West Census Short Form

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Overview

Front Page
Page1
Page 2

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Sheet 1: Front Page

								Form Approved
								OMB No.	0596-0010
								Expires	[DATE]
Bureau of Business and Economic Research
Gallagher Business Building, room 231
University of Montana
Missoula, MT 59812-6840
		[STATE] [YEAR]
		Forest Industry Data Collection System (FIDACS) Short Form
			GENERAL INSTRUCTIONS
The objective of this survey is to collect and compile data on the sources and volumes of raw materials used by the forest products industry in [STATE], and the volumes and types of finished wood products and mill residue produced in the state. Your assistance is needed to make the results of the survey comprehensive, accurate and timely.
INDIVIDUAL FACILITY DATA WILL BE HELD STRICTLY CONFIDENTIAL. ONLY SUMMARIZED INFORMATION WILL BE REPORTED.
Please fill out the attached questionnaire as completely and accurately as you can. If complete records are not available, please give us your best estimates. Some of the questions may not apply to your operation. In that case, please proceed to the next item. We estimate that responding to this questionnaire will take approximately 30 minutes.
BBER staff will be happy to assist you in completing the survey form. If you have questions, please contact [NAME] by phone at [PHONE NUMBER], or by email at [EMAIL ADDRESS]. If you prefer, we can email you an electronic version of the questionnaire. A downloadable version can also be found at [WEB ADDRESS].
You may return your completed questionnaire either by mail in the enclosed postage‑paid return envelope, by scanning and emailing it to [EMAIL ADDRESS], or by faxing it to (406) 243-2086. In the event that your facility is closed or currently inactive, we would appreciate that information as well.
THANK YOU FOR YOUR ASSISTANCE!
Public reporting burden for this collection of information is estimated to average [TIME] 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Department of Agriculture, Clearance Officer, OIRM, Room 404-W. Washington, DC 20250; and to the Office of Management and Budget, Paperwork Reduction Project (OMB# 0596-0010), Washington, DC 20503.

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Sheet 2: Page1

1.	Facility name:								Facility active in [YEAR]?	Yes □
										No □
2.	Mailing address:
3.	Physical address:
4.	Person completing questionnaire:					Title
						Phone
	Name					Email
5.	Type of facility (check one):
	□	Sawmill		□	Post/pole		□	Particle board/MDF
	□	Biomass energy		□	House log		□	Veneer/plywood
	□	Pulp/paper		□	Log export		□	Roundwood chipping
	□	Cedar products		□	Firewood		□	Other: ______________________
	5b.	If your facility is a sawmill, is it:			□	Large log		□	Small log
	5c.	If your facility is a post and pole plant, what is the average piece size?
		Diameter:				Length:
6.	How many days did facility operate in [YEAR]: _______					7. # of employees:		Production _______ Admin ______
8.	Maximum annual production capacity of facility?					Amount: _______________________ Unit: ____________
9.	Total volume of raw material received in [YEAR]?					Amount: _______________________ Unit: ____________
	□	MBF Scribner	□	Green tons	□	Dry tons	□	Lineal feet	□	BDU
	□	Pieces	□	Cants	□	Log trucks	□	Dump trucks	□	Chip trucks
	□	Pickup truck	□	Other: ____________________
10.	Where did your facility's raw material come from? (if unknown, move to item 11, next page)
	VOLUME OR % OF TOTAL		UNIT	STATE AND COUNTY				OWNERSHIP

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Sheet 3: Page 2

11.

SPECIES UTILIZED

% DEAD AT HARVEST

12.

Percent of inputs with small-end diameter of:

<4"

4-7"

7-10"

10-24"

>24"

13.

Volume of finished products:

Primary product ______

Units

Secondary product ________________________ Units ________ Other ______________________ Units __________

14.

Total sales value:

$ ________________

15.

Breakdown by product (if unknown, move to item 16, below)

PRODUCT TYPE

VOLUME OR % OF TOTAL

UNITS

SALES VALUE OR % OF TOTAL

Dimension lumber

Board & shop lumber

Timbers

Railroad ties

Plywood

Veneer

Firewood

House logs/log homes

Utility poles

Posts and poles

Pulp

Other:

16.

Percentage of product sold in [STATE]:

Where was the rest sold?

17.

Volume of residue produced:

□ BDU

□ Green tons

□ Dry tons

□ Cubic yards

□

Dump truck

□

Chip truck

□

Pickup truck

□ Other: _______________________________

18.

Sales value of residues: $

19.

Breakdown by residue type

PRODUCT TYPE

VOLUME OR % OF TOTAL

UNIT

SALES VALUE OR % OF TOTAL

USE

Chips

Slabs, edging and trim

Sawdust

Planer shavings

Bark

Other: