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pdfMONTHLY HATCHERY REPORT - May 2021
OMB No. 0535-0004
Approval Expires: 3/31/2022
Project Code: 158
SurveyId: 3495
United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS - National
Northeastern Region
4050 Crums Mill Road, #203
Harrisburg, PA 17112-2875
Phone: 1-800-498-1518
FAX: 1-855-270-2719
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.
CHICK OPERATIONS - Please report "0" if answer is none
Egg-Type
Number
101
1. Chicken eggs in your incubator/hatchers May 1?
(Include breeding flock replacements, custom set for others. Exclude broiler-type eggs.)............................
2. Chicks Hatched in your incubators/hatchers during April? (Include breeding flock replacements,
102
custom set for others. Exclude broiler-type eggs.).........................................................................................
3. Of the (question 2) chicks hatched in April, how many were placed as:
104
a. Straight-run chicks?........................................................................................................................................
105
b. Pullet chicks?..................................................................................................................................................
106
c. Cockerel chicks? (Exclude any given away.).................................................................................................
107
d. Other disposition? (Research, destroyed, etc.)...............................................................................................
108
e. TOTAL (questions 3a + 3b + 3c + 3d) (Total should equal question 2, Chicks Hatched)..............................
Survey Results: To receive the complete results of this survey on the release date, go to: nass.usda.gov/results
To have a brief summary emailed to you, please enter your email address:
1095
Contact Information
Operation Email: (if different from above)
Operation Phone:
9937
9936
check if
cell phone
(________) _______________________
Respondent Name:
Respondent Phone: (if different from above)
9912
9911
(________) _______________________
9910
check if
cell phone
Date:
MM
__ __
DD
YY
__ __ __ __
This completes the survey. Thank you for your help.
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-Sp
3-Acct/Bkpr
4-Partner
9-Oth
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
File Type | application/pdf |
Author | Jewell, Angie - NASS |
File Modified | 2021-04-12 |
File Created | 2021-04-12 |