PSD-6020 Annual Assessment Report Comment Form

OMB Control No. 0581-0308

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
FAIR TRADE PRACTICES PROGRAM
PACKERS AND STOCKYARDS DIVISION

ANNUAL ASSESSMENT REPORT
COMMENT FORM

Thank you for your interest in Agricultural Marketing Service, Fair Trade Practices Program, Packers and
Stockyards Divisions Report, Assessment of the Cattle, Hog, Poultry, and Sheep Industries. As a
means of both improving the publication and gaining insight on the issues arising in the cattle, hog,
poultry, horses, and sheep industries we invite your comments and ideas for future publications.
1. Please indicate which area of the report you found to be the most useful (please check one box):
General Economic State

Changing Business Practices

Operations or Activities that Raise Concern

2. Please indicate which are of the report you found to be the least useful (please check one box):
General Economic State

Changing Business Practices

Operations or Activities that Raise Concern

3. Please rate your overall satisfaction with the report (please check one box):
Excellent

Good

Average

Poor

Very Poor

4. Please identify each industry you are involved with (please check all that apply):
Cattle

Hog

Poultry

Sheep

Horses

Other

5. Please check your primary role(s) in the industry:
Producer

Processor

Packer

Stockyard

Feedlot

Other

6. What changing business practices have you witnesses in the livestock, poultry, or meat industry?
_______________________________________________________________________________
_______________________________________________________________________________
7. What concerns in your industry would you like us to address in future publications?
_______________________________________________________________________________
_______________________________________________________________________________

Form PSD 6020

Expires 02/28/2021

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8. Additional comments or suggestions:
______________________________________________________________________________
______________________________________________________________________________
9. If you would like to provide your contact information, Please do so below.
Name:_________________________________________________________(Last name, First Name)
Business Name (if applicable): ______________________________________________________
Mailing Address: _________________________________________________________________
Street
________________________________________________________________________________
City/Town
State
Zip Code+4
E-mail Address: _________________________________________________________________
Telephone Number:______________________________________________________________
Thank you for your response to this questionnaire.

Please submit the completed questionnaire using one of the following methods:
1) Mail the document to the following address:
USDA, AMS, Fair Trade Practices Program
Packers and Stockyards Division, Assessment Report
1400 Independence Ave. SW, Stop 3647
Washington, DC 20250-3647
2) E-mail the form to: [email protected] with the subject line as
“Assessment Report,” or
3) Fax the form to: (202) 690-1266, ATTN: Assessment Report Coordinator.
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 6020

Expires 02/28/2021

Page 2 of 3

Instructions for Completing
The Annual Assessment Report Comment
Form PSD 6020
You may use any of the following methods to submit the form:
1) Mail the document to the following address:
USDA, AMS, Fair Trade Practices Program
Packers and Stockyards Division, Assessment Report
1400 Independence Ave. SW, Stop 3647
Washington, DC 20250-3647
2) E-mail the form to: [email protected], with the subject line as “Assessment Report,” or
3) Fax the form to: (202) 690-1266, ATTN: Assessment Report Coordinator.
Subject

Instruction

3.

Most Useful Part of the
Report
Least Useful Part of the
Report
Overall Satisfaction

4.

Industry Segment

5.

Industry Roles

6.
7.

Changing Business
Practices
Industry Concerns

8.

Additional Comments

9.

Contact Information

Check the appropriate box to indicate which part of the
report you found most useful.
Check the appropriate box to indicate which part of the
report you found least useful.
Check the appropriate box to indicate your overall opinion
of the report.
Check the appropriate box(es) to indicate each livestock
category you work with.
Check the appropriate box(es) to indicate your primary
roles in the livestock, poultry, or meat industries.
Enter a description of the changing business practices that
you noticed during the past year.
Enter a description of the concerns you experienced in the
livestock, poultry, or meat industries over the past year that
you would like us to address in future publications.
Enter any additional comments that will help to improve
future annual assessment reports.
Enter your name, business name, mailing address, e-mail
address, and telephone number.

Line
No.
1.
2.

Form PSD 6020

Expires 02/28/2021

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