QID 082001 2010 Integrated Screening Survey

8

Project 905 QID 082001 Master Version		OMB No. 0535-0218 Approval Expires 12/31/2011
	2010 INTEGRATED SCREENING SURVEY			NATIONAL AGRICULTURAL STATISTICS SERVICE
			U.S. Department of Agriculture, Rm 5030, South Building 1400 Independence Ave., S.W. Washington, DC 20250-2000 Phone: 1-800-727-9540 Fax: 202-690-2090 Email: [email protected]

		Information requested on this report will be used to select a sample of growers to obtain agricultural data on resource management practices. Your voluntary cooperation is needed to ensure that all producers are represented in this state and national survey. As always, your response to this survey is confidential. Please return your report in the enclosed postage paid envelope. Thank you for your help.

1. Please make any needed corrections to the name, including the operation name, and mailing address on the label.

2. During 2010, will this operation:

• grow any crops, including field crops, fruits, vegetables, nursery/greenhouse, or other specialty crops; or

• cut any hay; or

• have any livestock or poultry; or

• sell any agricultural products; or

• receive government payments (CRP, WRP, etc.); or

• have more than 19 acres of idle cropland or more than 99 acres of pastureland?

	YES – [Go to 2010 Total Acres Operated on next page.] NO – [Continue.]
	a. Has the operation name on the label been sold, rented, or turned over to someone else?
	YES	NO				Will the land be used for any agricultural purpose by you (the individual listed on the label), or anyone else in the next year? YES NO DON’T KNOW
	b. Please provide the name and address of the new operator, then go to Conclusion on the back page.					Please explain, then go to Conclusion on the back page.
	Operation Name: _____________________________________				_________________________________________________________
	Operator Name: ______________________________________				_________________________________________________________
	Address: _____________________________________________				_________________________________________________________
	City: _______________________		State: _____	Zip: _________	_________________________________________________________
	Phone: ( ) __________________________				_________________________________________________________

SECTION 1 – 2010 TOTAL ACRES OPERATED

1. Including the farmstead, all cropland, woodland, pasture land, wasteland, and government program land, how many total acres does this operation –		ACRES
a. own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	901
b. rent or lease from others, including for cash, shares or rent free?. . . . . . . . . . . . . . . . . . . . . . . . . .	+	902
c. rent to others, including for cash, shares or rent free?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	–	905
2. Total Acres Operated: [item 1a + 1b - 1c]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	=	900
3. Of the total [item 2] acres operated, how many acres are considered cropland? (Include hay land, summer fallow, idle cropland, cropland used for pasture, and cropland in government programs.). . . . . . . .
		802

4. Does this operation have a Pesticide Grower Permit number from the Arizona Department of Agriculture Environmental Services Division?
YES – [Continue.] NO – [Go to 2010 CROPS on next page.]
5. What Pesticide Grower Permit number does this operation use for reporting chemical applications on these [item 2] acres to the Arizona Department of Agriculture – Environmental Services Division?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				PGP 10 NUMBER
				810
6. Is this permit number used to report chemical applications for acres other than these [item 2] acres?
YES – [Continue.] NO – [Go to item 7.]						OFFICE USE
a. What other operation(s) is this permit number used to report for?						012
	Name __________________________________________________		Name __________________________________________________
	Address ________________________________________________		Address ________________________________________________
	Phone ( ) __________________________________________		Phone ( ) __________________________________________
7. Does this operation use any OTHER Pesticide Grower Permit number to report chemical applications to ADA - ESD for these [item 2] acres?
YES – [Continue.] NO – [Go to 2010 CROPS on next page.]				PGP 10 NUMBER
a. What are these PGP numbers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				811
				812
b. Do you use any of these ID’s to report chemical applications for any other operation(s)? YES – [Continue.] NO – [Go to 2010 CROPS on next page.]				813
				814
				815
(1) What other operation(s) use this Pesticide Grower Permit for reporting? [Identify operation and ID]						OFFICE USE
						013
	Name ___________________________________________________		Name __________________________________________________
	Reporting ID ____________________________________________		Reporting ID ____________________________________________
	Address ________________________________________________		Address ________________________________________________
	Phone ( ) __________________________________________		Phone ( ) __________________________________________
SECTION 2 – 2010 CROPS

1. Please report the acres planted and to be planted for the crops listed below for any purpose

for the 2010 crop year. Include acres planted and to be planted, even if the crop will not be

harvested (for instance, used for cover crop, plowed under or abandoned). Exclude crops

planted on land rented/leased to others.

	NONE	ACRES
Corn planted and to be planted for all purposes (exclude popcorn and sweet corn) . . . . . . . .		530
How many of these acres of corn were CERTIFIED Organic by a USDA accredited state or private firm? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		730
Fall potatoes planted and to be planted for all purposes (exclude sweet potatoes) . . . . . . . .		884
Upland cotton planted and to be planted for all purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		524
All other crops not listed above, planted and to be planted for all purposes . . . . . . . . . . . . . .		560

SECTION 3 – 2010 VEGETABLE CROPS

	ACRES
1. Of the total cropland acres reported, how many acres are or will be planted to vegetable crops? (Include double or other multiple croppings.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	803	.___
2. For each vegetable crop named, please give the total acres planted or intended to plant during the 2010 crop year. (Include any acres already planted and harvested in the 2010 crop year and acres you intend to plant in the 2010 crop year. For double or other multiple croppings, count each planting.)
2. For each vegetable crop named, please give the total acres planted or intended to plant during the 2010 crop year as well as the total acres planted and harvested in 2009. (For double or other multiple croppings, count each planting.)

	2010 NONE	2010 PLANTED ACRES		2009 PLANTED ACRES	2009 HARVESTED ACRES
Asparagus (include bearing and non-bearing acres). . .		300 . ___
Snap beans intended for fresh market. . . . . . . . . . . . . . . .		315 . ___
Snap beans intended for processing. . . . . . . . . . . . . . . . .		318 . ___
Broccoli. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		339 . ___
Cabbage intended for fresh market. . . . . . . . . . . . . . . . . .		345 . ___
Cantaloupe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		354 . ___
Carrots intended for fresh market. . . . . . . . . . . . . . . . . . . .		357 . ___
Carrots intended for processing. . . . . . . . . . . . . . . . . . . . . .		360 . ___
Cauliflower. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		366 . ___
Celery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		369 . ___
Sweet corn intended for fresh market. . . . . . . . . . . . . . . . .		375 . ___		301 . ___	203 . ___
Sweet corn intended for processing. . . . . . . . . . . . . . . . . .		378 . ___
Cucumbers intended for fresh market. . . . . . . . . . . . . . . .		384 . ___		401 . ___	417 . ___
Cucumbers intended for processing. . . . . . . . . . . . . . . . . .		387 . ___
Eggplant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		393 . ___		701 . ___	768 . ___
Garlic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		396 . ___
Honeydew. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		414 . ___
Head lettuce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		420 . ___
Other lettuce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		423 . ___
Bulb onions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		432 . ___
Green peas intended for processing. . . . . . . . . . . . . . . . . .		447 . ___
Bell peppers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		453 . ___		702 . ___	775 . ___
Pumpkins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		456 . ___
Spinach intended for fresh market. . . . . . . . . . . . . . . . . . .		465 . ___
Summer squash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		475 . ___		728 . ___	778 . ___
Winter squash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		476 . ___		729 . ___	779 . ___
All squash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		474 . ___
Strawberries (bearing only). . . . . . . . . . . . . . . . . . . . . . . . .		477 . ___
Tomatoes intended for fresh market. . . . . . . . . . . . . . . . . .		480 . ___		601 . ___	602 . ___
Tomatoes intended for processing. . . . . . . . . . . . . . . . . . .		483 . ___
Watermelons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		489 . ___

3. Do you have a contract with a vegetable processor for any of these vegetable crops? YES – [Enter code 1 and continue.] NO – [Enter code 3, then go to 2010 DAIRY / 2009 VALUE OF SALES on next page.] . . . . . . . . . . .									CODE
									015
OFFICE USE
a. Which processor(s) do you have contracts with?						830			831
	PROCESSOR 1			PROCESSOR 2
	Name _________________________________________________			Name _________________________________________________
	Address _______________________________________________			Address _______________________________________________
	City _____________________	State _____	Zip ___________		City _____________________		State _____	Zip ___________
	Phone Number (_____) ________________________________			Phone Number (_____) ________________________________

SECTION 4 – 2010 DAIRY

	HEAD
1. During 2010 what was or will be the peak number of dairy cows, both dry and in milk, on this operation, including milk heifers that have calved? Exclude replacement heifers, bulls, and calves.. . .	671
If none, go to 2009 VALUE OF SALES, below.
a. Has your dairy cattle operation been CERTIFIED Organic by a USDA accredited state or private firm? YES – [Enter 1 and continue.] NO – [Enter 3 and continue.] . . . . . . . . . . . . . . . . . . . . .	CODE
	679

SECTION 5 – 2009 VALUE OF SALES

1. Considering:

• sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in 2009;

• the value of product removed for all crops, livestock, and poultry produced under contract in 2009;

• sales of all miscellaneous agricultural products in 2009;

• all government agricultural payments received in 2009; and

• landlord’s share of government payments and crops sold in 2009,

a. What code represents the total gross value of sales, including government agricultural payments?

Total Value							GVS Code
‘None’ during 2009. . . . . . . . . . . . . . .								99
$ $ $ $ $ $ $ $ $ $ $ $		1 1,000 2,500 5,000 10,000 25,000 50,000 100,000 250,000 500,000 1,000,000 2,500,000	– – – – – – – – – – – –	$ $ $ $ $ $ $ $ $ $ $ $	999 ….. 2,499 ….. 4,999 ….. 9,999 ….. 24,999 ….. 49,999 ….. 99,999 ….. 249,999 ….. 499,999 ….. 999,999 ….. 2,499,999 ….. 4,999,999 …..			1 2 3 4 5 6 7 8 9 10 11 12					GVS CODE
													860
$		5,000,000 and over. . . . . . . . . . . . . .						13
b. Is the GVS Code in box 860 equal to ‘1’ or ‘99’? YES – [Go to item c, next page.] NO – [Go to item 2, next page.]

SECTION 5 – 2009 VALUE OF SALES (Continued)

c. Record all 2010 crops, land uses, and livestock or poultry now on the total acres operated.

Land Use	ACRES	Field Crops Intended For Harvest	ACRES	Other Crops		ACRES
CRP/WRP. . . . . . . . . . . . . .		________________. . .		Cut Christmas Trees. . .
Idle Cropland. . . . . . . . . . . .		________________. . .		Nursery & Greenhouse.
Summer Fallow. . . . . . . . . .		________________. . .		________________. . .
_________________. . . . .		________________. . .		________________. . .
Government Payments	WHOLE DOLLARS	Fruits/Nuts	ACRES	Livestock		NUMBER
CRP/WRP Payments. . . . .		________________. . .		Cattle - Dairy. . . . . . . . .
Other Gov’t Payments. . . . .		________________. . .		Cattle – Other. . . . . . . .
		________________. . .		Chickens. . . . . . . . . . . .
Pasture/Rangeland Cropland Used Only For Pasture. . . . . . . . . . .	ACRES	________________. . .		Hogs. . . . . . . . . . . . . . .
		________________. . .		Horses. . . . . . . . . . . . . .
				Mules/Burros. . . . . . . . .
Permanent Pasture. . . . . . .		Vegetables/Melons	ACRES	Sheep & Goats. . . . . . .
Woodland Pasture. . . . . . . .		________________. . .		________________. . .
		________________. . .		________________. . .
Aquaculture	NUMBER	________________. . .
Acres of Ponds in Use. . . . .					OFFICE USE
Foodsize/Stockers. . . . . . . .		Berries	ACRES		Total Points	Pasture Points
Fingerlings/Broodfish. . . . .		________________. . .			861	869
Trout Eggs. . . . . . . . . . . . . .		________________. . .

2. Of the farm or ranch income reported, which of these categories represents the largest portion of the gross income from the operation? Code
1 Grains, Oilseeds, Dry Beans, and Dry Peas ……………….…………………..…….. (corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice, small grains, sorghum, soybeans, sunflowers, straw, etc.) 2 Tobacco ………………………………………………………………….……………...….. 3 Cotton and Cottonseed ……………………………………………………….…...…….. 4 Vegetables, Melons, Potatoes and Sweet Potatoes ………………………………... (beets, cabbage, cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable seeds, etc.) 5 Fruit, Tree Nuts and Berries ………………………………………………………...….. (almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.) 6 Nursery, Greenhouse, Floriculture and Sod ………………………………............... (bedding plants, bulbs, cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, sod, etc.) 7 Cut Christmas Trees and Short Rotation Woody Crops ……………………….….. 8 Other Crops and Hay, CRP and Pasture ………………………………….................. (grass seed, hay and grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, CRP, etc.) 9 Hogs and Pigs …………………………………………………………………….……….. 10 Milk and Other Dairy Products from Cows ………………………………………….. 11 Cattle and Calves ………………………………………………………………............... (beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals, stockers and feeders, veal calves, etc.) 12 Sheep, Goats, and their Products …………………………………………………..… (wool, mohair, milk and cheese) 13 Horses, Ponies, and Mules ………………………………………………………...…… (burros and donkeys) 14 Poultry and Eggs ………………..……………………………………………...………... (broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings, ostriches, pigeons, pheasants, quail, poultry products, etc.) 15 Aquaculture ………………………..…………..………………………………………..... (catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.) 16 Other Animals and Other Animal Products ………………..……………….............. (bees, honey, rabbits, fur-bearing animals, semen, manure, other animal specialties, etc.)	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16			FARM TYPE CODE
				862

SECTION 6 – OPERATION TYPE

1. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners? [Check one] One individual – [Go to Conclusion, below.] A hired manager – [Go to Conclusion, below.] Partners – [Complete items 1a and 1b, then go to Conclusion, below.]
		NUMBER
How many individuals, including the operator, are involved in the day-to-day decisions for this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Please record partners’ names and addresses, then go to Conclusion, below. [Enter names and addresses of partners, including partners who jointly operate land and share in decision making. Do not include landlords and tenants as partners.]
PARTNER 1				PARTNER 2
Partner name: ______________________________________________				Partner name: ______________________________________________
Address: ___________________________________________________				Address: ___________________________________________________
City: _____________________	State: ____________		Zip: __________	City: ____________________	State: ____________		Zip: __________
Phone: (______) __________________________				Phone: (______) __________________________
PARTNER 3				PARTNER 4
Partner name: ______________________________________________				Partner name: ______________________________________________
Address: ___________________________________________________				Address: ___________________________________________________
City: _____________________	State: __________	Zip: ___________		City: ____________________	State: __________	Zip: ___________
Phone: (______) __________________________				Phone: (______) __________________________

SECTION 7 – CONCLUSION

1. Do you (the operator named on the label) make any day to day decisions for another farm or ranch?

YES – Please list the other operation(s):__________________________________________________________________________

NO – [Continue.]

This completes the survey. Thank you for your help.

Reported by: ____________________________________	Telephone: (_____)	______________________	Date: _________________

OFFICE USE
R. Unit		Ptr 1 Str	Ptr 2 Str		Ptr 3 Str		Ptr 4 Str		OPS		SSO 1	ADJ
921		925	926		927		928		923		407	922
Response	Respondent		Mode	Enum.		Eval.		Date		POID
9901	9902		9903	0098		0100		9910 ____ ____ ____ ____ 10 M M D D		789 ___ ___ ___ ___ ___ ___ ___ ___ ___
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