QID Citrus Price Inquiry

CITRUS PRICES INQUIRY

			OMB No. 0535-0039 Approval Expires: 12/31/2020 Project Code: 133
					NATIONAL AGRICULTURAL STATISTICS SERVICE

	U.S. Department of Agriculture 2290 Lucien Way, Suite 300 Maitland, FL 32751 Phone: 407-648-6013 Fax: 1-855-271-9801 E-mail: [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 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 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 control number for this information collection is 0535-0039. The time required to complete this information collection is estimated to average 30 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.

20XX-20XX SEASON CITRUS PRICES: PARTICIPATION AND COOPERATIVE PROCESSED FRUIT
PLANT:
CONTACT PERSON:
Oranges Priced as of Week of Delivery (Part B)
Fruit Types	Boxes	Pounds Solids		Price per lb. solid1/	Price per Box
		Total	Avg.		Gross	Less deducts	Net
1/ Indicate if price is gross or net. Net if all charges including advertising taxes have been removed.

Complete back side where applicable

20XX-20XX SEASON CITRUS PRICES: PARTICIPATION AND COOPERATIVE PROCESSED FRUIT
PLANT:
CONTACT PERSON:
Grapefruit –Non Priced or Oranges –Non Priced
No final or intermediate pricing, co-pack, etc or Co-operatives, processor/employee owned, etc.
Fruit Types	Boxes	Pounds Solids		Price per lb. solid1/	Price per Box
		Total	Avg.		Gross	Less deducts	Net
1/ Indicate if price is gross or net. Net if all charges including advertising taxes have been removed.

COMMENTS:

Survey Results: To receive the complete results of this survey on the release date go to http://www.nass.usda.gov/results
Would you rather have a brief summary mailed to you at a later date? 1 Yes 3 No This completes the survey. Thank you for your help.	099

	Respondent Name:	9911 Phone:	9910 mm / dd / yy Date:

OFFICE USE ONLY
	Response		Respondent		Mode		Enum.	Eval.	Change 785		Office Use for POID
	1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est 8-Known Zero	9901	1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth	9902	1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-E-mail 7-Fax 8-CAPI 19-Other	9903	098	100	785		789 __ __ __ - __ __ __ - __ __ __
								R. Unit			Optional Use
								921			407	408		9906	9916
	S/E Name