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pdfCONCLUSION
Project 904 – ARMS Phase III Broiler - Version 4 – QID 072038
OMB No. 0535-0218
Approval Expires 12/31/2012
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
AGRICULTURAL RESOURCE MANAGEMENT SURVEY
1. To receive the complete results of this survey on the release date, go to www.usda.gov/results/.
Would you rather have a brief summary mailed to you at a later date?
YES - [Enter code 1]
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
BROILER COSTS AND RETURNS REPORT
0099
(10/26/11) Draft 3
U.S. Department of Agriculture,
Rm 5030, South Building
1400 Independence Ave., S.W.
Washington, DC 20250-2000
Phone: 1-888-424-7828
Fax: 202-690-2090
Email: [email protected]
2011
MILITARY TIME
2. ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0005
__ __ __ __
OFFICE USE
TIME IN HOURS
0008
.__
CONTACT RECORD
DATE
TIME
NOTES
MILITARY TIME
INTRODUCTION:
Reported by:_______________________________________________
Telephone (_____)_________________________________________
OFFICE USE
0093
0092
1-Comp
2-R
3-Inac
9901
Respondent
1-Op/Mgr
2-Sp
3-Acct/Bkpr
9902
Mode
2-Tel
Enum
9903
0098
Eval
0100
Duplication
Adjustor
0922
MM
Date
DD
YY
9910
We are collecting information on costs and returns and need your help to
make the information as accurate as possible. Authority for collection of
information on the Costs and Returns Report is Title 7, Section 2204 of the
U.S. Code. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107347), facts about your operation are kept confidential and used only for
statistical purposes. Response is voluntary. You may skip any question(s)
you prefer not to answer.
Optional
0003
__ __ __ __
SCREENING BOX
0006
[ENUMERATOR NOTE: If screening box is code 1,
complete the screening supplement. If screening
box is blank, begin with Section A.]
We encourage you to refer to your farm records during the interview.
OFFICE USE
Response
BEGINNING TIME [MILITARY]
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
0004
[Name, address and partners verified and updated if necessary]
POID __ __ __ __ __ __ __ __ __
POID __ __ __ __ __ __ __ __ __
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
CITY
STATE
ZIP
PHONE NUMBER
CITY
STATE
ZIP
PHONE NUMBER
__ __ __ __ 12
3-Face-to -Face
Office Use for POID
4-Partner
0919
9-Other
__ __ __ - __ __ __ - __ __ __
S/E Name
POID __ __ __ __ __ __ __ __ __
POID __ __ __ __ __ __ __ __ __
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
CITY
STATE
TOTAL POINTS
OFFICE 0929
USE
40
ZIP
PHONE NUMBER
CITY
STATE
ZIP
PHONE NUMBER
R. UNIT
0921
PARTNER
STRATUM
0925
0926
0927
0928
0009
0002
SECTION A LAND IN FARM / RANCH
SECTION T TECHNOLOGY
For 2011, please report farm/ranch land owned, rented, or used by you, your spouse, or by the partnership, corporation or
organization for which you are reporting. (Include all cropland, idle land, CRP, pastureland, woodland, wasteland, farmstead, acres used for
So that we can understand how producers are affected by emerging concerns
about food safety and animal health issues, please answer the following questions:
crop/livestock production facilities, and all other building sites associated with this operation, etc.)
ACRES
ACRES OPERATED
1. How many acres of farm/ranch land were owned? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
+
0020
ACRES
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
+
b. for a share of the crop or livestock production? (Include hybrid rental arrangement
where rent paid is based on a fixed cash payment plus some shared production.). . . . . . . . . . . . . . . . . . . . . . . .
+
for free?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. How many acres of farm/ranch land were rented or leased to others?
+
–
(Include land rented for cash, for a share of crop or livestock production, or rent free.)
0021
YES - [Enter code 1]
0023
YES - [Enter code 1]
0024
0026
b. covered under a Federal crop insurance policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
0030
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
6. Do you follow any specified animal welfare requirements, such as
space per bird, or the Humane Farm Animal Care certification?
YES - [Enter code 1]
ACRES
a. considered cropland? (Include land in government programs, fruit/nut/berry/nursery
acres, and land planted to hay, including wild hay. Exclude CRP acres planted to trees.). . . . . . . . . . . . . . . . . . . . .
NO - [Enter code 3]. . . . . . . . . .
5. Does this operation follow a Hazard Analysis and Critical Control
Point (HAACP) Program or the National Poultry Improvement Plan?
0025
5. Of the total acres in this operation (item 4), how many were---
DON’T KNOW - [Enter code 2]
4. Were your chicks from breeder flocks that were vaccinated for Salmonella?
TOTAL ACRES
=
NO - [Enter code 3]. . . . . . . . . .
3. Are your flocks tested for Campylobacter?
YES - [Enter code 1]
4. Then the TOTAL ACRES in this operation in 2011 were--- (total items 1 + 2a + 2b +2c - 3). . . . . . .
DON’T KNOW - [Enter code 2]
2. Are your flocks tested for Salmonella?
2. How many acres of farm/ranch land were rented or leased from others---
c.
YES - [Enter code 1]
YES - [Enter code 1]
a. for a fixed or flexible cash rent payment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
1. Are your flocks tested for Avian Influenza (AI)?
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
7. Are your flocks raised on an all-in all-out basis?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
8. Are your houses cleaned out, washed, sanitized, and dried after each flock is removed?
0039
YES - [Enter code 1]
0028
enrolled in the Conservation Reserve Program (CRP), Conservation Reserve
Enhancement Program (CREP), and/or Wetlands Reserve Program (WRP)?. . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
9. Were the vehicles used for transportation to processing
plants cleaned and disinfected before loading birds?
0041
d. used to harvest certified organic crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1]
DOLLARS
0477
6. In 2011, what was the total dollar amount received from CRP, CREP, and/or WRP payments?
(Verify that CREP, CRP, and/or WRP acres are reported in item 5c.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
10. Do you use protective clothing when entering broiler houses?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
11. Do you have a routine rodent control program in and around your houses?
7. At any time during 2011 did you have a current Environmental Quality Incentives Program (EQIP),
Conservation Security Program (CSP), and/or Conservation Stewardship Program (CStP) contract?
(Check yes if you had a current contract, regardless of whether you received a payment during 2011.)
YES - [Enter code 1, then continue]
CODE
0526
terraces, and grassed waterways) and acreage of fields/tracts that are adjacent to field-edge practices such as
filter strips, riparian buffers, or fences.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
YES - [Enter code 1]
ACRES
0070
......
0478
b. What was the total dollar amount received for EQIP, CSP, and/or CStP contracts?
(Verify that EQIP, CSP, and/or CStP acres are reported in item 7a.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
13. Do pets or wildlife have access to broiler houses or feed storage facilities?
YES - [Enter code 1]
DOLLARS
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
14. Was this a certified organic operation in 2011?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
1842
1843
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1 - Incomplete
3 - Valid zero
SECTION A continues on next page.
2
NO - [Enter code 3]. . . . . . . . . .
12. Are your broiler houses “bird-proofed” with screening or solid walls?
NO - [Enter code 3, then go to item 8]. . . . . . . . . . . . .
a. What was the total acreage of fields subject to conservation treatments under EQIP, CSP,
and/or CStP contracts? (Include acreage of the fields where practices are applied (e.g., reduced tillage,
YES - [Enter code 1]
1841
39
1988
1ST NUTRIENT
1 Nitrogen
15. The nutrient management plan
was based upon which nutrient(s)?
......
2 Phosphorus
[No more than two nutrients can be selected.]. . . . . . .
3 Potassium
4 Other (Specify:
2ND NUTRIENT
)
5 Don’t Know
.......
bins, to be reported later in Section F, item 20. Exclude grazing of livestock, to be reported in items 9 & 10 below.).
DOLLARS
.......
9. In 2011, what were the total usage fees this operation paid for the use of publicly owned
land on an AUM basis? (Include fees paid for privately owned land administered by a public agency
through exchange of use.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
1738
0044
0045
0046
10. In 2011, how much did this operation spend on pasturing or grazing of livestock on privately
owned land (railroads, another farm/ranch, etc.) used on a fee per head (AUM) or gain basis? . . . . . .
NO - [Enter code 3, then go to item 17]. . . . . . . . . . . . .
RENT RECEIVED
a. For what purpose did you receive these payments---
CODE
DOLLARS
11. Including rent for land and buildings, what was the total CASH RENT RECEIVED in 2011 for acres
0042
rented to others by this operation? (Include rent received in 2011 for previous years, rent received in advance,
and government payments received from those acres. Exclude grazing of livestock, to be reported in SECTION E.). . . . . . . .
1733
(i) Litter handling, storage facilities, or composting facilities?. . . . . . . . . . . . . . . . . . . . . . . YES = 1
1735
(ii) Waste hauling or application?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
(iii) Other?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
12. For acres share-rented to others, what was the total value of crop or livestock shares received
0043
in 2011 by this operation? (Include rent received in 2011 for previous years and government payments received
from those acres.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1737
17. What is the primary method
for disposing of dead birds
on this operation?. . . . . . . . . . . . . . . . . . .
8. Including rent for land and/or buildings, what was the total CASH RENT PAID in 2011
by this operation? (Include rent paid in 2011 for previous years and rent paid in advance. Exclude storage
1739
16. During 2011, did this operation receive EQIP (Environmental Quality
Incentive Program) payments related to broiler production?
YES - [Enter code 1, then continue]
RENT PAID
1730
10
11
12
13
14
15
16
17
AIRTIGHT CONTAINER IN DISPOSAL PIT
BURIAL PIT, NO AIRTIGHT CONTAINER
INCINERATION
COMPOSTING
RENDERING
BURIAL IN LANDFILL
FREEZING
OTHER
CODE
1736
................
1 - Incomplete
3 - Valid zero
38
1987
3
10. Did this operation adjust commercial fertilizer application rates according to---
SECTION B ACREAGE and PRODUCTION
1. For 2011, please report the acreage and quantity harvested, and amount used on this operation, on the total acres in
this operation (Section A, item 4). (Include crops grown on a contract or custom basis. Exclude crops grown on land rented to others and
cover crops if not harvested.)
1
2
3
4
How many acres
were HARVESTED?
What was the total production?
(Include landlord share and
amount used on operation.)
How much of this operation’s share
of the total production was (will be)
used on this operation?
TOTAL AMOUNT
TOTAL AMOUNT
ACRES
CROP
a. the nitrogen available from the broiler litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
b. the phosphorus available from the broiler litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
1709
1710
11. Was any poultry litter removed from this operation in 2011?
CODE
1719
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 14]. . . . . . . . . . . .
FIELD CROPS
Corn for grain.
.............
Corn for silage or greenchop.
Cotton, all types.
Peanuts.
....
............
.................
Potatoes (report sweet potatoes
in all other crops). . . . . . . . . .
Rice.
..
...................
Sorghum for grain.
...........
Sorghum for silage.
Soybeans.
..........
................
Tobacco, all types.
...........
0105
0106
0109
0110
0113
0114
0117
0121
0118
.____
0122
0125
0126
0129
0130
0133
0134
0137
0138
0141
.____
0142
Bu.
Tons
0107
0111
Bu.
Tons
12. Of the poultry litter removed from this operation, what percent was---
PERCENT
1720
a. sold by this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
DOLLARS
Lbs.
Lbs.
Cwt.
Cwt.
Bu.
Tons
Bu.
___ ___ ___
0119
0123
0127
0131
0135
0139
(i) What is the total dollar amount received for
these poultry litter sales in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lbs.
1721
PERCENT
Cwt.
1722
Cwt.
b. What percent was hauled off this operation for a fee?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .+
DOLLARS
Bu.
(i) What was the total dollar amount paid to have
this poultry litter hauled off in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tons
1723
PERCENT
Bu.
1724
c.
Lbs.
___ ___ ___
What percent was given away in exchange for clean-out and hauling?. . . . . . . . . . . . . . . . . . . . . .+
___ ___ ___
SMALL GRAINS
Barley for grain.
Oats for grain.
............
.............
Wheat, all types, for grain.
......
0145
0146
0149
0150
0153
0154
0157
0158
0161
0162
Bu.
Bu.
Bu.
0147
0151
0155
Bu.
d. What percent was given away in exchange for other services?. . . . . . . . . . . . . . . . . . . . . . . . . . . .+
Bu.
e. What percent was given away free of charge? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .+
.....
..........
Tons
Tons
0159
___ ___ ___
0163
Tons
Tons
..................
.............
Sugarcane or sugarbeets.
......
Dry edible beans, peas, and lentils.
Vegetables for processing.
......
All other vegetables and melons
(Exclude vegetables grown under
glass or other protection.). . . . . .
Fruits, nuts, and berries.
0165
0166
0169
0170
0173
0174
Lbs.
Lbs.
Tons
0167
0171
0175
Lbs.
..
All other crops not listed above
(Include sweet potatoes.). . . .
...
b. pelletized for long distance hauling?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
c.
composted?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
1727
1728
1729
Tons
0177
0178
14. Did this operation follow a certified nutrient management plan that conforms to agronomic standards?
YES - [Enter code 1, then continue]
.
Nursery and greenhouse crops
(Include Christmas trees.). . . .
CODE
Lbs.
0179
.......
13. Was any of the poultry litter removed from this operation--a. used for electricity generation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
OTHER CROPS
Other oilseeds.
1726
a+b+c+d+e = 100%
Hay, dry, alfalfa and alfalfa
mixtures. . . . . . . . . . . . .
Canola.
___ ___ ___
Bu.
DRY HAY CROPS
Hay, dry, all others.
1725
NO - [Enter code 3, then go to item 16]. . . . . . . . . . . .
CODE
1731
0180
0181
.____
0182
SECTION S continues on next page.
SECTION B continues on next page.
4
37
3. Did you add amendments to litter, after each flock removal, to control ammonia in 2011?
2. What was the area grown for sale of nursery, floriculture, or greenhouse
crops, including Christmas trees, ornamental plants, flowers, mushrooms,
aquatic plants, sod, food crops under protection, vegetable seeds, flower
seeds, or other propagative materials? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1704
YES - [Enter code 1]
4. Who cleans out your broiler
houses? (Choose the option
that best fits your operation.). . . . . .
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
3
4
5
This operation, using equipment owned by this operation
This operation, using leased or borrowed equipment
A custom provider hired by this operation
The integrator, or a custom provider hired by the integrator
A third party who retains the litter
..........
other?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
1716
___ ___ ___
1717
___ ___ ___
1718
___ ___ ___
100%
ACRES
6. On how many total acres was poultry litter applied on this operation in 2011?
[If zero acres of application, go to item 11.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1701
[Show crop codes in Respondent Booklet.]
CROP CODE
a. What crop received the largest share of the poultry litter applied on this operation?
[Use code 999 for bermuda grass.].
1702
.............
ACRES
b. How many acres of this crop received litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1703
CODE
7. Was the poultry litter from this operation tested for its nitrogen content?. . . . . . . . . . . . . . . . . . . YES = 1
8. Was the poultry litter from this operation tested for its phosphorus content?. . . . . . . . . . . . . . . . YES = 1
9. Was any commercial fertilizer applied to the same (item 6) acres on this operation
on which broiler litter was applied?
YES [Enter code 1, then continue]
1706
1707
CODE
NO [Enter code 3, then go to item 11]. . . . . . . . . . . .
1708
SECTION S continues on next page.
36
.____
1705
PERCENT
b. removed from this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
)
0192
0184
3. For acres rented to this operation on a share basis in 2011, what was the estimated
total market value of your landlord’s share of total crop production in 2011? . . . . . . . . . . . . . . . . . . . . .
a. applied to fields on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Specify crop:
0191
ACRES in
the OPEN
CODE
5. What percent of the poultry litter produced on this operation in 2011 was or will be----
c.
SQUARE FEET
UNDER glass or
other protection
5
SECTION S BROILER LITTER
SECTION C LIVESTOCK
Please report the total numbers, including landlord’s share, of livestock, poultry, and/or livestock products sold and/or
removed from the operation during 2011 and the total inventory on December 31, 2011, regardless of ownership. (Include
STORAGE TYPE CODES
Column 1
1 OPEN STOCKPILE
landlord‟s share, any sold on the open market (non-contract), and any removed from this operation under a production or marketing contract in 2011.)
2
3
4
What was the total
number [column 1]
sold or removed
in 2011?
On Dec. 31, 2011,
how many [column 1
On Dec. 31, 2011,
how many [column 3]
were owned by
this operation?
1
1. Did this operation have on hand
or produce any [item] during 2011?
a. Beef cows (Include beef heifers that have calved.
regardless of ownership]
were on hand?
0254
0255
0256
0257
b. Milk cows, including any dry cows
(Exclude any heifers not yet freshened.). . . . . . . . . . . .
0258
0259
Exclude heifers that have not calved, steers, calves,
and bulls.). . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other cattle and calves (Include heifers
that have not calved, steers, calves, and bulls.).
5 ROOFED STORAGE STRUCTURE
6 LAGOON
7 OTHER (Specify:_________________________)
1. Did this operation have litter storage facilities other than broiler houses,
which were used for litter storage in 2011?
Egg layers. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Chicken eggs (report in dozens). . . . . . . . . . . .
g. Turkeys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Broilers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other livestock and poultry
0252
YES - [Enter code 1, then continue]
0253
1
0260
0261
0295
0262
0263
0296
0248
0249
0250
NAME
0266
0268
0269
0298
0264
0265
0297
0272
0273
0299
DOLLARS
What was the estimated total market value of your landlord’s share of livestock production sold or
removed from this operation in 2011? (Exclude shared livestock production not part of a land rental arrangement.). .
0276
4
What is the total
combined
capacity
of all?
UNIT CODE
3
10
16
22
[column 1]
CODE
NUMBER
TONS
GALLONS
CUBIC FEET
ACRE FEET
CODE
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
CODE
1711
YES - [Enter code 1, then go to item 3]
OTHER OPERATIONS GROWING, FEEDING, OR RAISING LIVESTOCK FOR THIS OPERATION
NO - [Enter code 3, then continue]. . . . . . . . . . . . .
a. Did you fully clean out and sanitize your poultry houses at any time in 2011?
3. Did any other operation(s) grow, feed, or raise livestock or poultry owned by this operation
under a contract arrangement in 2011 (you are the contractor)?
1712
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to item 2b]. . . . . . . . .
0271
NUMBER
1713
(i) On average, how many times did you clean out your houses in 2011?. . . . . . . . . . . . . . . . . . . .
DOLLARS
0050
a. What were your gross receipts from items sold or removed under these contracts?. . . . . . . . . . . .
b. Did you crust-out (scrape off and remove a top layer of litter) any houses in 2011?
CODE
1714
0051
b. On December 31, 2011, what was the market value of unsold livestock
or poultry remaining under these contracts?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0052
How much was paid to contractees for labor, management, and reimbursement for expenses?. . .
3
1700
2. During 2011, were your poultry houses fully cleaned out and sanitized after removal of each flock?
SECTION C: LIVESTOCK
NO [Enter code 3, then go to SECTION D]. . . . . . . .
2
How many
of this type
were used?
[Enter Storage Type code]
2. [If SHARE RENTS from others and has livestock, ask---]
c.
NO - [Enter code 3, then go to item 2] . . . . . . . . . . . . .
What type of
litter storage facilities
did this operation use
in 2011?
(Specify type(s): ______________________ ) . . . .
YES [Enter code 1, then continue]
CODE
0270
0251
e. All hogs and pigs. . . . . . . . . . . . . . . . . . . . . . . .
i.
4 BUNKER TYPE STORAGE
.......
d. Total cattle and calves (total items a + b + c). . . . .
f.
3 STOCKPILE WITH GROUND LINER
...
(i) Milk produced in 2011 (report in cwt.). . . . . . .
c.
2 COVERED STOCKPILE
YES - [Enter code 1]
c.
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did you windrow and dry litter after each flock removal in 2011?
1715
YES - [Enter code 1]
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION S continues on next page.
6
35
SECTION R BROILER HOUSING
SECTION D COMMODITY MARKETING and INCOME
1. Next I need some information about broiler housing used on this operation.
Please enter the following information for each house.
House Characteristics
#1
#2
MARKETING CONTRACTS
1/
1. Did this operation have marketing contracts for any commodities delivered in 2011?
#3
#4
#5
(A marketing contract is a verbal or written agreement reached before harvest of a crop or before completion
of a livestock production stage, setting a price or pricing formula and market for the commodity.)
#6
1494
1505
1516
1527
1538
1549
1495
1506
1517
1528
1539
1550
1496
__ __ __ __
1507
__ __ __ __
1518
__ __ __ __
1529
__ __ __ __
1540
__ __ __ __
1551
__ __ __ __
1497
1508
1519
1530
1541
1552
YES [Enter code 1, then continue]
a. How long is this house?. . . . . . . . . . . . . ft.
When was this house built?. . . . . . . . . . yr.
d. Do you rent this house?. . . . . . . . . . YES = 1
e. Does your contractor
own this house?. . . . . . . . . . . . . . . . YES = 1
1498
1509
1520
1531
1542
1553
1499
Does this house have
side curtains?. . . . . . . . . . . . . . . . . . YES = 1
1510
1521
1532
1543
1554
1500
g. Does this house have
all-metal construction?. . . . . . . . . . . YES = 1
1511
1501
h. Is this house equipped
with evaporative cooling?. . . . . . . . . YES = 1
1512
i.
1502
Does this house have
tunnel ventilation?. . . . . . . . . . . . . . .YES = 1
1513
1524
1535
1546
1557
j.
1503
Does this house have an integrated
electronic control system?. . . . . . . . .YES = 1
1514
1525
1536
1547
1558
k.
1504
Does this house have static
pressure-controlled vent boxes?. . . .YES = 1
1515
1526
1537
1548
1559
f.
1522
1523
1533
1534
1544
1556
1
POUND
5
BIN
2
CWT
6
BOX
DOZEN
20
BARREL
10
FLAT
22
ACRE
3
TON
7
4
BUSHELS
8
BALE
11
HEAD/BIRD
39
ANIMAL SPACE
CARTON
13
PLANT/POT
40
KILOGRAM
9
2. (If Yes) Report the commodities delivered in 2011 through marketing contract(s). List the quantities marketed
and the final price received. (Include only the quantity owned by the operation. Exclude money received from contractors as
reimbursement for expenses (report this in SECTION F). Exclude landlord shares (report in SECTION B, item 3 and SECTION C, item 2).
Also exclude marketing charges (report in item 7) and money received for any reimbursements for expenses (report in SECTION F).)
1555
1545
NO [Enter code 3, then go to item 3]. . . . . . . . . . . . . .
UNIT CODES for ITEM 2, COLUMN 4
b. How wide is this house?. . . . . . . . . . . . .ft.
c.
CODE
0300
1
2
3
4
5
6
What commodities
did this operation have
MARKETING contracts
for in 2011?
See
commodity
codes in
respondent
booklet
What quantity of this
commodity was delivered
through this contract?
(Exclude landlord‟s share.)
Unit Code
What was (will be) the
FINAL PRICE RECEIVED
per [column 4] unit by this
operation for this commodity
marketed under this contract?
(Exclude marketing charges.
Exclude money received as
reimbursement for production
expenses. Record this in
SECTION F.)
What was the total
dollar amount received in
2011 from this contract?
(Exclude marketing charges.
Exclude money received
as reimbursement for
production expenses.
Record this in Section F.)
[Write in commodities]
CODE
(from list
above)
QUANTITY
CODE
DOLLARS & CENTS
0301
0304
0305
0306
0316
0319
0320
0321
TOTAL DOLLARS
0307
.___ ___ ___
2. During 2009, 2010, or 2011, did you incur any capital expenses for construction
or remodeling of broiler housing, or purchase of equipment for the houses?
CODE
0331
0334
0335
0336
0337
.___ ___ ___
1560
YES - [Enter code 1, then continue]
0322
.___ ___ ___
NO - [Enter code 3, then go to SECTION S]. . . . . . . .
0346
0349
0350
0351
0352
.___ ___ ___
DOLLARS
0361
0364
0365
0366
1561
0367
.___ ___ ___
a. How much was spent on these purchases in 2009?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0376
0379
0380
0381
0382
.___ ___ ___
1351
1354
1355
1356
1562
1357
.___ ___ ___
b. How much was spent on these purchases in 2010?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1366
1369
1370
1371
1372
.___ ___ ___
1381
1384
1385
1386
1563
c.
1387
.___ ___ ___
How much was spent on these purchases in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1396
1399
1400
1401
1402
.___ ___ ___
CODE
1411
1414
1415
1416
1564
1417
.___ ___ ___
d. Were some or all of these capital investments required by your contractor?. . . . . . . . . . . . . YES = 1
1426
1429
1430
1431
1432
.___ ___ ___
1 - Incomplete
3 - Valid zero
1986
1/
“Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2011.
SECTION D continues on next page.
34
7
PRODUCTION CONTRACTS AND CUSTOM FED LIVESTOCK
SECTION Q BROILER FEED
3. Did this operation have production contracts for any commodities it produced in 2011?
(A production contract is a verbal or written agreement setting terms, conditions, and fees to be paid by
the contractor to the operation for the production of crops, livestock, or poultry. The contractor usually owns
the commodity and often provides inputs.)
YES [Enter code 1, then continue]
CODE
NO [Enter code 3, then go to item 5] . . . . . . . . . . . . . .
0400
1. Did you or the contractor PURCHASE any commercial or custom feed mixes
for broilers on this operation in 2011?
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to item 3]. . . . . . . . . . . . .
UNIT CODES for ITEM 4, COLUMN 4
1
POUND
5
BIN
9
DOZEN
20
BARREL
2
CWT
6
BOX
10
FLAT
22
ACRE
3
TON
7
4
BUSHELS
8
BALE
11
HEAD/BIRD
39
ANIMAL SPACE
CARTON
13
PLANT/POT
40
KILOGRAM
1970
1
2
3
4
12
NUMBER
2. What was the total amount fed to broilers in 2011?. . . . . . . . . . . . . . . . . . . . . . .
POUNDS
CWT
TONS
BUSHELS
GALLONS
AND
1971
CODE
1972
4. (If Yes) Report in the table below the commodities with production contracts in 2011. Also
list the quantities removed under these contracts and the final fee received. (Exclude money
3. Was feed conversion (pounds of feed per pound of broiler weight gain)
measured for this operation in 2011?
received to pay for production expenses. Expense reimbursements should be reported in SECTION F.)
1
2
3
4
5
6
What commodities did
this operation have
PRODUCTION
contracts for in 2011?
See
commodity
codes in
respondent
booklet
What quantity of this
commodity was removed
from the operation
under this contract?
(Exclude landlord's share.)
Unit Code
What was (will be) the
FINAL FEE RECEIVED
per [column 4] unit by this
operation for producing
this commodity under
this contract?
(Exclude money received
as reimbursement for
production expenses.
Record this in SECTION F.)
What were the
TOTAL FEES RECEIVED in
2011 under this contract? 1/
(Exclude money received as
reimbursement for production
expenses. Record this in
SECTION F.)
QUANTITY
CODE
DOLLARS & CENTS
TOTAL DOLLARS
[Write in commodities]
CODE
0401
0404
(from list
above)
0405
0406
0407
.___ ___ ___
0416
0419
0420
0421
0422
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 4]. . . . . . . . . . . . .
POUNDS
a. What was the average feed conversion on this operation in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . .
0434
0435
0436
1974
.___ ___
HOURS
1975
4. How long is your feed withdrawal time before birds are collected?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Do you chemically treat your water to control salmonella after feed is withdrawn?
CODE
.___ ___ ___
0431
1973
1976
0437
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . .
.___ ___ ___
0446
0449
0450
0451
0452
5. Are your broilers raised without antibiotics in their feed or water, unless the birds are sick?
.___ ___ ___
1441
1444
1445
1446
1447
YES - [Enter code 1]
.___ ___ ___
1456
1459
1460
1461
1471
1474
1475
1476
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
1977
1462
.___ ___ ___
1477
6. Are your broilers provided with prebiotic or probiotic supplements in their feed?
.___ ___ ___
1486
1489
1490
1491
1492
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
1978
.___ ___ ___
1/
Income received for commodities produced under contract in previous years should be recorded in item 8a(i) on page 10.
7. Does your feed contain animal, bird, or fish byproducts?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
SECTION D continues on next page.
8
NO - [Enter code 3]. . . . . . . . . .
1979
1 - Incomplete
3 - Valid zero
33
1985
NUMBER
5. How many broiler companies (integrators) operated in your area in 2011?. . . . . . . . . . . . . . . . . . . . . . .
1955
a. If you were not raising broilers for your current contractor,
could you change to another contractor in your area?
YES - [Enter code 1]
CASH or OPEN MARKET SALES
CODE
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. After subtracting marketing expenses, what was the total dollar amount this operation
received in 2011 for cash or open market sales of each of the following crop and/or
livestock commodities sold in 2011? (Exclude marketing contract sales, production contract
1954
NO - [Enter code 3, then go to item 7]. . . . . . . . . . . . .
a. Corn, rice, sorghum, soybeans, oats, barley, wheat (Include silage. Exclude sweet corn.). . . . . . . . . . . .
1956
(i) the performance of other growers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
(ii) a fixed target set by the contractor?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
b. What is the base payment in your contract (cents per pound of live weight)?. . . . . . . . . . . . . . . . . .
1957
(i) [If item 6c = 1, ask---]
What is your bonus parameter? (Round to the nearest whole percent.). . . . . . . . . . . . . . . . . . . . . . . . .
0505
e. Fruit, tree nuts, berries (almonds, apples, blueberries, cherries, grapes,
hazelnuts, kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1959
0506
CODE
g. Other crops and hay, and short rotation woody crops (grass seed, hay and grass silage,
hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
0507
PERCENT
h. Hogs and pigs (Exclude breeding stock.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1960
1961
1962
7. Does your contract include--a. a stated minimum fee to be paid for broilers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
b. integrator reimbursement for fuel purchases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
c.
YES = 1
d. payments tied to facilities rather than production?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
e. provision for payments in the event of catastrophes (i.e., from weather or disease)?. . . . .
YES = 1
f.
1963
1964
Milk from cows (before deduction of any hauling fees) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k.
0511
Cattle and calves (fed cattle, beef and dairy cull animals, stockers and feeders, real calves, etc.)
(Exclude breeding stock.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l.
Cattle breeding stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1968
MARKETING CHARGES
1969
7. In 2011, how much was spent by this operation
(operators, partners, landlords, and contractors)
for marketing and storage expenses incurred by
this operation? (Include check-off, commissions, storage,
1683
1 - Incomplete
3 - Valid zero
32
j.
0510
0512
0517
.....................
0527
6. What was the total amount received from straw and other crop residue sales?
(Exclude hay sales.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MILES
8. What is the one-way distance, in miles, to your processing plant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hog breeding stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(wool, mohair, and goat milk); horses, ponies, mules, burros, and donkeys; aquaculture;
bees and honey; semen and embryo sales) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1967
g. specified number of flocks per year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
0509
i.
n. Other animals and other animal products (sheep, goats, and their products
1966
specified number of birds per flock?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
0508
0524
m. Poultry and eggs (broilers, chickens, turkeys, ducks, eggs, emus, geese,
hatchlings, ostriches, pigeons, pheasants, quail, poultry products, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1965
seasonal adjustments in fees to reflect changes in energy prices?. . . . . . . . . . . . . . . . . . .
f.
0504
Nursery, greenhouse, cut Christmas trees, floriculture and sod (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, etc.). . . . . . . . . . . . . . . . . . .
.___ ___
CODE
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0503
CENTS PER POUND
d. Can your total payment per pound be less than the base payment?
YES - [Enter code 1]
Tobacco, cotton, and cottonseed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Vegetables, melons, potatoes, and sweet potatoes (cabbage, cantaloupes,
pumpkins, red beets, sweet corn, tomatoes, watermelons, vegetable seeds, etc.). . . . . . . . . . . . . . . . . . . . . . . . . .
of the difference between your cost and the average cost that accrues to you.)
NO - [Enter code 3, then go to item 6d]. . . . . . . . .
c.
1958
Do you know your bonus parameter? (The bonus parameter is the share
YES - [Enter code 1, then continue]
0501
0502
b. Other grains and oilseeds, dry beans, and dry peas (flaxseed, other grain silage
and forage, other grains and oilseeds, popcorn, sunflowers, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Does your current payment incentive depend on your performance compared to---
c.
DOLLARS
removals, and landlord‟s share of market value.)
6. Does your contract provide payment incentives that vary with your performance?
YES - [Enter code 1, then continue]
Exclude from item 5--► Marketing Contract sales (report in item 2)
► Production Contract removals (report in item 4)
► Landlord shares (report in Section B, item 3 and Section C, item 2)
OPERATOR(S) and
PARTNER(S)
LANDLORD(S)
DOLLARS
CONTRACTOR(S)
DOLLARS
DOLLARS
0868
0869
0870
a. How much of this (item 7) was for the BROILER
0943
enterprise? (Include check-off, commission, inspection,
insurance, etc. Exclude transportation charges.) . . . . . . . . . . . . . . . . . .
0944
0945
inspection, ginning, etc. Include marketing expenses for contract sales.)
......
1984
SECTION D continues on next page.
9
ACCOUNTS RECEIVABLE / DEFERRED PAYMENTS
SECTION P BROILER SALES and CONTRACT REMOVALS
8. For each item below, report income received or the amount owed to the operation
on the dates specified. Do not include crops in storage and not yet sold. (Include
[ENUMERATOR NOTE: If operation produced broilers under a production contract, complete columns 4 and 5. For all
other broilers, complete columns 2, 3 and 5.]
cash sales, marketing contract sales, and production contract removals.)
[ENUMERATOR NOTE: Crops in storage and not yet sold as of the reference date should be reported in SECTION G, item 4a.]
1. The next few questions are about sales and contract removals of broilers from this operation in 2011.
1
DOLLARS
a. On January 1, 2011, what was the total dollar amount owed to this operation
for all commodities produced and sold (cash or contract) before January 1, 2011? . . . . . . . . . . .
0885
Grow-out weight class for broilers---
0875
(i) How much did this operation receive from item 8a during 2011? . . . . . . . . . . . . . . . . . . . . . .
b. What was the total dollar amount owed to this operation on December 31, 2011,
for all commodities produced, sold (cash or contract), delivered, or removed
under contract in 2011 or earlier years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EXPENSE NAME
FEE PER UNIT
UNIT
NUMBER OF UNITS
3
a.
broilers, 4.25 lbs. or less? . . . . . . . . .
b.
broilers, 4.26 – 6.25 lbs.? . . . . . . . . .
0886
TOTAL MARKETING EXPENSE
___ ___.___ ___ ___
5
How many [column 1]
were removed from
this operation under
a production contract
in 2011?
What was the
average weight
of [column 1]
sold/removed
in 2011?
DOLLARS
HEAD
POUNDS PER HEAD
(If none, go to column 4.)
1664
1665
1666
1667
1668
1669
1670
1671
1673
1674
1675
1677
1678
1679
c.
broilers, 6.26 – 7.75 lbs.? . . . . . . . . .
1672
d.
broilers, 7.76 lbs. or more? . . . . . . . .
1676
OFFICE USE POID
.___ ___
.___ ___
.___ ___
OFFICE USE FIPS
2010
Name: _________________________________________________________
___ ___.___ ___ ___
.___ ___
[If broilers were removed under a production contract in item 1, column 4, ask item 2; else skip to item 8.]
2. Who is your current contractor?
___ ___.___ ___ ___
4
What was the
total amount
received for sales
of [column 2]
(net of marketing
charges, etc.)?
HEAD
MARKETING EXPENSE WORKSHEET
COMMODITY
2
How many [column 1]
did this operation sell
(on open market
or under a marketing
contract) in 2011?
2009
__ __
__ __ __ __ __ __ __ __ __
___ ___.___ ___ ___
YEARS
a. How many years have you had contracts with your current contractor?
[Enter 1 if one year or less.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___ ___.___ ___ ___
1680
___ ___.___ ___ ___
3. Have you ever raised broilers for another contractor?
___ ___.___ ___ ___
CODE
1681
___ ___.___ ___ ___
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 4]. . . . . . . . . . . . .
___ ___.___ ___ ___
NUMBER
1682
___ ___.___ ___ ___
a. How many other contractors have you raised broilers for?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL MARKETING CHARGES (EXPENSES)
4. Is your contract short term (flock to flock)
or long term (multiple flocks)? . . . . . . . . . . . . . . . . . . .
1 short-term [continue with item 4a]
2 don’t know [skip to item 5]
3 long-term [skip to item 4b]
a. If your current contract is short term, was it long term
when your production facilities were new? . . . . . . . . . . . . . . . . . .
CODE
............
1950
CODE
1 YES
2 DON’T KNOW
3 NO
.............
1951
1 MONTHS
2 YEARS
3 FLOCKS
NUMBER
OFFICE USE
WORKSHEET
0946
1952
AND
CODE
1953
b. How long is the duration of your current contract? . . . . . . . . . . . . . . . . . . . .
SECTION P continues on next page.
10
31
SECTION O CHICK PURCHASES, PLACEMENTS, and DEATH LOSS
SECTION E OTHER FARM RELATED INCOME
1. Were any broiler chicks placed on this operation in 2011?
CODE
1311
YES - [Enter code 1, then continue]
YES [Enter code 1, then continue]
NO - [Enter code 3, then go to item 2]
NUMBER
CODE
1. In 2011, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
NO [Enter code 3, then go to item 2]. . . . . . . . . . . . .
a. In 2011, how much was received for all commodities placed under CCC loans?
(Include Austrian winter peas, barley, canola, rapeseed, corn, cotton, crambe, dry edible peas, flaxseed,
honey, lentils, mohair, mustard seed, oats, peanuts, rice, safflower, sesame seed, small chickpeas, sorghum,
soybeans, sunflower seed, and wheat.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1312
a. How many live chicks were placed on this operation in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
........
PERCENT
1313
b. What percent of item 1a died before removal?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___ ___ ___.___
0560
b. In 2011, what was the amount spent to repay CCC loans? (Exclude storage and service fees.). . . . . . . .
0518
0519
[ENUMERATOR NOTE: If any of the crops redeemed from the CCC were sold in 2011, verify that these sales are recorded
in Marketing Contracts (SECTION D, item 2) or Cash Sales (SECTION D, item 5). If the redeemed crops were NOT sold in
2011, their value should be reported in SECTION G, item 4a.]
2. Did you purchase any broiler chicks for this operation in 2011?
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to item 3] . . . . . . . . . . . . .
2. In 2011, did this operation receive any Federal, State, or local farm program payments?
1314
CODE
(Include government payments received through a cooperative. Exclude conservation-related payments recorded
in SECTION A and CCC loan payments.)
YES [Enter code 1, then continue]
NUMBER
NO [Enter code 3, then go to item 3]. . . . . . . . . . . . .
0563
1315
a. How many chicks were purchased in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT
1316
b. What percent of the chicks purchased in item 2a died before removal?. . . . . . . . . . . . . . . . . . . . . .
DOLLARS
a. In 2011, how much was received from the Direct Counter-cyclical Payment (DCP)
0525
and Average Crop Revenue Election (ACRE) programs? (Include government payments
received through a cooperative.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT of 2a
___ ___ ___.___
0520
(i) Of the total in item 2a, what percent was for DCP
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
DAYS
0522
(ii) Of the total in item 2a, what percent was for DCP
counter-cyclical payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
1317
3. On average, how many days were chicks on this operation before removal?. . . . . . . . . . . . . . . . . . . . .
0521
(iii) Of the total in item 2a, what percent was for ACRE
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
DAYS
4. On average, how many days passed between removal of a flock
and placement of a new flock on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1318
0523
(iv) Of the total in item 2a, what percent was for ACRE
revenue payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
=
100%
DOLLARS
b. In 2011 how much was received in Loan Deficiency Payments (LDPs), Marketing Loan
0529
Gains (MLGs), and for net value of commodity certificates? (Include government payments
received through a cooperative.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
In 2011, how much was received for all other Federal, State, or local program payments?
(Include disaster and market loss payments; Milk Income Loss Contract (MILC) payments; tobacco buyout
payments, including lump sum payments; and other Federal, State or local programs. Exclude CRP, CREP,
WRP, EQIP, CSP, and CStP payments (reported in SECTION A) as well as Federal crop insurance payments
and other indemnity payments, to be reported below.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.......
3. What is your estimate of the total dollar amount your landlord(s) received in government
payments for the acres you rented from them?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 - Incomplete
3 - Valid zero
30
1983
0545
0543
SECTION E continues on next page.
11
4. In 2011, what was the total income received by you (the operator) and all partners for---
DOLLARS
0546
a. custom work, machine hire and other agricultural services provided by this operation
for farmers and others? (Exclude if this is for a separate business.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION N BROILER SCREENING and INVENTORY
1. Did this operation produce broilers for meat at any time during 2011?
0548
b. recreational and agri-tourism activities such as hunting, fishing, farm tours,
hospitality services, petting zoos, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
sales of farm machinery and vehicles? (farm share only). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Federal crop or livestock insurance payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to CONCLUSION]. . . . . .
HEAD
0550
2. Regardless of ownership, what was the largest (peak) number of broilers on this operation
at any time in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0552
1302
[ENUMERATOR NOTE: If item 2 is--less than 1,000 broilers, go to CONCLUSION on back page.
1,000 or more broilers, continue.]
e. other income that is closely related to the agricultural operation? (Exclude sales of farm
machinery and vehicles. Include grazing of livestock; sales of forest products; patronage dividends and
refunds from cooperatives; royalties or leases associated with energy production such as natural gas, oil,
wind turbines, etc.; animal boarding; hedging profits and losses; insurance indemnity payments other than
Federal crop insurance payments; sales of poultry litter and manure; State fuel tax refunds; tax refunds; sales
of value-added goods produced from your farm commodities such as cheese, cider, jams, jellies, wine, etc.
if these are not part of a separate business. If a loss was incurred, please indicate with a negative sign.). . .
CODE
1301
3.
YEAR
In what year did this operation first begin producing broilers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1303
___ ___ ___ ___
DOLLARS
........
0557
4. Was this operation shut down for rebuilding at any time during 2011?
YES - [Enter code 1]
List each income item and amount separately, below.
CODE
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Under what type of production arrangement
were broilers produced on this operation in 2011?. .
1
2
3
4
PRODUCTION CONTRACT
INDEPENDENT
PROCESSOR-OWNED OPERATION
OTHER
1304
CODE
..........
1305
CODE
0047
5. Which code from the list below represents the largest portion of this operation’s 2011
total gross value of sales, including Government agriculture payments?. . . . . . . . . . . . . . . . . . . . . . . . .
6. Did you have any chickens other than broilers raised for meat on this operation in 2011?
Include:
Sales of all crops, livestock, poultry and livestock products sold in 2011.
The VALUE OF PRODUCTS REMOVED for all crops, livestock,
and poultry produced under contract in 2011.
Sales of miscellaneous agricultural products in 2011.
All Government agricultural payments received in 2011.
Landlord‟s share of Government payments.
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to SECTION O]. . . . . . . .
7. Now we need to ask about the number of other chickens on hand in 2011.
1
Farm Type
Code
Farm Type
Hogs and pigs .
Grains, oilseeds, dry beans, and dry peas (corn, flaxseed, grain,
silage and forage, grains and oilseeds for seeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, etc.) . . . . . . . . .
. . . 01
Tobacco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02
Cotton and cottonseed .
Vegetables, melons, potatoes and sweet potatoes (cabbage,
cantaloupes, pumpkins, red beets, sweet corn, tomatoes,
watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . .
Fruit, tree nuts and berries (apples, almonds, blueberries,
cherries, cranberries, grapes, hazelnuts, kiwifruit, oranges,
pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . .
HEAD
a. pullets?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cattle and calves (beef and dairy cattle for breeding
stock, fed cattle, beef and dairy cull animals, stockers
and feeders, veal calves, etc.) . . . . . . . . . . . . . . .
. . . . . . . . . . 11
b. laying hens?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sheep, goats, and their products (wool, mohair, milk
and cheese) . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . 12
c.
Equine (horses, ponies, mules, burros and donkeys) .
. . . . . . . . . . 13
roosters?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. breeder broilers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1307
1308
1309
1310
. . . . . . . 14
. . . . . . . . . . 15
Other animals and other animal products (bees, honey,
rabbits, other fur-bearing animals, semen, manure, other
animal specialties, etc.) . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . 07
Other crops and hay (grass seed, hay and grass silage
straw, hops, maple syrup, mint, peanuts, sugarcane,
sugarbeets, CRP, pasture, etc.) . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . 10
Aquaculture (catfish, trout, other finfish, shellfish, etc.)
. . . . . 06
How many head of [item] were---
Code
Poultry and eggs (broilers, chickens, turkeys, ducks, eggs,
emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . .
. . . . . . 05
Nursery, greenhouse, and floriculture (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms,
nursery potted plants, shrubbery, sod, etc.) . . . . . . . . . . . .
Cut Christmas trees and short rotation woody crops
. . . . . 04
2
Largest (peak) number on hand
at any time during 2011
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
Milk and other dairy products from cows
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
1306
. . . . . . . 16
. . . . . . . . . 08
1 - Incomplete, has broilers
2 - Incomplete, broiler presence unknown
3 - Valid zero
12
29
1982
[Show VALUE CODES in Respondent Booklet.]
SECTION F OPERATING and CAPITAL EXPENDITURES
10. Which value code represents the total amount spent on household and family living expenses
in 2011? (Include food, including dining out; rent, utilities and other household expenses; non-farm transportation
costs; out-of-pocket health and medical expenses, including insurance; contributions to insurance and retirement plans;
contributions to individuals outside of the household, including alimony and child support; clothing; house furnishings;
education and child care; charity donations; and entertainment, as well as mortgage interest and property taxes for
operators who live in a dwelling owned by the household and not the farm.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....
11. Which value code represents the total amount of off-farm assets owned by the principal
operator and members of the operator’s household on December 31, 2011? (Include cash,
checking, savings, retirement accounts, corporate stock, certificates of deposit and real estate not part of the farm.
Exclude assets reported earlier.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1111
0994
OPERATING EXPENSES
In 2011, how much was spent for (item) by [column]--1. seeds, sets, plants, seed cleaning and treatments, transplants,
trees and nursery stock? (Include technology or other fees, seed
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
0600
0601
0602
0606
0607
0608
0612
0613
0614
0615
0616
0617
a. breeding stock for beef cattle, dairy cattle,
hogs and sheep? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0621
0622
0623
b. other cattle, calves, hogs and pigs?
[Report other sheep in item 4d.] . . . . . . . . . . . . . . . . . . . . . . . . . .
0624
0625
0626
c.
0627
0628
0629
0630
0631
0632
0633
0634
0635
0636
0637
0638
0891
0892
0893
0639
0640
0641
0894
0895
0896
0642
0643
0644
0897
0898
0899
treatments, and seed cleaning cost. Exclude items purchased for resale
without additional growth.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....
2. nutrients, fertilizer, lime and soil conditioners?
(Include cost of custom application and organic materials.
Exclude potting mixes, vermiculite, and sterilized soil.) . . .
[ENUMERATOR NOTE: Items 13 - 15 refer to income and expense items for 2010.]
VALUE CODE
13. Which value code represents the total farm sales in the previous year (2010)?
(Total farm sales includes livestock and crop income from cash and marketing contract sales, fees received
from livestock and crop production contracts, the net change in CCC loans, and government payments.) . . .
1
OPERATOR(S) &
PARTNER(S)
........
1103
12. Which value code represents the total amount of all off-farm debt owed on December 31, 2011
by the principal operator and members of the operator’s household? (Exclude debt reported earlier.). . . . . .
1113
............
14. Which value code represents the net operating income for this operation in the previous
1114
year (2010)? (cash income from all farm sources minus production costs and depreciation; if negative net
operating income, indicate a minus sign before the value code) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15. Which value code represents the total off-farm income in the previous year (2010)?
(wages, salaries, tips, interest, dividends, other public sources, etc. before taxes, income from operating
another farm, income from operating any other business; if negative off-farm income, indicate a minus sign
before the value code) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Include only expenses related to this operation.
Exclude expenses NOT related to this farm/ranch; expenses of
performing custom work FOR others, if this is a separate
business; and expenses on land rented to others.
VALUE CODE
1115
............
...............
3. biocontrols and agricultural chemicals for crops,
livestock, poultry, and general farm use? (Include
biological pest controls and custom application costs.). . . . . . . . . . . . . . . . . .
a. How much of this (item 3) was for the BROILER enterprise?. .
4. livestock purchases of---
chickens and turkeys?
[Report ducks and game birds in item 4d.] . . . . . . . . . . . . . . . . . . .
d. other livestock and poultry, including other sheep,
lambs, bees, brooder fish, fingerlings, goats, etc.? . . . . . . . . .
5. leasing of livestock?
(Include leasing of bees for pollination.) .
..........................
6. purchased feed for livestock and poultry?
(Include grain, hay, silage, mixed feeds, concentrates, etc.).
..............
a. How much of this (item 6) was for the BROILER enterprise?. .
7. bedding and litter for livestock?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. How much of this (item 7) was for the BROILER enterprise?. .
8. medical supplies, veterinary and custom services
for livestock? (Exclude manure disposal. Include artificial
insemination (AI), branding, breeding fees, caponizing, castrating,
custom feed processing, hormone injections, performance testing,
pregnancy testing, seining, sheep shearing, etc.). . . . . . . . . . . .
..........
a. How much of this (item 8) was for the BROILER enterprise?. .
OFFICE USE
ONLY
28
2002
SECTION F continues on next page.
13
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
9. purchases for the farm business of--a. all fuels, oils and lubricants?
(total 9a(i) + 9a(ii) + 9a(iii) + 9a(iv) + 9a(v) + 9a(vi) must equal item 9a).
....
(i) diesel fuel? (Include biodiesel.) . . . . . . . . . . . . . . . . . . . . . . .
(ii) gasoline and gasohol? (Include ethanol blends.) . . . . . . . . . . .
(iii) natural gas? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0663
0664
0665
8. If the principal operator has a spouse, did the principal operator’s spouse receive pay
for off-farm/off-ranch work or operate an off-farm business during 2011?
YES [Enter code 1, then continue]
CODE
0932
NO [Enter code 3, then go to item 9]. . . . . . . . . . . . .
WEEKS
a. How many weeks did the principal operator’s spouse work off this farm/ranch
for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOURS PER WEEK
0645
0646
0647
0648
0649
0650
0651
0652
0653
0936
b. During those weeks, how many hours per week did the principal operator’s spouse
usually work off this farm/ranch for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . .
9. Which value code from the list below represents the income the total household received
in 2011 from--- (Exclude farm income reported earlier.)
VALUE CODE
0952
0654
0655
0656
0657
(v) oils and lubricants? (Include grease, hydraulic
fluids, motor oils, transmission fluids, etc.) . . . . . . . . . . . . . . . . . . .
0658
0659
b. net cash income from operating another farm or ranch (net of depreciation)?
(If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0660
0661
0662
c.
0672
b. How much of the total fuel expense (item 9a)
was for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . . . . .
0673
0674
0675
0676
0677
0678
0679
0680
(iv) LP gas (propane, butane)? . . . . . . . . . . . . . . . . . . . . . . . .
(vi) all other fuel? (Include coal, fuel oil, kerosene, wood, etc.) . . . . . .
10. electricity for the farm business? . . . . . . . . . . . . . . . . . . . . . . . . . .
a. How much of the total electricity expense
(item 10) was for irrigation? . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . much of the total electricity expense
b. .How
How much of the total electricity expense (item 10) was
for specialized livestock production facilities such as
dairies, feedlots, poultry houses, and swine buildings?. . . . . .
a. all off-farm wages, salaries, and tips before taxes and withholdings?. . . . . . . . . . . . . . . . . . . . . . . .
0687
0688
include whole farms or ranches owned by household members as well as smaller parcels of land.
Include cash or share-rental income. If a loss was incurred, please indicate with a negative sign.).
d. net cash income from operating any other business (net of depreciation)?
(If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0695
0947
(i) How much of this (item 10c)
was for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . .
0948
0949
0696
11. purchased water for irrigation from off-farm
suppliers? (Include irrigation assessments and fees.) . . . . . . . . . . . . . . . . .
0697
0698
0872
12. all other utilities, such as the farm share of telephone service,
water purchased other than for irrigation, and Internet access?. . .
0873
0874
0966
0391
a. How much was spent on water purchased
for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . . . . . . . . .
..............
13. farm supplies, marketing containers, hand tools and farm shop
0702
power equipment? (Include expenses for temporary fencing. Exclude
expenses for bedding/litter and permanent fencing.). . . . . . . . . . . . . . . . . . . .
0392
0393
0703
0704
0394
0395
0981
(i) recognized gain/loss on the sale of capital assets reported above (item 9g)?
(If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0939
h. income from private pensions and private disability payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0711
income from public sources? (Include Social Security, military and other public retirement,
veteran‟s benefits, public disability, unemployment, or other public assistance.) . . . . . . . . . . . . . . . . . . . . . . . . . . .
0396
0709
0712
0710
0713
a. How much of this (item 14) was for the BROILER enterprise?.
j.
other off-farm sources of income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Value
Code
Dollar Range
Value
Code
Dollar Range
Value
Code
Dollar Range
Value
Code
None. . . . . . . . . . . . . . . . . . . . 01
$10,000 – 14,999. . . . . . . . . . 10
$80,000 – 99,999. . . . . . . . . . . 19
$1,000,000 – 1,499,999. . . . . . 28
$1 - 499. . . . . . . . . . . . . . . . . .02
$15,000 – 19,999. . . . . . . . . . 11
$100,000 – 124,999. . . . . . . . . 20
$1,500,000 – 1,999,999. . . . . . 29
$500 – 999. . . . . . . . . . . . . . . 03
$20,000 – 24,999. . . . . . . . . . 12
$125,000 – 149,999. . . . . . . . . 21
$2,000,000 – 2,999,999. . . . . . 30
$1,000 – 1,999. . . . . . . . . . . . 04
$25,000 – 29,999. . . . . . . . . . 13
$150,000 – 199,999. . . . . . . . . 22
$3,000,000 – 4,999,999. . . . . . 31
$2,000 – 2,999. . . . . . . . . . . . 05
$30,000 – 34,999. . . . . . . . . . 14
$200,000 – 274,999. . . . . . . . . 23
$5,000,000 – 7,499,999. . . . . . 32
$3,000 – 3,999. . . . . . . . . . . . 06
$35,000 – 39,999. . . . . . . . . . 15
$275,000 – 349,999. . . . . . . . . 24
$7,500,000 – 9,999,999. . . . . . 33
$4,000 – 4,999. . . . . . . . . . . . 07
$40,000 – 49,999. . . . . . . . . . 16
$350,000 – 499,999. . . . . . . . . 25
$10,000,000 and over. . . . . . .. 34
$5,000 – 7,499. . . . . . . . . . . . 08
$50,000 – 59,999. . . . . . . . . . 17
$500,000 – 749,999. . . . . . . . . 26
$7,500 – 9,999. . . . . . . . . . . . 09
$60,000 – 79,999. . . . . . . . . . 18
$750,000 – 999,999. . . . . . . . . 27
SECTION J continues on next page.
SECTION F continues on next page.
14
0998
0993
Dollar Range
14. repairs, parts and accessories for motor vehicles, machinery
and farm equipment? (Include repairs to drying equipment, tune-ups,
0708
dividend income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0978
g. total proceeds from the sale of farm and non-farm capital assets? (Include
operator household‟s share only.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i.
...
0960
0969
f.
0694
overhauls, repairs to livestock equipment, replacement parts for machinery,
tubes, tires, and accessories such as air conditioners, CB‟s, radios and
hydraulic cylinders. Exclude irrigation equipment and pump repairs.). . . . .
0963
..............
0689
0693
a. How much of this (item 13) was for the BROILER enterprise?.
net cash income from renting farmland to others, excluding land rented to others
from this operation? (Include rental of farmland that is not part of this operation, which may
0957
e. interest income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(item 10) was for drying?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
0934
27
SECTION J FARM HOUSEHOLD
In 2011, how much was spent for (item) by [column]---
[ENUMERATOR NOTE: If the principal operator has a spouse (SECTION I, item 10), please answer for both the principal
operator and his/her spouse.]
1. Are the principal operator and/or the principal operator’s spouse of Spanish,
Hispanic, or Latino origin or background, such as Mexican, Cuban, or Puerto
Rican, regardless of race?
YES [Enter code 1]
OPERATOR
NO [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . .
1219
SPOUSE
1220
ENTER CODE 1 FOR ALL THAT APPLY
OPERATOR
American Indian or Alaska Native?
(Specify tribe _______________________ )
2. Which of these do you and/or your
Asian?
spouse (the principal operator and/or the
principal operator‟s spouse) consider
yourself? Are you--- . . . . . . . . . . . . . . . . Black or African American?
.....
.....
.....
Native Hawaiian or Other Pacific Islander?
.....
White?
.....
3. What is the highest level of formal
education achieved by the principal
operator and the principal operator’s
spouse?. . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
3
4
Less than high school diploma
High school
Some college (Include associates degree)
4-year college graduate and beyond
4. In 2011, what was the primary
occupation of the principal operator
and the principal operator’s spouse?. . .
1 Farm or ranch work
2 Work other than farming or ranching
3 Currently not in the paid workforce
SPOUSE
1213
1214
1215
1216
1217
1218
1221
1222
1223
1224
OPERATOR
..
1257
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
15. maintenance and repair for the upkeep of all farm buildings,
houses other than the operator’s, land improvements,
and all other farm/ranch improvements? (Include conservation
improvements, corrals, feeding floors, feedlots, gravel, land drainage
structures, tiling, trench, silos, wells, irrigation equipment and pump repairs
and facilities. Exclude any new construction or remodeling.) . . . . . . . . .
0714
0715
0716
a. How much of this (item 15) was for specialized
0717
livestock production facilities such as dairies,
feedlots, poultry houses, and swine buildings?. . . . . . . . . . . . .
0718
0719
0569
0570
0729
0730
0731
0732
a. How much of this (item 17) was for
Federal crop insurance?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0733
0734
.....
0568
(i) How much of this (item 15a)
was for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . .
16. maintenance and repair of the operator’s house
if it was owned by the operation?
(„Owned by the operation‟ means the house is-recorded as an asset in farm record books, or
deeded as part of the farm.) . . . . . . . . . . . .
.....................
0726
17. insurance for the farm business? (Include all casualty insurance, hail
SPOUSE
1260
insurance, and any other crop or livestock insurance; motor vehicle liability and
blanket insurance policies. Include insurance on operator‟s dwelling, if owned
by the operation. Exclude health insurance (reported in SECTION F, item 26
or SECTION J, item 10) and other payroll insurance items.). . . . . . . . . . . . .
..
18. interest and fees paid on debts--OPERATOR
..
1207
5. Do you (the principal operator) now consider
yourself to be retired from farming/ranching?
YES [Enter code 1]
SPOUSE
a. secured by real estate? (Include interest paid
0738
0739
0741
b. not secured by real estate? (Include service
fees on CCC loan redemptions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0742
on the operator‟s dwelling, if owned by the operation.) .
1208
..............
CODE
19. property taxes paid on---
1259
NO [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . .
0744
a. real estate (land and buildings)? (Include real estate taxes
on the operator‟s dwelling, if owned by the operation.) . . . . . . . . . . . . . . .
0745
0746
0747
0748
0749
[ENUMERATOR NOTE: If SECTION I, item 1 = 3 (50% or less interest held by operator and relatives), go to SECTION N;
else continue.]
20. renting or leasing of tractors, vehicles, equipment
0750
or storage structures? (Include farm machinery, cars, trucks,
irrigation equipment and other equipment. Exclude custom hire.) . . . . . . . . . . .
0751
7. Did the principal operator receive pay for off-farm/off-ranch work or operate an off-farm
business during 2011?
0753
0754
21. vehicle registration and licensing fees? . . . . . . . . . . . . . . . . . . . . .
NUMBER
1227
6. How many persons lived in the principal operator’s household on December 31, 2011?
(Include operator, spouse, children, and others living in the operator‟s household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES [Enter code 1, then continue]
b. livestock, machinery, and other farm production items? . . . . .
CODE
0931
NO [Enter code 3, then go to item 8]. . . . . . . . . . . . .
WEEKS
a. How many weeks did the principal operator work off this farm/ranch for pay
or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0933
b. During those weeks, how many hours per week did the principal operator usually
work off this farm/ranch for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . .
0935
HOURS PER WEEK
22. depreciation expense claimed by this operation in 2011 for all
0756
capital assets? (If partnership, include amounts claimed by all partners
in this operation. Estimate from 2010 if necessary.). . . . . . . . . . . . . . . . . . .
0757
a. How much of this depreciation expense (item 22)
was claimed for breeding livestock? . . . . . . . . . . . . . . . . . . . . .
SECTION F continues on next page.
SECTION J continues on next page.
26
15
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
23. CASH WAGES paid to hired farm and ranch labor?
(Include cash wages, incentives and bonuses, payments to corporate
officers and paid family members including yourself and other operators
if they received a wage. Exclude wages paid for custom and contract
work, wages paid for housework, Social Security on the owner-operator,
withdrawals for living expenses, employer‟s share of Social Security and
unemployment taxes, health insurance and life insurance; pensions or
retirement plans and worker‟s compensation.).
a. unpaid workers (such as non-operator
partners, family members, etc.) work for
this farm/ranch?. . . . . . . . . . . . . . . . . . . . . .
.......................
a. How much of this (item 23) was for the BROILER enterprise?.
0758
0759
0760
0761
0762
0763
(total 24a + 24b + 24c + 24d + 24e must equal item 23)
a. you (the principal operator)? . . . . . . . . . . . . . . . . . . . . . . . . . . .
your spouse is an operator, include his/her wages here.)
c.
0764
0765
0766
0767
0768
0769
0574
0575
0576
0770
0771
0772
.............
other members of your (the operator‟s) household? (Even if
your other household members are operators, include their wages here.) .
d. .other operators (outside the operator‟s household)? (Those
persons responsible for the day-to-day management decisions for this
operation.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
....
e. all other paid farm and ranch labor? . . . . . . . . . . . . . . . . . . . . .
25. payroll taxes for hired labor? (Include employer‟s share
of Social Security and unemployment taxes. Include any amounts the
farm paid for farm workers that are part of your (the operator‟s) household.).
....
a. How much of this (item 25) was for the BROILER enterprise?.
0773
0705
0779
0774
0706
0780
0775
0707
0781
........
a. How much of this (item 26) was for the BROILER enterprise?.
0915
0916
0917
0472
0473
0474
27. contract labor? (Include expenses for labor, such as harvesting of fruit,
vegetables, berries, etc. performed on a contract basis by a contractor, crew
leader, cooperative, etc. Exclude contract work for building construction,
repairs, or farm improvements, and payments to other operations that
fed/raised livestock under contract FOR this operation.) . . . . . . . . . . . . . .
...
a. How much of this (item 27) was for the BROILER enterprise?.
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
0840
0782
0783
0784
0785
0786
0787
0841
0842
Next I have some questions about labor used on the BROILER enterprise.
On the average, about how many
HOURS PER WEEK did---
EXCLUDE CONTRACT LABOR.
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
a. you (the operator) work on the BROILER
enterprise during [column], including paid 1130
and unpaid hours?. . . . . . . . . . . . . . . . . . . .
b. all other unpaid workers (such as partners,
family members, etc.) work on the
1134
BROILER enterprise during [column],
including unpaid hours only?. . . . . . . . . . . .
1131
1132
1133
1135
1136
1137
(i) What percent of the total number of hours worked by all UNPAID workers
(item 19b – excluding the operator) in the broiler operation was performed by workers
under 16 years of age? (Estimates of labor costs for unpaid workers are based on
off-farm wages, which are different for workers under 16 relative to those 16 and older.). . . . .
PERCENT
1138
___ ___ ___
EXCLUDE CONTRACT LABOR.
20. Now, I need your best estimate of the time spent
doing work on the BROILER enterprise in 2011
by PAID workers. (Exclude the operator‟s hours.)
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
a. all full-time paid workers work on the
BROILER enterprise during [column],
1139
including only paid workers?. . . . . . . . . . . .
1140
1141
1142
b. all part-time or seasonal workers work on
the BROILER enterprise during [column],
1143
including only paid workers?. . . . . . . . . . . .
1144
1145
1146
1
2
3
4
21. [If full-time paid workers reported in item 20a, ask---]
What was the average wage paid to full-time workers?. . . . . . . . . . . . . . . . . . .
DOLLARS & CENTS
1147
22. [If part-time or seasonal workers reported in item 20b, ask---]
1149
What was the average wage paid to part-time or seasonal workers?. . . . . . . . .
25
PER HOUR
PER DAY
PER WEEK
PER MONTH
CODE
1148
.___ ___
1150
.___ ___
OFFICE USE
ONLY
SECTION F continues on next page.
16
0843
BROILER ENTERPRISE LABOR
On the average, about how many
HOURS PER WEEK did---
26. benefits for hired labor? (Include employer‟s share of health
insurance, pension or retirement plans, Workers‟ Compensation, etc.
Include any amounts the farm paid for farm workers that are part of
your (the operator‟s) household.). . . . . . . . . . . . . . . . . . . . . . . .
1
19. I need your best estimate of the time spent
doing work on the BROILER enterprise in 2011
by you (the operator) and UNPAID workers.
24. Of item 23, how much salary or wage was paid to---
b. your (the principal operator‟s) spouse? (Even if
18. For the workers on this operation (excluding
the principal operator, the principle operator’s
spouse, other operators, custom hire, and
contract labor), on average, about how many
hours per week (work and management time) did --
2001
FARM OPERATORS
9. In 2011, how many operators (individuals) were involved in the day-to-day decisions for this
operation? (Enter the number of operators, including the operator named on the front of this form, and family
members if they are also operators. Exclude family members unless they make day-to-day decisions for the
operation. Exclude hired workers unless they are a hired manager.). . . . . . . . . . . . . . . . . . . . . . . . . . .
NUMBER
...........
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
1200
28. custom work such as--CODE
10. Did you (the principal operator) have a spouse for at least part of 2011?
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 12] . . . . . . . . . . .
11. Did the principal operator’s spouse make day-to-day decisions for this farm/ranch at any point
during 2011? [If yes, the principal operator‟s spouse should be included in item 9 above.]
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . .
1205
CODE
1209
(Custom work is work performed by machines and labor hired as a unit.)
0788
a. hauling? Include all custom grain, livestock, milk,
manure, and other custom hauling.. . . . . . . . . . . . . . . . . . . . . .
0789
0790
0791
b. all other custom work done on this operation?
(Report custom livestock services in item 8.) . . . . . . . . . . . . . . . . . . . . .
0794
c. How much of this (items 28a and 28b) was for
the BROILER enterprise? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0792
0793
0795
0796
29. workers who were members of your (the operator‟s) household --For items 12-15, please answer the following questions for up to
three primary operators of this operation as of December 31, 2011.
If one of the operators is the principal operator‟s spouse, record
his/her information in operator 2.
PRINCIPAL
OPERATOR
OPERATOR 2
OPERATOR 3
NAME
NAME
NAME
what was the cash value of any commodities provided to them
0797
as PAYMENT for farm work? [Example: value of a percentage of crops,
calves, etc. Exclude operator payments or draws.] . . . . . . . . . . . . . . . . . . . .
30. workers who were NOT household members---
12. What was the full name of the operator(s)? . . . . . . . . . . . . . . . . .
AGE
13. What was the age of the operator(s)
on December 31, 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1242
14. In what year did the operator(s) begin
to operate any farm operation?. . . . . . . . . . . . . . . . . . . . . . . . . . .
1241
AGE
1262
1 Male
2 Female
...
YEAR
1261
YEAR
1281
___ ___ ___ ___
___ ___ ___ ___
___ ___ ___ ___
CODE
CODE
CODE
1243
1263
CODE
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . .
............................
31. What was the market value of commodities produced and used
on this operation for home consumption? (Exclude any commodities
provided as payment to household members for farm work reported in item 29.)
..
0995
0798
0799
PERCENT
a. What percent of this (item 31) was
for livestock and livestock products? . . . . . . . . . . . . . . . . . . . .
.
1283
16. Were you a hired manager for this operation (meaning you received a wage, salary,
or in-kind payment for making day-to-day management decisions for this operation)?
YES - [Enter code 1]
other livestock and livestock products, berries, firewood, fruits, and vegetables,
etc. Exclude home gardens, unless expenses were recorded previously. Also
exclude partner payments or draws.).
YEAR
15. What was the gender of the operator(s)? . . . . . .
AGE
1282
what was the cash value of all commodities, feed, fuel, housing,
meals, other food, utilities, vehicles for personal use, and any
other non-cash PAYMENT for farm work? (Include meat, poultry,
32. professional or farm management services such as
record keeping, accounting, tax and business planning,
farm product advice, conservation practices, etc.?. . . . . . . . . . . . .
0800
DOLLARS
0801
USE OF TIME
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
For items 17 and 18, please answer for each
of the three-month periods during 2011.
17. On average, about how many paid and unpaid
hours per week (work and management time) did --
0828
0829
0830
0831
0832
0833
0834
0835
0836
for the day-to-day management decisions for
this operation) work for this farm/ranch?. . . . .
0837
0838
0839
a. you (the principal operator)
work for this farm/ranch?. . . . . . . . . . . . . . .
b. your spouse (the principal operator‟s)
work for this farm/ranch? (Even if your
spouse is an operator, include his/her
hours here.). . . . . . . . . . . . . . . . . . . . . . . . . .
c.
other operators (those persons responsible
Show the respondent the list of General Business Expenses
in the Respondent Booklet.
DOLLARS
33. general business expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0805
DOLLARS
0806
List general business expense items and amounts below.
SECTION F continues on next page.
SECTION I continues on next page.
24
0804
17
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
CAPITAL EXPENSES
34. improvements on land such as land preparation, irrigation
0807
improvements, well drilling, ponds, feedlots, trench silos,
lagoons, new fences, etc? (Exclude moveable equipment.) . . . . . . . . . .
35. new construction and remodeling of dwellings (excluding
the operator‟s dwelling), barns, buildings, hog houses, poultry
houses, milk barns, storage facilities, sheds, silos, etc.?
(Exclude repairs and maintenance.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36. new construction or remodeling of the operator’s
dwelling, if owned by the operation? . . . . . . . . . . . . . . . . . . . . . . . .
0808
0809
SECTION I FARM MANAGEMENT and USE OF TIME
1. In 2011, was more than 50% of the ownership interest in this operation held by you (the principal
operator) and/or persons related to you by blood, marriage, or adoption, including relatives not
residing in your household? (Ownership interest is defined as having ownership of at least some of the farm business
assets. Potential owners include individuals, partners, corporate shareholders, and members of a Limited Liability Company.
Potential owners DO NOT INCLUDE landlords, contractors, and lenders.)
YES [Enter code 1]
NO [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
1249
NUMBER
0810
0811
0812
2. In 2011, how many owners of this operation were there? (Exclude landlords, contractors, and lending
institutions holding farm debt. Include yourself if you have an ownership interest.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1246
a. What percent of the ownership interest did you (the operator) and your household hold?
(Exclude relatives not living in your household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1248
PERCENT
0813
3. In 2011, what was this
operation’s legal status
for tax purposes? . . . . . . . . .
Report the TOTAL NET COST (after deducting the value of trade-ins, rebates
and discounts) of the following items purchased for the farm/ranch in 2011.
1
2
3
4
5
Family or Individual operation? (Exclude partnerships and corporations.)
A legal partnership operation? (Include family partnerships.)
C - Corporation?
S - Corporation?
Other? (Include estates, trusts, cooperatives, grazing associations, etc.)
CODE
.......
1240
DOLLARS
37. Cars – Include new and used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Was this operation organized as a Limited Liability Company (LLC) under State law?
1202
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0816
PERCENT
a. What percent of this (item 37) was the farm’s share? . . . . . . . . . . . . . . . . . . . . . .
0817
[ENUMERATOR NOTE: If item 3 = code 2 (operation is a partnership), continue; else go to item 7.]
PARTNERSHIP QUESTIONS
DOLLARS
38. Trucks – Include new and used trucks, pickups,
sport utility vehicles, vans, campers and buses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0818
CODE
5. Is this partnership registered under State law?
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NUMBER
PERCENT
a. What percent of this (item 38) was the farm’s share? . . . . . . . . . . . . . . . . . . . . .
0819
1204
6. How many partners are there in this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1232
SHARE OF NET FARM INCOME
DOLLARS
39. Tractors – Include new and used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0820
7. In 2011, did any households, other than your (the principal operator’s) household,
share in the net farm income of this business? (Sharing can occur by receiving a share of
YES - [Enter code 1, then continue]
40. Self-propelled equipment – Include implements and self-propelled
equipment for livestock, dairy, or poultry production (Exclude tractors.) . . . . . . . . . . . . .
CODE
profits/losses or, if incorporated, receiving corporate dividends.)
NO - [Enter code 3, then go to item 8] . . . . . . . . . . . . .
NUMBER
0821
a. How many other households shared in the net income of the farm business?. . . . . . . . . . . . . . . . .
YES - [Enter code 1, then go to item 8a]
NO - [Enter code 3, then go to item 8b] . . . . . . . .
a. What value code represents the corporate dividends that you (the operator) and
your household received from this farming operation? (If your operation is an LLC that
elected to file for tax purposes as a C-Corporation, consider this as income here.) [See Value Code
list in Respondent Booklet. Skip 8b and proceed to item 9.]. . . . . . . . . . . . . . . . . . . . . . . . . . .
b. What percent of net income (whether profit or loss) were you (the operator) and
your household entitled to receive from this farming operation? (If your operation is
1226
VALUE CODE
.............
an LLC that elected to report income for tax purposes as a pass-through, consider this as income here.).
SECTION F continues on next page.
0976
CODE
8. Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation?
0822
41. Other farm machinery, non-self-propelled farm equipment, pumps, and capital
equipment for crop or livestock production (Include farm share only.) . . . . . . . . . . . . . . . .
18
1225
0975
PERCENT
...........
0974
SECTION I continues on next page.
23
DOLLARS
SECTION H FARM DEBT
DOLLARS
42. Office equipment, furniture and computers that were placed
on a depreciation schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0890
1. What was the total amount of all farm business loans taken out and repaid in 2011?
(Include seasonal production and equipment loans.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43. Farmland and other farm real estate for expanding this operation . . . . . . . . . . . . . . .
2. Did this operation owe money to any banks, co-ops, individuals, merchants, or Federal agencies
on December 31, 2011? (Include money owed against your line of credit and multi-purpose loans used for both farm
and non-farm purposes. Exclude CCC commodity loans and any loans used exclusively for non-farm purposes.)
YES [Enter code 1, then continue]
NO [Enter code 3, then go to SECTION I]. . . . . . . . .
CODE
1058
a. One year or less production or other loans. . . . . . . . . . . . . . . .
b. More than one year non-real estate debt. . . . . . . . . . . . . . . . .
c.
More than one year real estate debt. . . . . . . . . . . . . . . . . . . . .
What was the
average interest
rate of this debt?
How much of
this debt was
for farm use?
DOLLARS
PERCENT
PERCENT
1049
1051
1052
1054
1055
.__ __
.__ __
.__ __
0824
44. All other capital expenditures (Include all other capital expenditures
that were placed on a depreciation schedule.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_______________________________________________________________
What was the
balance owed on
December 31, 2011?
1048
_______________________________________________________________
_______________________________________________________________
1050
OPERATOR &
PARTNER(S)
1053
1056
DOLLARS
4. How much of the debt owed on December 31, 2011 (reported above), was for the operator’s
1057
dwelling? (If the operator‟s dwelling is owned by the operation, debt should be included here and above.
Exclude operator‟s dwelling if not owned by the operation.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45. What other expenses did this operation have
in 2011 that I have not recorded? . . . . . . . . . . . . . . . . . . . . . . . . .
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
OFFICE USE
ONLY
LANDLORD(S)
DOLLARS
[List each expense item and amount below.]
22
0803
[List all other capital expenditure items and amounts below.]
3. For each type of loan, what was the balance owed, average interest rate, and percent for farm use?
TYPE OF LOAN
0823
0999
19
0825
CONTRACTOR(S)
DOLLARS
0826
DOLLARS
0827
SECTION G FARM ASSETS
NOTES AND CALCULATIONS
1. In order to estimate the financial position of farms correctly, we need to obtain the MARKET
VALUE of the following assets OWNED by this operation on December 31, 2011:
(Include owned assets on rented land.)
a. farm operator’s dwelling, if owned by this operation (Owned by the operation means the house
is recorded as an asset in farm record books or deeded as part of the farm.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. all other dwellings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
DOLLARS
0850
0851
0852
all other farm buildings and structures (Include barns, cribs, grain bins, greenhouses, silos,
storage sheds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. orchard trees and vines, nursery trees, and trees grown for woody crops . . . . . . . . . . . . . . . . . . . .
e. land (Include land rented to others. Exclude houses, buildings, orchard trees and vines, and trees
grown for woody crops.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0853
0854
0855
2. What is the estimated market value of the land and buildings on the acres rented or leased
FROM OTHERS on December 31, 2011? (Reported in SECTION A, items 2a, 2b, and 2c.) . . . . . . . . . . . . . . . . .
0857
3. What is the estimated market value of the land and buildings on the acres rented or leased
TO OTHERS on December 31, 2011? (Reported in SECTION A, item 3.) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For each item below, report the market value(s) of the assets
owned by the operation on the dates specified.
4. What was the ESTIMATED MARKET VALUE for the farm share of [item] on--a. crops owned and stored on or off this operation
Beginning of Year
End of Year
JAN. 1, 2011?
DEC. 31, 2011?
DOLLARS
DOLLARS
0888
0889
0863
0864
0876
0877
0878
d. production inputs owned by this operation, such as processed feed,
fertilizer, chemicals, fuels, parts, purchased seed and other supplies. . . . . . . . . .
0879
(Include crops stored at co-op or gin warehouse, specialty crops, fruit storage, hay, silage,
and nursery and greenhouse products not in the ground. Exclude crops under CCC loans.)
.....
b. breeding livestock owned by and located on or off this operation
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep, etc., kept for breeding
purposes. Exclude livestock being produced under contract on another operation (reported in
Section C, item 3).) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
...
non-breeding livestock owned by and located on or off this operation
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep, etc, kept for nonbreeding purposes. Exclude livestock being produced under contract on another operation
(reported in Section C, item 3).) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....
e. production inputs already used by this operation for cover crops, crops planted
0880
but not yet mature for harvest (also known as sunk costs), or the value of inputs
used for production contracts that have yet to be delivered . . . . . . . . . . . . . . . . .
f.
trucks and cars owned by the operation (farm share only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. tractors, machinery, tools, equipment and implements owned by the operation . . . . . . . . . . . . . . .
h. stock in farm cooperatives and the Farm Credit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0881
0882
0883
0884
LIQUID ASSETS – [Show OTHER FARM ASSETS & VALUE CODES in Respondent Booklet.]
5. Which value code represents the value of all other farm assets not previously listed on December 31,
2011? (Include money owed to this operation (except money owed from commodity sales), cash certificates of deposit,
END OF YEAR
VALUE CODE
savings and checking accounts, hedging account balances, government payments due, balance of land contract sales, and any 0887
other farm assets not reported earlier. Exclude any personal debt owed to the operator(s).) . . . . . . . . . . . . . . . . . . . . . .
20
21
SECTION G FARM ASSETS
NOTES AND CALCULATIONS
1. In order to estimate the financial position of farms correctly, we need to obtain the MARKET
VALUE of the following assets OWNED by this operation on December 31, 2011:
(Include owned assets on rented land.)
a. farm operator’s dwelling, if owned by this operation (Owned by the operation means the house
is recorded as an asset in farm record books or deeded as part of the farm.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. all other dwellings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
DOLLARS
0850
0851
0852
all other farm buildings and structures (Include barns, cribs, grain bins, greenhouses, silos,
storage sheds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. orchard trees and vines, nursery trees, and trees grown for woody crops . . . . . . . . . . . . . . . . . . . .
e. land (Include land rented to others. Exclude houses, buildings, orchard trees and vines, and trees
grown for woody crops.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0853
0854
0855
2. What is the estimated market value of the land and buildings on the acres rented or leased
FROM OTHERS on December 31, 2011? (Reported in SECTION A, items 2a, 2b, and 2c.) . . . . . . . . . . . . . . . . .
0857
3. What is the estimated market value of the land and buildings on the acres rented or leased
TO OTHERS on December 31, 2011? (Reported in SECTION A, item 3.) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For each item below, report the market value(s) of the assets
owned by the operation on the dates specified.
4. What was the ESTIMATED MARKET VALUE for the farm share of [item] on--a. crops owned and stored on or off this operation
Beginning of Year
End of Year
JAN. 1, 2011?
DEC. 31, 2011?
DOLLARS
DOLLARS
0888
0889
0863
0864
0876
0877
0878
d. production inputs owned by this operation, such as processed feed,
fertilizer, chemicals, fuels, parts, purchased seed and other supplies. . . . . . . . . .
0879
(Include crops stored at co-op or gin warehouse, specialty crops, fruit storage, hay, silage,
and nursery and greenhouse products not in the ground. Exclude crops under CCC loans.)
.....
b. breeding livestock owned by and located on or off this operation
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep, etc., kept for breeding
purposes. Exclude livestock being produced under contract on another operation (reported in
Section C, item 3).) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
...
non-breeding livestock owned by and located on or off this operation
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep, etc, kept for nonbreeding purposes. Exclude livestock being produced under contract on another operation
(reported in Section C, item 3).) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....
e. production inputs already used by this operation for cover crops, crops planted
0880
but not yet mature for harvest (also known as sunk costs), or the value of inputs
used for production contracts that have yet to be delivered . . . . . . . . . . . . . . . . .
f.
trucks and cars owned by the operation (farm share only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. tractors, machinery, tools, equipment and implements owned by the operation . . . . . . . . . . . . . . .
h. stock in farm cooperatives and the Farm Credit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0881
0882
0883
0884
LIQUID ASSETS – [Show OTHER FARM ASSETS & VALUE CODES in Respondent Booklet.]
5. Which value code represents the value of all other farm assets not previously listed on December 31,
2011? (Include money owed to this operation (except money owed from commodity sales), cash certificates of deposit,
END OF YEAR
VALUE CODE
savings and checking accounts, hedging account balances, government payments due, balance of land contract sales, and any 0887
other farm assets not reported earlier. Exclude any personal debt owed to the operator(s).) . . . . . . . . . . . . . . . . . . . . . .
20
21
DOLLARS
SECTION H FARM DEBT
DOLLARS
42. Office equipment, furniture and computers that were placed
on a depreciation schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0890
1. What was the total amount of all farm business loans taken out and repaid in 2011?
(Include seasonal production and equipment loans.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43. Farmland and other farm real estate for expanding this operation . . . . . . . . . . . . . . .
2. Did this operation owe money to any banks, co-ops, individuals, merchants, or Federal agencies
on December 31, 2011? (Include money owed against your line of credit and multi-purpose loans used for both farm
and non-farm purposes. Exclude CCC commodity loans and any loans used exclusively for non-farm purposes.)
YES [Enter code 1, then continue]
NO [Enter code 3, then go to SECTION I]. . . . . . . . .
CODE
1058
a. One year or less production or other loans. . . . . . . . . . . . . . . .
b. More than one year non-real estate debt. . . . . . . . . . . . . . . . .
c.
More than one year real estate debt. . . . . . . . . . . . . . . . . . . . .
What was the
average interest
rate of this debt?
How much of
this debt was
for farm use?
DOLLARS
PERCENT
PERCENT
1049
1051
1052
1054
1055
.__ __
.__ __
.__ __
0824
44. All other capital expenditures (Include all other capital expenditures
that were placed on a depreciation schedule.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_______________________________________________________________
What was the
balance owed on
December 31, 2011?
1048
_______________________________________________________________
_______________________________________________________________
1050
OPERATOR &
PARTNER(S)
1053
1056
DOLLARS
4. How much of the debt owed on December 31, 2011 (reported above), was for the operator’s
1057
dwelling? (If the operator‟s dwelling is owned by the operation, debt should be included here and above.
Exclude operator‟s dwelling if not owned by the operation.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45. What other expenses did this operation have
in 2011 that I have not recorded? . . . . . . . . . . . . . . . . . . . . . . . . .
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
OFFICE USE
ONLY
LANDLORD(S)
DOLLARS
[List each expense item and amount below.]
22
0803
[List all other capital expenditure items and amounts below.]
3. For each type of loan, what was the balance owed, average interest rate, and percent for farm use?
TYPE OF LOAN
0823
0999
19
0825
CONTRACTOR(S)
DOLLARS
0826
DOLLARS
0827
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
CAPITAL EXPENSES
34. improvements on land such as land preparation, irrigation
0807
improvements, well drilling, ponds, feedlots, trench silos,
lagoons, new fences, etc? (Exclude moveable equipment.) . . . . . . . . . .
35. new construction and remodeling of dwellings (excluding
the operator‟s dwelling), barns, buildings, hog houses, poultry
houses, milk barns, storage facilities, sheds, silos, etc.?
(Exclude repairs and maintenance.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36. new construction or remodeling of the operator’s
dwelling, if owned by the operation? . . . . . . . . . . . . . . . . . . . . . . . .
0808
0809
SECTION I FARM MANAGEMENT and USE OF TIME
1. In 2011, was more than 50% of the ownership interest in this operation held by you (the principal
operator) and/or persons related to you by blood, marriage, or adoption, including relatives not
residing in your household? (Ownership interest is defined as having ownership of at least some of the farm business
assets. Potential owners include individuals, partners, corporate shareholders, and members of a Limited Liability Company.
Potential owners DO NOT INCLUDE landlords, contractors, and lenders.)
YES [Enter code 1]
NO [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
1249
NUMBER
0810
0811
0812
2. In 2011, how many owners of this operation were there? (Exclude landlords, contractors, and lending
institutions holding farm debt. Include yourself if you have an ownership interest.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1246
a. What percent of the ownership interest did you (the operator) and your household hold?
(Exclude relatives not living in your household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1248
PERCENT
0813
3. In 2011, what was this
operation’s legal status
for tax purposes? . . . . . . . . .
Report the TOTAL NET COST (after deducting the value of trade-ins, rebates
and discounts) of the following items purchased for the farm/ranch in 2011.
1
2
3
4
5
Family or Individual operation? (Exclude partnerships and corporations.)
A legal partnership operation? (Include family partnerships.)
C - Corporation?
S - Corporation?
Other? (Include estates, trusts, cooperatives, grazing associations, etc.)
CODE
.......
1240
DOLLARS
37. Cars – Include new and used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Was this operation organized as a Limited Liability Company (LLC) under State law?
1202
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0816
PERCENT
a. What percent of this (item 37) was the farm’s share? . . . . . . . . . . . . . . . . . . . . . .
0817
[ENUMERATOR NOTE: If item 3 = code 2 (operation is a partnership), continue; else go to item 7.]
PARTNERSHIP QUESTIONS
DOLLARS
38. Trucks – Include new and used trucks, pickups,
sport utility vehicles, vans, campers and buses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0818
CODE
5. Is this partnership registered under State law?
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NUMBER
PERCENT
a. What percent of this (item 38) was the farm’s share? . . . . . . . . . . . . . . . . . . . . .
0819
1204
6. How many partners are there in this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1232
SHARE OF NET FARM INCOME
DOLLARS
39. Tractors – Include new and used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0820
7. In 2011, did any households, other than your (the principal operator’s) household,
share in the net farm income of this business? (Sharing can occur by receiving a share of
YES - [Enter code 1, then continue]
40. Self-propelled equipment – Include implements and self-propelled
equipment for livestock, dairy, or poultry production (Exclude tractors.) . . . . . . . . . . . . .
CODE
profits/losses or, if incorporated, receiving corporate dividends.)
NO - [Enter code 3, then go to item 8] . . . . . . . . . . . . .
NUMBER
0821
a. How many other households shared in the net income of the farm business?. . . . . . . . . . . . . . . . .
YES - [Enter code 1, then go to item 8a]
NO - [Enter code 3, then go to item 8b] . . . . . . . .
a. What value code represents the corporate dividends that you (the operator) and
your household received from this farming operation? (If your operation is an LLC that
elected to file for tax purposes as a C-Corporation, consider this as income here.) [See Value Code
list in Respondent Booklet. Skip 8b and proceed to item 9.]. . . . . . . . . . . . . . . . . . . . . . . . . . .
b. What percent of net income (whether profit or loss) were you (the operator) and
your household entitled to receive from this farming operation? (If your operation is
1226
VALUE CODE
.............
an LLC that elected to report income for tax purposes as a pass-through, consider this as income here.).
SECTION F continues on next page.
0976
CODE
8. Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation?
0822
41. Other farm machinery, non-self-propelled farm equipment, pumps, and capital
equipment for crop or livestock production (Include farm share only.) . . . . . . . . . . . . . . . .
18
1225
0975
PERCENT
...........
0974
SECTION I continues on next page.
23
FARM OPERATORS
9. In 2011, how many operators (individuals) were involved in the day-to-day decisions for this
operation? (Enter the number of operators, including the operator named on the front of this form, and family
members if they are also operators. Exclude family members unless they make day-to-day decisions for the
operation. Exclude hired workers unless they are a hired manager.). . . . . . . . . . . . . . . . . . . . . . . . . . .
NUMBER
...........
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
1200
28. custom work such as--CODE
10. Did you (the principal operator) have a spouse for at least part of 2011?
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 12] . . . . . . . . . . .
11. Did the principal operator’s spouse make day-to-day decisions for this farm/ranch at any point
during 2011? [If yes, the principal operator‟s spouse should be included in item 9 above.]
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . .
1205
CODE
1209
(Custom work is work performed by machines and labor hired as a unit.)
0788
a. hauling? Include all custom grain, livestock, milk,
manure, and other custom hauling.. . . . . . . . . . . . . . . . . . . . . .
0789
0790
0791
b. all other custom work done on this operation?
(Report custom livestock services in item 8.) . . . . . . . . . . . . . . . . . . . . .
0794
c. How much of this (items 28a and 28b) was for
the BROILER enterprise? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0792
0793
0795
0796
29. workers who were members of your (the operator‟s) household --For items 12-15, please answer the following questions for up to
three primary operators of this operation as of December 31, 2011.
If one of the operators is the principal operator‟s spouse, record
his/her information in operator 2.
PRINCIPAL
OPERATOR
OPERATOR 2
OPERATOR 3
NAME
NAME
NAME
what was the cash value of any commodities provided to them
0797
as PAYMENT for farm work? [Example: value of a percentage of crops,
calves, etc. Exclude operator payments or draws.] . . . . . . . . . . . . . . . . . . . .
30. workers who were NOT household members---
12. What was the full name of the operator(s)? . . . . . . . . . . . . . . . . .
AGE
13. What was the age of the operator(s)
on December 31, 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1242
14. In what year did the operator(s) begin
to operate any farm operation?. . . . . . . . . . . . . . . . . . . . . . . . . . .
1241
AGE
1262
1 Male
2 Female
...
YEAR
1261
YEAR
1281
___ ___ ___ ___
___ ___ ___ ___
___ ___ ___ ___
CODE
CODE
CODE
1243
1263
CODE
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . .
............................
31. What was the market value of commodities produced and used
on this operation for home consumption? (Exclude any commodities
provided as payment to household members for farm work reported in item 29.)
..
0995
0798
0799
PERCENT
a. What percent of this (item 31) was
for livestock and livestock products? . . . . . . . . . . . . . . . . . . . .
.
1283
16. Were you a hired manager for this operation (meaning you received a wage, salary,
or in-kind payment for making day-to-day management decisions for this operation)?
YES - [Enter code 1]
other livestock and livestock products, berries, firewood, fruits, and vegetables,
etc. Exclude home gardens, unless expenses were recorded previously. Also
exclude partner payments or draws.).
YEAR
15. What was the gender of the operator(s)? . . . . . .
AGE
1282
what was the cash value of all commodities, feed, fuel, housing,
meals, other food, utilities, vehicles for personal use, and any
other non-cash PAYMENT for farm work? (Include meat, poultry,
32. professional or farm management services such as
record keeping, accounting, tax and business planning,
farm product advice, conservation practices, etc.?. . . . . . . . . . . . .
0800
DOLLARS
0801
USE OF TIME
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
For items 17 and 18, please answer for each
of the three-month periods during 2011.
17. On average, about how many paid and unpaid
hours per week (work and management time) did --
0828
0829
0830
0831
0832
0833
0834
0835
0836
for the day-to-day management decisions for
this operation) work for this farm/ranch?. . . . .
0837
0838
0839
a. you (the principal operator)
work for this farm/ranch?. . . . . . . . . . . . . . .
b. your spouse (the principal operator‟s)
work for this farm/ranch? (Even if your
spouse is an operator, include his/her
hours here.). . . . . . . . . . . . . . . . . . . . . . . . . .
c.
other operators (those persons responsible
Show the respondent the list of General Business Expenses
in the Respondent Booklet.
DOLLARS
33. general business expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0805
DOLLARS
0806
List general business expense items and amounts below.
SECTION F continues on next page.
SECTION I continues on next page.
24
0804
17
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
23. CASH WAGES paid to hired farm and ranch labor?
(Include cash wages, incentives and bonuses, payments to corporate
officers and paid family members including yourself and other operators
if they received a wage. Exclude wages paid for custom and contract
work, wages paid for housework, Social Security on the owner-operator,
withdrawals for living expenses, employer‟s share of Social Security and
unemployment taxes, health insurance and life insurance; pensions or
retirement plans and worker‟s compensation.).
a. unpaid workers (such as non-operator
partners, family members, etc.) work for
this farm/ranch?. . . . . . . . . . . . . . . . . . . . . .
.......................
a. How much of this (item 23) was for the BROILER enterprise?.
0758
0759
0760
0761
0762
0763
(total 24a + 24b + 24c + 24d + 24e must equal item 23)
a. you (the principal operator)? . . . . . . . . . . . . . . . . . . . . . . . . . . .
your spouse is an operator, include his/her wages here.)
c.
0764
0765
0766
0767
0768
0769
0574
0575
0576
0770
0771
0772
.............
other members of your (the operator‟s) household? (Even if
your other household members are operators, include their wages here.) .
d. .other operators (outside the operator‟s household)? (Those
persons responsible for the day-to-day management decisions for this
operation.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
....
e. all other paid farm and ranch labor? . . . . . . . . . . . . . . . . . . . . .
25. payroll taxes for hired labor? (Include employer‟s share
of Social Security and unemployment taxes. Include any amounts the
farm paid for farm workers that are part of your (the operator‟s) household.).
....
a. How much of this (item 25) was for the BROILER enterprise?.
0773
0705
0779
0774
0706
0780
0775
0707
0781
........
a. How much of this (item 26) was for the BROILER enterprise?. . . .
0915
0916
0917
0472
0473
0474
27. contract labor? (Include expenses for labor, such as harvesting of fruit,
vegetables, berries, etc. performed on a contract basis by a contractor, crew
leader, cooperative, etc. Exclude contract work for building construction,
repairs, or farm improvements, and payments to other operations that
fed/raised livestock under contract FOR this operation.) . . . . . . . . . . . . . .
...
a. How much of this (item 27) was for the BROILER enterprise?.
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
0840
0782
0783
0784
0785
0786
0787
0841
0842
Next I have some questions about labor used on the BROILER enterprise.
On the average, about how many
HOURS PER WEEK did---
EXCLUDE CONTRACT LABOR.
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
a. you (the operator) work on the BROILER
enterprise during [column], including paid 1130
and unpaid hours?. . . . . . . . . . . . . . . . . . . .
b. all other unpaid workers (such as partners,
family members, etc.) work on the
1134
BROILER enterprise during [column],
including unpaid hours only?. . . . . . . . . . . .
1131
1132
1133
1135
1136
1137
(i) What percent of the total number of hours worked by all UNPAID workers
(item 19b – excluding the operator) in the broiler operation was performed by workers
under 16 years of age? (Estimates of labor costs for unpaid workers are based on
off-farm wages, which are different for workers under 16 relative to those 16 and older.). . . . .
PERCENT
1138
___ ___ ___
EXCLUDE CONTRACT LABOR.
20. Now, I need your best estimate of the time spent
doing work on the BROILER enterprise in 2011
by PAID workers. (Exclude the operator‟s hours.)
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
a. all full-time paid workers work on the
BROILER enterprise during [column],
1139
including only paid workers?. . . . . . . . . . . .
1140
1141
1142
b. all part-time or seasonal workers work on
the BROILER enterprise during [column],
1143
including only paid workers?. . . . . . . . . . . .
1144
1145
1146
1
2
3
4
21. [If full-time paid workers reported in item 20a, ask---]
What was the average wage paid to full-time workers?. . . . . . . . . . . . . . . . . . .
DOLLARS & CENTS
1147
22. [If part-time or seasonal workers reported in item 20b, ask---]
1149
What was the average wage paid to part-time or seasonal workers?. . . . . . . . .
25
PER HOUR
PER DAY
PER WEEK
PER MONTH
CODE
1148
.___ ___
1150
.___ ___
OFFICE USE
ONLY
SECTION F continues on next page.
16
0843
BROILER ENTERPRISE LABOR
On the average, about how many
HOURS PER WEEK did---
26. benefits for hired labor? (Include employer‟s share of health
insurance, pension or retirement plans, Workers‟ Compensation, etc.
Include any amounts the farm paid for farm workers that are part of
your (the operator‟s) household.). . . . . . . . . . . . . . . . . . . . . . . .
1
19. I need your best estimate of the time spent
doing work on the BROILER enterprise in 2011
by you (the operator) and UNPAID workers.
24. Of item 23, how much salary or wage was paid to---
b. your (the principal operator‟s) spouse? (Even if
18. For the workers on this operation (excluding
the principal operator, the principle operator’s
spouse, other operators, custom hire, and
contract labor), on average, about how many
hours per week (work and management time) did --
2001
SECTION J FARM HOUSEHOLD
In 2011, how much was spent for (item) by [column]---
[ENUMERATOR NOTE: If the principal operator has a spouse (SECTION I, item 10), please answer for both the principal
operator and his/her spouse.]
1. Are the principal operator and/or the principal operator’s spouse of Spanish,
Hispanic, or Latino origin or background, such as Mexican, Cuban, or Puerto
Rican, regardless of race?
YES [Enter code 1]
OPERATOR
NO [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . .
1219
SPOUSE
1220
ENTER CODE 1 FOR ALL THAT APPLY
OPERATOR
American Indian or Alaska Native?
(Specify tribe _______________________ )
2. Which of these do you and/or your
Asian?
spouse (the principal operator and/or the
principal operator‟s spouse) consider
yourself? Are you--- . . . . . . . . . . . . . . . . Black or African American?
.....
.....
.....
Native Hawaiian or Other Pacific Islander?
.....
White?
.....
3. What is the highest level of formal
education achieved by the principal
operator and the principal operator’s
spouse?. . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
3
4
Less than high school diploma
High school
Some college (Include associates degree)
4-year college graduate and beyond
4. In 2011, what was the primary
occupation of the principal operator
and the principal operator’s spouse?. . .
1 Farm or ranch work
2 Work other than farming or ranching
3 Currently not in the paid workforce
SPOUSE
1213
1214
1215
1216
1217
1218
1221
1222
1223
1224
OPERATOR
..
1257
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
15. maintenance and repair for the upkeep of all farm buildings,
houses other than the operator’s, land improvements,
and all other farm/ranch improvements? (Include conservation
improvements, corrals, feeding floors, feedlots, gravel, land drainage
structures, tiling, trench, silos, wells, irrigation equipment and pump repairs
and facilities. Exclude any new construction or remodeling.) . . . . . . . . .
0714
0715
0716
a. How much of this (item 15) was for specialized
0717
livestock production facilities such as dairies,
feedlots, poultry houses, and swine buildings?. . . . . . . . . . . . .
0718
0719
0569
0570
0729
0730
0731
0732
a. How much of this (item 17) was for
Federal crop insurance?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0733
0734
.....
0568
(i) How much of this (item 15a)
was for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . .
16. maintenance and repair of the operator’s house
if it was owned by the operation?
(„Owned by the operation‟ means the house is-recorded as an asset in farm record books, or
deeded as part of the farm.) . . . . . . . . . . . .
.....................
0726
17. insurance for the farm business? (Include all casualty insurance, hail
SPOUSE
1260
insurance, and any other crop or livestock insurance; motor vehicle liability and
blanket insurance policies. Include insurance on operator‟s dwelling, if owned
by the operation. Exclude health insurance (reported in SECTION F, item 26
or SECTION J, item 10) and other payroll insurance items.). . . . . . . . . . . . .
..
18. interest and fees paid on debts--OPERATOR
..
1207
5. Do you (the principal operator) now consider
yourself to be retired from farming/ranching?
YES [Enter code 1]
SPOUSE
a. secured by real estate? (Include interest paid
0738
0739
0741
b. not secured by real estate? (Include service
fees on CCC loan redemptions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0742
on the operator‟s dwelling, if owned by the operation.) .
1208
..............
CODE
19. property taxes paid on---
1259
NO [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . .
0744
a. real estate (land and buildings)? (Include real estate taxes
on the operator‟s dwelling, if owned by the operation.) . . . . . . . . . . . . . . .
0745
0746
0747
0748
0749
[ENUMERATOR NOTE: If SECTION I, item 1 = 3 (50% or less interest held by operator and relatives), go to SECTION N;
else continue.]
20. renting or leasing of tractors, vehicles, equipment
0750
or storage structures? (Include farm machinery, cars, trucks,
irrigation equipment and other equipment. Exclude custom hire.) . . . . . . . . . . .
0751
7. Did the principal operator receive pay for off-farm/off-ranch work or operate an off-farm
business during 2011?
0753
0754
21. vehicle registration and licensing fees? . . . . . . . . . . . . . . . . . . . . .
NUMBER
1227
6. How many persons lived in the principal operator’s household on December 31, 2011?
(Include operator, spouse, children, and others living in the operator‟s household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES [Enter code 1, then continue]
b. livestock, machinery, and other farm production items? . . . . .
CODE
0931
NO [Enter code 3, then go to item 8]. . . . . . . . . . . . .
WEEKS
a. How many weeks did the principal operator work off this farm/ranch for pay
or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0933
b. During those weeks, how many hours per week did the principal operator usually
work off this farm/ranch for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . .
0935
HOURS PER WEEK
22. depreciation expense claimed by this operation in 2011 for all
0756
capital assets? (If partnership, include amounts claimed by all partners
in this operation. Estimate from 2010 if necessary.). . . . . . . . . . . . . . . . . . .
0757
a. How much of this depreciation expense (item 22)
was claimed for breeding livestock? . . . . . . . . . . . . . . . . . . . . .
SECTION F continues on next page.
SECTION J continues on next page.
26
15
In 2011, how much was spent for (item) by [column]---
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
9. purchases for the farm business of--a. all fuels, oils and lubricants?
(total 9a(i) + 9a(ii) + 9a(iii) + 9a(iv) + 9a(v) + 9a(vi) must equal item 9a).
....
(i) diesel fuel? (Include biodiesel.) . . . . . . . . . . . . . . . . . . . . . . .
(ii) gasoline and gasohol? (Include ethanol blends.) . . . . . . . . . . .
(iii) natural gas? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0663
0664
0665
8. If the principal operator has a spouse, did the principal operator’s spouse receive pay
for off-farm/off-ranch work or operate an off-farm business during 2011?
YES [Enter code 1, then continue]
CODE
0932
NO [Enter code 3, then go to item 9]. . . . . . . . . . . . .
WEEKS
a. How many weeks did the principal operator’s spouse work off this farm/ranch
for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOURS PER WEEK
0645
0646
0647
0648
0649
0650
0651
0652
0653
0936
b. During those weeks, how many hours per week did the principal operator’s spouse
usually work off this farm/ranch for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . .
9. Which value code from the list below represents the income the total household received
in 2011 from--- (Exclude farm income reported earlier.)
VALUE CODE
0952
0654
0655
0656
0657
(v) oils and lubricants? (Include grease, hydraulic
fluids, motor oils, transmission fluids, etc.) . . . . . . . . . . . . . . . . . . .
0658
0659
b. net cash income from operating another farm or ranch (net of depreciation)?
(If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0660
0661
0662
c.
0672
b. How much of the total fuel expense (item 9a)
was for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . . . . .
0673
0674
0675
0676
0677
0678
0679
0680
(iv) LP gas (propane, butane)? . . . . . . . . . . . . . . . . . . . . . . . .
(vi) all other fuel? (Include coal, fuel oil, kerosene, wood, etc.) . . . . . .
10. electricity for the farm business? . . . . . . . . . . . . . . . . . . . . . . . . . .
a. How much of the total electricity expense
(item 10) was for irrigation? . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . much of the total electricity expense
b. .How
How much of the total electricity expense (item 10) was
for specialized livestock production facilities such as
dairies, feedlots, poultry houses, and swine buildings?. . . . . .
a. all off-farm wages, salaries, and tips before taxes and withholdings?. . . . . . . . . . . . . . . . . . . . . . . .
0687
0688
include whole farms or ranches owned by household members as well as smaller parcels of land.
Include cash or share-rental income. If a loss was incurred, please indicate with a negative sign.).
d. net cash income from operating any other business (net of depreciation)?
(If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0695
0947
(i) How much of this (item 10c)
was for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . .
0948
0949
0696
11. purchased water for irrigation from off-farm
suppliers? (Include irrigation assessments and fees.) . . . . . . . . . . . . . . . . .
0697
0698
0872
12. all other utilities, such as the farm share of telephone service,
water purchased other than for irrigation, and Internet access?. . .
0873
0874
0966
0391
a. How much was spent on water purchased
for the BROILER enterprise?. . . . . . . . . . . . . . . . . . . . . . . . . . .
..............
13. farm supplies, marketing containers, hand tools and farm shop
0702
power equipment? (Include expenses for temporary fencing. Exclude
expenses for bedding/litter and permanent fencing.). . . . . . . . . . . . . . . . . . . .
0392
0393
0703
0704
0394
0395
0981
(i) recognized gain/loss on the sale of capital assets reported above (item 9g)?
(If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0939
h. income from private pensions and private disability payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0711
income from public sources? (Include Social Security, military and other public retirement,
veteran‟s benefits, public disability, unemployment, or other public assistance.) . . . . . . . . . . . . . . . . . . . . . . . . . . .
0396
0709
0712
0710
0713
a. How much of this (item 14) was for the BROILER enterprise?.
j.
other off-farm sources of income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Value
Code
Dollar Range
Value
Code
Dollar Range
Value
Code
Dollar Range
Value
Code
None. . . . . . . . . . . . . . . . . . . . 01
$10,000 – 14,999. . . . . . . . . . 10
$80,000 – 99,999. . . . . . . . . . . 19
$1,000,000 – 1,499,999. . . . . . 28
$1 - 499. . . . . . . . . . . . . . . . . .02
$15,000 – 19,999. . . . . . . . . . 11
$100,000 – 124,999. . . . . . . . . 20
$1,500,000 – 1,999,999. . . . . . 29
$500 – 999. . . . . . . . . . . . . . . 03
$20,000 – 24,999. . . . . . . . . . 12
$125,000 – 149,999. . . . . . . . . 21
$2,000,000 – 2,999,999. . . . . . 30
$1,000 – 1,999. . . . . . . . . . . . 04
$25,000 – 29,999. . . . . . . . . . 13
$150,000 – 199,999. . . . . . . . . 22
$3,000,000 – 4,999,999. . . . . . 31
$2,000 – 2,999. . . . . . . . . . . . 05
$30,000 – 34,999. . . . . . . . . . 14
$200,000 – 274,999. . . . . . . . . 23
$5,000,000 – 7,499,999. . . . . . 32
$3,000 – 3,999. . . . . . . . . . . . 06
$35,000 – 39,999. . . . . . . . . . 15
$275,000 – 349,999. . . . . . . . . 24
$7,500,000 – 9,999,999. . . . . . 33
$4,000 – 4,999. . . . . . . . . . . . 07
$40,000 – 49,999. . . . . . . . . . 16
$350,000 – 499,999. . . . . . . . . 25
$10,000,000 and over. . . . . . .. 34
$5,000 – 7,499. . . . . . . . . . . . 08
$50,000 – 59,999. . . . . . . . . . 17
$500,000 – 749,999. . . . . . . . . 26
$7,500 – 9,999. . . . . . . . . . . . 09
$60,000 – 79,999. . . . . . . . . . 18
$750,000 – 999,999. . . . . . . . . 27
SECTION J continues on next page.
SECTION F continues on next page.
14
0998
0993
Dollar Range
14. repairs, parts and accessories for motor vehicles, machinery
and farm equipment? (Include repairs to drying equipment, tune-ups,
0708
dividend income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0978
g. total proceeds from the sale of farm and non-farm capital assets? (Include
operator household‟s share only.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i.
...
0960
0969
f.
0694
overhauls, repairs to livestock equipment, replacement parts for machinery,
tubes, tires, and accessories such as air conditioners, CB‟s, radios and
hydraulic cylinders. Exclude irrigation equipment and pump repairs.). . . . .
0963
..............
0689
0693
a. How much of this (item 13) was for the BROILER enterprise?.
net cash income from renting farmland to others, excluding land rented to others
from this operation? (Include rental of farmland that is not part of this operation, which may
0957
e. interest income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(item 10) was for drying?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
0934
27
[Show VALUE CODES in Respondent Booklet.]
SECTION F OPERATING and CAPITAL EXPENDITURES
10. Which value code represents the total amount spent on household and family living expenses
in 2011? (Include food, including dining out; rent, utilities and other household expenses; non-farm transportation
costs; out-of-pocket health and medical expenses, including insurance; contributions to insurance and retirement plans;
contributions to individuals outside of the household, including alimony and child support; clothing; house furnishings;
education and child care; charity donations; and entertainment, as well as mortgage interest and property taxes for
operators who live in a dwelling owned by the household and not the farm.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....
11. Which value code represents the total amount of off-farm assets owned by the principal
operator and members of the operator’s household on December 31, 2011? (Include cash,
checking, savings, retirement accounts, corporate stock, certificates of deposit and real estate not part of the farm.
Exclude assets reported earlier.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1111
0994
OPERATING EXPENSES
In 2011, how much was spent for (item) by [column]--1. seeds, sets, plants, seed cleaning and treatments, transplants,
trees and nursery stock? (Include technology or other fees, seed
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
0600
0601
0602
0606
0607
0608
0612
0613
0614
0615
0616
0617
a. breeding stock for beef cattle, dairy cattle,
hogs and sheep? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0621
0622
0623
b. other cattle, calves, hogs and pigs?
[Report other sheep in item 4d.] . . . . . . . . . . . . . . . . . . . . . . . . . .
0624
0625
0626
c.
0627
0628
0629
0630
0631
0632
0633
0634
0635
0636
0637
0638
0891
0892
0893
0639
0640
0641
0894
0895
0896
0642
0643
0644
0897
0898
0899
treatments, and seed cleaning cost. Exclude items purchased for resale
without additional growth.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....
2. nutrients, fertilizer, lime and soil conditioners?
(Include cost of custom application and organic materials.
Exclude potting mixes, vermiculite, and sterilized soil.) . . .
[ENUMERATOR NOTE: Items 13 - 15 refer to income and expense items for 2010.]
VALUE CODE
13. Which value code represents the total farm sales in the previous year (2010)?
(Total farm sales includes livestock and crop income from cash and marketing contract sales, fees received
from livestock and crop production contracts, the net change in CCC loans, and government payments.) . . .
1
OPERATOR(S) &
PARTNER(S)
........
1103
12. Which value code represents the total amount of all off-farm debt owed on December 31, 2011
by the principal operator and members of the operator’s household? (Exclude debt reported earlier.). . . . . .
1113
............
14. Which value code represents the net operating income for this operation in the previous
1114
year (2010)? (cash income from all farm sources minus production costs and depreciation; if negative net
operating income, indicate a minus sign before the value code) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15. Which value code represents the total off-farm income in the previous year (2010)?
(wages, salaries, tips, interest, dividends, other public sources, etc. before taxes, income from operating
another farm, income from operating any other business; if negative off-farm income, indicate a minus sign
before the value code) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Include only expenses related to this operation.
Exclude expenses NOT related to this farm/ranch; expenses of
performing custom work FOR others, if this is a separate
business; and expenses on land rented to others.
VALUE CODE
1115
............
...............
3. biocontrols and agricultural chemicals for crops,
livestock, poultry, and general farm use? (Include
biological pest controls and custom application costs.). . . . . . . . . . . . . . . . . .
a. How much of this (item 3) was for the BROILER enterprise?. .
4. livestock purchases of---
chickens and turkeys?
[Report ducks and game birds in item 4d.] . . . . . . . . . . . . . . . . . . .
d. other livestock and poultry, including other sheep,
lambs, bees, brooder fish, fingerlings, goats, etc.? . . . . . . . . .
5. leasing of livestock?
(Include leasing of bees for pollination.) .
..........................
6. purchased feed for livestock and poultry?
(Include grain, hay, silage, mixed feeds, concentrates, etc.).
..............
a. How much of this (item 6) was for the BROILER enterprise?. .
7. bedding and litter for livestock?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. How much of this (item 7) was for the BROILER enterprise?. .
8. medical supplies, veterinary and custom services
for livestock? (Exclude manure disposal. Include artificial
insemination (AI), branding, breeding fees, caponizing, castrating,
custom feed processing, hormone injections, performance testing,
pregnancy testing, seining, sheep shearing, etc.). . . . . . . . . . . .
..........
a. How much of this (item 8) was for the BROILER enterprise?. .
OFFICE USE
ONLY
28
2002
SECTION F continues on next page.
13
4. In 2011, what was the total income received by you (the operator) and all partners for---
DOLLARS
0546
a. custom work, machine hire and other agricultural services provided by this operation
for farmers and others? (Exclude if this is for a separate business.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION N BROILER SCREENING and INVENTORY
1. Did this operation produce broilers for meat at any time during 2011?
0548
b. recreational and agri-tourism activities such as hunting, fishing, farm tours,
hospitality services, petting zoos, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
sales of farm machinery and vehicles? (farm share only). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Federal crop or livestock insurance payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to CONCLUSION]. . . . . .
HEAD
0550
2. Regardless of ownership, what was the largest (peak) number of broilers on this operation
at any time in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0552
1302
[ENUMERATOR NOTE: If item 2 is--less than 1,000 broilers, go to CONCLUSION on back page.
1,000 or more broilers, continue.]
e. other income that is closely related to the agricultural operation? (Exclude sales of farm
machinery and vehicles. Include grazing of livestock; sales of forest products; patronage dividends and
refunds from cooperatives; royalties or leases associated with energy production such as natural gas, oil,
wind turbines, etc.; animal boarding; hedging profits and losses; insurance indemnity payments other than
Federal crop insurance payments; sales of poultry litter and manure; State fuel tax refunds; tax refunds; sales
of value-added goods produced from your farm commodities such as cheese, cider, jams, jellies, wine, etc.
if these are not part of a separate business. If a loss was incurred, please indicate with a negative sign.). . .
CODE
1301
3.
YEAR
In what year did this operation first begin producing broilers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1303
___ ___ ___ ___
DOLLARS
........
0557
4. Was this operation shut down for rebuilding at any time during 2011?
YES - [Enter code 1]
List each income item and amount separately, below.
CODE
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Under what type of production arrangement
were broilers produced on this operation in 2011?. .
1
2
3
4
PRODUCTION CONTRACT
INDEPENDENT
PROCESSOR-OWNED OPERATION
OTHER
1304
CODE
..........
1305
CODE
0047
5. Which code from the list below represents the largest portion of this operation’s 2011
total gross value of sales, including Government agriculture payments?. . . . . . . . . . . . . . . . . . . . . . . . .
6. Did you have any chickens other than broilers raised for meat on this operation in 2011?
Include:
Sales of all crops, livestock, poultry and livestock products sold in 2011.
The VALUE OF PRODUCTS REMOVED for all crops, livestock,
and poultry produced under contract in 2011.
Sales of miscellaneous agricultural products in 2011.
All Government agricultural payments received in 2011.
Landlord‟s share of Government payments.
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to SECTION O]. . . . . . . .
7. Now we need to ask about the number of other chickens on hand in 2011.
1
Farm Type
Code
Farm Type
Hogs and pigs .
Grains, oilseeds, dry beans, and dry peas (corn, flaxseed, grain,
silage and forage, grains and oilseeds for seeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, etc.) . . . . . . . . .
. . . 01
Tobacco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02
Cotton and cottonseed .
Vegetables, melons, potatoes and sweet potatoes (cabbage,
cantaloupes, pumpkins, red beets, sweet corn, tomatoes,
watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . .
Fruit, tree nuts and berries (apples, almonds, blueberries,
cherries, cranberries, grapes, hazelnuts, kiwifruit, oranges,
pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . .
HEAD
a. pullets?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cattle and calves (beef and dairy cattle for breeding
stock, fed cattle, beef and dairy cull animals, stockers
and feeders, veal calves, etc.) . . . . . . . . . . . . . . .
. . . . . . . . . . 11
b. laying hens?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sheep, goats, and their products (wool, mohair, milk
and cheese) . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . 12
c.
Equine (horses, ponies, mules, burros and donkeys) .
. . . . . . . . . . 13
roosters?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. breeder broilers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1307
1308
1309
1310
. . . . . . . 14
. . . . . . . . . . 15
Other animals and other animal products (bees, honey,
rabbits, other fur-bearing animals, semen, manure, other
animal specialties, etc.) . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . 07
Other crops and hay (grass seed, hay and grass silage
straw, hops, maple syrup, mint, peanuts, sugarcane,
sugarbeets, CRP, pasture, etc.) . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . 10
Aquaculture (catfish, trout, other finfish, shellfish, etc.)
. . . . . 06
How many head of [item] were---
Code
Poultry and eggs (broilers, chickens, turkeys, ducks, eggs,
emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . .
. . . . . . 05
Nursery, greenhouse, and floriculture (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms,
nursery potted plants, shrubbery, sod, etc.) . . . . . . . . . . . .
Cut Christmas trees and short rotation woody crops
. . . . . 04
2
Largest (peak) number on hand
at any time during 2011
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
Milk and other dairy products from cows
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
1306
. . . . . . . 16
. . . . . . . . . 08
1 - Incomplete, has broilers
2 - Incomplete, broiler presence unknown
3 - Valid zero
12
29
1982
SECTION O CHICK PURCHASES, PLACEMENTS, and DEATH LOSS
SECTION E OTHER FARM RELATED INCOME
1. Were any broiler chicks placed on this operation in 2011?
CODE
1311
YES - [Enter code 1, then continue]
YES [Enter code 1, then continue]
NO - [Enter code 3, then go to item 2] . . . . . . . . . . . .
NUMBER
CODE
1. In 2011, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
NO [Enter code 3, then go to item 2]. . . . . . . . . . . . .
a. In 2011, how much was received for all commodities placed under CCC loans?
(Include Austrian winter peas, barley, canola, rapeseed, corn, cotton, crambe, dry edible peas, flaxseed,
honey, lentils, mohair, mustard seed, oats, peanuts, rice, safflower, sesame seed, small chickpeas, sorghum,
soybeans, sunflower seed, and wheat.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1312
a. How many live chicks were placed on this operation in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
........
PERCENT
1313
b. What percent of item 1a died before removal?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___ ___ ___.___
0560
b. In 2011, what was the amount spent to repay CCC loans? (Exclude storage and service fees.). . . . . . . .
0518
0519
[ENUMERATOR NOTE: If any of the crops redeemed from the CCC were sold in 2011, verify that these sales are recorded
in Marketing Contracts (SECTION D, item 2) or Cash Sales (SECTION D, item 5). If the redeemed crops were NOT sold in
2011, their value should be reported in SECTION G, item 4a.]
2. Did you purchase any broiler chicks for this operation in 2011?
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to item 3] . . . . . . . . . . . . .
2. In 2011, did this operation receive any Federal, State, or local farm program payments?
1314
CODE
(Include government payments received through a cooperative. Exclude conservation-related payments recorded
in SECTION A and CCC loan payments.)
YES [Enter code 1, then continue]
NUMBER
NO [Enter code 3, then go to item 3]. . . . . . . . . . . . .
0563
1315
a. How many chicks were purchased in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT
1316
b. What percent of the chicks purchased in item 2a died before removal?. . . . . . . . . . . . . . . . . . . . . .
DOLLARS
a. In 2011, how much was received from the Direct Counter-cyclical Payment (DCP)
0525
and Average Crop Revenue Election (ACRE) programs? (Include government payments
received through a cooperative.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT of 2a
___ ___ ___.___
0520
(i) Of the total in item 2a, what percent was for DCP
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
DAYS
0522
(ii) Of the total in item 2a, what percent was for DCP
counter-cyclical payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
1317
3. On average, how many days were chicks on this operation before removal?. . . . . . . . . . . . . . . . . . . . .
0521
(iii) Of the total in item 2a, what percent was for ACRE
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
DAYS
4. On average, how many days passed between removal of a flock
and placement of a new flock on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1318
0523
(iv) Of the total in item 2a, what percent was for ACRE
revenue payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
=
100%
DOLLARS
b. In 2011 how much was received in Loan Deficiency Payments (LDPs), Marketing Loan
0529
Gains (MLGs), and for net value of commodity certificates? (Include government payments
received through a cooperative.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
In 2011, how much was received for all other Federal, State, or local program payments?
(Include disaster and market loss payments; Milk Income Loss Contract (MILC) payments; tobacco buyout
payments, including lump sum payments; and other Federal, State or local programs. Exclude CRP, CREP,
WRP, EQIP, CSP, and CStP payments (reported in SECTION A) as well as Federal crop insurance payments
and other indemnity payments, to be reported below.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.......
3. What is your estimate of the total dollar amount your landlord(s) received in government
payments for the acres you rented from them?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 - Incomplete
3 - Valid zero
30
1983
0545
0543
SECTION E continues on next page.
11
ACCOUNTS RECEIVABLE / DEFERRED PAYMENTS
SECTION P BROILER SALES and CONTRACT REMOVALS
8. For each item below, report income received or the amount owed to the operation
on the dates specified. Do not include crops in storage and not yet sold. (Include
[ENUMERATOR NOTE: If operation produced broilers under a production contract, complete columns 4 and 5. For all
other broilers, complete columns 2, 3 and 5.]
cash sales, marketing contract sales, and production contract removals.)
[ENUMERATOR NOTE: Crops in storage and not yet sold as of the reference date should be reported in SECTION G, item 4a.]
1. The next few questions are about sales and contract removals of broilers from this operation in 2011.
1
DOLLARS
a. On January 1, 2011, what was the total dollar amount owed to this operation
for all commodities produced and sold (cash or contract) before January 1, 2011? . . . . . . . . . . .
0885
Grow-out weight class for broilers---
0875
(i) How much did this operation receive from item 8a during 2011? . . . . . . . . . . . . . . . . . . . . . .
b. What was the total dollar amount owed to this operation on December 31, 2011,
for all commodities produced, sold (cash or contract), delivered, or removed
under contract in 2011 or earlier years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EXPENSE NAME
FEE PER UNIT
UNIT
NUMBER OF UNITS
3
a.
broilers, 4.25 lbs. or less? . . . . . . . . .
b.
broilers, 4.26 – 6.25 lbs.? . . . . . . . . .
0886
TOTAL MARKETING EXPENSE
___ ___.___ ___ ___
5
How many [column 1]
were removed from
this operation under
a production contract
in 2011?
What was the
average weight
of [column 1]
sold/removed
in 2011?
DOLLARS
HEAD
POUNDS PER HEAD
(If none, go to column 4.)
1664
1665
1666
1667
1668
1669
1670
1671
1673
1674
1675
1677
1678
1679
c.
broilers, 6.26 – 7.75 lbs.? . . . . . . . . .
1672
d.
broilers, 7.76 lbs. or more? . . . . . . . .
1676
OFFICE USE POID
.___ ___
.___ ___
.___ ___
OFFICE USE FIPS
2010
Name: _________________________________________________________
___ ___.___ ___ ___
.___ ___
[If broilers were removed under a production contract in item 1, column 4, ask item 2; else skip to item 8.]
2. Who is your current contractor?
___ ___.___ ___ ___
4
What was the
total amount
received for sales
of [column 2]
(net of marketing
charges, etc.)?
HEAD
MARKETING EXPENSE WORKSHEET
COMMODITY
2
How many [column 1]
did this operation sell
(on open market
or under a marketing
contract) in 2011?
2009
__ __
__ __ __ __ __ __ __ __ __
___ ___.___ ___ ___
YEARS
a. How many years have you had contracts with your current contractor?
[Enter 1 if one year or less.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___ ___.___ ___ ___
1680
___ ___.___ ___ ___
3. Have you ever raised broilers for another contractor?
___ ___.___ ___ ___
CODE
1681
___ ___.___ ___ ___
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 4]. . . . . . . . . . . . .
___ ___.___ ___ ___
NUMBER
1682
___ ___.___ ___ ___
a. How many other contractors have you raised broilers for?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL MARKETING CHARGES (EXPENSES)
4. Is your contract short term (flock to flock)
or long term (multiple flocks)? . . . . . . . . . . . . . . . . . . .
1 short-term [continue with item 4a]
2 don’t know [skip to item 5]
3 long-term [skip to item 4b]
a. If your current contract is short term, was it long term
when your production facilities were new? . . . . . . . . . . . . . . . . . .
CODE
............
1950
CODE
1 YES
2 DON’T KNOW
3 NO
.............
1951
1 MONTHS
2 YEARS
3 FLOCKS
NUMBER
OFFICE USE
WORKSHEET
0946
1952
AND
CODE
1953
b. How long is the duration of your current contract? . . . . . . . . . . . . . . . . . . . .
SECTION P continues on next page.
10
31
NUMBER
5. How many broiler companies (integrators) operated in your area in 2011?. . . . . . . . . . . . . . . . . . . . . . .
1955
a. If you were not raising broilers for your current contractor,
could you change to another contractor in your area?
YES - [Enter code 1]
CASH or OPEN MARKET SALES
CODE
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. After subtracting marketing expenses, what was the total dollar amount this operation
received in 2011 for cash or open market sales of each of the following crop and/or
livestock commodities sold in 2011? (Exclude marketing contract sales, production contract
1954
NO - [Enter code 3, then go to item 7]. . . . . . . . . . . . .
a. Corn, rice, sorghum, soybeans, oats, barley, wheat (Include silage. Exclude sweet corn.). . . . . . . . . . . .
1956
(i) the performance of other growers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
(ii) a fixed target set by the contractor?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
b. What is the base payment in your contract (cents per pound of live weight)?. . . . . . . . . . . . . . . . . .
1957
(i) [If item 6c = 1, ask---]
What is your bonus parameter? (Round to the nearest whole percent.). . . . . . . . . . . . . . . . . . . . . . . . .
0505
e. Fruit, tree nuts, berries (almonds, apples, blueberries, cherries, grapes,
hazelnuts, kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1959
0506
CODE
g. Other crops and hay, and short rotation woody crops (grass seed, hay and grass silage,
hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
0507
PERCENT
h. Hogs and pigs (Exclude breeding stock.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1960
1961
1962
7. Does your contract include--a. a stated minimum fee to be paid for broilers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
b. integrator reimbursement for fuel purchases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
c.
YES = 1
d. payments tied to facilities rather than production?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
e. provision for payments in the event of catastrophes (i.e., from weather or disease)?. . . . .
YES = 1
f.
1963
1964
Milk from cows (before deduction of any hauling fees) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k.
0511
Cattle and calves (fed cattle, beef and dairy cull animals, stockers and feeders, real calves, etc.)
(Exclude breeding stock.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l.
Cattle breeding stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1968
MARKETING CHARGES
1969
7. In 2011, how much was spent by this operation
(operators, partners, landlords, and contractors)
for marketing and storage expenses incurred by
this operation? (Include check-off, commissions, storage,
1683
1 - Incomplete
3 - Valid zero
32
j.
0510
0512
0517
.....................
0527
6. What was the total amount received from straw and other crop residue sales?
(Exclude hay sales.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MILES
8. What is the one-way distance, in miles, to your processing plant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hog breeding stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(wool, mohair, and goat milk); horses, ponies, mules, burros, and donkeys; aquaculture;
bees and honey; semen and embryo sales) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1967
g. specified number of flocks per year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
0509
i.
n. Other animals and other animal products (sheep, goats, and their products
1966
specified number of birds per flock?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
0508
0524
m. Poultry and eggs (broilers, chickens, turkeys, ducks, eggs, emus, geese,
hatchlings, ostriches, pigeons, pheasants, quail, poultry products, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1965
seasonal adjustments in fees to reflect changes in energy prices?. . . . . . . . . . . . . . . . . . .
f.
0504
Nursery, greenhouse, cut Christmas trees, floriculture and sod (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, etc.). . . . . . . . . . . . . . . . . . .
.___ ___
CODE
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0503
CENTS PER POUND
d. Can your total payment per pound be less than the base payment?
YES - [Enter code 1]
Tobacco, cotton, and cottonseed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Vegetables, melons, potatoes, and sweet potatoes (cabbage, cantaloupes,
pumpkins, red beets, sweet corn, tomatoes, watermelons, vegetable seeds, etc.). . . . . . . . . . . . . . . . . . . . . . . . . .
of the difference between your cost and the average cost that accrues to you.)
NO - [Enter code 3, then go to item 6d]. . . . . . . . .
c.
1958
Do you know your bonus parameter? (The bonus parameter is the share
YES - [Enter code 1, then continue]
0501
0502
b. Other grains and oilseeds, dry beans, and dry peas (flaxseed, other grain silage
and forage, other grains and oilseeds, popcorn, sunflowers, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Does your current payment incentive depend on your performance compared to---
c.
DOLLARS
removals, and landlord‟s share of market value.)
6. Does your contract provide payment incentives that vary with your performance?
YES - [Enter code 1, then continue]
Exclude from item 5--► Marketing Contract sales (report in item 2)
► Production Contract removals (report in item 4)
► Landlord shares (report in Section B, item 3 and Section C, item 2)
OPERATOR(S) and
PARTNER(S)
LANDLORD(S)
DOLLARS
CONTRACTOR(S)
DOLLARS
DOLLARS
0868
0869
0870
a. How much of this (item 7) was for the BROILER
0943
enterprise? (Include check-off, commission, inspection,
insurance, etc. Exclude transportation charges.) . . . . . . . . . . . . . . . . . .
0944
0945
inspection, ginning, etc. Include marketing expenses for contract sales.)
......
1984
SECTION D continues on next page.
9
PRODUCTION CONTRACTS AND CUSTOM FED LIVESTOCK
SECTION Q BROILER FEED
3. Did this operation have production contracts for any commodities it produced in 2011?
(A production contract is a verbal or written agreement setting terms, conditions, and fees to be paid by
the contractor to the operation for the production of crops, livestock, or poultry. The contractor usually owns
the commodity and often provides inputs.)
YES [Enter code 1, then continue]
CODE
NO [Enter code 3, then go to item 5] . . . . . . . . . . . . . .
0400
1. Did you or the contractor PURCHASE any commercial or custom feed mixes
for broilers on this operation in 2011?
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to item 3]. . . . . . . . . . . . .
UNIT CODES for ITEM 4, COLUMN 4
1
POUND
5
BIN
9
DOZEN
20
BARREL
2
CWT
6
BOX
10
FLAT
22
ACRE
3
TON
7
4
BUSHELS
8
BALE
11
HEAD/BIRD
39
ANIMAL SPACE
CARTON
13
PLANT/POT
40
KILOGRAM
1970
1
2
3
4
12
NUMBER
2. What was the total amount fed to broilers in 2011?. . . . . . . . . . . . . . . . . . . . . . .
POUNDS
CWT
TONS
BUSHELS
GALLONS
AND
1971
CODE
1972
4. (If Yes) Report in the table below the commodities with production contracts in 2011. Also
list the quantities removed under these contracts and the final fee received. (Exclude money
3. Was feed conversion (pounds of feed per pound of broiler weight gain)
measured for this operation in 2011?
received to pay for production expenses. Expense reimbursements should be reported in SECTION F.)
1
2
3
4
5
6
What commodities did
this operation have
PRODUCTION
contracts for in 2011?
See
commodity
codes in
respondent
booklet
What quantity of this
commodity was removed
from the operation
under this contract?
(Exclude landlord's share.)
Unit Code
What was (will be) the
FINAL FEE RECEIVED
per [column 4] unit by this
operation for producing
this commodity under
this contract?
(Exclude money received
as reimbursement for
production expenses.
Record this in SECTION F.)
What were the
TOTAL FEES RECEIVED in
2011 under this contract? 1/
(Exclude money received as
reimbursement for production
expenses. Record this in
SECTION F.)
QUANTITY
CODE
DOLLARS & CENTS
TOTAL DOLLARS
[Write in commodities]
CODE
0401
0404
(from list
above)
0405
0406
0407
.___ ___ ___
0416
0419
0420
0421
0422
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 4]. . . . . . . . . . . . .
POUNDS
a. What was the average feed conversion on this operation in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . .
0434
0435
0436
1974
.___ ___
HOURS
1975
4. How long is your feed withdrawal time before birds are collected?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Do you chemically treat your water to control salmonella after feed is withdrawn?
CODE
.___ ___ ___
0431
1973
1976
0437
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . .
.___ ___ ___
0446
0449
0450
0451
0452
5. Are your broilers raised without antibiotics in their feed or water, unless the birds are sick?
.___ ___ ___
1441
1444
1445
1446
1447
YES - [Enter code 1]
.___ ___ ___
1456
1459
1460
1461
1471
1474
1475
1476
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
1977
1462
.___ ___ ___
1477
6. Are your broilers provided with prebiotic or probiotic supplements in their feed?
.___ ___ ___
1486
1489
1490
1491
1492
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
1978
.___ ___ ___
1/
Income received for commodities produced under contract in previous years should be recorded in item 8a(i) on page 10.
7. Does your feed contain animal, bird, or fish byproducts?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
SECTION D continues on next page.
8
NO - [Enter code 3]. . . . . . . . . .
1979
1 - Incomplete
3 - Valid zero
33
1985
SECTION R BROILER HOUSING
SECTION D COMMODITY MARKETING and INCOME
1. Next I need some information about broiler housing used on this operation.
Please enter the following information for each house.
House Characteristics
#1
#2
MARKETING CONTRACTS
1/
1. Did this operation have marketing contracts for any commodities delivered in 2011?
#3
#4
#5
(A marketing contract is a verbal or written agreement reached before harvest of a crop or before completion
of a livestock production stage, setting a price or pricing formula and market for the commodity.)
#6
1494
1505
1516
1527
1538
1549
1495
1506
1517
1528
1539
1550
1496
__ __ __ __
1507
__ __ __ __
1518
__ __ __ __
1529
__ __ __ __
1540
__ __ __ __
1551
__ __ __ __
1497
1508
1519
1530
1541
1552
YES [Enter code 1, then continue]
a. How long is this house?. . . . . . . . . . . . . ft.
When was this house built?. . . . . . . . . . yr.
d. Do you rent this house?. . . . . . . . . . YES = 1
e. Does your contractor
own this house?. . . . . . . . . . . . . . . . YES = 1
1498
1509
1520
1531
1542
1553
1499
Does this house have
side curtains?. . . . . . . . . . . . . . . . . . YES = 1
1510
1521
1532
1543
1554
1500
g. Does this house have
all-metal construction?. . . . . . . . . . . YES = 1
1511
1501
h. Is this house equipped
with evaporative cooling?. . . . . . . . . YES = 1
1512
i.
1502
Does this house have
tunnel ventilation?. . . . . . . . . . . . . . .YES = 1
1513
1524
1535
1546
1557
j.
1503
Does this house have an integrated
electronic control system?. . . . . . . . .YES = 1
1514
1525
1536
1547
1558
k.
1504
Does this house have static
pressure-controlled vent boxes?. . . .YES = 1
1515
1526
1537
1548
1559
f.
1522
1523
1533
1534
1544
1556
1
POUND
5
BIN
2
CWT
6
BOX
DOZEN
20
BARREL
10
FLAT
22
ACRE
3
TON
7
4
BUSHELS
8
BALE
11
HEAD/BIRD
39
ANIMAL SPACE
CARTON
13
PLANT/POT
40
KILOGRAM
9
2. (If Yes) Report the commodities delivered in 2011 through marketing contract(s). List the quantities marketed
and the final price received. (Include only the quantity owned by the operation. Exclude money received from contractors as
reimbursement for expenses (report this in SECTION F). Exclude landlord shares (report in SECTION B, item 3 and SECTION C, item 2).
Also exclude marketing charges (report in item 7) and money received for any reimbursements for expenses (report in SECTION F).)
1555
1545
NO [Enter code 3, then go to item 3]. . . . . . . . . . . . . .
UNIT CODES for ITEM 2, COLUMN 4
b. How wide is this house?. . . . . . . . . . . . .ft.
c.
CODE
0300
1
2
3
4
5
6
What commodities
did this operation have
MARKETING contracts
for in 2011?
See
commodity
codes in
respondent
booklet
What quantity of this
commodity was delivered
through this contract?
(Exclude landlord‟s share.)
Unit Code
What was (will be) the
FINAL PRICE RECEIVED
per [column 4] unit by this
operation for this commodity
marketed under this contract?
(Exclude marketing charges.
Exclude money received as
reimbursement for production
expenses. Record this in
SECTION F.)
What was the total
dollar amount received in
2011 from this contract?
(Exclude marketing charges.
Exclude money received
as reimbursement for
production expenses.
Record this in Section F.)
[Write in commodities]
CODE
(from list
above)
QUANTITY
CODE
DOLLARS & CENTS
0301
0304
0305
0306
0316
0319
0320
0321
TOTAL DOLLARS
0307
.___ ___ ___
2. During 2009, 2010, or 2011, did you incur any capital expenses for construction
or remodeling of broiler housing, or purchase of equipment for the houses?
CODE
0331
0334
0335
0336
0337
.___ ___ ___
1560
YES - [Enter code 1, then continue]
0322
.___ ___ ___
NO - [Enter code 3, then go to SECTION S]. . . . . . . .
0346
0349
0350
0351
0352
.___ ___ ___
DOLLARS
0361
0364
0365
0366
1561
0367
.___ ___ ___
a. How much was spent on these purchases in 2009?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0376
0379
0380
0381
0382
.___ ___ ___
1351
1354
1355
1356
1562
1357
.___ ___ ___
b. How much was spent on these purchases in 2010?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1366
1369
1370
1371
1372
.___ ___ ___
1381
1384
1385
1386
1563
c.
1387
.___ ___ ___
How much was spent on these purchases in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1396
1399
1400
1401
1402
.___ ___ ___
CODE
1411
1414
1415
1416
1564
1417
.___ ___ ___
d. Were some or all of these capital investments required by your contractor?. . . . . . . . . . . . . YES = 1
1426
1429
1430
1431
1432
.___ ___ ___
1 - Incomplete
3 - Valid zero
1986
1/
“Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2011.
SECTION D continues on next page.
34
7
SECTION S BROILER LITTER
SECTION C LIVESTOCK
Please report the total numbers, including landlord’s share, of livestock, poultry, and/or livestock products sold and/or
removed from the operation during 2011 and the total inventory on December 31, 2011, regardless of ownership. (Include
STORAGE TYPE CODES
Column 1
1 OPEN STOCKPILE
landlord‟s share, any sold on the open market (non-contract), and any removed from this operation under a production or marketing contract in 2011.)
2
3
4
What was the total
number [column 1]
sold or removed
in 2011?
On Dec. 31, 2011,
how many [column 1
On Dec. 31, 2011,
how many [column 3]
were owned by
this operation?
1
1. Did this operation have on hand
or produce any [item] during 2011?
a. Beef cows (Include beef heifers that have calved.
regardless of ownership]
were on hand?
0254
0255
0256
0257
b. Milk cows, including any dry cows
(Exclude any heifers not yet freshened.). . . . . . . . . . . .
0258
0259
Exclude heifers that have not calved, steers, calves,
and bulls.). . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other cattle and calves (Include heifers
that have not calved, steers, calves, and bulls.).
5 ROOFED STORAGE STRUCTURE
6 LAGOON
7 OTHER (Specify:_________________________)
1. Did this operation have litter storage facilities other than broiler houses,
which were used for litter storage in 2011?
Egg layers. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Chicken eggs (report in dozens). . . . . . . . . . . .
g. Turkeys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Broilers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
All other livestock and poultry
0252
YES - [Enter code 1, then continue]
0253
1
0260
0261
0295
0262
0263
0296
0248
0249
0250
NAME
0266
0268
0269
0298
0264
0265
0297
0272
0273
0299
DOLLARS
What was the estimated total market value of your landlord’s share of livestock production sold or
removed from this operation in 2011? (Exclude shared livestock production not part of a land rental arrangement.). .
0276
4
What is the total
combined
capacity
of all?
UNIT CODE
3
10
16
22
[column 1]
CODE
NUMBER
TONS
GALLONS
CUBIC FEET
ACRE FEET
CODE
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
CODE
1711
YES - [Enter code 1, then go to item 3]
OTHER OPERATIONS GROWING, FEEDING, OR RAISING LIVESTOCK FOR THIS OPERATION
NO - [Enter code 3, then continue]. . . . . . . . . . . . .
a. Did you fully clean out and sanitize your poultry houses at any time in 2011?
3. Did any other operation(s) grow, feed, or raise livestock or poultry owned by this operation
under a contract arrangement in 2011 (you are the contractor)?
1712
YES - [Enter code 1, then continue]
CODE
NO - [Enter code 3, then go to item 2b]. . . . . . . . .
0271
NUMBER
1713
(i) On average, how many times did you clean out your houses in 2011?. . . . . . . . . . . . . . . . . . . .
DOLLARS
0050
a. What were your gross receipts from items sold or removed under these contracts?. . . . . . . . . . . .
b. Did you crust-out (scrape off and remove a top layer of litter) any houses in 2011?
CODE
1714
0051
b. On December 31, 2011, what was the market value of unsold livestock
or poultry remaining under these contracts?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0052
How much was paid to contractees for labor, management, and reimbursement for expenses?. . .
3
1700
2. During 2011, were your poultry houses fully cleaned out and sanitized after removal of each flock?
SECTION C: LIVESTOCK
NO [Enter code 3, then go to SECTION D]. . . . . . . .
2
How many
of this type
were used?
[Enter Storage Type code]
2. [If SHARE RENTS from others and has livestock, ask---]
c.
NO - [Enter code 3, then go to item 2] . . . . . . . . . . . . .
What type of
litter storage facilities
did this operation use
in 2011?
(Specify type(s): ______________________ ) . . . .
YES [Enter code 1, then continue]
CODE
0270
0251
e. All hogs and pigs. . . . . . . . . . . . . . . . . . . . . . . .
i.
4 BUNKER TYPE STORAGE
.......
d. Total cattle and calves (total items a + b + c). . . . .
f.
3 STOCKPILE WITH GROUND LINER
...
(i) Milk produced in 2011 (report in cwt.). . . . . . .
c.
2 COVERED STOCKPILE
YES - [Enter code 1]
c.
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did you windrow and dry litter after each flock removal in 2011?
1715
YES - [Enter code 1]
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION S continues on next page.
6
35
3. Did you add amendments to litter, after each flock removal, to control ammonia in 2011?
2. What was the area grown for sale of nursery, floriculture, or greenhouse
crops, including Christmas trees, ornamental plants, flowers, mushrooms,
aquatic plants, sod, food crops under protection, vegetable seeds, flower
seeds, or other propagative materials? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1704
YES - [Enter code 1]
4. Who cleans out your broiler
houses? (Choose the option
that best fits your operation.). . . . . .
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
3
4
5
This operation, using equipment owned by this operation
This operation, using leased or borrowed equipment
A custom provider hired by this operation
The integrator, or a custom provider hired by the integrator
A third party who retains the litter
..........
other?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
1716
___ ___ ___
1717
___ ___ ___
1718
___ ___ ___
100%
ACRES
6. On how many total acres was poultry litter applied on this operation in 2011?
[If zero acres of application, go to item 11.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1701
[Show crop codes in Respondent Booklet.]
CROP CODE
a. What crop received the largest share of the poultry litter applied on this operation?
[Use code 999 for bermuda grass.].
1702
.............
ACRES
b. How many acres of this crop received litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1703
CODE
7. Was the poultry litter from this operation tested for its nitrogen content?. . . . . . . . . . . . . . . . . . . YES = 1
8. Was the poultry litter from this operation tested for its phosphorus content?. . . . . . . . . . . . . . . . YES = 1
9. Was any commercial fertilizer applied to the same (item 6) acres on this operation
on which broiler litter was applied?
YES [Enter code 1, then continue]
1706
1707
CODE
NO [Enter code 3, then go to item 11]. . . . . . . . . . . .
1708
SECTION S continues on next page.
36
.____
1705
PERCENT
b. removed from this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
)
0192
0184
3. For acres rented to this operation on a share basis in 2011, what was the estimated
total market value of your landlord’s share of total crop production in 2011? . . . . . . . . . . . . . . . . . . . . .
a. applied to fields on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Specify crop:
0191
ACRES in
the OPEN
CODE
5. What percent of the poultry litter produced on this operation in 2011 was or will be----
c.
SQUARE FEET
UNDER glass or
other protection
5
10. Did this operation adjust commercial fertilizer application rates according to---
SECTION B ACREAGE and PRODUCTION
1. For 2011, please report the acreage and quantity harvested, and amount used on this operation, on the total acres in
this operation (Section A, item 4). (Include crops grown on a contract or custom basis. Exclude crops grown on land rented to others and
cover crops if not harvested.)
1
2
3
4
How many acres
were HARVESTED?
What was the total production?
(Include landlord share and
amount used on operation.)
How much of this operation’s share
of the total production was (will be)
used on this operation?
TOTAL AMOUNT
TOTAL AMOUNT
ACRES
CROP
a. the nitrogen available from the broiler litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
b. the phosphorus available from the broiler litter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
1709
1710
11. Was any poultry litter removed from this operation in 2011?
CODE
1719
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 14]. . . . . . . . . . . .
FIELD CROPS
Corn for grain.
.............
Corn for silage or greenchop.
Cotton, all types.
Peanuts.
....
............
.................
Potatoes (report sweet potatoes
in all other crops). . . . . . . . . .
Rice.
..
...................
Sorghum for grain.
...........
Sorghum for silage.
Soybeans.
..........
................
Tobacco, all types.
...........
0105
0106
0109
0110
0113
0114
0117
0121
0118
.____
0122
0125
0126
0129
0130
0133
0134
0137
0138
0141
.____
0142
Bu.
Tons
0107
0111
Bu.
Tons
12. Of the poultry litter removed from this operation, what percent was---
PERCENT
1720
a. sold by this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
DOLLARS
Lbs.
Lbs.
Cwt.
Cwt.
Bu.
Tons
Bu.
___ ___ ___
0119
0123
0127
0131
0135
0139
(i) What is the total dollar amount received for
these poultry litter sales in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lbs.
1721
PERCENT
Cwt.
1722
Cwt.
b. What percent was hauled off this operation for a fee?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .+
DOLLARS
Bu.
(i) What was the total dollar amount paid to have
this poultry litter hauled off in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tons
1723
PERCENT
Bu.
1724
c.
Lbs.
___ ___ ___
What percent was given away in exchange for clean-out and hauling?. . . . . . . . . . . . . . . . . . . . . .+
___ ___ ___
SMALL GRAINS
Barley for grain.
Oats for grain.
............
.............
Wheat, all types, for grain.
......
0145
0146
0149
0150
0153
0154
0157
0158
0161
0162
Bu.
Bu.
Bu.
0147
0151
0155
Bu.
d. What percent was given away in exchange for other services?. . . . . . . . . . . . . . . . . . . . . . . . . . . .+
Bu.
e. What percent was given away free of charge? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .+
.....
..........
Tons
Tons
0159
___ ___ ___
0163
Tons
Tons
..................
.............
Sugarcane or sugarbeets.
......
Dry edible beans, peas, and lentils.
Vegetables for processing.
......
All other vegetables and melons
(Exclude vegetables grown under
glass or other protection.). . . . . .
Fruits, nuts, and berries.
0165
0166
0169
0170
0173
0174
Lbs.
Lbs.
Tons
0167
0171
0175
Lbs.
..
All other crops not listed above
(Include sweet potatoes.). . . .
...
b. pelletized for long distance hauling?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
c.
composted?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
1727
1728
1729
Tons
0177
0178
14. Did this operation follow a certified nutrient management plan that conforms to agronomic standards?
YES - [Enter code 1, then continue]
.
Nursery and greenhouse crops
(Include Christmas trees.). . . .
CODE
Lbs.
0179
.......
13. Was any of the poultry litter removed from this operation--a. used for electricity generation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
OTHER CROPS
Other oilseeds.
1726
a+b+c+d+e = 100%
Hay, dry, alfalfa and alfalfa
mixtures. . . . . . . . . . . . .
Canola.
___ ___ ___
Bu.
DRY HAY CROPS
Hay, dry, all others.
1725
NO - [Enter code 3, then go to item 16]. . . . . . . . . . . .
CODE
1731
0180
0181
.____
0182
SECTION S continues on next page.
SECTION B continues on next page.
4
37
1ST NUTRIENT
1 Nitrogen
15. The nutrient management plan
was based upon which nutrient(s)?
......
2 Phosphorus
[No more than two nutrients can be selected.]. . . . . . .
3 Potassium
4 Other (Specify:
2ND NUTRIENT
)
5 Don’t Know
.......
bins, to be reported later in Section F, item 20. Exclude grazing of livestock, to be reported in items 9 & 10 below.).
DOLLARS
.......
9. In 2011, what were the total usage fees this operation paid for the use of publicly owned
land on an AUM basis? (Include fees paid for privately owned land administered by a public agency
through exchange of use.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
1738
0044
0045
0046
10. In 2011, how much did this operation spend on pasturing or grazing of livestock on privately
owned land (railroads, another farm/ranch, etc.) used on a fee per head (AUM) or gain basis? . . . . . .
NO - [Enter code 3, then go to item 17]. . . . . . . . . . . . .
RENT RECEIVED
a. For what purpose did you receive these payments---
CODE
DOLLARS
11. Including rent for land and buildings, what was the total CASH RENT RECEIVED in 2011 for acres
0042
rented to others by this operation? (Include rent received in 2011 for previous years, rent received in advance,
and government payments received from those acres. Exclude grazing of livestock, to be reported in SECTION E.). . . . . . . .
1733
(i) Litter handling, storage facilities, or composting facilities?. . . . . . . . . . . . . . . . . . . . . . . YES = 1
1735
(ii) Waste hauling or application?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
(iii) Other?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
12. For acres share-rented to others, what was the total value of crop or livestock shares received
0043
in 2011 by this operation? (Include rent received in 2011 for previous years and government payments received
from those acres.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1737
17. What is the primary method
for disposing of dead birds
on this operation?. . . . . . . . . . . . . . . . . . .
8. Including rent for land and/or buildings, what was the total CASH RENT PAID in 2011
by this operation? (Include rent paid in 2011 for previous years and rent paid in advance. Exclude storage
1739
16. During 2011, did this operation receive EQIP (Environmental Quality
Incentive Program) payments related to broiler production?
YES - [Enter code 1, then continue]
RENT PAID
1730
10
11
12
13
14
15
16
17
AIRTIGHT CONTAINER IN DISPOSAL PIT
BURIAL PIT, NO AIRTIGHT CONTAINER
INCINERATION
COMPOSTING
RENDERING
BURIAL IN LANDFILL
FREEZING
OTHER
CODE
1736
................
1 - Incomplete
3 - Valid zero
38
1987
3
SECTION A LAND IN FARM / RANCH
SECTION T TECHNOLOGY
For 2011, please report farm/ranch land owned, rented, or used by you, your spouse, or by the partnership, corporation or
organization for which you are reporting. (Include all cropland, idle land, CRP, pastureland, woodland, wasteland, farmstead, acres used for
So that we can understand how producers are affected by emerging concerns
about food safety and animal health issues, please answer the following questions:
crop/livestock production facilities, and all other building sites associated with this operation, etc.)
ACRES
ACRES OPERATED
1. How many acres of farm/ranch land were owned? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
+
0020
ACRES
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
+
b. for a share of the crop or livestock production? (Include hybrid rental arrangement
where rent paid is based on a fixed cash payment plus some shared production.). . . . . . . . . . . . . . . . . . . . . . . .
+
for free?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. How many acres of farm/ranch land were rented or leased to others?
+
–
(Include land rented for cash, for a share of crop or livestock production, or rent free.)
0021
YES - [Enter code 1]
0023
YES - [Enter code 1]
0024
0026
b. covered under a Federal crop insurance policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
0030
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
6. Do you follow any specified animal welfare requirements, such as
space per bird, or the Humane Farm Animal Care certification?
YES - [Enter code 1]
ACRES
a. considered cropland? (Include land in government programs, fruit/nut/berry/nursery
acres, and land planted to hay, including wild hay. Exclude CRP acres planted to trees.). . . . . . . . . . . . . . . . . . . . .
NO - [Enter code 3]. . . . . . . . . .
5. Does this operation follow a Hazard Analysis and Critical Control
Point (HAACP) Program or the National Poultry Improvement Plan?
0025
5. Of the total acres in this operation (item 4), how many were---
DON’T KNOW - [Enter code 2]
4. Were your chicks from breeder flocks that were vaccinated for Salmonella?
TOTAL ACRES
=
NO - [Enter code 3]. . . . . . . . . .
3. Are your flocks tested for Campylobacter?
YES - [Enter code 1]
4. Then the TOTAL ACRES in this operation in 2011 were--- (total items 1 + 2a + 2b +2c - 3). . . . . . .
DON’T KNOW - [Enter code 2]
2. Are your flocks tested for Salmonella?
2. How many acres of farm/ranch land were rented or leased from others---
c.
YES - [Enter code 1]
YES - [Enter code 1]
a. for a fixed or flexible cash rent payment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
1. Are your flocks tested for Avian Influenza (AI)?
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
7. Are your flocks raised on an all-in all-out basis?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
8. Are your houses cleaned out, washed, sanitized, and dried after each flock is removed?
0039
YES - [Enter code 1]
0028
enrolled in the Conservation Reserve Program (CRP), Conservation Reserve
Enhancement Program (CREP), and/or Wetlands Reserve Program (WRP)?. . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
9. Were the vehicles used for transportation to processing
plants cleaned and disinfected before loading birds?
0041
d. used to harvest certified organic crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1]
DOLLARS
0477
6. In 2011, what was the total dollar amount received from CRP, CREP, and/or WRP payments?
(Verify that CREP, CRP, and/or WRP acres are reported in item 5c.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
10. Do you use protective clothing when entering broiler houses?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
11. Do you have a routine rodent control program in and around your houses?
7. At any time during 2011 did you have a current Environmental Quality Incentives Program (EQIP),
Conservation Security Program (CSP), and/or Conservation Stewardship Program (CStP) contract?
(Check yes if you had a current contract, regardless of whether you received a payment during 2011.)
YES - [Enter code 1, then continue]
CODE
0526
terraces, and grassed waterways) and acreage of fields/tracts that are adjacent to field-edge practices such as
filter strips, riparian buffers, or fences.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
YES - [Enter code 1]
ACRES
0070
......
0478
b. What was the total dollar amount received for EQIP, CSP, and/or CStP contracts?
(Verify that EQIP, CSP, and/or CStP acres are reported in item 7a.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
13. Do pets or wildlife have access to broiler houses or feed storage facilities?
YES - [Enter code 1]
DOLLARS
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
14. Was this a certified organic operation in 2011?
YES - [Enter code 1]
DON’T KNOW - [Enter code 2]
NO - [Enter code 3]. . . . . . . . . .
1842
1843
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1 - Incomplete
3 - Valid zero
SECTION A continues on next page.
2
NO - [Enter code 3]. . . . . . . . . .
12. Are your broiler houses “bird-proofed” with screening or solid walls?
NO - [Enter code 3, then go to item 8]. . . . . . . . . . . . .
a. What was the total acreage of fields subject to conservation treatments under EQIP, CSP,
and/or CStP contracts? (Include acreage of the fields where practices are applied (e.g., reduced tillage,
YES - [Enter code 1]
1841
39
1988
CONCLUSION
Project 904 – ARMS Phase III Broiler - Version 4 – QID 072038
OMB No. 0535-0218
Approval Expires 12/31/2014
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
AGRICULTURAL RESOURCE MANAGEMENT SURVEY
1. To receive the complete results of this survey on the release date, go to www.usda.gov/results/.
Would you rather have a brief summary mailed to you at a later date?
YES - [Enter code 1]
NO - [Enter code 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
BROILER COSTS AND RETURNS REPORT
0099
(10/22/11) Draft 2
U.S. Department of Agriculture,
Rm 5030, South Building
1400 Independence Ave., S.W.
Washington, DC 20250-2000
Phone: 1-888-424-7828
Fax: 202-690-2090
Email: [email protected]
2011
MILITARY TIME
2. ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0005
__ __ __ __
OFFICE USE
TIME IN HOURS
0008
.__
CONTACT RECORD
DATE
TIME
NOTES
MILITARY TIME
BEGINNING TIME [MILITARY]
INTRODUCTION:
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
OFFICE USE
0093
0092
Response
1-Comp
2-R
3-Inac
9901
Respondent
1-Op/Mgr
2-Sp
3-Acct/Bkpr
9902
Mode
2-Tel
Enum
9903
0098
Eval
0100
Duplication
Adjustor
0922
MM
Date
DD
YY
9910
Optional
0003
0006
[ENUMERATOR NOTE: If screening box is code 1,
complete the screening supplement. If screening
box is blank, begin with Section A.]
[Name, address and partners verified and updated if necessary]
POID __ __ __ __ __ __ __ __ __
POID __ __ __ __ __ __ __ __ __
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
CITY
STATE
ZIP
PHONE NUMBER
CITY
STATE
ZIP
PHONE NUMBER
__ __ __ __ 12
3-Face-to -Face
Office Use for POID
4-Partner
0919
9-Other
__ __ __ - __ __ __ - __ __ __
S/E Name
POID __ __ __ __ __ __ __ __ __
POID __ __ __ __ __ __ __ __ __
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
CITY
STATE
TOTAL POINTS
Reported by:_______________________________________________
__ __ __ __
SCREENING BOX
We are collecting information on costs and returns and need your help to
make the information as accurate as possible. Authority for collection of
information on the Costs and Returns Report is Title 7, Section 2204 of the
U.S. Code. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107347), facts about your operation are kept confidential and used only for
statistical purposes. Response is voluntary.
We encourage you to refer to your farm records during the interview.
OFFICE USE
0004
Telephone (_____)_________________________________________
40
OFFICE 0929
USE
ZIP
PHONE NUMBER
CITY
STATE
ZIP
PHONE NUMBER
R. UNIT
0921
PARTNER
STRATUM
0925
0926
0927
0928
0009
0002
| File Type | application/pdf |
| Author | Carol Pinto |
| File Modified | 2011-12-13 |
| File Created | 2011-09-09 |