QID 030378 Mint Grower Survey - Dec - Sample

MINT GROWER SURVEY - December 2017
							OMB No. 0535-0002 Approval Expires: 10/31/2018 Project Code: 193 QID: 030376 SMetaKey: 1276 Version 53
(SAMPLE)
								United States Department of Agriculture
								NATIONAL AGRICULTURAL STATISTICS SERVICE
							USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828 Fax: 1-855-415-3687 E-mail: [email protected]

	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 to this survey 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 0535-0002. 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.
Please make corrections to names, address and ZIP Code, if necessary.

REPORT FOR THE ACREAGE YOU OPERATED OR MANAGED IN 2017

1. In 2017, did this operation harvest any acres of mint for oil?
Exclude acres rented to others. Exclude mint acres harvested for fresh leaves. Exclude mint acres harvested for tea.
xxxx	1Yes - Continue	3No - Skip to Item 15
SECTION 1 – PEPPERMINT HARVESTED FOR OIL
2. In 2017, did this operation harvest any acres of peppermint for oil? Exclude acres rented to others. Exclude peppermint acres harvested for fresh leaves. Exclude peppermint acres harvested for tea.
200 1Yes - Continue 3No - Skip to Section 2

				ACRES
3. In 2017, how many acres of peppermint did this operation harvest for oil? Report to the nearest tenth of an acre. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				202 . __
				POUNDS
4. In 2017, how many pounds of peppermint oil were produced?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				203
				POUNDS
a. Of the pounds of peppermint oil produced in 2017, how many pounds were sold?. . . . . . . . . . . . . .				xxx
	PRICE PER POUND OF OIL			TOTAL DOLLARS RECEIVED
5. How much did this operation receive for the 2017 peppermint oil crop?	xxx	OR		205
CONTINUE ON BACK

SECTION 2 – SCOTCH SPEARMINT HARVESTED FOR OIL
6. In 2017, did this operation harvest any acres of Scotch spearmint for oil? Exclude native spearmint. Exclude acres rented to others. Exclude Scotch spearmint acres harvested for fresh leaves. Exclude Scotch spearmint acres harvested for tea.
310 1Yes - Continue 3No - Skip to Section 3

				ACRES
7. In 2017, how many acres of Scotch spearmint did this operation harvest for oil? Report to the nearest tenth of an acre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				312 . __
				POUNDS
8. In 2017, how many pounds of Scotch spearmint oil were produced?. . . . . . . . . . . . . . . . . . . . . . . . . . .				313
				POUNDS
a. Of the pounds of Scotch spearmint oil produced in 2017, how many pounds were sold?. . . . . . . . .				xxx
	PRICE PER POUND OF OIL			TOTAL DOLLARS RECEIVED
9. How much did this operation receive for the 2017 Scotch spearmint oil crop?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	xxx	OR		205

SECTION 3 – NATIVE SPEARMINT HARVESTED FOR OIL
10. In 2017, did this operation harvest any acres of native spearmint for oil? Exclude acres rented to others. Exclude native spearmint acres harvested for fresh leaves. Exclude native spearmint acres harvested for tea.
320 1Yes - Continue 3No - Skip to Item 10

				ACRES
11. In 2017, how many acres of native spearmint did this operation harvest for oil? Report to the nearest tenth of an acre. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				322 . __
				POUNDS
12. In 2017, how many pounds of native spearmint oil were produced?. . . . . . . . . . . . . . . . . . . . . . . . . . . .				323
				POUNDS
a. Of the pounds of native spearmint oil produced in 2017, how many pounds were sold?. . . . . . . . . .				xxx
	PRICE PER POUND OF OIL			TOTAL DOLLARS RECEIVED
13. How much did this operation receive for the 2017 native spearmint oil crop?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	xxx	OR		205

14. Comments:

15. SURVEY RESULTS: To receive the complete results of this survey on the release date, go to http://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys.

	Office Use
Would you rather have a brief summary mailed to you at a later date? 1Yes 3No	9990

			9911	9910 MM DD YY
Respondent Name:			Phone: (_____)	Date:

This completes the survey. Thank you for your help.

OFFICE USE ONLY
Response		Respondent		Mode		Enum.	Eval.	Change	Office Use for POID
1-Comp 2-R 3-Inac 4-Office Hold 5-R-Est 6-Inac-Est 7-Off Hold-Est	9901	1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth	9902	1-PASI (Mail) 2-PATI (Tel) 3-PAPI (Face-to-Face) 6-e-mail 7-Fax 19-Other	9903	9998	9900	9985	9989
							R. Unit
							9921		Optional Use
									9907	9908	9906	9916
S/E Name