7/31/2017 Project Code: 681 QID: 001242 SMetaKey: 3620 Version MQ311A |
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United States Department of Agriculture |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828 FAX: 1-855-415-3687 Email: [email protected] |
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Please make corrections to name, address and ZIP Code, if necessary |
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The information you provide will be used for statistical purposes only. Your responses will be kept confidential and any person who willfully discloses ANY identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey is conducted in accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and other applicable Federal laws. For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality.Response is voluntary. |
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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 0535-0254 The time required to complete this information collection is estimated to average 8 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. |
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1. Will this firm mill any wheat or rye in 2017? xxx 1 Yes – Go to Item 2 3 No – Will this firm mill any wheat or rye in the future? xxx 1 Yes – Go to Item 7 3 No – Go to item 7 |
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OFFICE USE |
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2. Will this firm mill wheat or rye in more than one location in 2017? |
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xxx |
1 Yes – List information on each separate location below. Use additional pages if necessary. 3 No – Go to Item 4 |
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MILL NAME PHYSICAL ADDRESS CONTACT PERSON |
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3. Considering all locations reported in item 2, how would this firm prefer to report? |
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xxx 1 2 3 |
Each location individually Headquarters reports all locations separately Other combination, Specify: |
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CWT |
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4. What is the total maximum 24–hour milling capacity for all locations that this firm will mill wheat or rye at in 2017? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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5. Who will be the primary contact at this warehouse responsible for completing our monthly survey? |
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Name: |
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Position: |
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Telephone: |
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Address: |
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Fax: |
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Email: |
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6. Who will be the alternate contact at this warehouse responsible for completing our monthly survey? |
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Name: |
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Position: |
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Telephone: |
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Address: |
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Fax: |
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Email: |
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7. COMMENTS: |
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9912 |
9911 |
9910 MM DD YY |
Respondent Name: |
Phone: |
Date: |
This completes the survey. Thank you for your help. |
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OFFICE USE ONLY |
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Response |
Respondent |
Mode |
Enum. |
Eval. |
Change |
Office Use for POID |
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1-Comp 2-R 3-Inac 4. 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 9-Other |
9903 |
9998 |
9900 |
9985
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9989 |
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R. Unit |
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9921 |
Optional Use |
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9907 |
9908 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | lewide |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |