Form QID 150028 QID 150028 Agricultural Labor Survey - October 2011

Agricultural Labor

0109 Agricultural Labor Survey - 2011 Annual Questionnaire

Agricultural Labor

OMB: 0535-0109

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Project Code 182 QID 150028


OMB No. 0535-0109 Approval Expires 11/30/2012


AGRICULTURAL LABOR SURVEY

October 2011

NATIONAL

AGRICULTURAL

STATISTICS

SERVICE







U.S Department of Agriculture

P.O. Box 1148

Cheyenne, WY 82003-1148

1-888-424-7828

Fax: 307-432-5598

E-mail: [email protected]




















Your help is needed to estimate the number of agricultural workers and their average wage rate. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary. The information will be used to compile and publish estimates at a Regional and National level for the United States.


















































DRAFT



Attempted Contacts



Date

Time

Notes















Stratum

POID

Tract

Subtr.






__ __ __ __

__ __ __ __ __ __ __ __ __

__ __

__ __


























1.

[Verify name and mailing address of this operation. Make any corrections necessary (including the correct operation name) on the label and continue.]

[Check if name label verified]

2. Since June 1, 2011, have you or will you (name on label)--



a. grow any crops or cut hay?

[Include grains, row crops, oilseeds, fruits, nuts, vegetables (including strawberries and melon crops), nursery and greenhouse, Christmas trees, and other specialty crops.]



YES – [Go to item 3] NO – [Continue]

b. own or raise any livestock or poultry?

[Include livestock and poultry owned, and any being raised under contract for someone else.]



YES [Go to item 3] NO – [Continue]

c. sell any agricultural products?



YES – [Go to item 3] NO – [Continue]

d. receive government agricultural payments?

[Exclude government payments received as a landlord.]



YES – [Go to item 3] NO – [Continue]

OFFICE USE

e. have more than 19 acres of idle cropland or more than

99 acres of pastureland?

785


YES – [Go to item 3] NO – [Go to Section 6, page 7, item 1]






OFFICE USE

3. Are the day-to-day decisions for this operation made by one individual,

a hired manager, or partners? [Check one]



R. UNIT



921

One individual – [Go to Section 2, page 3, item 1]

A hired manager – [Go to Section 2, page 3, item 1]

Partners – How many partners make the day-to-day decisions?



SUB.



941

Number


JUNE 1

[Enter number of partners, including operator, and then continue]. . . . . . . . . . . . . . . .

     


930



PARTNER

NAMES

4.


Please identify the other person(s) in this partnership, then go to Section 2, page 3.

[Verify partner(s) name and make necessary corrections if name(s) have already been entered.]




[Check if verified]





OFFICE USE


Name:

________________________________

Phone: (______) __________



Stratum



(First) (Middle) (Last)





925


Address:

_______________________________

___________________

____

_______


Ind. Op.



(Rt or St.)

(City)

(State)

(Zip)


924


Did this partner operate land individually on June 1, 2011?





Yes No










[Check if verified]





OFFICE USE


Name:

________________________________

Phone: (______) __________



Stratum



(First) (Middle) (Last)





926


Address:

_______________________________

___________________

____

_______


Ind. Op.



(Rt or St.)

(City)

(State)

(Zip)


924


Did this partner operate land individually on June 1, 2011?





Yes No










[Check if verified]





OFFICE USE


Name:

________________________________

Phone: (______) __________



Stratum



(First) (Middle) (Last)





927


Address:

_______________________________

___________________

____

_______


Ind. Op.



(Rt or St.)

(City)

(State)

(Zip)


924


Did this partner operate land individually on June 1, 2011?





Yes No










[Check if verified]





OFFICE USE


Name:

________________________________

Phone: (______) __________



Stratum



(First) (Middle) (Last)





928


Address:

_______________________________

___________________

____

_______


Ind. Op.



(Rt or St.)

(City)

(State)

(Zip)


924


Did this partner operate land individually on June 1, 2011?





Yes No











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Section 2CONTRACT, AGRICULTURAL SERVICE OR CUSTOM WORKERS

1. During the week of October 9th through the 15th, was any work performed on your operation using---

  • Contract labor

  • An agricultural service

  • Custom work for a fee or under contract

For those workers on the payroll that you paid wages directly to the worker, please report
those workers in Section 3 – PAID WORKERS
, below.


CODE

YES – [Enter code 1 and continue] NO – [Enter code 3 then go to Section 3, below]

029





Examples of Contract, Agricultural Service and Custom Work:


Artificial insemination (AI); combining; corn or cotton picking; fertilizing;

harvesting of fruit, vegetable or berry crops; hay baling; milk testing; pruning;

sheep shearing; spraying; thinning; veterinarian work; weeding.









What was done?

How many workers were there?



     

     



     

     



     

     



Total Contract, Ag. Service and Custom Workers

030

























Section 3 - PAID WORKERS

1. Did this operation have anyone on the payroll to do agricultural work the week of October 9th through the 15th?

[Include part-time workers, paid family members and hired managers. Only report

Hired Workers that were directly paid by the farm operation. Do not include contract

laborers or workers reported in Section 2 above in this section.]

CODE

YES - [Enter code 1 then continue on next page]
NO - [Enter code 3 then go to Section 4, page 5]

400






Section 3PAID WORKERS (continued)




October 2011



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2. For the paid workers, record the number of workers, hours worked, and the gross wages paid the week of October 9th through the 15th. Please separate the workers by the main type of work they were hired to do based on the following groups:



Code

Work Hired to Do



1

FIELD WORKERS

Jack-of all-trades and machinery operators on crop farms, fruit or vegetable pickers, greenhouse or nursery workers, hay balers and haulers, etc.



2

LIVESTOCK WORKERS

Jack-of-all-trades and machinery operators on livestock or poultry operations, workers hired to fix fences, tend animals, milk cows, gather eggs, etc.



3

SUPERVISOR/MANAGER

Hired managers, range foremen, crew leaders, etc. Exclude individuals not directly involved in day-to-day decisions on the farm.



4

OTHER WORKERS

Office workers, bookkeepers, pilots, pesticide applicators, etc.



Work Hired to Do

Worker

Code

(shown above)

Number

of Paid

Workers

Total

Hours

Worked

Total Gross Wages That Week

(Dollars)

     

411

412

413

414

     

421

422

423

424

     

431

432

433

434

     

441

442

443

444

     

451

452

453

454


3. TOTAL PAID WORKERS

360





4. In 2011, how many of these TOTAL PAID WORKERS will be paid by this operation----

NUMBER OF WORKERS

a. For 150 days or more of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

500

b. For 149 days or less of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

501

Sum MUST equal TOTAL PAID WORKERS, item 3 above.

TOTAL








































Office Use - Completion Code – Usability

1 – Incomplete, Has Labor

2 – Incomplete, Unknown

598


3 – No Labor












Now we would like to ask you about labor on your operation for the previous 3 quarters, July, April, and January 2011.




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Section 2aCONTRACT, AGRICULTURAL SERVICE OR CUSTOM WORKERS

1. During the week of July 10th through the 16th, was any work performed on your operation using---

  • Contract labor

  • An agricultural service

  • Custom work for a fee or under contract

For those workers on the payroll that you paid wages directly to the worker, please report
those workers in Section 3 – PAID WORKERS
, below.


CODE

YES – [Enter code 1 and continue] NO – [Enter code 3 then go to Section 3, below]

xxx





Examples of Contract, Agricultural Service and Custom Work:


Artificial insemination (AI); combining; corn or cotton picking; fertilizing;

harvesting of fruit, vegetable or berry crops; hay baling; milk testing; pruning;

sheep shearing; spraying; thinning; veterinarian work; weeding.









What was done?

How many workers were there?



     

     



     

     



     

     



Total Contract, Ag. Service and Custom Workers

xxx

























Section 3a - PAID WORKERS

1. Did this operation have anyone on the payroll to do agricultural work the week of July 10th through the 16th?

[Include part-time workers, paid family members and hired managers. Only report

Hired Workers that were directly paid by the farm operation. Do not include contract

laborers or workers reported in Section 2 above in this section.]

CODE

YES - [Enter code 1 then continue on next page]
NO - [Enter code 3 then go to Section 4, page 5]

xxx






Section 3aPAID WORKERS (continued)




July 2011



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2. For the paid workers, record the number of workers, hours worked, and the gross wages paid the week of July 10th through the 16th. Please separate the workers by the main type of work they were hired to do based on the following groups:



Code

Work Hired to Do



1

FIELD WORKERS

Jack-of all-trades and machinery operators on crop farms, fruit or vegetable pickers, greenhouse or nursery workers, hay balers and haulers, etc.



2

LIVESTOCK WORKERS

Jack-of-all-trades and machinery operators on livestock or poultry operations, workers hired to fix fences, tend animals, milk cows, gather eggs, etc.



3

SUPERVISOR/MANAGER

Hired managers, range foremen, crew leaders, etc. Exclude individuals not directly involved in day-to-day decisions on the farm.



4

OTHER WORKERS

Office workers, bookkeepers, pilots, pesticide applicators, etc.



Work Hired to Do

Worker

Code

(shown above)

Number

of Paid

Workers

Total

Hours

Worked

Total Gross Wages That Week

(Dollars)

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx


3. TOTAL PAID WORKERS

xxx





4. In 2011, how many of these TOTAL PAID WORKERS will be paid by this operation----

NUMBER OF WORKERS

a. For 150 days or more of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

b. For 149 days or less of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

Sum MUST equal TOTAL PAID WORKERS, item 3 above.

TOTAL

































Office Use - Completion Code – Usability

1 – Incomplete, Has Labor

2 – Incomplete, Unknown

598


3 – No Labor







April 2011



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Section 2bCONTRACT, AGRICULTURAL SERVICE OR CUSTOM WORKERS

1. During the week of April 10th through the 16th, was any work performed on your operation using---

  • Contract labor

  • An agricultural service

  • Custom work for a fee or under contract

For those workers on the payroll that you paid wages directly to the worker, please report
those workers in Section 3 – PAID WORKERS
, below.


CODE

YES – [Enter code 1 and continue] NO – [Enter code 3 then go to Section 3, below]

xxx





Examples of Contract, Agricultural Service and Custom Work:


Artificial insemination (AI); combining; corn or cotton picking; fertilizing;

harvesting of fruit, vegetable or berry crops; hay baling; milk testing; pruning;

sheep shearing; spraying; thinning; veterinarian work; weeding.









What was done?

How many workers were there?



     

     



     

     



     

     



Total Contract, Ag. Service and Custom Workers

xxx

























Section 3b - PAID WORKERS

1. Did this operation have anyone on the payroll to do agricultural work the week of April 10th through the 16th?

[Include part-time workers, paid family members and hired managers. Only report

Hired Workers that were directly paid by the farm operation. Do not include contract

laborers or workers reported in Section 2 above in this section.]

CODE

YES - [Enter code 1 then continue on next page]
NO - [Enter code 3 then go to Section 4, page 5]

xxx






Section 3bPAID WORKERS (continued)




April 2011



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2. For the paid workers, record the number of workers, hours worked, and the gross wages paid the week of April 10th through the 16th. Please separate the workers by the main type of work they were hired to do based on the following groups:



Code

Work Hired to Do



1

FIELD WORKERS

Jack-of all-trades and machinery operators on crop farms, fruit or vegetable pickers, greenhouse or nursery workers, hay balers and haulers, etc.



2

LIVESTOCK WORKERS

Jack-of-all-trades and machinery operators on livestock or poultry operations, workers hired to fix fences, tend animals, milk cows, gather eggs, etc.



3

SUPERVISOR/MANAGER

Hired managers, range foremen, crew leaders, etc. Exclude individuals not directly involved in day-to-day decisions on the farm.



4

OTHER WORKERS

Office workers, bookkeepers, pilots, pesticide applicators, etc.



Work Hired to Do

Worker

Code

(shown above)

Number

of Paid

Workers

Total

Hours

Worked

Total Gross Wages That Week

(Dollars)

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx


3. TOTAL PAID WORKERS

xxx





4. In 2011, how many of these TOTAL PAID WORKERS will be paid by this operation----

NUMBER OF WORKERS

a. For 150 days or more of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

b. For 149 days or less of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

Sum MUST equal TOTAL PAID WORKERS, item 3 above.

TOTAL

































Office Use - Completion Code – Usability

1 – Incomplete, Has Labor

2 – Incomplete, Unknown

xxx


3 – No Labor







January 2011



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Section 2cCONTRACT, AGRICULTURAL SERVICE OR CUSTOM WORKERS

1. During the week of January 9th through the 15th, was any work performed on your operation using---

  • Contract labor

  • An agricultural service

  • Custom work for a fee or under contract

For those workers on the payroll that you paid wages directly to the worker, please report
those workers in Section 3 – PAID WORKERS
, below.


CODE

YES – [Enter code 1 and continue] NO – [Enter code 3 then go to Section 3, below]

xxx





Examples of Contract, Agricultural Service and Custom Work:


Artificial insemination (AI); combining; corn or cotton picking; fertilizing;

harvesting of fruit, vegetable or berry crops; hay baling; milk testing; pruning;

sheep shearing; spraying; thinning; veterinarian work; weeding.









What was done?

How many workers were there?



     

     



     

     



     

     



Total Contract, Ag. Service and Custom Workers

xxx

























Section 3c - PAID WORKERS

1. Did this operation have anyone on the payroll to do agricultural work the week of January 9th through the 15th?

[Include part-time workers, paid family members and hired managers. Only report

Hired Workers that were directly paid by the farm operation. Do not include contract

laborers or workers reported in Section 2 above in this section.]

CODE

YES - [Enter code 1 then continue on next page]
NO - [Enter code 3 then go to Section 4, page 5]

xxx






Section 3cPAID WORKERS (continued)




January 2011



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2. For the paid workers, record the number of workers, hours worked, and the gross wages paid the week of January 9th through the 15th. Please separate the workers by the main type of work they were hired to do based on the following groups:



Code

Work Hired to Do



1

FIELD WORKERS

Jack-of all-trades and machinery operators on crop farms, fruit or vegetable pickers, greenhouse or nursery workers, hay balers and haulers, etc.



2

LIVESTOCK WORKERS

Jack-of-all-trades and machinery operators on livestock or poultry operations, workers hired to fix fences, tend animals, milk cows, gather eggs, etc.



3

SUPERVISOR/MANAGER

Hired managers, range foremen, crew leaders, etc. Exclude individuals not directly involved in day-to-day decisions on the farm.



4

OTHER WORKERS

Office workers, bookkeepers, pilots, pesticide applicators, etc.



Work Hired to Do

Worker

Code

(shown above)

Number

of Paid

Workers

Total

Hours

Worked

Total Gross Wages That Week

(Dollars)

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx

     

xxx

xxx

xxx

xxx


3. TOTAL PAID WORKERS

xxx





4. In 2011, how many of these TOTAL PAID WORKERS will be paid by this operation----

NUMBER OF WORKERS

a. For 150 days or more of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

b. For 149 days or less of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

Sum MUST equal TOTAL PAID WORKERS, item 3 above.

TOTAL

































Office Use - Completion Code – Usability

1 – Incomplete, Has Labor

2 – Incomplete, Unknown

xxx


3 – No Labor






This page is intentionally left blank.

Section 4 -

VALUE OF SALES

1. Please classify this operation in terms of total gross value of sales

[Be sure sales represent only 2010 and earlier years’ production.]




Considering:

  • Sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in 2010.

  • The value of product removed for all crops, livestock, and poultry produced under contract in 2010.

  • Sales of all miscellaneous agricultural products in 2010.

  • All government agricultural payments received in 2010.

  • Landlord’s share of government payments and crops sold in 2010.


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

Total Value

GVS Code


None’ during 2010. . . . . . . . . . . . .

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

550


$


5,000,000 and over ………….

13







b. Does the GVS (gross value of sales) Code in Code Box 550 equal ‘1’ or ‘99’?

YES - [Continue] NO - [Go to page 6, item 2]

c. Record all 2011 crops, land uses, and livestock or poultry

now on the total acres operated, then go to page 6, item 2.






















Land Use

ACRES

Field Crops Intended For Harvest

ACRES

Other Crops

ACRES

CRP/WRP . . . . . . . . . . . . . . . .


__________________ …


Cut Christmas Trees


Idle Cropland . . . . . . . . . . . . . .


__________________ …


___________________ .. .


Summer Fallow


__________________ …


___________________ …


_________________ . . . . . . . .


__________________ …


___________________ …


_________________ . . . . . . . .


__________________ …








Livestock

NUMBER

Government Payments

WHOLE

DOLLARS

Fruits/Nuts

ACRES

Cattle – Dairy ……….


CRP/WRP Payments . . . . . . . .


__________________ …


Cattle – Other ………


Other Gov’t Payments . . . . . . .


__________________ …


Chickens ……………




__________________ …


Hogs …………………


Pasture/Rangeland

Cropland Used Only For

Pasture . . . . . . . . . . . . . . . . . .

ACRES

__________________ …


Horses ………………


__________________ …


Mules/Burros ……….





___________________ …


Permanent Pasture . . . . . . . . .


Vegetables/Melons

ACRES

___________________ …


Woodland Pasture . . . . . . . . . .


__________________ …


___________________ …




__________________ …


___________________ …


Aquaculture

NUMBER

__________________ …



Office Use

Acres of Ponds in Use . . . . . . .





TOTAL POINTS

Foodsize/Stockers . . . . . . . . . .


Berries

ACRES


552

Fingerlings/Broodfish . . . . . . . .


__________________ …



PASTURE POINTS

Trout Eggs . . . . . . . . . . . . . . . .


__________________ …



554



Section 4 - VALUE OF SALES (continued)


2.

Of the farm or ranch income reported, which of these categories represents the largest

portion of the gross income from this operation?

Code







1 Grains, Oilseeds, Dry Beans, and Dry Peas . . . . . . . . . . . . . . . . . . . . . . . .

1




(corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice,

small grains, sorghum, soybeans, sunflowers, straw, etc.)






2 – Tobacco. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2




3 – Cotton and Cottonseed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3




4 – Vegetables, Melons, Potatoes and Sweet Potatoes. . . . . . . . . . . . . . . . . . .

4




(beets, cabbage, cantaloupes, pumpkins, sweet corn,

tomatoes, watermelons, vegetable seeds, etc.)






5 – Fruit, Tree Nuts and Berries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5




(almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,

oranges, pears, pecans, strawberries, walnuts, etc.)






6 – Nursery, Greenhouse, Floriculture and Sod. . . . . . . . . . . . . . . . . . . . . . . . .

6




(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. . . . . . . . . . . . . . .

7


FARM TYPE CODE

8 – Other Crops and Hay, CRP and Pasture. . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

551

(grass seed, hay and grass silage, hops, maple syrup, mint,

peanuts, sugarcane, sugarbeets, CRP, etc.)




9 – Hogs and Pigs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9




10 – Milk and Other Dairy Products from Cows. . . . . . . . . . . . . . . . . . . . . . . . . . .

10




11 – Cattle and Calves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11




(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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12




(wool, mohair, milk and cheese)






13 – Horses, Ponies, and Mules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(burros and donkeys)

13




14 – Poultry and Eggs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14




(broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings,

ostriches, pigeons, pheasants, quail, poultry products, etc.)






15 – Aquaculture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15




(catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.)






16 – Other Animals and Other Animal Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16




(bees, honey, rabbits, fur-bearing animals, semen, manure,

other animal specialties, etc.)










































Section 5 - PEAK HIRED WORKERS

NUMBER OF WORKERS

1. During 2011, what was or will be the largest number of hired workers,

including paid family members, on the payroll on any one day?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

277







CODE

DON’T KNOW - [Enter code 2]

NONE - [Enter code 3]

278

[Skip page 7, go to back page, item 1 and continue]




Section 6CHANGE IN OPERATOR


Complete this section only if you answered “NO” for all questions in item 2 on the face page.

1. Has the operation named on the label been sold, rented or turned over to someone else?


YES – [Go to item 2] NO – [Continue ]

a.

Will the land be used for any agricultural purpose by you (the operator), or anyone else in the next year (including growing crops or raising livestock)?











YES NO DON’T KNOW







Regardless of answer to above, write a note to explain the situation, then go to back page, item 1.



















































2.

Please provide the following information for the operation that has taken over the land:



Operation Name: _______________________________________________________________________________


Operator Name: ________________________________________________________________________________


Address: _______________________________________________ Phone: (_______)________________________


City: ______________________________________ State: __________________________ Zip: ________________










































3. Was this new operation, reported in item 2, in business before June 1, 2011?






YES - [Go to back page, item 1]


NO - [Continue]





















4.

Is this new operation, reported in item 2, managed?



YES - [Go to back page, item 1]


NO - [Continue]





















5.

Were any individuals associated with the new operation, reported in item 2 above, operating land

individually before June 1, 2011?


YES - [Go to back page, item 1]


NO - [Go to back page, item 1]





CONCLUSION






















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



YES – [Continue] NO – [Go to item 2 below]


a. What is the name of this operation? _____________________________________________________


[ENUMERATOR NOTE: If ADDITIONAL OPERATION IS INDIVIDUAL OR PARTNERSHIP,

complete a separate questionnaire for the additional operation.]

b. Was this additional operation in business before June 1, 2011?



YES – [Continue] NO – [Continue]





















2. SURVEY RESULTS: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/.

Would you rather have a brief summary mailed to you at a later date?

1 Yes 3No

099



Thank You for your response


Respondent: ______________________________________________________ Date: ___________________________


Phone: ( ______ ) _________ - ____________________







Office Use for POID


789


__ __ __ - __ __ __ - __ __ __








Response

Respondent

Mode

Enum.

Eval.

Date


MM DD YY

1-Comp

2-R

3-Inac

4-Office Hold

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

9910

__ __ __ __ 11


S/E Name










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 0535-0109. The time required to complete this information collection is estimated to average 45 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.




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