QID Hay Price Inquiry - CO

HAY PRICE INQUIRY - December 2015
			OMB No. 0535-0003 Approval Expires:05/31/2016 Project Code: 172
					United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						USDA/NASS Mountain Region PO Box 150969 Lakewood, CO 80215-0969 Phone: 800-392-3202 Fax: 866-314-4029 E-mail: [email protected]
			Please fax to 866-314-4029 or mail by the 16th.

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 control number is 0535-0003. 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.

1. Was any baled hay, grown in your state, purchased from other farmers or sold by you at any time during November 2015?
□ Yes [Go to item 2]			□ No Please sign and return this report in the enclosed envelope.		OFFICE USE
					001

2. Please report the quantity of baled hay purchased from other farmers or sold by you during the month and the total dollars or dollars per ton paid or received for the quantity reported.

• Exclude all hay purchased from dealers or any source other than farmers.

• Include any size or type of bale but exclude hay bought or sold as standing hay.

• Report total dollars paid or received regardless of whether the price is at seller’s farm or delivered.

Hay (dry, baled)	Quantity Purchased or Sold	Value
	- Tons -	Total Dollars or Dollars per Ton
Alfalfa and alfalfa mixtures	151	251
Other hay, including clover, wild, prairie, range, timothy, grain, and other types	153	253

-- Please Complete Reverse Side --

Comments:
       

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?	1 Yes 3 No	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