SurveyId 312 Placement of Pullet Chicks for Hatchery Supply Flocks -

PLACEMENT OF PULLET CHICKS FOR HATCHERY SUPPLY FLOCKS
May 2021
OMB No. 0535-0004
Approval Expires: 3/31/2022
Project Code: 158
SurveyId: 312

United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
U.S. Department of Agriculture
Rm 5030, South Building
1400 Independence Ave, S.W.
Washington, DC 20250-2000
Phone: 1-800-727-9540
FAX: 855-593-5474
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 response 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 and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 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 0535-0004. The time required to complete this information collection is
estimated to average 12 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.

INSTRUCTIONS: Please mail no later than the 10th of the month. INCLUDE replacement flocks. INCLUDE all sales.
Broiler-Type for
Export
Including Canada

During the month of April:

1. What was the number of pullet chicks kept and/or sold as replacements 300
in hatchery supply flocks? ..............................................................................

Chicks

301
2. What was the number of eggs sold for producing pullet chicks for
replacement in hatchery supply flocks? (30 dozen eggs = 1 case) .....................

Cases

Broiler-Type for
U.S. use only
310
Chicks
311
Cases

Egg-Type for U.S.
use only

During the month of April:

410
3. What was the number of pullet chicks kept for your own flocks and/or
sold as replacements in hatchery supply flocks? ...........................................

Chicks

411

4. What was the number of eggs sold for producing pullet chicks for
replacement in hatchery supply flocks? (30 dozen eggs = 1 case) .....................

Cases

Contact Information
Operation Email: (if different from above)

Operation Phone:

9937

9936
(________) _______________________

Respondent Name:

Respondent Phone: (if different from above)

9912

9911
(________) _______________________
This completes the survey. Thank you for your help.

check if
cell phone

9910
Date:

MM
__ __

check if
cell phone

DD

YY

__ __ __ __

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-Spouse
3-Acct/Bkpr
4-Partner
9-Other

9902

Mode
1-PASI (Mail)
2-PATI (Tel)
3-PAPI (Face-toFace)
6-Email
7-Fax
19-Other

Enum.
9903

9998

Eval.
9900

Change
9985

Office Use for POID
9989

__ __ __ - __ __ __ - __ __ __

Optional Use
9921

9907

9908

9906

9916