QID 163877 Monthly Olives Received Survey

MONTHLY OLIVES RECEIVED SURVEY
								OMB No. 0535-0039 Approval Expires: 8/31/2019 Project Code: 744 QID: 163877 SMetaKey: 3877
									United States Department of Agriculture
									NATIONAL AGRICULTURAL STATISTICS SERVICE
									California Department of Food and Agriculture
								USDA/NASS - California Pacific Region 650 Capitol Mall, #6-100 Sacramento, CA 95814 Phone: 1-800-851-1127 Fax: 1-855-270-2722 Email: [email protected]
Please make corrections to name, address and ZIP Code, if necessary
We request your help in estimating the size of the olive inventory and sales for the month. To obtain accurate inventories and sales, all olive buyers throughout the state are asked to complete and return this form. Please return this form in the postage - paid envelope enclosed for you convenience, or fax it to 1-888-478-5637. 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 0535-0039. 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. Did this operation purchase any olives in the current month? Yes – Continue. No – Go to Comments, back page.

2. Please complete for olives received and grade distribution for this month:

MONTHLY REPORT OF OLIVES RECEIVED
SIZE AND GRADE DISTRIBUTION
		FOR MONTH ENDING: ------------------------------						(TONS)
REPORT OF OLIVES RECEIVED AND GRADE DISTRIBUTION
SIZE	SEVILLANO		ASCOLAN	MANZANILLO	MISSION	OBLIZA	BAROUNI		TOTAL
Small
Medium
Large
Extra Large
EX LARGE – SEV “C”
Jumbo
Colossal
SUP Colossal
Total Canning
Limited
LIMITED/Petite
LTD/Sub-Petite
Undersize
Culls
Total Receipts
(OVER)

COMMENTS:
Survey Results: The report is available at the end of the month at the following website: www.nass.usda.gov/ca.
If you have any questions, please call Bonnie Spencer at 1800-851-1127, Ext.126
Email: __________________________________________________	Fax: ________________________________

Respondent Name: ________________________________________

9911

9910 MM DD YY

Phone: _____________________

Date: __ __ __ __ __ __

This completes the survey. Thank you for your help.

Response

Respondent

Mode

Enum.

Eval.

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

9985

9989 __ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name