Citrus Tree Inventory - Request for Property Information - FL

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CITRUS TREE INVENTORY
REQUEST FOR PROPERTY INFORMATION – January 1, 20xx 

OMB No. 0535-0088
Approval Expires: 
Project Code: ???   QID: 
SMetaKey: 






United States
Department of
Agriculture 




NATIONAL
AGRICULTURAL
STATISTICS
SERVICE







Florida Department of Agriculture and Consumer Services



USDA/NASS - Florida
Southern Region
2290 Lucien Way, Suite 300
Maitland, FL  32751
Phone: 1-800-334-6277
Fax: 1-855-271-9801
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 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 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 0535-0088.The time required to complete this information collection is estimated to average 20 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.

Dear Grower, In order to obtain grove property citrus tree counts, list in the table below the information requested. Use one line for each different property that you own.  Information can only be released to property owners or their authorized agents with signed permission from the owner. You will receive a picture of the section or sections listed. Circle your property and return the picture to the aerial photography section of the Florida Field Office by mail or fax. Tree counts will be returned to you as soon as possible given time and resource availability of Florida Field Office employees.

Please list name of authorized agent if you would like counts released to them.


Name:  ____________________________   Phone:____________________

If you have any questions, call: Tel: (407) 691-3605   Fax: 1-855-271-9801.



    1. Please complete the below table for each property owned by the owner.

County
Grove Name
Section
Township
Range














































    2. Please complete the statement below.

I, _____________________________, certify that I am the owner or authorized agent of the owner of the above listed properties and request citrus tree counts for these properties.

_________________________________
																            Signature
 





Comments:













9911
9910      MM       DD       YY 

Respondent Name:________________________________
Phone:
Date:

This completes the survey.  Thank you for your help.