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pdfOMB No. XXXX-XXXX Approval Expires - XX/XX/XX
Part A - QUESTIONNAIRE IDENTIFICATION (NASS USE ONLY)
NOTICE - Response to this inquiry is required by law (title 7, U.S.
Code). By the same law, YOUR REPORT IS CONFIDENTIAL and will
only be used for statistical purposes. Your report CANNOT be used for
purposes of taxation, investigation or regulation.The law also provides
that copies retained in your files are immune from legal process.
FARM SERIAL NUMBER
ARA
Block
U.S. DEPARTMENT OF AGRICULTURE Island
Form 12-A1 (USAS)
Map Spot
Code
District
Code
Code
Village
Code
NATIONAL AGRICULTURAL STATISTICS SERVICE
County
2013
CENSUS OF
AGRICULTURE
AMERICAN SAMOA
Part B - OWNER’S NAME AND ADDRESS OR PHYSICAL LOCATION
Full nam e (First nam e, m iddle initial, last nam e)
A ddress or physical location
NASS USE ONLY
03 5
036
037
READ TO RESPONDENT -
1. Communal lands
038
03 9
We estimate that it will take from 20 to 40 minutes to complete this report, with 30 minutes being
the average time. Do you have any land on which you keep livestock or grow crops for sale or
family use? (If NO, go to Section 10 on the back page; if YES, continue with Section 1.)
INSTRUCTIONS
2. Private land
Privately owned lands, not held or operated under the
communal system - If crops were raised or livestock or poultry
were kept, complete this agriculture questionnaire in the name
of the person in charge. The person in charge is the one
responsible for making the decisions. The person in charge will
usually be the head of the family which plants or gathers the
crops.
a. Any land used in owner-like possession for the benefit of the extended
family should be reported as land owned under section 1, question 1. If
the land is used for the sole benefit of the operator rather than the
extended family, report the land under section 1, question 2 on a separate
questionnaire.
b. Any land used to which title or right of ownership is not held, should be
reported as land rented FROM OTHERS under section 1, question 2. Do
this even though no rent is paid to the owner of this land.
c. Any land to which the title is held or ownership claimed, which is used by
a nonmember of the extended family, should be reported as land rented
TO OTHERS under section 1, question 3. Do this even though no rent is
paid by the nonmember. In such cases, a separate agriculture
questionnaire should be completed for the lands reported under section 1,
question 3 in the name of the person in charge.
SECTION 1
3. All other land
Experimental farms, schools, churches, and other institutions If crops were raised or livestock or poultry were kept,
complete this agriculture questionnaire in the name of the
institution. Also, give the name of the manager or
superintendent in part B, above.
LAND IN AGRICULTURE (Report all land in tenths of acres)
Communal
land
None
040
1. How many acres do you own or use in owner-like possession?
041
~
/10
044
2. How many acres do you rent from others? (Include land used
rent-free)
~
/10
/10
/10
Acres
Tenths
2)
/10
3)
/10
8. Which of the following best describes your operation?
2
/10
/10
~ Home consumption - Go to question 10.
~ Crop holding
/10
056
1)
7. Is this farm producing mainly for family consumption or for sale? (Mark (X) one)
1
/10
055
Village
6. How many separate PARCELS or PIECES of land or plantations are represented in the “Total acres
in this place?”
1
/10
052
/10
Name of owner
5. If you rented land from others,
(question 2) enter the following
information for each landlord
/10
051
054
/10
047
/10
/10
053
/10
046
049
Total
043
/10
/10
~
All other land
042
045
048
3. How many acres do you rent to others? (Include land for which
no rent is received)
4. Total acres in this place -ADD acres owned (question 1) and acres
rented from others (question 2), then subract acres rented to others
(question 3), and enter the result in this space.
Privately
owned land
2
060
Number of parcels
061
~ Sale - ASK questions 8 and 9
062
~ Livestock and/or poultry holding
9. In what YEAR did you begin to operate this farm? 063
3
~ Mixed holding - both crops and livestock
________________
4
~ Other
25 to
149 days?
Less than
25 days?
Year
150 days
or m ore?
10.
In 2013, how many paid farm hands (non-family members) worked on this place -
11.
W hat percent of the farm operation is financed by each of the following sources?
a. Household
b. Private (Individual)
c. Commercial
d. Government
e. Other - Specify_________________________________________________________________
064
065
None
~
~
~
~
~
066
Percent
067
%
068
%
069
%
070
%
071
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The time required to complete this information collection is estimated to average 30 minutes per response.
%
FIELD CROPS, MELONS, AND VEGETABLES - Did you harvest any FIELD CROPS, MELONS, or
VEGETABLES in 2013, such as cabbage, cassava, taro yams, etc.?
SECTION 2
002
~ Yes - Complete this section
2 ~ No - Go to section 3
1
How many acres
What
were harvested quantity was
in 2013?
harevested in
2013?
Tenth
None Acres
080
1. Cabbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
081
2. Cassava . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
086
~
~
096
5. Egg plant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
6. Giant taro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
7. Green beans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
8. Green onions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
9. Melons (watermelons, honeydews, muskmelons, etc.) . .
~
10. Sugarcane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
11. Taro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
12. Tomatoes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
13. Yams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
14. Other field crops and vegetables (kava, sweet potatoes,
etc.)
SECTION 3
003
~
Lbs
139
143
Lbs
144
Lbs $
147
148
Lbs
149
Lbs $
Lbs
FRUITS AND NUTS - Did you have any FRUIT or NUT trees or plants on this place, such as bananas,
coconuts, mangoes, pineapples, etc.? (Quantity harvested in 2013 and number of trees and plants on
December 31, 2013.)
1
~ Yes - Complete this section
2
~ No - Go to section 4
Total trees or
plants on this
place
Total quantity
harvested in
2013
Quantity sold
in 2013
Value of
sales in 2013
(Dollars)
Quantity
harvested for
family use or
consumption
151
152
153
154
None
Avocados . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
150
1.
Bananas (Fai Palagi) . . . . . . . . . . . . . . . . . . . . . . . . . .
~
155
2.
Bananas (Other varieties) . . . . . . . . . . . . . . . . . . . . . . .
~
160
3.
Breadfruits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
165
4.
Cacao . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
170
5.
175
6.
Coconuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
Grapefruits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
180
7.
Lemons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
185
8.
Limes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
190
9.
~
195
10. Mangoes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
200
11. Oranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
205
12. Papayas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
210
13. Pineapples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Other fruits, nuts, and tree crops (pandanus, kopek,
citrons, coffee, etc. Specify _______________________
~
$
156
157
158
159
$
161
162
163
164
$
166
167
168
169
$
171
172
173
174
$
176
177
178
179
$
181
182
183
184
$
186
187
188
189
$
191
192
193
194
$
196
197
198
199
$
201
202
203
204
$
206
207
208
209
$
211
212
213
214
$
215
216
15. How many square feet under cover and/or acres in the open did you have
planted in ORNAMENTAL PLANTS or in any other NURSERY CROPS?
217
218
219
$
Square feet
under cover
PAGE 2
Lbs
134
Lbs $
Lbs
/10
138
142
146
Lbs
129
Lbs $
Lbs
/10
145
133
137
141
Lbs
124
Lbs $
Lbs
/10
140
128
132
136
Lbs
119
Lbs $
Lbs
/10
135
123
127
131
Lbs
114
Lbs $
Lbs
/10
130
118
122
126
Lbs
109
Lbs $
Lbs
/10
125
113
117
121
Lbs
104
Lbs $
Lbs
/10
120
108
112
116
Lbs
099
Lbs $
Lbs
/10
115
103
107
111
Lbs
094
Lbs $
Lbs
/10
110
098
102
106
Lbs
089
Lbs $
Lbs
/10
105
093
097
101
084
Lbs $
Lbs
/10
100
What was the
quantity
harvested for
family use or
consumption ?
$
088
092
Lbs
/10
095
4. Cucumbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
087
091
What was
the value
of sales in
2013?
(Dollars)?
083
Lbs
Lbs
/10
090
3. Corn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
082
Lbs
/10
085
What
quantity was
sold in 2013?
220
Value of
Acres Tenths
sales in 2013
221
222
/10 $
Value of
plants for
family use in
2013
223
$
LAND USE - Land is to be reported in ONLY ONE CATEGORY. If two or more uses
were made of the same land, report in the FIRST category that applies.
SECTION 4
None
Acres
230
~
~
~
~
~
1. Cropland harvested - Report the number of acres on which crops were grown and harvested . . . . . . . . . . . . .
2. Other cropland - Include cropland pasture, crop failure, idle and fallow cropland, and cropland used for soil
improvement
3. Pasture or grazing land - Include woodland pasture. (DO NOT include cropland pasture.) . . . . . . . . . . . . . . .
4. Woodland (DO NOT include woodland pasture.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. All other land - Include house lots, barn lots, lanes, roads, ditches, ponds, wasteland, etc. . . . . . . . . . . . . . .
/10
231
/10
232
/10
233
/10
234
/10
235
6. TOTAL LAND - Add entries in questions 1 through 5. This total should equal the entry in section 1, question 4
SECTION 5
None
1. Total cattle and calves of all ages (Total of “a” and “b” below) . . . . . . . . . .
a.
Milk Cows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
All other cattle and calves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Hogs and pigs of all ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Horses, mules, and colts of all ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Chickens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
~
~
~
~
~
How many
How many
were on this were sold in
place Dec. 31?
2013?
~
~
6. Other livestock - Specify_____________________________________________
241
242
$
243
244
245
246
247
$
248
249
8. How many quarts of milk were produced during 2013? . . . . . . . . . . . . . . . .
SECTION 6
~
~
250
251
$
252
253
254
255
$
256
257
258
259
$
260
261
262
263
$
265
266
267
$
268
269
270
271
$
Total quantity
produced in
2013
7. How many dozen chicken eggs were produced during 2013? . . . . . . . . . . . .
What was
How many
the value of
were
sales in
slaughtered
2013?
for family use
240
264
5. Other poultry (ducks, pigeons, guineas,
geese, etc.) - Specify _______________________________________________
280
/10
LIVESTOCK AND POULTRY - How many of the following livestock and/or poultry were on
this place December 31, and how many were sold or slaughtered for family use in 2013?
272
Quantity
sold in
2013
273
Value of
sales in
2013
274
275
$
276
277
278
279
$
Did you or any family member raise any FISH or AQUACULTURE PRODUCTS on this place during 2013?
1
~
YES - Complete this section
2
~
NO - Go to SECTION 7
None
1. How many in-ground PONDS did you use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. How many above-ground TANKS did you use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Which of the following FISH or other AQUACULTURE
PRODUCTS were raised in 2013?
a.
None
~
~
~
~
~
Shrimp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
Crayfish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Clams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Other - Specify: ___________________________________ . . . . . . . . . . .
SECTION 7
300
285
lbs
284
$
288
lbs
287
$
291
lbs
290
$
294
num ber
293
$
297
lbs
296
$
286
289
292
295
282
lbs
lbs
lbs
num ber
lbs
Did you or any family member catch any fish or giant clams for sale or family use, in 2013 ? (Do not
include fish raised in captivity.)
1
~
YES - Complete this section
None
.........................
3. Giant Clams . . . . . . . . . . . . . . . . . . . .
SECTION 8
Number
281
Quantity raised for
family use or
consumption
(D ollars O N LY )
283
2
~
NO - Go to SECTION
1. Number of boats used for fishing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Fish
~
~
Gross Value of
SALES
Quantity Sold
(Pounds)
Tilapia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
Quantity
produced for
family use or
consumption
in 2013
~
~
Total quantity caught
in 2013
302
Quantity
sold in 2013
Value of sales
in 2013
303
Lbs
302
Quantity consumed or
for family use in 2013
304
Lbs
307
Number
301
305
$
Lbs
308
Number
309
$
How much were your EXPENDITURES for each of the following in 2013?
Number
None
Dollars only
310
1. Machine hire and customwork . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Wages and salaries paid to employees or hired farm workers (DO NOT include housework or contract
construction work.) Include cash payments only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Feed purchased for livestock and poultry - Include cost of grain, feed, concentrates, and roughage; also
amount paid for grinding and mixing feed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
311
$
00
31 2
$
00
313
4. Insecticides, fungicides, and herbicides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
314
5. Fertilizers and manure purchased . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
315
6. Livestock and poultry purchased . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
$
00
00
00
316
7. Seed cost - Include seedlings purchased. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
00
PAGE 3
SECTION 9
1.
EQUIPM ENT and FACILITIES
How many of the follow ing pieces of EQUIPMENT are on this place? (Include all specified
equipment on this place today, regardless of ownership, provided it is in operating condition.)
None
a.
Tractors of all kinds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
Motortrucks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
Automobiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d.
Tillers of all kinds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e.
Chain Saws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f.
Weed Eaters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g.
Mist Blowers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h.
Knap Sack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
~
~
~
~
~
~
~
~
Number
320
321
322
323
324
325
326
327
Do you have the following FACILITIES on this place?
a.
Electricity
b.
Piped running water
SECTION 10
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
~
YES
2
~
NO
328
1
~
YES
2
~
NO
329
HOUSEHOLD CHARACTERISTICS
Relationship to
head of household
Name of family member (beginning with head of household)
A ge
Sex
W FP
1
C lass of Place of
2
3
W ork
Birth
C itizen4
ship
Residence 5
years
5
ago
H ighest
D ays
Level of w orked
6
7
Educ.
on Farm
330
331
332
333
334
335
336
337
338
33 9
340
341
342
343
344
345
356
347
348
34 9
350
351
352
353
354
355
356
357
358
35 9
360
361
362
363
364
365
366
367
368
36 9
370
371
372
373
374
375
376
377
378
37 9
380
381
382
383
384
385
386
387
388
38 9
390
391
392
393
394
395
396
397
398
39 9
400
401
402
403
404
405
406
407
408
40 9
410
411
412
413
414
415
416
417
418
41 9
420
421
422
423
424
425
426
427
428
42 9
430
431
432
433
434
435
436
437
438
43 9
440
441
442
443
444
445
446
447
448
44 9
450
451
452
453
454
455
456
457
458
45 9
460
461
462
463
464
465
466
467
468
46 9
470
471
472
473
474
475
476
477
478
47 9
480
481
482
483
484
485
486
487
488
48 9
490
491
492
493
494
495
496
497
498
Head of
Household
COMMENTS:
Enter the code for the following categories in the appropriate column above:
1 - WFP
1
2
3
4
5
6
7
8
-
(W ork Force Participation) in the last w eekW orked for pay only
W orked for pay/subsistence
W orked for subsistence only
W ork ed for in-k ind pay
N one, on leave or vacation
N one- available and seeking w ork
N one- seeking w ork b ut unavailable
N one-not seeking w ork
2 - Class of Work1 - G overnm ent
2 - Private com pany or individual
3 - Self-em ployed
3 - Birthplace01
02
03
04
05
06
07
08
09
10
11
12
13
-
A m erican Sam oa
W estern Sam oa
Tonga
Fiji
O ther Pacific
U nited States
A ustralia
N ew Zealand
K orea
RO C
Philippines
O ther A sian C ountry
O ther
5 - Residence - 2009
01
02
03
04
05
06
07
08
09
10
11
12
13
4 - Citizenship 1
2
3
4
PAGE 4
U S citizen
U S national
N on-citizen/national permanent resident
N on-citizen/national temporary resident
-
A m erican Sam oa
W estern Sam oa
Tonga
F iji
O ther Pacific
U nited States
A ustralia
N ew Zealand
K orea
RO C
Philippines
O ther A sian C ountry
O ther
6 - Highest Education Level
List the highest grade
com pleted. 01 through
12 are used for elem entary
through h ig h scho ol. 1 3
through 16 represent
university, and 17 and
above indicate g rad uate
w ork.
7 - Days Worked on Farm
1 - 150 days or m ore
2 - 25 - 149 days
3 - Less than 25 days
File Type | application/pdf |
Author | beinro |
File Modified | 2011-07-27 |
File Created | 2011-07-14 |