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pdfPRICES PAID FOR FUELS - 2020
OMB No. 0535-0003
Approval Expires: 10/31/2020
Project Code: 171
Survey ID: 1991
United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS
National Operations Division
9700 Page Avenue, Suite 400
St. Louis, MO 63132-1547
Phone: 1-888-424-7828
Fax: 1-855-415-3687
Email: [email protected]
Please make corrections to name, address, and ZIP Code, if necessary.
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 number is 0535-0003. The time required to complete this information collection is
estimated to average 5 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.
1. Did this operation sell fuel to farmers/ranchers in the U.S. during 2019?
500
1
☐
Yes – Go to Question 2
3
☐
No – Go to Question 3
2. Report the total gallons of fuel sold to farmers/ranchers in 2019, and either the total value of sales or the average price
per gallon of fuel sold to farmers/ranchers in the U.S. in 2019.
Fill in one column below:
FUELS
What was the
total gallons
sold in 2019?
GASOLINE, unleaded, pumped at service station
(Include Federal, state and local taxes)
509
GASOLINE, unleaded, bulk delivery
(Include Federal, state and local taxes)
527
DIESEL FUEL, bulk delivery (off-road, farm use)
(Exclude all taxes)
505
L.P. GAS, propane, etc., bulk delivery (farm use)
(Exclude all taxes)
512
What was the total
value of sales in
2019?
510
$
528
$
506
$
513
$
OR
OR
OR
OR
OR
What was the average
price per gallon in 2019?
508
$
__ __ __ . __ __ __
526
$
__ __ __ . __ __ __
504
$
__ __ __ . __ __ __
511
$
__ __ __ . __ __ __
-2-
3. Will this operation sell fuel to farmers/ranchers in the U.S. in the future?
501
1
☐
Yes
3
☐
No
4. SURVEY RESULTS: To receive the complete results of this survey on the release date, go to
https://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/
To have a brief summary emailed to you at a later date, please enter your email address:
1095
COMMENTS:
Respondent
Name:
9911
9910
Phone:
Date:
MM
DD
YY
__ __
__ __
__ __
Thank you for your response.
OFFICE USE ONLY
Response
1-Comp
9901
2-R
3-Inac
4-Office Hold
5-R – Est
6-Inac – Est
7-Off Hold – Est
S/E Name
Respondent
1-Op/Mgr
2-Sp
3-Acct/Bkpr
4-Partner
9-Oth
9902
Mode
1-PASI (Mail)
2-PATI (Tel)
3-PAPI (Face-toFace)
6-Email
7-Fax
19-Other
Enum.
9903
9998
Eval.
9900
R. Unit Change
t
9985
9989
Office Use for POID
9921
__ __ __ - __ __ __ - __ __ __
Optional Use
9907
9908
9906
9916
File Type | application/pdf |
Author | Pinto, Carol - NASS |
File Modified | 2020-01-21 |
File Created | 2020-01-21 |