PSD- 1200 Information to be supplied --Posting Stockyard

U.S. Department of Agriculture
Agricultural Marketing Service
Fair Trade Practices Program
Packers and Stockyards Division

OMB Control No. 0581-0308

INFORMATION TO BE SUPPLIED IN CONNECTION WITH
POSTING STOCKYARDS

1.

Name of Stockyard:

2.

Physical location of stockyard:

3.

Mailing address of stockyard:

4

Type of organization:

5.

Names of owners (individuals or partners), members, or corporate officers:

6.

Does the stockyard consist of pens, or other enclosures, and their appurtenances, in which live cattle, sheep, swine, horses, mules, or
goats are received, held, or kept for sale or shipment?
Yes

7.

Partnership

Corporation

Association

LLC

LLP

No

Is livestock sold at the stockyards (a) which has been shipped to the stockyard from another state, or (b) which is shipped to another
state, or (c) which is shipped to packers within the state who ship products resulting from the slaughter of such livestock to points
outside the state?
Yes

8.

Individual

No

Are the services and facilities of the stockyards available for use by the general public?
Yes

No

This notice is given in compliance with section 302 of the Packers and Stockyards Act, 1921, as amended and supplemented.
With my signature, I certify the information provided on this form is true and correct to the best of my knowledge and belief, I am
an owner, officer, or have been authorized by responsible management to certify this report.

9. Signature:

10: Print Name:

11. Title:

12: Date:

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 is 0581-0308. The time required to complete this information
collection is estimated to average .501 hours 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.
In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating
on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all prohibited bases apply to all
programs.) Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign
Language, etc.) should contact the responsible State or local Agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY)
or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information is also available in languages other than English.
To file a complaint alleging discrimination, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office or write a letter addressed to USDA and provided in the letter all of the information
requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (a) mail: U.S. Department
of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (b) fax: (202) 690-7442; or (c)
email: [email protected].

Form PSD 1200

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Form PSD 1200

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Instructions to Complete
Information to Be Supplied in Connection with Posting Stockyards
PSD Form 1200
Use Form PSD 1200 to provide information to the Packers and Stockyards Division (PSD) about a facility
used as a market for selling livestock in commerce. The Secretary of Agriculture will use this information to
determine whether the facility meetings the definition of a stockyard in Section 302 of the Packers and
Stockyards Act, 1921, as amended and supplemented (7 U.S.C. 202) and, therefore, needs to be posted.
Submit the completed form to the PSD regional office that covers your area. The Areas covered by each
regional office are listed below the regional office's address.
Regional Offices of the Packers and Stockyards Division
Agricultural Marketing Service, Fair Trade Practices Program
Eastern Regional Office
Midwestern Regional Office
Western Regional Office
75 Ted Turner Drive SW, Ste 230 210 Walnut Street, Room 317
3950 Lewiston St., Suite 200
Atlanta, GA 30303-3308
Des Moines, IA 50309-2110
Aurora, CO 80011-1556
Telephone: (404) 562-5840
Telephone: (515) 323-2579
Telephone: (303) 375-4240
FAX: (404) 562-5848
FAX: (515) 323-2590
FAX: (303) 371-4609
e-mail:
E-mail:
E-mail:
[email protected]
[email protected] [email protected]
Areas Covered
Areas Covered
Areas Covered
AL, AR, CT, DC, DE, FL, GA,
IA, IL, IN, KY, MI, MN, MO,
AK, AZ, CA, CO, HI, ID, KS,
LA, MA, MD, ME, MS, NC,
ND, NE, OH, SD, WI
MT, NM, NV, OK, OR, TX,
UT, WA, WY
NH, NJ, NY, PA, PR, RI, SC,
TN, VA, VT, WV
If you have any questions about the form or completing the form, please contact the PSD Regional Office that
covers your area, as listed above. Additional copies of this form may be obtained from the regional office
covering your area, or on our website located at https://www.ams.usda.gov/resources/forms.
Line No.
1
2
3
4
5

Subject
Name of
Stockyard
Physical location
of stockyard
Mailing Address
of stockyard
Type of
Organization
Names of Owners
or Corporate
Officers

Form PSD 1200

Instructions
Enter the name of the stockyard facility used in the sale of livestock in
commerce.
Enter the address of the physical location of the stockyard. Enter
street, city, state and zip+4.
Enter the mailing address of the stockyard. Enter street, city, state,
and zip+4. This is the address where all correspondence from the
PSD will be sent.
Check the appropriate box that identifies how the stockyard is
organized.
Enter the name of the owners, and/or officers of the stockyard
including individuals, partners, or members. Attach an additional
page if necessary.

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6

9

Does the
stockyard consist
of pens…
Is Livestock Sold
at the
Stockyard….
Are the Services
and Facilities…..
Signature

10
11
12

Print Name
Title
Date

7
8

Form PSD 1200

Check the appropriate box.
Check the appropriate box.
Check the appropriate box.
An owner, officer, or member of the stockyard must sign the form.
Electronic signatures are considered valid.
Print the name of the person signing the form.
Enter the title of the owner, officer, or member who signed the form.
Enter the date the form was signed.

Expires XX/XX/XXXX

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