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Approval Expires: xx/xx/20xx Project Code: 788 |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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USDA/NASS - Montana Mountain Region P.O.
Box 150969 Phone: 1-720-787-3150 Fax: 1-866-314-4029 E-mail: [email protected] |
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Please make corrections to name, address and zip code, if necessary. |
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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 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 15 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 return your report by mail or fax your report to 1-866-314-4029 by January 13, 2023.
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2019 Alfalfa Seed Custom Cleaned |
2019 Alfalfa Seed Purchased from Growers |
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Quantity of Seed Cleaned |
Quantity of Clean Seed Purchased |
Average Price per Clean Pound |
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Public Varieties: |
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Certified |
lbs |
lbs |
$ __ . __ __ lbs |
Non-Certified |
lbs |
lbs |
$ __ . __ __ lbs |
Proprietary Varieties: |
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Certified |
lbs |
lbs |
$ __ . __ __ lbs |
Non-Certified |
lbs |
lbs |
$ __ . __ __ lbs |
Respondent Name:___________________________________ |
9911
Phone:(___)___________________ |
9910 MM DD YY
Date __ __ __ __ __ __ |
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Response |
Respondent |
Mode |
Enum. |
Eval. |
Change |
Office Use for POID |
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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
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9902 |
1-PASI (Mail) 2-PATI (Tel) 3-PAPI (Face-to- Face) 6-Email 7-Fax 19-Other |
9903 |
9998 |
9900 |
9985 |
9989
__ __ __ - __ __ __ - __ __ __ |
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Optional Use |
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9907 |
9908 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | WootAn |
File Modified | 0000-00-00 |
File Created | 2024-07-25 |