Form QID Hay Prices - Dealers - Monthly - AZ

Project 172 QID 050060		OMB No. 0535-0003: Approval Expires 10/31/2020
	Prices Received By Farmers For Hay August 2020				NATIONAL AGRICULTURAL STATISTICS SERVICE
				USDA/NASS – Arizona Mountain Region PO Box 150969 Lakewood, CO 80215-0969 Phone: 800-392-3202 Fax: 866-314-4029 E-mail: [email protected]
Please Mail or Fax to 1-866-314-4029 by the 15th.			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. 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 0535-0003. 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.

INSTRUCTIONS

1. Include information for baled hay only (Include purchases of any size or type of bale.)

2. Please report contract purchases for month when payment is made (both quantity of hay and total dollars paid), not when contract is written or delivery made unless delivery date and date of sale coincide.

3. Exclude all hay purchased from dealers or any source other than farmers.

4. Report price paid regardless of whether the price is farm gate (you provide transportation from farm where purchased) or delivered to your operation.

5. MAIL YOUR REPORT PROMPTLY IN THE ENCLOSED POSTAGE PAID ENVELOPE or FAX it back to us using numbers shown above.

HAY CROPS BALED PURCHASED FROM ARIZONA PRODUCERS	ENTIRE MONTH PURCHASES
	Purchases made from Farmers During July 2020
	Quantity Purchased From Farmers	Dollars Paid To Farmers For Quantity Reported
ALFALFA and Alfalfa mixtures ………………….	TONS	DOLLARS
OTHER HAY including red clover, timothy, trefoil, brome grass, orchard grass, vetch, sudan, sorghum-sudan crosses, other tame and wild hay. ………………………………………………….

Comments:

SURVEY RESULTS: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/.
Respondent Name:	9911 Phone: ( )	9910 MM DD YY Date: __ __ __ __ __ __
This completes the survey. Thank you for your help.

Office Use Only

Response

Respondent

Mode

Enum.

Eval.

R. Unit

Change

Office Use for POID

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

9921

9985

9989 __ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name