NAHMS 287 General Swine Farm Questionnaire (CATI)

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United States Department of Agriculture	GENERAL SWINE FARM QUESTIONNAIRE (CATI) Swine 2012 Small Herds July 2012
OMB Number: 0579-0315 EXP. DATE: XX/XXXX NAHMS 287		Animal and Plant Health Inspection Service 2150 Centre Ave, Bldg. B Fort Collins, CO 80526-8117

SECTION 1:	SWINE INVENTORY
1. At any time from June 1, 2011 through May 31, 2012, were there any hogs or pigs (regardless of ownership) on the total acres you operate?............................................................................................		Yes1 No3
[NOTE: If Item 1 is N0, SKIP to Section 6.]
2. On June 1, 2012, were there any hogs or pigs (regardless of ownership) on the total acres you operate?...................................................................................................................................................		Yes1 No3
[NOTE: IF Item 2 is NO, SKIP TO Section 2, Item 6, otherwise, CONTINUE.]
3. Of the total hogs and pigs on hand June 1, 2012 how many were:				Number
a. Sows and gilts for breeding?....................................................................................................................+
b. Boars and young males for breeding?......................................................................................................+
c. Pigs not yet weaned?.........................................................................................................................................+
d. Market hogs fed for slaughter (INCLUDE sows and boars no longer used for breeding)?.......................+
i. Then the total number of hogs and pigs on this site/operation June 1, 2012, was =
4. How many months in the last 12 months has there been at least one pig present on this operation?...............			Months

SECTION 2:	SWINE HOUSING AND PRODUCTION	1		2
		SOWS AND GILTS		WEAN TO FINISH (weaning to market weight)
1. Which types of pigs have you had on this site in the last 12 months?		Yes1 NO3		Yes1 NO3
[Please ask for each type of pig the site has.]
2. What type of facility is used for the most animals in the [read column heading] phase? [Enter code from List 1 below.]................
3. What type of flooring is most used in that facility? [Enter code from List 2 below.]..............................................................................
4. How are the majority of sows and gilts in the [read column heading] facility housed? [Enter code 1=INDIVIDUAL STALL, 2=GROUP HOUSING (e.g., PENS), 3=OTHER.].................................................
LIST 1 - Facility		LIST 2 - Flooring
1. Total confinement (with mechanical ventilation) 2. Open building with no outside access 3. Open building with outside access 4. Fenced Lot with or without hut/shelter. 5. Fenced Pasture with or without hut/shelter. 6. No facilities. Hogs and pigs roam free on acreage with no fence.		1. Solid surface 2. Partial slats 3. Completely slatted 4. Mats 5. Mesh 6. Dirt
5. Are breeding swine (sows and gilts) and weaned market hogs housed separately?			Yes1 N/A2 No3

SECTION 2:	SWINE HOUSING AND PRODUCTION (continued)
[NOTE: IF Item 1, COLUMN 1 equals NO (site has not had sows and gilts in the last 12 months), SKIP TO SECTION 3.]
6. During the 6-month period of June 1, 2011, through May 31, 2012:		Head
a. How many sows and gilts farrowed (counting each time a sow farrowed separately?.................................
b. How many pigs were born (including stillborns and mummies)?.....................................................................
c. How many of the (Item 6b) pigs were born alive?....................................................................................
d. Of the pigs born alive (Item 6c), how many have been or will be weaned?.............................................
7. Then, the number of preweaning deaths that occurred (between June 1, 2011, and May 31, 2012) was: [Subtract Item 6d from 6c, and enter result]...............................................................................................................		Head

SECTION 3:	SWINE MOVEMENT ON AND OFF THE OPERATION
1. How many hogs and pigs were brought onto the operation either temporarily or permanently in the last 12 months?.....................................................................................................................................................			Head
[NOTE: IF Item 1 is ZERO, SKIP TO Item 10.]
2. Of those pigs that were brought onto the operation, how many were [Enter numbers of head for each type of pig a-e] and where did they come from? [Enter code from List 1 below for each type of pig a-e]		Head	Source
a. Sows and gilts for breeding?......................................................................................+
b. Boars and young males for breeding?.......................................................................+
c. Weaned pigs?..........................................................................................................................+
d. Feeder pigs?........................................................................................................................+
e. Other (Please specify type:____________________________________________________)...+
Total (Should equal Item 1).......................................................................................=
LIST 1 – Source of Pigs
1. Auction/Market-in this county 2. Auction/Market-outside this county 3. Other Producer-in this county 4. Other Producer -outside this county 5. Other (Please specify:________________________________________________)t
3. During the last 12 months, how many of the following types of swine died while on the operation?			Head
a. Breeding pigs (sows, gilts and boars)?........................................................................................................
b. Weaned pigs (exclude Suckling pigs)?.....................................................................................................
4. During the last 12 months, how many hogs and pigs were sold for commercial slaughter or permanently moved from this operation, or slaughtered for home consumption?..........................................................			Head
[NOTE: IF Item 4 is ZERO, SKIP TO Item 7.
5. Of those pigs that were slaughtered for home consumption, sold or permanently moved from this operation how many were: [Enter number of head of each type of pig a-e]			Head
a. Sows or Gilts for breeding?..................................................................................................................+
b. Boars for breeding?..............................................................................................................................+
c. Culled breeding stock (sows or boars)?................................................................................................+
d. Weaned pigs or feeder pigs?................................................................................................................+
e. Feeder pigs?.....................................................................................................................................................+
f. Market weight slaughter hogs?.............................................................................................................+
g. Other, please specify type (e.g., bred sow, terminal show pigs):___________________________________ +
Total (Should equal Item 4)..............................................................................................................=

SECTION 3:	SWINE MOVEMENT ON AND OFF THE OPERATION (continued)
6. Of those pigs that were slaughtered for home consumption, sold or permanently moved off the operation, how many were: [Enter number of head for each type of pig a-g]			Head
a. Moved directly to other premises (either part of this operation or sold to another producer)?.................+
b. Moved directly to commercial slaughter? (e.g., commercial slaughterhouse).....................................+
c. Sold directly to custom slaughter for someone else? (e.g., local butcher)..........................................+
d. Slaughtered for home consumption?....................................................................................................+
e. Sold via an auction or dealer?..............................................................................................................+
f. Sold at a fair or show?...........................................................................................................................+
g. Escaped?..............................................................................................................................................+
Total (Should equal Item 4)..............................................................................................................=
7. In the last year what is the number of times any pigs were transported off operation and then returned (e.g., show a hog; loan a boar; etc)?..................................................................................		Number of Times

SECTION 4:	OVERALL SWINE FARM MANAGEMENT
[NOTE: For Item 1, each veterinary visitor must be classified into one role.]
1. During the past 12 months, how many times was your site visited for any purpose by a person who was a:		# Visits/ 12 months
a. Local veterinary practitioner?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......
b. State or Federal veterinarian?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Other type of veterinarian? (Specify_______________________________________)....................
2. During past 12 months, which of the following feed sources were used for the hogs and pigs on this operation? [Check Yes or No for each source type in a-i.]
a. Home raised sources, e.g., harvested corn or soybeans.................................................................			Yes1 No3
b. Purchased feed ingredients mixed on this operation.......................................................................			Yes1 No3
c. Custom feed mixed off operation specifically for you................................................................................			Yes1 No3
d. Purchased commercial diet.............................................................................................................			Yes1 No3
e. Commercial Food waste (e.g., fruit, bakery items, slaughter by-products) Excluding commercial meat and bone meal mix.................................................................................................................			Yes1 No3
f. Table Food waste (e.g., Uneaten food from a home or restaurant meal) Excluding commercial meat and bone meal mix.................................................................................................................			Yes1 No3
g. Co-products (i.e., distillers dried grain, wet grain, etc.)...................................................................			Yes1 No3
h. Crops in fields that pigs have been turned out on (whether or not fields are operated by this operation).........................................................................................................................................................			Yes1 No3
i. Wildlife carcasses. Exclude rats and mice......................................................................................			Yes1 No3
3. For rodent control on this site, do you use:
a. Cats?...................................................................................................................................................................			Yes1 No3
b. Dogs?..................................................................................................................................................................			Yes1 No3
c. Traps?..................................................................................................................................................................			Yes1 No3
d. Bait or poison?...................................................................................................................................................			Yes1 No3
e. Professional exterminator?..............................................................................................................................			Yes1 No3
f. Anything else? (Specify_____________________________)...................................................................			Yes1 No3

SECTION 5:	WILDLIFE AND OTHER FARMS
1. To the nearest quarter mile, how many miles is it from this site to the nearest site with any swine?...			Miles
			.__ __
2. How many sites with swine are within three miles of this site?..........................................................			Number of Sites
3. Are there feral pigs in this county (including pigs on hunting clubs or captive on farms)?.............		Yes 1 No3 D/K4
4. How many times in the last 12 months have feral/wild pigs been seen on this site?...........................			Number of Times
[NOTE: IF Item 4 is ZERO, SKIP TO Section 6.
5. For any of the times that feral/wild pigs were seen on this operation, was there any evidence that the feral swine entered or gained access to facilities used to house swine or store feed?.................			Yes1 No3

SECTION 6:	CONCLUSION
Thank you for your time. Please return this Questionnaire in the enclosed envelope.
Respondent Name:___________________________________________________________________		Date:___________________________

OFFICE USE
									9910 MM DD YYYY Date __ __ __ __ __ __ __ __
Response		Respondent		Mode		Enum.	Eval.	Office Use for POID
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	9902	1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other	9903	098	100	789 __ __ __ - __ __ __ - __ __ __
								Optional Use
								407		408

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 control number for this information collection is 0579-0315. The time required to complete this information collection is estimated to average 0.2 hours 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.

NAHMS-287 MARCH 2013