QID Contract Chicken Layer Pullets Information

List Sampling Frame Survey

0140 - Contract Chickens Layer Pullets Info Form

List Sampling Frame Survey

OMB: 0535-0140

Document [docx]
Download: docx | pdf


NATIONAL

AGRICULTURAL

STATISTICS

SERVICE

Contract Layer and Pullets Information Form

December 2020


Form Approved


O.M.B. Number 0535-0140


Approval Expires 05/31/2022


Project Code 158


USDA NASS Michigan Field Office


Dear Producer:


The information on this form is requested to update our list of layer and pullet contractee operations for the 2022 Census of Agriculture. NASS collects the monthly Chicken and Egg Report data from the contractors, which are used to set State level inventory estimates. The Census of Agriculture collects chicken inventory from the contractees so the chickens can be counted in the county where they are located. The names and inventory of your individual contractees will be held strictly confidential.

3001 Coolidge Rd., Suite 400


East Lansing, MI 48823


517-324-5300

Fax 855-270-2709


E-mail: [email protected]




Please make corrections to your 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 0535-0213. 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.

Operation/Operator Name and Address

Current Number Of Layers and Pullets Contracted

County Where Layers

and Pullets Are

Located














(Please continue on back if additional room is needed)










Respondent Name: _________________________________

Phone: (______)__________________

Date: __________________




Contract Layers and Pullets Information Form (continued)

Operation/Operator Name and Address

Current Number of Layers and Pullets Contracted

County Where Layers and Pullets Are Located
























File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBowman, Denise - REE-NASS, East Lansing, MI
File Modified0000-00-00
File Created2021-01-12

© 2024 OMB.report | Privacy Policy