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OMB No. 0535-0213 Approval Expires: 6/30/2020 Project Code: 126 QID: 301091 SMetaKey: 2349 Version 18 |
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United States Department of Agriculture |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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USDA/NASS - Indiana Great Lakes Region PO
Box 30239 Phone: 1-800-453-7501 Fax: 1-855-270-2709 E-mail: [email protected]
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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 0535-0213. The time required to complete this information collection is estimated to average 20 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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Office Use |
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State |
POID |
Tract |
Subtr. |
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1. Please verify name and mailing address of this operation. Make corrections (including the correct operation name) on the label and continue. |
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2. Please answer the following question(s) for the total acres you (name on label) operate. |
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a. Will you grow any crops or cut hay in 2018?. . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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b. Is any of the land in this operation cropland?. . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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(Including idle cropland and cropland in government programs such as CRP, etc.) |
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c. On September 1, did you have any whole grains, oilseeds, or hay stored on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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d. Do you have facilities for storing whole grains or oilseeds?. . . . |
Yes (Go to Item 3) |
No (Continue) |
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e. Do you own or raise any livestock, poultry, or bees?. . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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f. On September 1, did this operation have more than 99 acres of pasture?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Go to Section 4) |
3. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners? (Check one) |
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For Office Use Only |
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R. UNIT |
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One individual – (Go to Section 1 on Page 3.) A hired manager – (Go to Section 1 on Page 3.) Partners – (Continue) |
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9921 |
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SUB |
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9941 |
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June 1 |
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9930 |
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Number |
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4. How many individuals are involved in the day-to-day decisions of this operation? . . . . |
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Enter the number of partners. Include the partner named on the label. Partners jointly operate land and share in decision making. Do not include landlords and tenants as partners. |
5. Please identify the other person(s) in this partnership, then go to Section 1, Page 3. (Verify partners’ names and make necessary corrections if names have already been entered.) |
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Name: __________________________________________ |
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Name: ___________________________________________ |
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Address: ________________________________________ |
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Address: _________________________________________ |
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City: ____________________ State: ______ Zip: _______ |
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City: ___________________ State: ______ Zip: _________ |
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Phone: ( ) - ______________________ |
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Phone: ( ) - _____________________ |
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Did this partner also operate land individually on June 1, 2018? |
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Did this partner also operate land individually on June 1, 2018? |
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Yes No |
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Yes No |
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Name: __________________________________________ |
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Name: ___________________________________________ |
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Address: ________________________________________ |
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Address:_________________________________________ |
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City:__________________ State: ______ Zip: _________ |
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City: ___________________ State: ______ Zip: _________ |
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Phone: ( ) - _____________________ |
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Phone: ( ) - _____________________ |
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Did this partner also operate land individually on June 1, 2018? |
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Did this partner also operate land individually on June 1, 2018? |
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Yes No |
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Yes No |
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For Office Use Only |
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For Office Use Only |
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For Office Use Only |
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For Office Use Only |
Stratum |
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Stratum |
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Stratum |
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Stratum |
9922 |
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9923 |
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9927 |
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9928 |
Ind. Op |
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Ind. Op |
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Ind. Op |
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Ind. Op |
9924 |
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9924 |
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9924 |
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9924 |
Section 1 - Acres Operated |
A |
Please report total acres operated under this land arrangement. |
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1. On September 1, how many acres did this operation: |
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Acres |
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a. Own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
+ |
901 |
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b. Rent or Lease from others or use Rent Free? (Exclude land used on an animal unit month [AUM] basis, BLM, and Forest Service land.). . . |
+ |
902 |
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c. Rent to others?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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905 |
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2. Calculate item 1a + 1b - 1c. Then the total acres operated on September 1 was:. . . . . . . . . . . . . |
= |
900 |
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a. Does this include the farmstead, all cropland, woodland, pasture land, wasteland, and government program land? |
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Yes – (Continue) |
No – (Make corrections, then Continue) |
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The remaining questions in this survey refer to the total acres operated (Item 2). |
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3. Of the total acres operated, how many acres are considered cropland, including land in hay, summer fallow, cropland idle, cropland used for pasture and cropland in government programs? . . . . . . . . . . . |
802 |
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4. In what state and county was the largest value of your agricultural products raised or produced? |
OFFICE USE |
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Number of Acres In Principal County |
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0060 |
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State |
Principal County Name |
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0056 |
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0055 |
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Section 2 - Crops |
18 |
For the following small grains crops, please report acreage and production for the 2018 crop year for this operation.
Land Irrigated: Include small grains watered one or more times for the 2018 crop. |
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Winter Wheat |
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Winter Wheat Irrigated |
Winter Wheat Non-Irrigated |
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1. Acres planted for all purposes last fall or this spring (Including acres planted as a cover crop, grazed off, cut for hay/haylage/silage, or abandoned.).. . . . . . |
Acres |
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2. Acres harvested and to be harvested for either grain or seed? . . . . . . |
Acres |
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3. Total grain and seed production, including landlord’s share. . . . . . |
Bushels |
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or Yield per acre of grain and seed harvested? . . . . . . . . . . . . . . . . . . . . . |
Bu/Ac |
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Hard Red Winter Wheat |
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Acres |
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Bushels |
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or Yield per acre of Hard Red Winter Wheat harvested for grain and seed. |
Bu/Ac |
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Soft Red Winter Wheat |
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Acres |
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Bushels |
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or Yield per acre of Soft Red Winter Wheat harvested for grain and seed. |
Bu/Ac |
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Hard White Winter Wheat |
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Acres |
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Bushels |
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or Yield per acre of Hard White Winter Wheat harvested for grain and seed. |
Bu/Ac |
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Soft White Winter Wheat |
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Acres |
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Bushels |
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or Yield per acre of Soft White Winter Wheat harvested for grain and seed. |
Bu/Ac |
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Acres |
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Section 3 - Storage Capacity and Crops Stored On This Operation |
18 |
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Capacity |
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1. On September 1, what was the Storage Capacity of all structures normally used to store Whole Grains or Oilseeds on the total acres operated?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
None |
bushels |
808 |
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Please account for whole grains and oilseeds stored September 1 on this operation, whether for feed, seed, or sale. They may have belonged to you or someone else, or been stored under a government program (loan, farmer owned reserve, or CCC). |
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Old Crop Whole Grains and Oilseeds Stored |
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2. On September 1, were any of the following crops on hand or stored on this operation from 2016 and earlier crop years: |
No |
Yes |
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Amount on Hand September 1 from 2016 and Earlier Crop Years |
a. Old Crop Whole Grain Corn?. . . . . . . . . . . . . . . . |
3 |
1 |
How many bushels?. . . . . . . . |
121 |
b. Old Crop Soybeans?. . . . . . . . . . . . . . . . . . . . . . . |
3 |
1 |
How many bushels?. . . . . . . . |
125 |
3. Were any of the stocks on hand reported in Item 2 (above), new crop from the 2018 harvest? |
Yes – (Correct Item 2 to exclude all 2018 crop stocks.) |
No – (Continue) |
Whole Grains Stored |
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4. On September 1, were any of the following crops on hand or stored on this operation from any crop year, including 2018: |
No |
Yes |
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Amount on Hand September 1 from all crop years including 2018 |
a.
Wheat,
including all types |
3 |
1 |
How many bushels?. . . . . . . . |
126 |
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For Office Use Only: Completion Code for Stocks |
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1 – Incomplete, has stocks 2 – Incomplete, stocks presence unknown |
141 |
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3 – Valid Zero |
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Skip to next page
Or
Space for Notes and Comments |
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Skip to next page
Or
Space for Notes and Comments |
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Section 4 - Change in Operator |
18 |
Complete this section only if all questions in Item 2 on face page are answered “No”. |
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1. Has the operation named on the label been sold, rented, or turned over to someone else? |
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Yes – (Continue) No |
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a. Will the land be used for any agricultural purpose by you (the operator), or anyone else in the next year? Include growing crops, grains, row crops, oilseeds, fruits, vegetables, or specialty crops, raising any livestock, poultry or bees. |
2. Was the operator (name on label) operating a farm or ranch on June 1, 2018?
Yes – (Continue) No – (Continue) |
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Yes Don’t Know No |
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3. What is the name and address of the new operation that has taken over the land? |
Regardless of answer to above, write a note to explain the situation. |
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Operation Name: Operator Name: Address: City:
State:
Zip: |
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4. Was the (Item 3) new operation in business before June 1, 2018? |
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1 Yes - (Go to Section 5.) |
3 No - (Continue) |
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5. Is the (Item 3) new operation managed? |
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1 Yes – (Go to Section 5) |
3 No - (Continue) |
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6. Were any of the individuals associated with the (Item 3) new operation operating land individually before June 1, 2018? |
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1 Yes – (Go to Section 5.) |
3 No – (Go to Section 5.) |
Section 5 - Conclusion |
18 |
1. Do you (the operator named on the label) make any day-to-day decisions for another farm or ranch? Yes – (Continue) No – (Go to Item 2.) |
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a. What is the name of the other operation(s)? . . . . . . |
Operation Name: ____________________________________ |
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b. Was this additional operation in business before June 1, 2018? Yes – (Continue) No – (Continue) |
Address: __________________________________________ |
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City: __________________ |
State: |
ZIP: ______ |
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Phone: (______) ____________________ |
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2. Survey Results: To receive the complete results of this survey on the release date, go to http://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/ |
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Would you rather have a brief summary mailed to you at a later date? Yes – (Enter code 1.) No – (Enter code 3.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
9990 |
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This completes the survey. Thank you for your help. |
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Respondent Name: ______________________ |
9911
Phone: (_____) _____–__________ |
9910 MM DD YY
Date: __ __ __ __ __ __ |
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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-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
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9902 |
1-PASI (Mail) 2-PATI (Tel) 3-PAPI (Face-to- Face) 6-e-mail 7-Fax 19-Other |
9903 |
9998 |
9900 |
9985 |
9989 |
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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 | nassuser |
File Modified | 0000-00-00 |
File Created | 2021-01-20 |