Form QID Citrus Packinghouse Inquiry

CITRUS PACKINGHOUSE INQUIRY

		OMB No. 0535-0039 Approval Expires: 8/31/2016 Project Code: 133
			NATIONAL AGRICULTURAL STATISTICS SERVICE

						U.S. Department of Agriculture 2290 Lucien Way, Suite 300 Maitland, FL 32751 Phone: 800-344-6277 Fax: 855-271-9801 E-mail: [email protected]
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 for this information collection is 0535-0039. 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.

PACKINGHOUSE: «Company»
CONTACT PERSON: «Name»
Fruit type	FLORIDA CITRUS 2014-2015 SEASON
	4/5 Bushel Equivalent Cartons
	Cartons	$/Carton	Average Packout (%)
Navel		$	%
Other E&M Oranges		$	%
Valencia		$	%
White Sdls. Grapefruit		$	%
Domestic		$	%
Export		$	%
Or All Sales		$	%
Red Sdls. Grapefruit		$	%
Domestic		$	%
Export		$	%
Or All Sales		$	%

(OVER)

Fruit type	FLORIDA CITRUS 2014-2015 SEASON
	4/5 Bushel Equivalent Cartons
	Cartons	$/Carton	Average Packout (%)
Temples		$	%
Tangelos		$	%
Orlando		$	%
Minneola		$	%
Or All Sales		$	%
Tangerines		$	%
Fallglo or Early Pride		$	%
Sunburst		$	%
Honey or Tango		$	%

COMMENTS:

	Respondent Name:	9911 Phone:	9910 MM DD YY Date:

OFFICE USE ONLY
	Response		Respondent		Mode		Enum.	Eval.	Change 785		Office Use for POID
	1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est 8-Known Zero	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	098	100	785		789 __ __ __ - __ __ __ - __ __ __
								R. Unit			Optional Use
								921			407	408		9906	9916
	S/E Name