QID 113310 Contractor Expense Survey - Broilers and Starter Pullets

Non-substantive change request to Maryland Pesticide Use Survey

0218 - Contractor Expense Survey - Broiler and Starter Pullets - 20XX

Agricultural Resource Management, Chemical Use, and Contractor Expense Surveys

OMB: 0535-0218

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20XX CONTRACTOR EXPENSE SURVEY - BROILERS AND STARTER PULLETS



OMB No. 0535-0218

Approval Expires:

Project Code: 904 QID: 113310

SMetaKey: 3310




NATIONAL

AGRICULTURAL

STATISTICS

SERVICE







USDA/NASS - Iowa

Upper Midwest Region

210 Walnut St., #833
Des Moines, IA 50309


Phone: 1-800-772-0825

Fax: 1-855-271-9802

E-mail: [email protected]


We are collecting information on costs and returns and need your help to make the information as accurate as possible. 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. You may skip any question(s) you prefer not to answer.


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 0535-0218. The time required to complete this information collection is estimated to average 45 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. During 20XX, were you a production contractor where you paid a fee to someone else to raise broilers and starter pullets that you owned? A production contract is a verbal or written agreement setting terms, conditions, and fees to be paid by the contractor to the operation for the production of crops, livestock, or poultry.

Yes - Continue No - Record name and telephone number on back page

2. For 20XX, please report the average cost of inputs provided to contract growers per head.


Inputs

Pullets for

Hatching Flock

Pullets for

Table Egg Flock

Broilers

a. Total Head Under Contract. . . . . . . . . . . . . . .

hd


hd


hd


b. Total Number of Contractees. . . . . . . . . . . . .

#


#


#


c. Total Cost per Head. . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

Of the total cost per head, how much was for--

(i) fee paid to contractee?. . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(ii) marketing charges?. . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(iii) disinfectants & insecticides?. . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(iv) chicks placed on the operation?. . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(v) feed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(vi) litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(vii) medication, vaccination, debeaking,

veterinary & custom services?. . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

Please continue on back

Inputs

Pullets for

Hatching Flock

Pullets for

Table Egg Flock

Broilers

(viii) fuel?




(a) Diesel Fuel. . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(b) Gasoline. . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(c) Natural Gas. . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(d) LP Gas. . . . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(e) Other (Specify: ______________)

. . .

$

. __ __

$

. __ __

$

. __ __

(ix) utilities?




(a) Electricity. . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(b) Water / Other. . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(x) supplies?. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(xi) taxes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(xii) hauling?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

. __ __

$

. __ __

$

. __ __

(xiii) other expenses? (Include admin. cost,

depreciation, technical services & other)

(Specify: ______________________)

. . .

$

. __ __

$

. __ __

$

. __ __







Reported by:_______________________________________________

9911

Telephone (_____)_________________________________________


Response

Respondent

Mode

Enum

Eval

Rep.

Unit

Duplication

Adjustor

Date

MM DD YY

Optional

1-Comp

2-R

3-Inac


9901

1-Op/Mgr

2-Sp

3-Acct/Bkpr

4-Partner

9-Other

9902

1-Mail

2-Tel

3-Face-to-Face


9903

0098

0100

0921

0922

9910


__ __ __ __ 14

0003

Office Use for POID

0789


__ __ __ - __ __ __ - __ __ __

S/E Name



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