QID 082001 Integrated Screenig Survey (Master)

INTEGRATED SCREENING SURVEY
OMB: 0535-0218/2011-12-31
QID: 082001
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1. Please complete this survey only for the operation listed on the previous screen.
2. During , 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

No

a. Has the operation been sold, rented or turned over to someone else?
Yes

No

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

Yes

No

Don't Know

Please explain:

b. Please provide the following information for the operation that has taken over the land:
b. What is the name and address of the new operator?

Operation Name:

Operator Name:

Address:

Phone:

City:

State:

Zip:

SECTION 1 – TOTAL ACRES OPERATED

Including the farmstead, all cropland, woodland, pasture land, wasteland, and government
program land, how many total acres does this operation –
a.

own?

b.

rent or lease from others, including for cash, shares or rent free?

Acres
+

901

(Exclude land used on an animal unit month (AUM) or fee per head basis under a
grazing permit.)

+

902

c.

–

905

=

900

rent to others, including for cash, shares or rent free?

1. Total Acres Operated: [item 1a + 1b - 1c]
2. 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.)

SECTION 4 – VALUE OF SALES

1.

Please classify this operation in terms of total gross value of sales.
[Include only and earlier years’ production.]

2. Considering:

802

· sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in ;
· the value of product removed for all crops, livestock, and poultry produced under contract in ;
· sales of all miscellaneous agricultural products in ;
· all government agricultural payments received in ; and
· landlord’s share of government payments and crops sold in ,

a. Please select the appropriate total gross value of sales, including government agricultural payments.
Total Value

None during
$1 – $999
$1,000 – $2,499
$2,500 – $4,999
$5,000 – $9,999
$10,000 – $24,999
$25,000 – $49,999
$50,000 – $99,999
$100,000 – $249,999
$250,000 – $499,999
$500,000 – $999,999
$1,000,000 – $2,499,999
$2,500,000 – $4,999,999
$5,000,000 and over

SECTION 4 – VALUE OF SALES (Continued)

c. Record all 2009 crops, land uses, and livestock or poultry now on the total acres operated, then continue.
Land Use

Acres

Hay

Acres

Vegetables/Melons

Acres

Abandoned Crops

Alfalfa

Cantaloupes

Cover Crops

Grain

Cucumbers

CRP/WRP

Other

Lima Beans

Idle Cropland

Woodland Crops

Summer Fallow Land

Cut Christmas Trees

Acres

Peas (green)
Pumpkins

Maple
Other

(Number of Taps)

Government

Short Rotation

Payments

Whole Dollars

Snap Beans

Woody Crops

Sweet Corn

CRP/WRP Payments

Other

Tomatoes

Other Gov’t Payments

Indoor Nursery

Square Feet

Other

Pasture/
Rangeland

Acres

Mushrooms

Livestock

only for Pasture

Other

Bees (colony)

Permanent Pasture

Outdoor Nursery

Woodland Pasture

Other

Cropland Used

Field Crops Intended for
Harvest
Barley

Acres

Fruits/Nuts
Almonds

Acres

Bison
Cattle: Milk Cows

Acres

Cattle: All Other
Chickens

Number

Corn

Apples

Deer

Cotton

Cherries

Ducks

Dry Beans

Grapefruit

Elk

Dry Southern Peas
(Cowpeas)

Grapes

Emus

Flaxseed

Olives

Geese

Lentils

Oranges

Goats

Oats

Peaches

Hogs

Peanuts

Pears

Horses

Peas. Dry Edible

Pecans

Llama

Potatoes

Other

Mink

Rice

Berries

Rye

Blueberries

Ostriches

Sorghum

Cranberries

Quail

Soybeans

Raspberries

Rabbits

Sugarbeets

Strawberries

Sheep

Sugarcane

Other

Turkeys

Acres

Mules/Burros

Sunflowers

Other

Sweet Potatoes/Yams

Aquaculture

Number

Tobacco

Acres of ponds in use

Wheat

861

Fish (number)

Other

869

Fish (pounds)
Trout Eggs
Other

SECTION 4 – VALUE OF SALES (Continued)

1. Of the farm or ranch income reported, which of these categories represents
the largest portion of the gross income from the operation?

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.)
Tobacco
Cotton and Cottonseed
Vegetables, Melons, Potatoes and Sweet Potatoes
(beets, cabbage, cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable seeds, etc.)
Fruit, Tree Nuts and Berries
(almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,
oranges, pears, pecans, strawberries, walnuts, etc.)
Nursery, Greenhouse, Floriculture and Sod
(bedding plants, bulbs, cut flowers, flower seeds, foliage plants,
mushrooms, nursery potted plants, shrubbery, sod, etc.)
Cut Christmas Trees and Short Rotation Woody Crops
Other Crops and Hay, CRP and Pasture
(grass seed, hay and grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, CRP, etc.)
Hogs and Pigs
Milk and Other Dairy Products from Cows
Cattle and Calves
(beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals,
stockers and feeders, veal calves, etc.)
Sheep, Goats, and their Products
(wool, mohair, milk and cheese)
Horses, Ponies, and Mules