PSD- 1200 Information to be supplied --Posting Stockyard

OMB Control No. 0581-0308
U.S. Department of Agriculture
Agricultural Marketing Service
Fair Trade Practices Program
Packers and Stockyards Division

INFORMATION TO BE SUPPLIED IN CONNECTION WITH
POSTING STOCKYARDS

1.

Name of Stockyard:

2.

Physical location of stockyard:

3.

Mailing address of stockyard:

4

Type of organization:

5.

Names of owners (individuals or partners), members, or corporate officers:

6.

Does the stockyard consist of pens, or other enclosures, and their appurtenances, in which live cattle, sheep, swine, horses, mules, or
goats are received, held, or kept for sale or shipment?
Yes

7.

Partnership

Corporation

Association

LLC

LLP

No

Is livestock sold at the stockyards (a) which has been shipped to the stockyard from another state, or (b) which is shipped to another state,
or (c) which is shipped to packers within the state who ship products resulting from the slaughter of such livestock to points outside the
state?
Yes

8.

Individual

No

Are the services and facilities of the stockyards available for use by the general public?
Yes

No

This notice is given in compliance with section 302 of the Packers and Stockyards Act, 1921, as amended and supplemented.
With my signature, I certify the information provided on this form is true and correct to the best of my knowledge and belief, I am an
owner, officer, or have been authorized by responsible management to certify this report.

9. Signature:

10: Print Name:

11. Title:

12: Date:

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 for this information is 0581-0308. The time required to complete
this information collection is estimated to average .501 hours 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.
In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from
discriminating on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all prohibited bases
apply to all programs.) Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape,
American Sign Language, etc.) should contact the responsible State or local Agency that administers the program or USDA’s TARGET Center at (202)
720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information is also available in
languages other than English.
To file a complaint alleging discrimination, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office or write a letter addressed to USDA and provide in the letter all of the
information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (a) mail:
U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (b) fax:
(202) 690-7442; or (c) email: [email protected].

Form PSD 1200

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Instructions to Complete
Information to Be Supplied in Connection with Posting Stockyards
PSD Form 1200
Form PSD 1200 is used by a market agency selling livestock on a commission basis as required, to provide
information to the Packers and Stockyards Division (PSD) when the facility used for selling livestock meets
the definition of a stockyard in Section 302 of the Packers and Stockyards Act, 1921, as amended and
supplemented (7 U.S.C. 202) and, therefore, needs to be posted.
Submit the completed form to the regional office of the PSD as listed below. The states, provinces, and
territories covered by each regional office are listed below the regional office’s address.
Regional Offices of the Packers and Stockyards Division
Agricultural Marketing Service, Fair Trade Practices Program
Atlanta Regional Office
Denver Regional Office
Des Moines Regional Office
75 Ted Turner Drive SW, Ste 230 3950 Lewiston St., Suite 200
210 Walnut Street, Room 317
Atlanta, GA 30303-3308
Aurora, CO 80011-1556
Des Moines, IA 50309-2110
Telephone: (404) 562-5840
Telephone: (303) 375-4240
Telephone: (515) 323-2579
FAX: (404) 562-5848
FAX: (303) 371-4609
FAX: (515) 323-2590
e-mail:
e-mail:
e-mail:
[email protected] [email protected] [email protected]
States Covered
States Covered
States Covered
AL, AR, CT, DC, DE, FL, GA, AB, AK, AZ, BC, CA, CO,
IA, IL, IN, KY, MB, MI, MN,
LA, MA, MD, ME, MS, NC,
HI, ID, KS, MT, NM, NV,
MO, ND, NE, OH, ON, SD, WI
NH, NJ, NL, NY, PA, PR, QC, OK, OR, SK, TX, UT, WA,
RI, SC, TN, VA, VT, WV
WY
Additional copies of this form may be obtained from the regional office covering your state, or on our website
located at www.ams.usda.gov. All inquiries concerning any section or part of a section contained in the form
can also be addressed to the regional office.
Line No.
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Form PSD 1200

Subject
Name of
Stockyard
Physical location
of stockyard
Mailing Address
of stockyard
Type of
Organization
Names of Owners
or Corporate
Officers

Instructions
Enter the name of the stockyard.
Enter the address of the physical location of the stockyard. Enter
street, city, state and zip+4.
Enter the mailing address of the stockyard. Enter street, city, state,
and zip+4. This is the address where all correspondence from the
PSD will be sent.
Check the appropriate box that identifies how the stockyard is
organized.
Enter the name of the owners, and/or officers of the stockyard
including individuals, partners, or members. Attach an additional
page if necessary.

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10
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12

Form PSD 1200

Does the
stockyard consist
of pens…
Is Livestock Sold
at the
Stockyard….
Are the Services
and Facilities…..
Signature
Print Name
Title
Date

Check the appropriate box.
Check the appropriate box.
Check the appropriate box.
An owner, officer, or member of the stockyard must sign the form.
Print the name of the person signing the form.
Enter the title of the owner, officer, or member who signed the form.
Enter the date the form was signed.

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