QID Contract Chicken Layer Pullets Information

	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