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OMB No. 0535-0213 Approval Expires: 6/30/2017 Project Code: 162 QID: 30203199 SMetaKey: 1209 Version: 99 |
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United States Department of Agriculture |
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The March, June and Sept. quarterly questionnaires are the same. |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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USDA/NASS Upper Midwest Region 210
Walnut St., #833 Phone: 1-800-772-0825 Fax: 1-855-415-3687 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 to this survey 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 control number is 0535-0213. 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. |
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State |
POID |
Tract |
Subtr. |
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__ __ __ __ __ __ __ __ __ |
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1. [Verify name and mailing address of this operation. Make any corrections necessary (including the correct operation name) on the label and continue.] |
[Check if name label verified] |
2. Has this operation owned or raised hogs or pigs at any time since December 1, 2016? (Include hogs and pigs raised under contract.) |
Yes - [Go to item 3.] No - Were any hogs or pigs owned by someone else on this operation on March 1, 2017? |
Yes - [Go to item 10 on page 5.] No - [Go to Section 2 on page 6.] |
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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One individual – [Go to Section 1 on page 3.] |
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Number of Partners |
A hired manager – [Go to Section 1 on page 3.] |
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Partners – How many partners make the day-to-day decisions? |
[Enter number of partners, including the partner named on the label. Identify the other person(s) in this partnership in the boxes on page 2, then continue with Section 1 on page 3.] . . . . . . . . . . . . . . . . . . . . . . |
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For Office Use Only |
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R Unit |
Dec 1 |
Subst. |
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9921 |
9931 |
9941 |
4.
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Please identify the other person(s) in this partnership, then go to Section 1 on page 3. [Verify partner names and make necessary corrections if names have already been entered.] |
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[Check if verified] |
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Office Use |
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Name: |
_______________________________ |
Phone: (______) __________ |
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Stratum |
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(First) (Middle) (Last) |
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9922 |
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Address: |
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Ind. Op. |
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(Rt or St.) |
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(City) |
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(State) |
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(ZIP) |
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9924 |
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Did this partner own hogs individually on December 1, 2016? |
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Yes No |
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[Check if verified] |
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Office Use |
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Name: |
________________________________ |
Phone: (______) __________ |
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Stratum |
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(First) (Middle) (Last) |
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9923 |
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Address: |
_______________________________ |
___________________ |
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_______ |
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Ind. Op. |
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(Rt or St.) |
(City) |
(State) |
(ZIP) |
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9924 |
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Did this partner own hogs individually on December 1, 2016? |
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Yes No |
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[Check if verified] |
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Office Use |
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Name: |
________________________________ |
Phone: (______) __________ |
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Stratum |
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(First) (Middle) (Last) |
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9927 |
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Address: |
_______________________________ |
___________________ |
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_______ |
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Ind. Op. |
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(Rt or St.) |
(City) |
(State) |
(ZIP) |
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9924 |
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Did this partner own hogs individually on December 1, 2016? |
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Yes No |
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[Check if verified] |
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Office Use |
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Name: |
________________________________ |
Phone: (______) __________ |
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Stratum |
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(First) (Middle) (Last) |
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9928 |
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Address: |
_______________________________ |
___________________ |
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_______ |
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Ind. Op. |
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(Rt or St.) |
(City) |
(State) |
(ZIP) |
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9924 |
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Did this partner own hogs individually on December 1, 2016? |
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Yes No |
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Section 1 - Hogs and Pigs Owned |
1. On March 1, did this operation (named on label) own any hogs or pigs, regardless of location? (Include hogs or pigs being raised under contract for you by someone else.) |
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Yes - [Go to item 2.] No - |
Did this operation own hogs or pigs at any time from December 1, 2016 through February 28, 2017?
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Yes - [Go to item 7 on page 4.] No - Were any hogs or pigs owned by someone else on this operation on March 1? |
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Yes - [Go to item 10 on page 5.] No - [Go to Section 2 on page 6.] |
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Number Owned March 1 |
2. How
many sows and
gilts
for
breeding were
owned
by this operation on March
1? |
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301 |
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a. How many of the [item 2] sows and gilts are expected to farrow during March, April or May?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
331 |
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b. How many of the [item 2] sows and gilts are expected to farrow during June, July or August?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
332 |
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3. How
many boars and
young males
for
breeding were
owned |
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302 |
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4. Of
the hogs and pigs
for
market and
home use owned
by this operation on March
1, |
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a. Under 50 pounds? (Include unweaned pigs intended for market or home use.). . . . . . . . . . . |
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315 |
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b. 50 - 119 pounds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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316 |
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c. 120 - 179 pounds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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313 |
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d. 180 pounds and over? (Include sows and boars no longer used for breeding.). . . . . . . . . . . . |
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314 |
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5. [Add
Items 2 + 3 + 4a +
4b + 4c + 4d and
verify the total. |
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Then the total hogs and pigs owned by this operation on March 1 was:. . . . . . . . . . . . . . . . . . . . |
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300 |
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Out-Of-State Hogs and Pigs |
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6. Did this operation own any hogs or pigs in another State on March 1? |
Code |
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1Yes [Enter code 1]
3No [Enter code 3] |
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321
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[If Yes, verify this report includes ONLY hogs owned in this State.] |
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Office Use - Completion Code - Hogs Owned |
1 - Incomplete, Owns Hogs 2 - Incomplete, Unknown |
598 |
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3 - No Hogs Owned |
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Section 1 - Hogs and Pigs Owned (continued) |
Farrowings and pig crop from December 2016 through February 2017 |
7. Did any sows or gilts owned by this operation farrow during the last three months? (December - February)
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Yes - [Complete the following for each month starting with the most recent month] |
Farrowings |
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February Sows |
January Sows |
December Sows |
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a. How many sows and gilts owned by this operation farrowed during (month)?. . . . . . . . . . . . . . . . . . . . . . . . . . |
888 |
891 |
894 |
b. How
many of the pigs from |
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Pig Crop |
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February Pig Crop |
January Pig Crop |
December Pig Crop |
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(i) owned by this operation on March 1?. . . . . . . . . . . . |
889 |
892 |
895 |
(ii) sold or slaughtered before March 1?. . . . . . . . . . . . |
890 |
893 |
896 |
No - [Continue.] |
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Office Use - Completion Code - Farrowings |
1 - Incomplete, Has Farrowings 2 - Incomplete, Farrowings Unknown |
599 |
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3 - No Farrowings |
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Section 1 - Hogs and Pigs Owned (continued) |
Death Loss from December 2016 through February 2017 |
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8. How many weaned pigs and older hogs owned by this operation died during December 2016, January and February 2017? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
335 |
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Contract Hog and Pig Production |
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9. Were
any hogs or pigs
owned by this
operation being raised
1 Yes - [Continue.] 3 No - [Go to item 10.] |
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336 |
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a. How
many producers
were raising hogs or pigs for you under contract on |
317 |
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b. How
many hogs and pigs (owned
by this operation) were these |
333 |
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[Verify that these hogs and pigs ARE included in the total (item 5 on page 3), then continue.] |
10. Were any hogs or pigs owned by someone else on this operation on March 1? 1 Yes - [Continue.] 3 No - [Go to Section 3 on page 8.] |
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323 |
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a. How many hogs and pigs owned by someone else were on this operation on March 1? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
322 |
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b. Who owns the hogs and pigs?. . . . . . . . . . . . . . . . . . . . . . . |
(Owner’s Name, Address, & Phone Number) |
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c. Is this hog owner a contractor? |
Name _____________________________________________ |
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Yes No |
Address ____________________________________________ |
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City, St., ZIP _________________________________________ |
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[Verify that these hogs and pigs ARE NOT included in item 5 on page 3.] |
Phone ______________________________________________ |
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d. Will the operator on the
label own hogs or pigs at any
1 Yes 3 No |
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324 |
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● [Complete Section
2 only if the operation shown on the label DOES NOT own hogs or
raise hogs under contract, |
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Office Use - Completion Code - Hog Presence |
1 - Incomplete, Hogs Present 2 - Incomplete, Unknown Presence |
499 |
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3 - Valid Zero |
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Section 2 - Intentions to Own or Raise Hogs |
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● [Complete Section 2 only if the operation shown on the label DOES NOT own hogs or raise hogs under contract, otherwise go to Section 3 on page 8.] |
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1. Will the operator on the label raise hogs or pigs on this operation at any time between now and June 1, 2017? |
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1 Yes - [Enter code 1, then go to Section 3 on page 8.] 2 Don’t Know - [Enter code 2, then continue with item 2.] 3 No - [Enter code 3, then continue with item 2.] |
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Code |
492 |
2. Does this operation (named on the label) own and operate any buildings, structures, or facilities for raising hogs or pigs? (such as buildings used for breeding, farrowing, finishing, etc.) |
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Code |
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1 Yes - [Enter code 1.] 3 No - [Enter code 3.] |
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488 |
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3. Has this operation sold, rented, or turned over any hog facilities to someone else? |
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Yes - [Continue.] No - [Go to item 5.] |
Operation Name: _______________________________________
Operator Name: _______________________________________
Address: _____________________________________________
City: _________________________ State: _______ ZIP: ______
Phone: ______________________________________________ |
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4. Who is using the hog facilities now?. . . . . . . . . . . |
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[Enter the name and address of the person or firm now using the facilities.] |
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5. Was the operator (name on label) operating a farm or ranch on December 1, 2016? (Include growing crops or raising livestock.) |
[Write a note to describe the current status of this operation, then continue with Section 3 on page 8.]
_____________________________________________________ |
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Yes Don't Know No |
Skip to next page
Or
Space for Notes and Comments |
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Section 3 - Conclusion |
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1. Do you (the operator named on the label) make any day-to-day decisions for another hog operation? |
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Yes - What is the name of the
other hog |
Operation Name : ______________________________________ |
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No - [Continue.] |
Address: ______________________________________________ |
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City: __________________ |
State: ____ |
ZIP: ______ |
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Phone: (_____) ______________________ |
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COMMENTS |
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2. |
Survey Results: To receive the complete results of this survey on the release date go to 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? 1Yes 3No |
9990 |
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Respondent Name: |
9911
Phone: |
9910 MM DD YY
Date: |
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 |
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
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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 | Reddick, Cedric - NASS |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |