Document

List Sampling Frame Survey

ICR 200904-0535-002 · OMB 0535-0140 · Object 12400701.

Document Viewer [doc]

Status: Original and derived artifacts are available for this document.

Download: doc | pdf | html

Primary: htmlSource: application/msword
Loading document viewer…

Document Metadata

Record metadata
application/msword
List Sampling Frame Survey
jewean
Writer
2009-06-26
2026-09-04
complete

Extracted Text

Project Code 633   QID 040121
OMB No. 0535-0140    Approval Expires 07/31/2009

North Dakota
List Sampling Farm Criteria

 NATIONAL
 AGRICULTURAL
 STATISTICS
 SERVICE


North Dakota Field Office
P.O. Box 3166
Fargo,  ND  58108-3166
701-239-5306 
Fax: 701-239-5613 
[email protected]



We are in the process of updating our list of farm operators. Your answers to questions on acreage and livestock numbers will help us identify duplication and verify current farm operations in North Dakota. Response to this survey is voluntary and not required by law. The information you provide us concerning your farm or ranch will be kept confidential.















SECTION 1 - IDENTIFICATION
Please verify name and address of this operation. Make corrections on label.


1.	On land operated by the farm, ranch or individual(s) listed on label:


	a.	Have or will crops be grown or hay cut at any time during this year, or is any of the land in 
		this operation in government programs?................................................................................
  YES     NO

	b.	Have or will grains or oilseeds be stored at any time this year, or do you have storage 
		facilities used for storing grain?..............................................................................................
  YES     NO

	c.	Have or will there be any livestock or poultry on this operation at any time during this
		year?......................................................................................................................................
  YES     NO

(If “NO” to all questions, go to Section 9)
2.	Does this operation do business under any other name, other than as shown on label?



	  YES- Enter Name:  ___________________________________________
							(Do you want this name to appear on the label?)
  YES     NO

	  NO 



3.	Are the day-to-day decisions for this farming (or ranching) operation made by:

	  An individual operator?


	  Partners?   Enter number of partners, including self……………………………………………
		(Partners jointly operate and share in decision making.
		DO NOT include landlord as partner).
_______________

	  A hired manager?



Continue on Next Page

SECTION 2 - ACRES OPERATED

1.	How many acres are now in this operation? (Please include land owned and land rented, but exclude land
	rented to others)
ACRES
	Total Acres…………………………………………………………………………………………………………………
100
	Total Cropland Acres (including CRP)………………………………………………………………………………...
300
	Land in CRP……………………………………………………………………………………………………………….
200
	Pasture (exclude public and private land use on an AUM basis)……………………………………………………
220



SECTION 3 - STORAGE CAPACITY



1.	What is the total Grain Storage Capacity on this operation?
BUSHELS
	(Include all structures normally used for storing grain)………………………………………………………………
305



SECTION 4 – LAND USE





1.	Which of the following crops did, or will this operation grow this year?

ACRES
	a.	All Wheat……………………………………………………………………………………………………………..
390
		(1)	Winter…………………………………………………………………………………
392

		(2)	Durum…………………………………………………………………………………
394

		(3)	Other Spring………………………………………………………………………….
396

	b.	Barley…………………………………………………………………………………………………………………
315
	c.	Oats…………………………………………………………………………………………………………………...
352
	d.	Rye…………………………………………………………………………………………………………………….
370
	e.	Flax……………………………………………………………………………………………………………………
340
	f.	Corn for all Purposes………………………………………………………………………………………………..
320
	g.	Soybeans for all Purposes………………………………………………………………………………………….
372
	h.	All Sunflower…………………………………………………………………………………………………………
378
		(1)	Oil Sunflower…………………………………………………………………………
377

		(2)	Non-Oil Sunflower…………………………………………………………………...
379

	i.	Dry Edible Beans (Pinto, Navy & Other Varieties – exclude garbonzo beans)…………………….…………
330
	j.	Garbonzo Beans (Chickpeas – large and small)…………………………………………………………………
331
	k.	All Hay (Harvested or to be Harvested)…………………………………………………………………………...
345
		(1)	Alfalfa………………………………………………………………………………….
346

		(2)	Other Hay…………………………………………………………………………….
347

	l.	Sugarbeets…………………………………………………………………………………………………………...
374
	m.	Potatoes
		(Include potato land rented from others; exclude rented to others)……………………………………………
360
		(If potatoes are grown)
		What is your Potato Storage Capacity?.......................................................................................................
362

cwt
	n.	Millet…………………………………………………………………………………………………………………..
397
	o.	Mustard………………………………………………………………………………………………………………
339
	p.	Rapeseed…………………………………………………………………………………………………………….
341
	q.	Canola………………………………………………………………………………………………………………...
373
	r.	Safflower……………………………………………………………………………………………………………...
371
	s.	Other (Specify) _______________..............................................................................................................
964


2.	Acres in Summer Fallow or idled through Government Programs, exclude CRP acreage……………………
289

Page 2

SECTION 5 - HOGS
1.	What was the peak number of hogs or pigs OWNED by this operation during the past twelve months?...........
NUMBER

630





2.	Were any hogs or pigs owned by this operation being raised under contract by another person or firm?

	 Yes	 a.	What was the peak number? [Verify that these hogs are included in box 630, then continue]…..

	 No [continue]



3.	Were any hogs or pigs owned by someone else on this operation?

	a.	What was the peak number?.......................................................................................................................

	b.	Who owns the hogs and pigs?

		Name
Address
City, State, Zip
		_________________________
_____________________________
_____________________________
	c.	Is this hog owner a contractor?   Yes	    No










SECTION 6 – OTHER LIVESTOCK

1.	What was the peak number of the following livestock items on this operation, regardless of ownership,
	During the past twelve months?
NUMBER
	a.	All cattle & calves including milk cows…………………………………………………………………………….
610
		(1)	Milk cows/heifers that have calved………………………………………………...
615

		(2)	Beef cows/heifers that have calved……………………………………………….
611

		(3)	Cattle on feed………………………………………………………………………..
620

	b.	All sheep……………………………………………………………………………………………………………...
640
		(1)	Sheep on feed……………………………………………………………………….
641

		(2)	Stock Sheep………………………………………………………………………….
142

	c.	Turkeys……………………………………………………………………………………………………………….
770
	d.	Chickens……………………………………………………………………………………………………………...
760
	e.	Bee Colonies (owned or controlled by you)………………………………………………………………………
660
	f.	Mink…………………………………………………………………………………………………………………...
670
	g.	Horses………………………………………………………………………………………………………………..
675
	h.	Bison………………………………………………………………………………………………………………….
691
	i.	Goats………………………………………………………………………………………………………………….
645
	j.	Other (Specify) _________________..........................................................................................................
964





SECTION 7 – HIRED LABOR



1.	What was the peak number of hired workers at any one time during this year?.................................................
885



Page 3								Please Continue on Back Page

SECTION 8 – PARTNER NAMES

1.	Did you check “Partners”, in Section 1, Item 3, on face page?
	 NO – Go to Section 10. 	 YES – Continue





2.	Please identify the other person(s) in this partnership in the following boxes, then go to Section 10.
	(Make necessary corrections to the label if present.)

	Name ______________________________________________________		Phone_____________________________
		    (First)				(Middle)				(Last)
	
	Address _________________________________________________________________________
			(Route or Street)					(City)					(State)		(Zip)
	Is this partner also involved in another operation?    YES	 NO





SECTION 9 – CHANGE IN OPERATOR
	1.	If not farming or ranching, did you:
			Sell out?			Retire?		Lease/Rent out your land (Landlord only)? 		Other (Specify): ___________________
	Has this operation (name on label) been sold, or turned over to someone else?
		 NO – Go to Section 10. 	 YES – Please identify the new operator(s):
	Name


	Address

Phone


	City


State

Zip







SECTION 10 – RACE

	1.	What is the operator’s race?
			American Indian or Alaska Native – specify tribe _____________		Asian			Black or African American
			Native Hawaiian or Other Pacific Islander		White





SECTION 11 - CONCLUSION
1.	Do you make any day-to-day decisions for another farm or ranch?
		NO		 YES – List other operation(s):
	_______________________________________________________________________________________

	This completes the questionnaire. Thank you for your help.
	Reported by:

Date:


	Telephone:










Thank you for cooperating on this Farm Criteria Survey.




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 0535-0140.  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.