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Project 904 – ARMS Phase III CRR - Version 1 – QID 044001
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
CODE
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: 1-800-727-9540
Fax: 202-690-2090
Email: [email protected]
2011
MILITARY TIME
2. ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Approval Expires 12/31/2012
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]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OMB No. 0535-0218
0005
__ __ __ __
OFFICE USE
TIME IN HOURS
0008
.__
CONTACT RECORD
DATE
TIME
NOTES
MILITARY TIME
0004
INTRODUCTION:
Reported by:_______________________________________________
Telephone (_____)_________________________________________
OFFICE USE
0093
OFFICE USE
0092
Response
1-Comp
2-R
3-Inac
9901
Respondent
1-Op/Mgr
2-Sp
9902
Mode
2-Tel
Enum
9903
0098
Eval
0100
Duplication
Adjustor
0922
Date
MM DD
YY
9910
Optional
0003
__ __ __ __ 12
3-Face-to -Face
3-Acct/Bkpr
Office Use for POID
4-Partner
BEGINNING TIME [MILITARY]
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
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.
__ __ __ __
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.
[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
POID __ __ __ __ __ __ __ __ __
POID __ __ __ __ __ __ __ __ __
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
PHONE NUMBER
0919
9-Other
__ __ __ - __ __ __ - __ __ __
CITY
S/E Name
STATE
TOTAL POINTS
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 107-347), 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.
32
OFFICE 0929
USE
ZIP
PHONE NUMBER
CITY
STATE
ZIP
PHONE NUMBER
R. UNIT
0921
PARTNER
STRATUM
0925
0926
0927
0928
0009
0002
[Show VALUE CODES in Respondent Booklet.]
SECTION A LAND IN FARM / RANCH
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
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
13. Which value code represents the total value of each of the following categories of
off-farm debt (debt not associated with this operation) owed by the operator and
members of the operator’s household on December 31, 2011, for--(Include off-farm debt secured with farm assets. Exclude any debt – household debt, credit cards,
etc. – reported in SECTION H, Farm Debt.)
[ENUMERATOR NOTE: If mortgage debt on the operator dwelling was reported earlier in SECTION H,
item 8, then skip item 13a and continue with 13b. If mortgage debt on the operator dwelling was NOT
reported in SECTION H, item 8, then continue with item 13a.]
VALUE CODE
2. How many acres of farm/ranch land were rented or leased from others---
ACRES
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
a. for a fixed or flexible cash rent payment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
+
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.). . . . . . . . . . . . . . . . . . . . . . . .
+
c.
+
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
a. mortgages on operator’s dwelling, if not owned by the operation? (Include home mortgages,
home equity loans, and lines of credit secured by the operator’s dwelling.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. mortgages on other real estate and other personal (second) homes? (Include mortgages,
0023
equity loans, and lines of credit secured by other real estate, including other farms, residential rental,
commercial, and other real estate.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0988
0989
.............
1101
0024
c.
loans on businesses that are not a part of this farm operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1102
d. personal loans? (Include credit cards, auto loans, unpaid taxes, medical bills, any other debts/liabilities
not reported elsewhere.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0025
0983
TOTAL ACRES
4. Then the TOTAL ACRES in this operation in 2011 were: (total items 1 + 2a + 2b + 2c – 3). . . . . . . . =
0026
1117
14. Which value code represents the amount of off-farm debt owed by the operator or household
members that was secured by farm assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Of the total acres in this operation (item 4), how many were---
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.). . . . . . . . . . . . . . . . . . . . . . . . . .
0030
0028
enrolled in the Conservation Reserve Program (CRP), Conservation Reserve Enhancement
Program (CREP), and/or Wetlands Reserve Program (WRP)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0041
DOLLARS
YES - [Enter code 1, then continue]
1115
............
OFFICE USE
ONLY
CODE
0496
NO - [Enter code 3, then go to item 8] . . . . . . . . .
ACRES
0497
a. CRP/CREP/WRP land in 2010 that was used for annual crops in 2011. . . . . . . . . . . . . . . . . . . . . .
0498
b. Hay, grazing, or other non-crop, non-CRP/CREP/WRP land
in 2010 that was used for annual crops in 2011. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION A continues on next page.
2
............
17. 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0477
How many acres of each of these 2010 land uses were used for annual crops in the 2011 crop year?
1113
16. 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. used to harvest certified organic crops? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. In the 2011 crop year, did this operation use any land for annual crops (row crops, small grains,
vegetables, etc. other than hay) that was used in 2010 for hay, grazing/pasture, CRP/CREP/WRP
or any other non-crop uses? (Include land that was in this operation in 2011 but not in 2010. Exclude land that was
in this farm in 2010 but not in 2011.)
VALUE CODE
(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.) . . .
b. covered under a Federal crop insurance policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. In 2011, what was the total dollar amount received from CRP, CREP, and/or WRP payments?
(Verify that CRP, CREP, and/or WRP acres are reported in item 5c.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: Items 15 - 17 refer to Income and Expense items for 2010.]
15. Which value code represents the total farm sales in the previous year (2010)?
0039
c.
e. all other off-farm debt owed by the operator or household? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
2002
[Show VALUE CODES in Respondent Booklet.]
11. Which value code represents how much this household spent in 2011 on---
VALUE CODE
a. food, including food away from home? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1105
utilities and household supplies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1106
NO - [Enter code 3, then go to item 9] . . . . . . . . .
How many acres of land used for annual crops in the 2010 crop year were
in each of these uses in the 2011 crop year?
ACRES
a. CRP/CREP/WRP land in 2011 that was used for annual crops in 2010. . . . . . . . . . . . . . . . . . . . . .
(i) renting or leasing of vehicles for household use, public transportation expenses, etc.?. . . . . . .
1107
1119
(ii) fuel, maintenance and repairs, vehicle insurance, parking and license fees for
non-farm share of vehicles? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0598
b. Hay, grazing, or other non-crop, non-CRP/CREP/WRP land in 2011
that was used for annual crops in 2010. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. 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?
CODE
(Check yes if you had a current contract, regardless of whether you received a payment during 2011.)
e. health and medical expenses:
1108
(i) health and/or dental insurance costs? (costs not covered by the farm operation or an
off-farm employer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1112
(ii) out of pocket expenses for health and medical needs? (Include co-payments,
co-insurance, deductibles, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1109
contributions to personal insurance (including life, disability, and liability insurance but not including
health, homeowner or vehicle insurance) and retirement plans including pensions and Social Security?. . .
1110
g. contributions to individuals outside of the household, including alimony, child support,
gifts (not including bequests) and charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. mortgage interest for operators who live in a dwelling owned by the household and not the
operation? (Exclude any parts of mortgage principal.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1120
i.
1121
property taxes for operators who live in a dwelling owned by the household and not
the operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
all other family living expenses, such as non-farm household insurance payments,
1118
clothing and personal care products and services; house furnishings and equipment,
education and child (or adult) care, entertainment (hobbies, recreation, and vacations)? . . . . . . . .
12. Which value code represents the total value of each of the following categories of off-farm assets
owned by the operator and members of the operator’s household on December 31, 2011, for--(Exclude assets of this operation, reported in SECTION G.)
a. financial assets held in non-retirement accounts? (Include cash, checking, savings, money market
accounts, certificates of deposit, savings bonds, government securities, outstanding personal loans due to the
operator or household, corporate stock, mutual funds, cash surrender value of life insurance, other financial assets.
Exclude all farm business-related assets.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1, then continue]
0526
NO - [Enter code 3, then go to item 10]. . . . . . . . . . . .
a. What was the total acreage of fields subject to conservation treatments under ---
(Include acreage of the fields where practices are applied (e.g., reduced tillage, terraces, and grassed waterways)
and acreage of fields/tracts that are adjacent to field-edge practice such as filter strips, riparian buffers, or fences.)
ACRES
0071
(i) EQIP?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0072
(ii) CSP or CStP?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. What was the total dollar amount received under---
DOLLARS
0540
(i) EQIP? (Verify that acreage is reported in item 9a(i).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0566
(ii) CSP or CStP? (Verify that acreage is reported in item 9a(ii).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RENT PAID
DOLLARS
10. 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 bins,
to be reported in SECTION F, item 20. Exclude grazing of livestock, to be reported in item 11 below.). . . . . . . . . . . . . . . .
[Show VALUE CODES in Respondent Booklet.]
VALUE CODE
0953
....
0954
b. retirement accounts? (401k, 403b, IRA, Keogh, other retirement accounts) . . . . . . . . . . . . . . . . . . . . . . .
0984
c.
0596
0597
d. non-farm transportation:
f.
CODE
that was in this farm in 2010 but not in 2011.)
YES - [Enter code 1, then continue]
b. rent payments for principal operator’s dwelling, if not owned by the household (item 12c, below)
1104
or farm business (SECTION G, item 1a has a zero value)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
8. In the 2011 crop year, did this operation use any land for hay, grazing/pasture, CRP/CREP/WRP
or any other non-crop uses that was used in 2010 for annual crops (row crops, small grains,
vegetables, etc. other than hay)? (Include land that was in this operation in 2011 but not in 2010. Exclude land
operator’s dwelling, if not owned by the operation? (not reported in Section G, item 1a) . . . . . . . . . . . . . .
0985
d. real estate and other personal (second) homes? (other farms, residential rental, commercial,
and other real estate) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0986
e. business not part of this farm? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0044
11. Did this operation use land (on a per head or AUM basis) that is administered either by:
public or private agencies,
industrial corporations,
grazing associations, or
rent from individuals on a short term grazing arrangement?
YES - [Enter code 1, then continue]
CODE
0049
NO - [Enter code 3, then go to item 12] . . . . . . . . . . . .
DOLLARS
a. In 2011, what were the total fees this operation paid for the use of publicly owned
0045
land on an AUM basis? (Include fees paid for privately owned land administered by a public agency
through exchange-of-use.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. In 2011, how much did this operation spend on pasturing or grazing of livestock
0046
on privately owned land (railroads, another farm/ranch, etc.) used on a fee per
head (AUM) or gain basis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0982
f.
RENT RECEIVED
all household vehicles? (including household share of vehicles partly owned by the operation) . . . . . . . . . . . . . .
0987
g. other assets not reported elsewhere? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION J continues on next page.
30
DOLLARS
12. Including rent for land and/or buildings, what was the total CASH RENT RECEIVED in 2011 for
acres 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.).
0042
.
13. For acres share-rented to others, what was the total value of crop or livestock shares received in
0043
2011 by this operation? (Include rent received in 2011 for previous years and government payments received from
those acres.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
10. Which value code from the list below represents the total income the household, the principal operator, and spouse
received in 2011 from--- (Exclude farm income reported earlier.)
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
SOURCE
cover crops if not harvested.)
[If share rented
from others, ask--]
2
3
4
5
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?
How much of the
production was the
landlord’s share
of the crop?
ACRES
TOTAL AMOUNT
TOTAL AMOUNT
TOTAL AMOUNT
1
CROP
..............
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
0118
0121
.____
Tons
0126
0129
0130
0133
0134
0137
0138
0141
0142
0107
0111
Bu.
Tons
Lbs.
Cwt.
Cwt.
Bu.
Tons
Bu.
0108
0112
0116
Lbs.
0122
0125
.____
Bu.
0119
0123
0127
0131
0135
0139
Lbs.
Cwt.
Cwt.
Bu.
Tons
Bu.
0120
0124
0128
0132
0136
0140
0144
Lbs.
Bu.
Tons
Oats for grain.
..............
Wheat, all types, for grain.
c.
0951
1070
1071
1059
1060
0955
0956
0958
0959
(i) Which business code (from list in respondent booklet)
represents the type of off-farm business you and/or your
spouse operated?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1072
1073
(ii) What was the total number of employees who worked at
this business? (Include the operator and spouse.). . . . . . . . . . . . .
1074
1075
net cash income from renting farmland to others, excluding
land rented to others from this operation? (can be negative
(-) if a loss was incurred) (Include rental of farmland that is not part
of this operation, which may include whole farms or ranches owned by
household members as well as smaller parcels of land. Include cash
or share-rental income.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0963
......
0960
d. net cash income from operating any other business (net of
depreciation)? (can be negative (-) if a loss was incurred). . . . .
Cwt.
Bu.
Tons
Bu.
0969
e. interest income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......
0145
0146
0149
0150
0153
0154
0157
0158
Bu.
Bu.
Bu.
0147
0151
0155
Bu.
Bu.
Bu.
0148
0152
0156
Bu.
Bu.
f.
Hay, dry, alfalfa and alfalfa mixtures.
...........
0159
Tons
0161
0162
Tons
Tons
Tons
0164
Tons
0939
h. income from private pensions and private disability payments?.
i.
Other oilseeds.
..............
Sugarcane or sugarbeets.
.......
*Dry edible beans/peas/lentils. . . . .
*Vegetables for processing. . . . . .
0166
0169
0170
0173
0174
Lbs.
Lbs.
Tons
0167
0171
0175
Lbs.
Lbs.
Tons
0168
0172
0176
0998
...
Lbs.
Lbs.
0993
j.
other off-farm sources of income?. . . . . . . . . . . . . . . . . . . . . . . .
Tons
Value
Code
Value
Code
Value
Code
Value
Code
0177
Dollar Range
0178
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
0179
*All other vegetables and melons
(Exclude vegetables grown under
glass or other protection.). . . . . .
0165
income from public sources? (Include Social Security, military and
other public retirement, veteran’s benefits, public disability, unemployment,
or other public assistance.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OTHER CROPS
..................
0978
0981
(i) recognized gain/loss on the sale of capital assets
reported above? (item 10g) (can be negative (-) if
capital losses were incurred). . . . . . . . . . . . . . . . . . . . . . . . .
Bu.
0160
Tons
0163
dividend income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. total proceeds from the sale of farm and non-farm capital
assets? (Include operator household’s share only.). . . . . . . . . . . . . . . .
DRY HAY CROPS
Canola.
VALUE CODE
0966
.............
Hay, dry, all others.
VALUE CODE
0950
SMALL GRAINS
Barley for grain.
VALUE CODE
0957
b. net cash income from operating another farm or ranch (net of
depreciation)? (can be negative (-) if a loss was incurred). . . . .
Lbs.
Lbs.
SPOUSE
INCOME
(i) Which business code (from list in respondent booklet)
represents the type of off-farm business you and/or your
spouse worked at?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Which occupational code (from list in respondent booklet)
represents the type of job you and/or your spouse had at
this off-farm business?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lbs.
Cwt.
OPERATOR
INCOME
0952
a. all off-farm wages, salaries, and tips before taxes and
withholdings?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIELD CROPS
Corn for grain.
TOTAL
HOUSEHOLD
INCOME
.
0180
*Fruits, nuts, and berries. . . . . . . .
*Nursery and greenhouse crops
0181
(Include Christmas trees.). . . . . . .
0182
*All other crops not listed above
(Include sweet potatoes.). . . . . . .
.____
Starred (*) crops are addressed in item 3.
Dollar Range
Dollar Range
SECTION J continues on next page.
SECTION B continues on next page.
4
Dollar Range
29
NUMBER
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. How many persons lived in the principal operator’s household on December 31, 2011?
1227
(Include operator, spouse, children, and others living in the operator’s household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Of the people who lived in your (the principal operator’s) household on December 31, 2011,
how many were---
In each age category?
Were covered by any health
insurance for any part of year?
NUMBER
NUMBER
a. younger than 6 years old?. . . . . . . . . . . . . . . .
+
1228
1126
b. from 6 through 17 years old?. . . . . . . . . . . . . .
+
1229
1127
c.
+
1230
1128
d. 65 years or older?. . . . . . . . . . . . . . . . . . . . . .
+
1231
1129
e. Total persons in household
(should equal number reported in item 6). . . .
=
from 18 through 64 years old?. . . . . . . . . . . . .
a. How many acres planted or grown on this
operation were intended for harvest
in 2011? (For winter wheat, report acreage
Household
Members 65
Years and Over
0231
0233
0240
0234
0241
0226
(i) what was the average total
application rate (lbs per acre)?. . . . . .
0227
1266
other employer or group sponsored policies (e.g., purchased through
a cooperative, union, or farm organization)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1273
(ii) what percentage of nitrogen fertilizer
was applied in the fall?. . . . . . . . . . . .
0228
1269
1270
(iii) what percentage of nitrogen fertilizer
was applied after planting?. . . . . . . . .
0229
1268
1275
e. direct purchase private policy (fully purchased by or for the household)? . . . . . . . .
Medicare, Medicaid, or other public insurance? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: If SECTION I, item 1 = 3 (50% or less interest held by operator and relatives), go to
CONCLUSION; else continue.]
9. How many miles is it one way from your home to your and/or your
0941
spouse’s off-farm job? (Enter zero for home based jobs such as truck driver,
salesperson, enumerator, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. How many acres planted or grown on this
operation were irrigated in 2011?. . . . . . . .
0221
0217
lbs/
acre
0218
%
0244
%
0220
0216
0243
0237
0219
0242
%
%
%
0222
0223
ACRES
5. How many acres of cropland were
0245
(1) planted to a cover crop after the 2010 crop was harvested and
(2) subsequently planted to an annual crop (e.g., corn, wheat) for 2011?. . . . . . . . . . . . . . . . . . . . .
0246
0247
a. How many of these fallow acres were part of an on-going crop rotation that includes
fallow for moisture conservation or other purposes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MILES
0942
SECTION J continues on next page.
28
lbs/
acre
0236
%
SPOUSE
MILES
0235
lbs/
acre
Hay
6. How many acres of cropland were left fallow during 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: If the principal operator and/or the principal operator’s spouse worked off the farm and reported
hours of non-farm work in Section I, items 30a(iii), 30a(iv), 30b(iii), or 30b(iv), ask; otherwise go to item 10.]
OPERATOR
Cotton
0225
b. How many of these acres were planted
with no-till or strip-till?. . . . . . . . . . . . . . . . .
1272
1274
Wheat
0239
1265
1267
Soybeans
0232
For acres that received nitrogen fertilizer---
d. this farming operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f.
Corn
1271
b. an employer (or former employer) from the spouse’s off-farm work? . . . . . . . . . . . .
CODE
0238
0230
How many of these acres received
nitrogen fertilizer? (Exclude manure.). . .
DOLLARS
0183
NO - [Enter code 3, then go to item 5] . . . . . . . . .
1264
a. an employer (or former employer) from the operator’s off-farm work? . . . . . . . . . . .
c.
. ___
0224
c.
ACRES in
the OPEN
0192
4. Did this operation plant any corn, soybeans, wheat, or cotton intended for harvest in 2011,
or hay intended for livestock feed in 2011?
YES - [Enter code 1, then continue]
Household
Members
Under 65
Years of Age
0191
3. [Ask only if starred (*) crops in item 1 were share rented from others.]
For acres rented to this operation on a share basis in 2011, what was
the estimated market value of your landlord’s share of the dry beans,
vegetables, fruits, nuts, nursery, greenhouse and all other crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
planted in fall 2010. For double cropped acres,
include the acreage of both crops. Verify that
planted acreage is equal to or greater than
harvested acreage reported in Section B, item 1.). . .
8. In 2011, how many of these persons had health insurance that was
provided through---
SQUARE FEET
UNDER glass or
other protection
5
lbs/
acre
SECTION C LIVESTOCK
SECTION J FARM HOUSEHOLD
Please report the total numbers, including landlord’s share, of livestock, poultry, and/or livestock products sold and/or
removed from this operation during 2011 and the total inventory on December 31, 2011, regardless of ownership. (Include
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
[ENUMERATOR NOTE: If the principal operator has a spouse (SECTION I, item 11), please answer for both the principal
operator and his/her spouse.]
1. Are the principal operator and/or 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
1219
SPOUSE
1220
NO - [Enter code 3] . . . . . . . . . . .
Exclude heifers that have not calved, steers, calves,
and bulls.). . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Milk produced in 2011 (report in cwt.). . . . . . .
c.
that have not calved, steers, calves, and bulls.).
e. All hogs and pigs. . . . . . . . . . . . . . . . . . . . . . . .
Egg layers. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Chicken eggs (report in dozens). . . . . . . . . . . .
g. Turkeys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Broilers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i.
0252
American Indian or
Alaska Native? (Specify tribe_________)
0253
All other livestock and poultry
0260
0261
0295
0262
0263
0296
0248
0249
0250
2. Which of these do you and/or your
Asian?
spouse (the principal operator and/or
principal operator’s spouse) consider
yourself? Are you--- . . . . . . . . . . . . . . . Black or African American?
0268
0269
0298
0264
0265
0297
0272
0273
0299
3. What is the highest level of
formal education achieved by
the principal operator and the
principal operator’s spouse?. . . . . .
(Specify type(s): ______________________ ) . . . .
1
2
3
4
1215
1216
1217
1218
1221
1222
1223
1224
...
Native Hawaiian or Other Pacific Islander?
White?
...
Less than high school diploma
High school
Some college (Include associates degree)
4-year college graduate and beyond
1214
...
...
0266
SPOUSE
1213
...
.......
d. Total cattle and calves (total items a + b + c). . . . .
f.
OPERATOR
0270
0251
Other cattle and calves (Include heifers
ENTER CODE 1 FOR ALL THAT APPLY
OPERATOR
1257
SPOUSE
1260
...
2. [If SHARE RENTS from others and has livestock, ask---]
DOLLARS
What was the estimated total market value of your landlord’s share of livestock production
0276
sold or removed from this operation in 2011? (Exclude shared livestock production not part of a land
rental arrangement.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. In 2011, what was the primary
occupation of the principal operator
and the principal operator’s spouse? . . .
1
2
3
Farm or ranch work
Work other than farming or ranching
Currently not in the paid workforce
OPERATOR
1207
SPOUSE
1208
...
OTHER OPERATIONS GROWING, FEEDING, OR RAISING LIVESTOCK FOR THIS OPERATION
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)?
YES - [Enter code 1, then continue]
CODE
0271
YES - [Enter code 1]
NO - [Enter code 3, then go to SECTION D] . . . . . . . .
1
2
3
4
What livestock
or poultry
were being
raised or fed
for you?
See
livestock
codes in
respondent
booklet
What was the
market value
of [type] on hand
on contractee
operations on
Jan.1, 2011?
What was the
estimated market
value (at placement)
of [type] placed
under contract
DURING 2011?
[List type below.]
CODE
DOLLARS
DOLLARS
5
6
How much was paid
How much were
to contractees for your GROSS receipts
labor, management,
from [type] sold or
and reimbursement
removed under
for expenses?
this contract?
DOLLARS
5. Do you (the principal operator) now consider yourself
to be retired from farming/ranching?
CODE
1259
NO - [Enter code 3] . . . . . . . . . . .
7
On Dec. 31, 2011
what was the market
value of unsold [type]
remaining under
contract?
DOLLARS
DOLLARS
0277
0278
0279
0280
0281
0282
0283
0284
0285
0286
0287
0288
0289
0290
0291
0292
0293
0294
SECTION J continues on next page.
6
27
USE OF TIME
30. In order to estimate the returns farm households receive for their labor correctly, we need to obtain time allocations.
We know there are 168 total hours in a week (7 days with 24 hours in a day) that you allocate to various activities.
On average, for each of the three month periods
DURING 2011, about how many hours per week did---
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
SECTION D COMMODITY MARKETING and INCOME
MARKETING CONTRACTS
1/
1. Did this operation have marketing contracts for any commodities delivered in 2011?
YES - [Enter code 1, then continue]
a. you (the principal operator) -(i) work for this farm/ranch without paying yourself
a wage or salary? . . . . . . . . . . . . . . . . . . . . . . . . . . .
0480
0481
0482
0483
0484
0485
0486
0487
1091
(iii) operate another business other than this
farm/ranch? (Include operating another farm/ranch.
Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
0488
(iv) work at other employment off this farm/ranch?
(Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
1092
1093
1094
0489
0490
0491
0492
0493
0494
0495
(ii) work for this farm/ranch for a wage or salary? . . . . . .
(v) spend otherwise? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL
168
168
168
0581
0582
0583
0584
0585
0586
0587
1095
(iii) operate another business other than this
farm/ranch? (Include operating another farm/ranch.
Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
0588
(iv) work at other employment off this farm/ranch?
(Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
1096
1097
1098
0589
0590
0591
0592
0593
0594
0595
(ii) work for this farm/ranch for a wage or salary?. . . . . .
(v) spend otherwise? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NO - [Enter code 3, then go to item 3] . . . . . . . . . . . . .
1
POUND
5
BIN
9
DOZEN
20
BARREL
2
CWT
6
BOX
3
TON
7
BALE
10
FLAT
22
ACRE
11
HEAD/BIRD
39
ANIMAL SPACE
4
BUSHELS
8
CARTON
13
PLANT/POT
40
KILOGRAM
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, items 1 & 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).)
168
0580
0300
UNIT CODES for ITEM 2, COLUMN 4
b. your spouse (the principal operator’s) -(i) work for this farm/ranch, without being paid
a wage or salary? . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
(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.)
1
2
3
4
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?
Unit Code
CODE
[Write in commodities]
(from list
above)
(Exclude landlord’s share.)
QUANTITY
CODE
6
5
What was (will be) the
What was the total dollar
FINAL PRICE RECEIVED
amount received in 2011
per [column 4] unit by this
from this contract?
operation for this commodity
(Exclude marketing
marketed under this contract? charges. Exclude money
(Exclude marketing charges. received as reimbursement
Exclude money received as
for production expenses.
reimbursement for production Record this in SECTION F.)
expenses. Record this in
SECTION F.)
DOLLARS & CENTS
0301
0304
0305
0306
0316
0319
0320
0321
TOTAL DOLLARS
0307
.___ ___ ___
168
TOTAL
168
168
168
0322
.___ ___ ___
31. On average, for each of the three-month periods
during 2011, about how many hours per week
(work and management time) did ---
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
1061
a. other operators (excluding the principal operator and
principal operator’s spouse) work for this farm/ranch
without receiving a wage or salary? . . . . . . . . . . . . . . . . .
1065
b. other operators (excluding the principal operator and
principal operator’s spouse) work for this farm/ranch
for a wage or salary? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1062
1063
0331
0346
0337
0349
0350
0351
0352
0361
0364
0365
0366
0367
.___ ___ ___
1066
1067
0376
1068
0379
0380
0381
0382
.___ ___ ___
1351
1354
1355
1356
1357
.___ ___ ___
1366
1369
1370
1371
1372
.___ ___ ___
1
Jan-Mar
2
April-June
3
July-Sept
4
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
1381
0842
0843
0859
0860
0861
0862
(Example: If the operation had 4 paid workers who averaged 40 hours per week during Jan-Mar, report 160 for column 1 of question 32b.)
OFFICE USE
ONLY
1384
1385
1386
1387
.___ ___ ___
1396
0841
26
0336
.___ ___ ___
1064
0840
a. unpaid workers (such as non-operator partners,
family members, etc.) work for this farm/ranch? . . . . . . . . .
b. paid workers work for this farm/ranch?
(Exclude custom hire and contract labor.) . . . . . . . . . . . . . . . . . .
0335
.___ ___ ___
(Example: If the operation had 4 other salaried operators who averaged 40 paid hours per week during Jan-Mar, report 160 for column 1 of 31b.)
32. For the other workers on this operation (excluding the
principal operator, the principle operator’s spouse, other
operators, custom hire, and contract labor), on average, for
each of the three-month periods during 2011, about how
many hours per week (work and management time) did ---
0334
1399
1400
1401
1402
.___ ___ ___
1411
1414
1415
1416
1417
.___ ___ ___
1426
1429
1430
1431
1432
.___ ___ ___
1/
“Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2011.
2001
SECTION D continues on next page.
7
PRODUCTION CONTRACTS AND CUSTOM FED LIVESTOCK
DIRECT SALES
3. Did this operation have production contracts for any commodities it produced in 2011?
23. During 2011 did you produce, raise, or grow any commodities that this operation sold or provided
directly to individual consumers for human consumption, directly to retail outlets, directly to regional
distributors (including food hubs, CSAs, and other local foods aggregators), or directly to institutions
(such as schools and hospitals) that provide dining services to consumers? (Include commodities reported
(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
in Section D if sold to any of the above channels. Exclude non-edible products such as Christmas trees and flowers, craft
items, and processed products such as jellies, sausages, and hams.)
CODE
1244
YES - [Enter code 1, then continue]
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
BALE
11
HEAD/BIRD
39
ANIMAL SPACE
4
BUSHELS
8
CARTON
13
PLANT/POT
40
KILOGRAM
24. Were any of these products delivered under a production contract to a local retail outlet
(e.g., restaurant, grocery store) and reported in Section D, items 3-4?
1245
YES - [Enter code 1, then continue]
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
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.)
DOLLARS & CENTS
TOTAL DOLLARS
CODE
[Write in commodities]
QUANTITY
CODE
0401
0404
0405
0406
0416
0419
0420
0421
NO - [Enter code 3, then continue]. . . . . . . . . . . . . . . .
25. Were any of these products delivered under a production contract to a local institution
(e.g., school or hospital) and reported in Section D, items 3-4?
received to pay for production expenses. Expense reimbursements should be reported in SECTION F.)
(from list
above)
NO - [Enter code 3, then go to item 28]. . . . . . . . . . . .
0407
.___ ___ ___
0422
1247
YES - [Enter code 1, then continue]
NO - [Enter code 3, then continue]. . . . . . . . . . . . . . . .
26. Were any of these commodities reported as a marketing contract in Section D, items 1-2,
or cash or open market sales in Section D, item 5?
1276
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 28]. . . . . . . . . . . .
Crop
Commodities
27. What were the cash market, open market or marketing contract sales sold directly
to these consumers or outlets? (Exclude commodities produced under production contracts.)
.___ ___ ___
0431
0434
0435
0436
0449
0450
0451
1441
1444
1445
1446
0437
a. Sales directly to consumers at farmers markets?. . . . . . . . . . . . . . . . . . . . . . . . .
0452
1286
b. Sales directly to consumers from on-farm stores, u-pick,
road-side stands, or CSAs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1287
1288
1289
1290
1291
1292
1297
1447
c.
.___ ___ ___
1459
1460
1461
1474
1475
Sales to a local retail outlet, e.g., restaurant, grocery stores?. . . . . . . . . . . . . . . .
1462
.___ ___ ___
1471
1476
1477
d. Sales to a regional distributor, e.g., food hubs? . . . . . . . . . . . . . . . . . . . . . . . . . .
.___ ___ ___
1486
1489
1490
1491
DOLLARS
1285
.___ ___ ___
1456
DOLLARS
1284
.___ ___ ___
0446
Livestock Products
and Livestock
Commodities
1492
e. Sales to a local institutional outlet, e.g., schools, hospitals?. . . . . . . . . . . . . . . . .
.___ ___ ___
1/
Income received for commodities produced under contract in previous years should be recorded in item 8a(i) on page 10.
ENERGY GENERATION
28. At any time during 2011 did this operation generate energy or electricity on the farm using wind
or solar technology, methane digester, etc.?
YES - [Enter code 1]
1299
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . .
SECTION I continues on next page.
SECTION D continues on next page.
8
1298
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . .
29. Did you lease land to others who installed windmills or solar arrays?
YES - [Enter code 1]
CODE
25
INTERNET USE
CODE
19. Do you use the Internet in the farm business?
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 19e]. . . . . . . . . . .
5. After subtracting marketing expenses, what was the total dollar amount received in 2011
for cash or open market sales of each of the following crop and/or livestock commodities
produced in 2011 and earlier years? (Exclude marketing contract sales, production contract removals,
1210
a. Do you have high-speed access to the Internet?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
1211
b. Has the Internet become more useful as a farm business tool (over the last two years)?. .
c.
Do you buy (farm goods or services) or sell (farm commodities, products,
or services) on-line?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
landlord’s share of market value.)
0501
1212
a. Corn, rice, sorghum, soybeans, barley, oats, wheat (Include silage. Exclude sweet corn.) . . . . . . . . .
YES = 1
0502
b. Other grains and oilseeds, dry beans, and dry peas (flaxseed, other grain silage and forage,
other grains and oilseeds, popcorn, sunflowers, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0503
c.
Not useful
Too expensive
High-speed access not available
Internet security concerns
Other reasons
Tobacco, cotton, and cottonseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0504
d. Vegetables, melons, potatoes and sweet potatoes (cabbage, cantaloupes, pumpkins,
red beets, sweet corn, tomatoes, watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: If item 19 = code 3 (Internet not used in farm business), continue; else go to item 20.]
1
2
3
4
5
DOLLARS
YES = 1
d. Exclusive of buying or selling goods and services on-line (item 17c), do you
communicate with farm business associates (farm owners, farm managers,
1233
business partners, cooperative associations, other farmers, bankers, brokers,
etc.) through the Internet?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
e. What is your primary reason
for NOT using the Internet in
the farm business?. . . . . . . . . .
CASH or OPEN MARKET SALES
1201
Exclude from item 5--Marketing Contract sales (report in item 2)
Production Contract removals (report in item 4)
Landlord shares (report in Section B, items 1 & 3 and Section C, item 2)
e. Fruit, tree nuts and berries (almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,
oranges, pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
f.
1234
0505
0506
Nursery, greenhouse, cut Christmas trees, floriculture and sod (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, etc.) . . . . . . . . . . . . . . . . .
0507
g. Other crops, hay, and short rotation woody crops (grass seed, hay and grass silage, hops,
maple syrup, mint, peanuts, sugarcane, sugarbeets, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...........................
0508
h. Hogs and pigs (Exclude breeding stock.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Do you use a smart phone (Blackberry, iPhone, etc.) in your business?
YES - [Enter code 1]
0509
1235
i.
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . .
Hog breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Recognized gain/loss on sales of breeding hogs reported in item 5i above
(can be negative (-) if losses were incurred) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DISTANCE
MILES
21. About how many miles was it from your home to the nearest town or city with a
population of 10,000 or more?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1277
0510
j.
Milk from cows (before deduction of any hauling fees) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k.
Cattle and calves (fed cattle, beef and dairy cull animals, stockers and feeders, veal calves, etc.)
Exclude breeding stock.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0511
..........
.
22. Where did you buy the majority of the following input items used by
this operation and the principal operator’s household in 2011?
l.
What is the distance
from your farm to
where you purchased
the input item?
Did you purchase
the input item in
the nearest town
or city of any size?
Input Item
1 Yes
3 No
MILES
If NO, ask--What is the
main reason?
0512
Cattle breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Recognized gain/loss on sales of breeding cattle reported in 5l above
(can be negative (-) if losses were incurred) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0535
0513
m. Broilers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0514
1 Price of the input
2 Not available
3 Other
n. Eggs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0515
1278
1236
1293
o. Turkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1279
1237
1294
0516
p. Other poultry (other chickens, ducks, emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1280
1238
1295
a. Fuel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Fertilizer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
0533
Chemicals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1250
1239
q. Other animals and other animal products (sheep, goats, and their products
(wool, mohair, and goat milk); horses, ponies, mules, burros, and donkeys; aquaculture;
bees and honey; semen and embryo sales) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0517
...................
1296
d. Machinery and Implements (Include supplies and repairs.). . . . . .
DOLLARS
6. What was the total amount received from straw and other crop residue sales?
(Exclude hay sales.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION I continues on next page.
24
0527
SECTION D continues on next page.
9
MARKETING CHARGES
[ENUMERATOR NOTE: If the operation is NOT a family or individual operation, continue; else go to item 10.]
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,
OPERATOR(S) and
PARTNER(S)
LANDLORD(S)
DOLLARS
DOLLARS
0868
inspection, ginning, etc. Include marketing expenses for contract sales.).
0869
CONTRACTOR(S)
DOLLARS
0870
ACRES
9. If the operation rented or leased land from others (reported in Section A, items 2a, 2b,
and 2c), how many of those rented acres are owned by your household?. . . . . . . . . . . . . . . . . . . . . . .
0977
......
FARM OPERATORS
10. 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
ACCOUNTS RECEIVABLE / DEFERRED PAYMENTS
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 cash sales, marketing contract
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
1200
..........
sales, and production contract removals.)
[ENUMERATOR NOTE: Crops in storage and not sold as of the reference date should be reported in Section G, item 4a.]
CODE
11. Did you (the principal operator) have a spouse for at least part of 2011?
YES - [Enter code 1, then continue]
1205
NO - [Enter code 3, then go to item 13] . . . . . . . . . . .
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?. . . . . . . . . . . . . . . . . .
12. 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 10 above.]
0885
YES - [Enter code 1]
0875
CODE
1209
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 and earlier years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0886
For items 13-16, 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
13. What was the full name of the operator(s)? . . . . . . . . . . . . . . . . .
AGE
1242
AGE
1262
AGE
1282
14. What was the age of the operator(s) on December 31, 2011?. . .
MARKETING EXPENSE WORKSHEET
YEAR
COMMODITY
EXPENSE NAME
FEE PER UNIT
UNIT
NUMBER OF UNITS
TOTAL MARKETING EXPENSE
___ ___.___ ___ ___
15. In what year did the operator(s) begin
to operate any farm operation?. . . . . . . . . . . . . . . . . . . . . . . . . . .
1241
16. What was the gender of the operator(s)? . . . . . .
1 Male
2 Female
...
YEAR
1281
___ ___ ___ ___
___ ___ ___ ___
___ ___ ___ ___
CODE
CODE
CODE
___ ___.___ ___ ___
___ ___.___ ___ ___
YEAR
1261
1243
1263
1283
___ ___.___ ___ ___
___ ___.___ ___ ___
CODE
17. Is the principal operator’s spouse listed as OPERATOR 2 in item 13?
___ ___.___ ___ ___
YES - [Enter code 1, then go to item 18]
1203
NO - [Enter code 3, then continue with item a] . . .
AGE
___ ___.___ ___ ___
1206
a. If NO, and the principal operator had a spouse at any point during 2011,
what was the age of the principal operator’s spouse on December 31, 2011?. . . . . . . . . . . . . . . . . .
___ ___.___ ___ ___
___ ___.___ ___ ___
___ ___.___ ___ ___
18. 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)?
TOTAL MARKETING CHARGES (EXPENSES)
YES - [Enter code 1]
CODE
0995
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . .
OFFICE USE
WORKSHEET
0946
SECTION I continues on next page.
10
23
SECTION I FARM MANAGEMENT and USE OF TIME
SECTION E OTHER FARM RELATED INCOME
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
1. In 2011, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
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] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1, then continue]
CODE
0560
NO - [Enter code 3, then go to item 2] . . . . . . . . . . . . .
CODE
DOLLARS
a. In 2011, how much was received for all commodities placed under CCC loans? (Include Austrian
1249
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.).
NUMBER
1246
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.). . . . . . . . . . . . . . . . . . . . .
0518
..
0519
b. In 2011, what was the amount spent to repay all CCC loans? (Exclude storage and service fees.). . . . . .
PERCENT
1248
a. What percent of the ownership interest did you (the operator) and your
household hold? (Exclude relatives not living in your household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[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. In 2011, did this operation receive Federal, State or local farm program payments?
3. In 2011, what was this
operation’s legal status
for tax purposes? . . . . . . . . .
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
.......
CODE
(Include government payments received through a cooperative. Exclude conservation-related payments
recorded in SECTION A and CCC loan payments.)
1240
YES - [Enter code 1, then continue]
0563
NO - [Enter code 3, then go to item 4] . . . . . . . . . . . .
3. What was the total dollar amount this operation received in 2011 for--4. Was this operation organized as a Limited Liability Company (LLC) under State law?
1202
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. payments from the Direct Counter-cyclical Payment (DCP)
and Average Crop Revenue Election (ACRE) programs?
(Include government payments received through a cooperative.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT of 3a
[ENUMERATOR NOTE: If item 3 = code 2 (operation is a partnership), continue; else go to item 7.]
0520
(i) Of the total in item 3a, what percent was for DCP
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
PARTNERSHIP QUESTIONS
0522
(ii) Of the total in item 3a, what percent was for DCP
counter-cyclical payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
CODE
5. Is this partnership registered under State law?
YES - [Enter code 1]
DOLLARS
0525
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1204
0521
(iii) Of the total in item 3a, what percent was for ACRE
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
NUMBER
6. How many partners are there in this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1232
0523
(iv) Of the total in item 3a, what percent was for ACRE
revenue payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
=
SHARE OF NET FARM INCOME
DOLLARS
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
0528
CODE
profits/losses or, if incorporated, receiving corporate dividends.)
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 8] . . . . . . . . . . . . .
a. How many other households shared in the net income of the farm business?. . . . . . . . . . . . . . . . .
0531
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.]. . . . . . . . . . . . . . . . . . . . . . . . . . .
0976
1226
an LLC that elected to report income for tax purposes as a pass-through, consider this as income here.).
...........
0536
e. net value of commodity certificates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f.
Agriculture Disaster payments? (Include all disaster assistance and market loss payments.
Exclude milk income loss contract payments reported above and Federal crop insurance and
other indemnity payments, to be reported on the next page.) . . . . . . . . . . . . . . . . . . . . . .
0975
g. any other Federal agricultural program payments? (Exclude CRP, CREP, WRP, EQIP,
CSP, and CStP payments reported in SECTION A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0541
h. tobacco buyout payments including lump sum payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0542
0974
i.
any other local or State program payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION E continues on next page.
SECTION I continues on next page.
22
0537
.................
0476
PERCENT
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
Marketing Loan Gains (MLGs)? (Include government payments received through a cooperative.) . . . . . . . . . . .
0565
VALUE CODE
.............
c.
d. Milk Income Loss Contract (MILC) payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
8. Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation?
b. Loan Deficiency Payments (LDPs)? (Include government payments received through a cooperative.) . . . . . . . .
1225
NUMBER
YES - [Enter code 1, then go to item 8a]
100%
11
DOLLARS
0543
4. What is your estimate of the total dollar amount your landlord(s) received in government
payments for the acres you rented from them?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. In 2011, what was the total income received by you (the operator) and all partners for---
CODE
1. Was debt used in funding the operation of this farm/ranch in 2011, including any loans
obtained in earlier years? (Include seasonal production and other loans taken and repaid during 2011.)
1080
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to SECTION I] . . . . . . . . .
DOLLARS
a. custom work, machine hire, and other agricultural services provided by this operation
for farmers and others? (Exclude if this is a separate business.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION H FARM DEBT
0546
2. Did you have an established line of farm credit with a lender during 2011?
1081
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 4] . . . . . . . . . . . . .
0547
b. grazing of livestock? (Exclude contract arrangements previously reported.) . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
recreational and agri-tourism activities such as hunting, fishing, farm tours,
hospitality services, petting zoos, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. In 2011, how much did you borrow
against the established line of credit? . . . . . . . . .
0548
1 - Borrowed full amount
2 - Borrowed MORE by extending previous limit
3 - Borrowed LESS than full amount available
4 - Did not borrow against line of credit in 2011
1082
.........
DOLLARS
0549
0890
4. What was the total amount of all farm business loans taken out and repaid in 2011?
(Include seasonal production and other loans.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. sales of all forest products? (Include firewood, timber, etc. Exclude maple syrup and Christmas trees.). . . . . . . .
0550
5. 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
e. sales of farm machinery and vehicles? (farm share only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0558
f.
YES - [Enter code 1, then continue]
0559
(i) recognized gain/loss on sales of farmland and other farm real estate reported
above (item 5f)? (can be negative (-) if a loss was incurred). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Were the sales of any farmland
or other farm real estate made to---
1 a non-relative
CODE
2 a relative
3 both non-relatives and relatives
both farm and non-farm purposes. Exclude CCC commodity loans and any loans used exclusively for non-farm purposes.)
0470
...............
1
2
3
4
5
Who is
the lender?
What was the
balance owed
on Dec. 31, 2011
including outstanding
principal plus
unpaid interest?
What was the
interest rate
on 12/31/2011?
What is
the type
of loan?
What
year
was it
obtained?
0552
g. Federal crop and livestock insurance payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0551
h. other crop and livestock insurance indemnity payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0554
[Show lender
codes
in the
Respondent
Booklet.]
[Report in
hundredths
of a percent.
Example:
9% = 09.00]
[See the
Respondent
Booklet.]
PERCENT
CODE
i.
cooperative patronage dividends and refunds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
0530
sales of value-added goods produced (e.g. cheese, cider, jams, jellies, wines, and
other prepared items) from your farm commodities? (Exclude if this is a separate business.) . . . . . . . . . . .
1001
1002
1003
0555
income from royalties or leases associated with energy production (e.g. natural gas,
oil, and wind turbines)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1010
1011
1012
1019
1020
1021
1028
1029
1030
l.
0556
all other farm related sources of income? [This may be a negative (-) number for hedging losses.]
(Show OTHER FARM INCOME in Respondent Booklet.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1058
NO - [Enter code 3, then go to SECTION I] . . . . . . . . .
6. To estimate the financial position of farms correctly and their ability to service debt and to categorize
debt by types, we need to list loans this operation had on December 31, 2011, including any line of
credit. (Include farm/ranch loans, debt on the operator’s house if owned by the operation, and multi-purpose loans used for
DOLLARS
k.
CODE
loans used for both farm and non-farm purposes. Exclude CCC commodity loans and any loans used exclusively
for non-farm purposes.)
proceeds from sales of farmland and other farm real estate owned by this operation only? . . . . . .
CODE
DOLLARS
List each income item and amount separately, below.
1037
1038
1039
. __ __
.__ __
.__ __
.__ __
.__ __
1004
YEAR
1005
6
7
8
9
What is
the original
term of
the loan?
What
percent
is for
operating
expenses,
capital
expenditures,
or other
expenses
of the farm
operation?
What is
the primary
farm purpose
of this loan?
Is this a---
NUMBER
of YEARS
PERCENT
[Show codes
in the
Respondent
Booklet.]
1 fixed rate loan?
If this is a variable
or adjustable rate
loan, how often
is it repriced?
2
3
4
5
monthly
quarterly
annually
more than annually
CODE
CODE
1008
1006
1007
1009
1017
1015
1016
1018
1026
1024
1025
1027
1035
1033
1034
1036
1044
1042
1043
1045
__ __ __ __
1013
1014
1022
1023
1031
1032
__ __ __ __
__ __ __ __
__ __ __ __
1040
1041
__ __ __ __
DOLLARS
7. If you had farm loans in addition to the five that I’ve just recorded, what is the total amount of debt
from these loans owed on December 31, 2011? (Include farm/ranch loans and debt on the operator’s house if it is 1047
owned by the operation. Exclude any loans for non-farm purposes that are secured by assets of the farm/ranch.). . . . . . . . .
8. How much of the total debt owed on December 31, 2011 (reported in items 6 and 7 above),
was for the operator’s dwelling? (If the operator’s dwelling is owned by the operation, debt should be included
1057
here and above. Exclude operator’s dwelling if not owned by the operation.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OFFICE USE
ONLY
SECTION E continues on next page.
12
21
0999
CODE
SECTION G FARM ASSETS
0047
6. Which code from the list below represents the largest portion of this operation’s
2011 total gross value of sales, including Government agriculture payments? . . . . . . . . . . . . . . . . . . . .
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.)
DOLLARS
0850
a. farm operator’s dwelling, if 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.) .
.................
0851
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.
b. all other dwellings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
all other farm buildings and structures (Include barns, cribs, grain bins, greenhouses,
............................................................
0852
Farm Type
silos, storage sheds, etc.) .
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.). . . . . . . .
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---
Hogs and pigs .
0854
Tobacco .
Cattle and calves (beef and dairy cattle for breeding
stock, fed cattle, beef and dairy cull animals, stockers
and feeders, veal calves, etc.) . . . . . . . . . . . . . . .
0857
. . . . . . . . 05
Nursery, greenhouse, and floriculture (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms,
nursery potted plants, shrubbery, sod, etc.) . . . . . . . . . . . .
Beginning of Year
End of Year
JAN. 1, 2011?
DEC. 31, 2011?
DOLLARS
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
Cut Christmas trees and short rotation woody crops
. . . . . . 06
. . . . . . . . . . . . . 07
Other crops and hay (grass seed, hay and grass silage
straw, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets,
CRP, pasture, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . 08
.....
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).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fruit, tree nuts and berries (almonds, blueberries, cherries,
cranberries, grapes, apples, hazelnuts, kiwifruit, oranges,
pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . .
.....
e. production inputs already used by this operation for cover crops or crops
planted 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. . . . . . . . . .
0880
0881
0882
f.
trucks and cars owned by the operation (farm share only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0883
g. tractors, machinery, tools, equipment and implements owned by the operation . . . . . . . . . . . . . . .
0884
h. stock in farm cooperatives and the Farm Credit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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, savings and checking accounts, hedging account
balances, government payments due, balance of land contract sales, and any other farm assets
not reported earlier. Exclude any personal debt owed to the operator(s).). . . . . . . . . . . . . . .
20
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
Milk and other dairy products from cows
. . . . . . . . . . . . . . . . . . 10
. . . . . . . . . 11
Sheep, goats, and their products (wool, mohair, milk and cheese) . 12
. . . . . . . 04
....
b. breeding livestock owned by and located on or off this operation
c.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
Vegetables, melons, potatoes and sweet potatoes (cabbage,
cantaloupes, pumpkins, red beets, sweet corn, tomatoes,
watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . .
0855
0889
(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).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . 01
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02
Cotton and cottonseed .
0888
(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.).
Code
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.) . . . . . . . . .
DOLLARS
a. crops owned and stored on or off this operation
Farm Type
0853
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.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Code
END OF YEAR
VALUE CODE
0887
...................
13
Equine (horses, ponies, mules, burros and donkeys) .
. . . . . . . . . 13
Poultry and eggs (broilers, chickens, turkeys, ducks, eggs,
emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . .
Aquaculture (catfish, trout, other finfish, shellfish, etc.)
. . . . . 14
. . . . . . . . . 15
Other animals and other animal products (bees, honey,
rabbits, other fur-bearing animals, semen, manure, other
animal specialties, etc.) . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 16
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.
NOTES AND CALCULATIONS
DOLLARS
0816
37. Cars – Include new and used. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT
0817
a. What percent of this (item 37) was the farm’s share? . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
38. Trucks – Include new and used trucks, pickups,
sport utility vehicles, vans, campers and buses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0818
PERCENT
0819
a. What percent of this (item 38) was the farm’s share? . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0820
39. Tractors – Include new and used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0821
40. Self-propelled equipment – Include implements and self-propelled
equipment for livestock, dairy, or poultry production (Exclude tractors.). . . . . . . . . . . . . .
41. Other farm machinery, non-self-propelled farm equipment,
0822
pumps, and capital equipment for crop or livestock production
(Include farm share only.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0823
42. Office equipment, furniture, and computers that were placed
on a depreciation schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0803
43. Farmland and other farm real estate for expanding
this operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Of the total amount spent on acres purchased in 2011
(item 43), what amount was---
DOLLARS
0971
(i) paid for by cash?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0972
(ii) debt financed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0973
(iii) paid for in some other way?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0824
44. All other capital expenditures (Include all other capital expenditures
that were placed on a depreciation schedule.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[List all other capital expenditure items and amounts below.]
___________________________________________________________
___________________________________________________________
___________________________________________________________
OPERATOR(S) &
PARTNER(S)
LANDLORD(S)
DOLLARS
45. What other expenses did this operation
have in 2011 that I have not recorded? . . . . . . . . . . . . . . . . . . . . .
[List each expense item and amount below.]
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
14
19
0825
CONTRACTOR(S)
DOLLARS
0826
DOLLARS
0827
1
2
3
OPERATOR(S) &
PARTNER(S)
LANDLORD(S)
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
In 2011, how much was spent for (item) by [column]--29. workers who were members of your (the operator’s) household--what was the cash value of any commodities provided
0797
to them as PAYMENT for farm work? [Example: value of a
percentage of crops, calves, etc. Exclude operator payments or draws.]. . . . . . .
OPERATING EXPENSES
1. seeds, sets, plants, seed cleaning and treatments, transplants,
trees and nursery stock? (Include technology or other fees, seed
0798
............
32. professional or farm management services such as
record keeping, accounting, tax and business planning,
farm product advice, conservation practices, etc.?. . . . . . . . . . . . .
0800
DOLLARS
DOLLARS
0602
0606
0607
0608
3. biocontrols and agricultural chemicals for crops, livestock,
0612
poultry, and general farm use? (Include biological pest controls
and custom application costs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0613
0614
0619
0620
..............
4. livestock purchases of--DOLLARS
0801
PERCENT
a. What percent of this (item 32) was for farm management
or planning? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0618
a. How much of this (item 3) was for custom
application only? (Include cost of chemicals.) . . . . . . . . . . . . . . . . .
PERCENT
a. What percent of this (item 31) was for livestock
and livestock products? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
CONTRACTOR(S)
0601
(Include cost of custom application and organic materials.
Exclude potting mixes, vermiculite, and sterilized soil.) . . .
0799
2
LANDLORD(S)
.....
2. nutrients, fertilizer, lime and soil conditioners?
........
1
OPERATOR(S) &
PARTNER(S)
0600
treatments, and seed cleaning cost. Exclude items purchased for resale
without additional growth.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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.) . . . . . . . . . . . .
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.
In 2011, how much was spent for (item) by [column]---
30. workers who were NOT household members--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, other livestock and
livestock products, berries, firewood, fruits, vegetables, etc.
Exclude home gardens, unless expenses were recorded previously.
Also exclude partner payments or draws.) . . . . . . . . . . . . . . . . .
SECTION F OPERATING and CAPITAL EXPENDITURES
0858
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
0639
0640
0641
0642
0643
0644
0663
0664
0665
0645
0646
0647
0648
0649
0650
0651
0652
0653
0654
0655
0656
0657
(v) oils and lubricants? (Include grease, hydraulic
fluids, motor oils, transmission fluids, etc.) . . . . . . . . . . . . . . . . . . .
0658
0659
0660
0661
0662
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.? . . . . . . . . .
0814
b. What percent of this (item 32) was for conservation
practices? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. leasing of livestock? (Include leasing of bees for pollination.) . . . . . . . . . .
Show the respondent the list of General Business Expenses
in the Respondent Booklet.
DOLLARS
0804
DOLLARS
0805
DOLLARS
0806
33. general business expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. purchased feed for livestock and poultry?
(Include grain, hay, silage, mixed feeds, concentrates, etc.) .
.............
7. bedding and litter for livestock? . . . . . . . . . . . . . . . . . . . . . . . . . . .
List general business expense items and amounts below.
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.) . . . . . . . . . . . .
.........
9. purchases for the farm business of--a. all fuels, oils and lubricants?
CAPITAL EXPENSES
(total 9a(i) + 9a(ii) + 9a(iii) + 9a(iv) + 9a(v) + 9a(vi) must equal item 9a).
34. improvements on land such as land preparation, irrigation
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0807
DOLLARS
0808
DOLLARS
0809
(i) diesel fuel? (Include biodiesel.) . . . . . . . . . . . . . . . . . . . . . . .
(ii) gasoline and gasohol? (Include ethanol blends.) . . . . . . . . . . .
0810
0811
0812
(iii) natural gas? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(iv) LP gas (propane, butane)? . . . . . . . . . . . . . . . . . . . . . . . .
0813
SECTION F continues on next page.
18
....
(vi) all other fuel? (Include coal, fuel oil, kerosene, wood, etc.) . . . . . .
15
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
In 2011, how much was spent for (item) by [column]--0675
0676
0677
0696
11. purchased water for irrigation from off-farm
suppliers? (Include irrigation assessments and fees.) . . . . . . . . . . . . . . . . .
0697
10. electricity for the farm business? . . . . . . . . . . . . . . . . . . . . . . . . . .
0872
12. all other utilities, such as the farm share of telephone service,
water purchased other than for irrigation, and Internet access?. . .
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.). . . . . . . . . . . . . . . . . . . .
0873
0703
DOLLARS
DOLLARS
0753
0754
0874
21. vehicle registration and licensing fees? . . . . . . . . . . . . . . . . . . . . .
0704
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? . . . . . . . . . . . . . . . . . . . . .
23. CASH WAGES paid to hired farm and ranch labor?
0708
0709
0710
....
0714
0715
0758
0759
0760
0764
0765
0766
0767
0768
0769
0574
0575
0576
0770
0771
0772
0773
0774
0775
0705
0706
0707
0915
0916
0917
0782
0783
0784
0788
0789
0790
0791
b. all other custom work done on this operation?
(Report custom livestock services in item 8.) . . . . . . . . . . . . . . . . . . . . .
0792
0793
......
24. Of item 23, how much salary or wage was paid to---
........
(total 24a + 24b + 24c + 24d + 24e must equal item 23)
a. you (the principal operator)? . . . . . . . . . . . . . . . . . . . . . . . . . .
b. your (the principal operator’s) spouse? (Even if
....................
your spouse is an operator, include his/her wages here.)
c.
17. insurance for the farm business? (Include all casualty insurance,
hail 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 11) and other payroll insurance
items.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 and life insurance, pensions or retirement
plans, and worker’s compensation.). . . . . . . . . . . . . . . . . . . . . . . .
0716
0726
.............
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
0729
0730
0731
....
0732
a. How much of this (item 17) was for Federal
crop insurance?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0733
0734
18. interest and fees paid on debts---
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
0738
0739
0741
b. not secured by real estate? (Include service
fees on CCC loan redemptions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0742
a. secured by real estate? (Include interest paid
on the operator’s dwelling, if owned by the operation.) .
DOLLARS
In 2011, how much was spent for (item) by [column]---
0751
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.) . . . . . . . . . . . .
3
CONTRACTOR(S)
0698
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.) .
2
LANDLORD(S)
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.) . . . . . . . . . . .
14. repairs, parts and accessories for motor vehicles, machinery
and farm equipment? (Include repairs to drying equipment, tune-ups,
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.). . . . .
1
OPERATOR(S) &
PARTNER(S)
Security and unemployment taxes. Include any amounts the farm paid
for farm workers that are part of your (the operator’s) household.). . . . .
..............
......
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.). .
19. property taxes paid on--0744
a. real estate (land and buildings)? (Include real estate taxes
on the operator’s dwelling, if owned by the operation.) . . . . . . . . . . . . . . .
0745
0747
0748
.
0746
27. contract labor? (Include expenses for labor, such as harvesting of fruit,
0749
b. livestock, machinery, and other farm production items? . . . . .
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.) . . . . . . . . . . . . . .
...
28. custom work such as---
(Custom work is work performed by machines and labor hired as a unit.)
a. hauling? Include all custom grain, livestock, milk,
manure, and other custom hauling. . . . . . . . . . . . . . . . . . . . . .
SECTION F continues on next page.
16
SECTION F continues on next page.
17
1
OPERATOR(S) &
PARTNER(S)
2
LANDLORD(S)
3
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
In 2011, how much was spent for (item) by [column]--0675
0676
0677
0696
11. purchased water for irrigation from off-farm
suppliers? (Include irrigation assessments and fees.) . . . . . . . . . . . . . . . . .
0697
10. electricity for the farm business? . . . . . . . . . . . . . . . . . . . . . . . . . .
0872
12. all other utilities, such as the farm share of telephone service,
water purchased other than for irrigation, and Internet access?. . .
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.). . . . . . . . . . . . . . . . . . . .
0873
0703
DOLLARS
DOLLARS
0753
0754
0874
21. vehicle registration and licensing fees? . . . . . . . . . . . . . . . . . . . . .
0704
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? . . . . . . . . . . . . . . . . . . . . .
23. CASH WAGES paid to hired farm and ranch labor?
0708
0709
0710
....
0714
0715
0758
0759
0760
0764
0765
0766
0767
0768
0769
0574
0575
0576
0770
0771
0772
0773
0774
0775
0705
0706
0707
0915
0916
0917
0782
0783
0784
0788
0789
0790
0791
b. all other custom work done on this operation?
(Report custom livestock services in item 8.) . . . . . . . . . . . . . . . . . . . . .
0792
0793
......
24. Of item 23, how much salary or wage was paid to---
........
(total 24a + 24b + 24c + 24d + 24e must equal item 23)
a. you (the principal operator)? . . . . . . . . . . . . . . . . . . . . . . . . . .
b. your (the principal operator’s) spouse? (Even if
....................
your spouse is an operator, include his/her wages here.)
c.
17. insurance for the farm business? (Include all casualty insurance,
hail 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 11) and other payroll insurance
items.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 and life insurance, pensions or retirement
plans, and worker’s compensation.). . . . . . . . . . . . . . . . . . . . . . . .
0716
0726
.............
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
0729
0730
0731
....
0732
a. How much of this (item 17) was for Federal
crop insurance?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0733
0734
18. interest and fees paid on debts---
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
0738
0739
0741
b. not secured by real estate? (Include service
fees on CCC loan redemptions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0742
a. secured by real estate? (Include interest paid
on the operator’s dwelling, if owned by the operation.) .
DOLLARS
In 2011, how much was spent for (item) by [column]---
0751
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.) . . . . . . . . . . . .
3
CONTRACTOR(S)
0698
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.) .
2
LANDLORD(S)
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.) . . . . . . . . . . .
14. repairs, parts and accessories for motor vehicles, machinery
and farm equipment? (Include repairs to drying equipment, tune-ups,
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.). . . . .
1
OPERATOR(S) &
PARTNER(S)
Security and unemployment taxes. Include any amounts the farm paid
for farm workers that are part of your (the operator’s) household.). . . . .
..............
......
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.). .
19. property taxes paid on--0744
a. real estate (land and buildings)? (Include real estate taxes
on the operator’s dwelling, if owned by the operation.) . . . . . . . . . . . . . . .
0745
0747
0748
.
0746
27. contract labor? (Include expenses for labor, such as harvesting of fruit,
0749
b. livestock, machinery, and other farm production items? . . . . .
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.) . . . . . . . . . . . . . .
...
28. custom work such as---
(Custom work is work performed by machines and labor hired as a unit.)
a. hauling? Include all custom grain, livestock, milk,
manure, and other custom hauling. . . . . . . . . . . . . . . . . . . . . .
SECTION F continues on next page.
16
SECTION F continues on next page.
17
1
2
3
OPERATOR(S) &
PARTNER(S)
LANDLORD(S)
CONTRACTOR(S)
DOLLARS
DOLLARS
DOLLARS
In 2011, how much was spent for (item) by [column]--29. workers who were members of your (the operator’s) household--what was the cash value of any commodities provided
0797
to them as PAYMENT for farm work? [Example: value of a
percentage of crops, calves, etc. Exclude operator payments or draws.]. . . . . . .
OPERATING EXPENSES
1. seeds, sets, plants, seed cleaning and treatments, transplants,
trees and nursery stock? (Include technology or other fees, seed
0798
............
32. professional or farm management services such as
record keeping, accounting, tax and business planning,
farm product advice, conservation practices, etc.?. . . . . . . . . . . . .
0800
DOLLARS
DOLLARS
0602
0606
0607
0608
3. biocontrols and agricultural chemicals for crops, livestock,
0612
poultry, and general farm use? (Include biological pest controls
and custom application costs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0613
0614
0619
0620
..............
4. livestock purchases of--DOLLARS
0801
PERCENT
a. What percent of this (item 32) was for farm management
or planning? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0618
a. How much of this (item 3) was for custom
application only? (Include cost of chemicals.) . . . . . . . . . . . . . . . . .
PERCENT
a. What percent of this (item 31) was for livestock
and livestock products? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
CONTRACTOR(S)
0601
(Include cost of custom application and organic materials.
Exclude potting mixes, vermiculite, and sterilized soil.) . . .
0799
2
LANDLORD(S)
.....
2. nutrients, fertilizer, lime and soil conditioners?
........
1
OPERATOR(S) &
PARTNER(S)
0600
treatments, and seed cleaning cost. Exclude items purchased for resale
without additional growth.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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.) . . . . . . . . . . . .
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.
In 2011, how much was spent for (item) by [column]---
30. workers who were NOT household members--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, other livestock and
livestock products, berries, firewood, fruits, vegetables, etc.
Exclude home gardens, unless expenses were recorded previously.
Also exclude partner payments or draws.) . . . . . . . . . . . . . . . . .
SECTION F OPERATING and CAPITAL EXPENDITURES
0858
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
0639
0640
0641
0642
0643
0644
0663
0664
0665
0645
0646
0647
0648
0649
0650
0651
0652
0653
0654
0655
0656
0657
(v) oils and lubricants? (Include grease, hydraulic
fluids, motor oils, transmission fluids, etc.) . . . . . . . . . . . . . . . . . . .
0658
0659
0660
0661
0662
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.? . . . . . . . . .
0814
b. What percent of this (item 32) was for conservation
practices? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. leasing of livestock? (Include leasing of bees for pollination.) . . . . . . . . . .
Show the respondent the list of General Business Expenses
in the Respondent Booklet.
DOLLARS
0804
DOLLARS
0805
DOLLARS
0806
33. general business expenses? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. purchased feed for livestock and poultry?
(Include grain, hay, silage, mixed feeds, concentrates, etc.) .
.............
7. bedding and litter for livestock? . . . . . . . . . . . . . . . . . . . . . . . . . . .
List general business expense items and amounts below.
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.) . . . . . . . . . . . .
.........
9. purchases for the farm business of--a. all fuels, oils and lubricants?
CAPITAL EXPENSES
(total 9a(i) + 9a(ii) + 9a(iii) + 9a(iv) + 9a(v) + 9a(vi) must equal item 9a).
34. improvements on land such as land preparation, irrigation
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0807
DOLLARS
0808
DOLLARS
0809
(i) diesel fuel? (Include biodiesel.) . . . . . . . . . . . . . . . . . . . . . . .
(ii) gasoline and gasohol? (Include ethanol blends.) . . . . . . . . . . .
0810
0811
0812
(iii) natural gas? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(iv) LP gas (propane, butane)? . . . . . . . . . . . . . . . . . . . . . . . .
0813
SECTION F continues on next page.
18
....
(vi) all other fuel? (Include coal, fuel oil, kerosene, wood, etc.) . . . . . .
15
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.
NOTES AND CALCULATIONS
DOLLARS
0816
37. Cars – Include new and used. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT
0817
a. What percent of this (item 37) was the farm’s share? . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
38. Trucks – Include new and used trucks, pickups,
sport utility vehicles, vans, campers and buses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0818
PERCENT
0819
a. What percent of this (item 38) was the farm’s share? . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0820
39. Tractors – Include new and used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0821
40. Self-propelled equipment – Include implements and self-propelled
equipment for livestock, dairy, or poultry production (Exclude tractors.). . . . . . . . . . . . . .
41. Other farm machinery, non-self-propelled farm equipment,
0822
pumps, and capital equipment for crop or livestock production
(Include farm share only.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0823
42. Office equipment, furniture, and computers that were placed
on a depreciation schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0803
43. Farmland and other farm real estate for expanding
this operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Of the total amount spent on acres purchased in 2011
(item 43), what amount was---
DOLLARS
0971
(i) paid for by cash?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0972
(ii) debt financed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0973
(iii) paid for in some other way?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0824
44. All other capital expenditures (Include all other capital expenditures
that were placed on a depreciation schedule.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[List all other capital expenditure items and amounts below.]
___________________________________________________________
___________________________________________________________
___________________________________________________________
OPERATOR(S) &
PARTNER(S)
LANDLORD(S)
DOLLARS
45. What other expenses did this operation
have in 2011 that I have not recorded? . . . . . . . . . . . . . . . . . . . . .
[List each expense item and amount below.]
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
14
19
0825
CONTRACTOR(S)
DOLLARS
0826
DOLLARS
0827
CODE
SECTION G FARM ASSETS
0047
6. Which code from the list below represents the largest portion of this operation’s
2011 total gross value of sales, including Government agriculture payments? . . . . . . . . . . . . . . . . . . . .
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.)
DOLLARS
0850
a. farm operator’s dwelling, if 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.) .
.................
0851
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.
b. all other dwellings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
all other farm buildings and structures (Include barns, cribs, grain bins, greenhouses,
............................................................
0852
Farm Type
silos, storage sheds, etc.) .
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.). . . . . . . .
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---
Hogs and pigs .
0854
Tobacco .
Cattle and calves (beef and dairy cattle for breeding
stock, fed cattle, beef and dairy cull animals, stockers
and feeders, veal calves, etc.) . . . . . . . . . . . . . . .
0857
. . . . . . . . 05
Nursery, greenhouse, and floriculture (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms,
nursery potted plants, shrubbery, sod, etc.) . . . . . . . . . . . .
Beginning of Year
End of Year
JAN. 1, 2011?
DEC. 31, 2011?
DOLLARS
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
Cut Christmas trees and short rotation woody crops
. . . . . . 06
. . . . . . . . . . . . . 07
Other crops and hay (grass seed, hay and grass silage
straw, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets,
CRP, pasture, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . 08
.....
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).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fruit, tree nuts and berries (almonds, blueberries, cherries,
cranberries, grapes, apples, hazelnuts, kiwifruit, oranges,
pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . .
.....
e. production inputs already used by this operation for cover crops or crops
planted 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. . . . . . . . . .
0880
0881
0882
f.
trucks and cars owned by the operation (farm share only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0883
g. tractors, machinery, tools, equipment and implements owned by the operation . . . . . . . . . . . . . . .
0884
h. stock in farm cooperatives and the Farm Credit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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, savings and checking accounts, hedging account
balances, government payments due, balance of land contract sales, and any other farm assets
not reported earlier. Exclude any personal debt owed to the operator(s).). . . . . . . . . . . . . . .
20
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
Milk and other dairy products from cows
. . . . . . . . . . . . . . . . . . 10
. . . . . . . . . 11
Sheep, goats, and their products (wool, mohair, milk and cheese) . 12
. . . . . . . 04
....
b. breeding livestock owned by and located on or off this operation
c.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
Vegetables, melons, potatoes and sweet potatoes (cabbage,
cantaloupes, pumpkins, red beets, sweet corn, tomatoes,
watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . .
0855
0889
(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).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . 01
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02
Cotton and cottonseed .
0888
(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.).
Code
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.) . . . . . . . . .
DOLLARS
a. crops owned and stored on or off this operation
Farm Type
0853
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.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Code
END OF YEAR
VALUE CODE
0887
...................
13
Equine (horses, ponies, mules, burros and donkeys) .
. . . . . . . . . 13
Poultry and eggs (broilers, chickens, turkeys, ducks, eggs,
emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . .
Aquaculture (catfish, trout, other finfish, shellfish, etc.)
. . . . . 14
. . . . . . . . . 15
Other animals and other animal products (bees, honey,
rabbits, other fur-bearing animals, semen, manure, other
animal specialties, etc.) . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 16
DOLLARS
0543
4. What is your estimate of the total dollar amount your landlord(s) received in government
payments for the acres you rented from them?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. In 2011, what was the total income received by you (the operator) and all partners for---
CODE
1. Was debt used in funding the operation of this farm/ranch in 2011, including any loans
obtained in earlier years? (Include seasonal production and other loans taken and repaid during 2011.)
1080
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to SECTION I] . . . . . . . . .
DOLLARS
a. custom work, machine hire, and other agricultural services provided by this operation
for farmers and others? (Exclude if this is a separate business.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION H FARM DEBT
0546
2. Did you have an established line of farm credit with a lender during 2011?
1081
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 4] . . . . . . . . . . . . .
0547
b. grazing of livestock? (Exclude contract arrangements previously reported.) . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
recreational and agri-tourism activities such as hunting, fishing, farm tours,
hospitality services, petting zoos, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. In 2011, how much did you borrow
against the established line of credit? . . . . . . . . .
0548
1 - Borrowed full amount
2 - Borrowed MORE by extending previous limit
3 - Borrowed LESS than full amount available
4 - Did not borrow against line of credit in 2011
1082
.........
DOLLARS
0549
0890
4. What was the total amount of all farm business loans taken out and repaid in 2011?
(Include seasonal production and other loans.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. sales of all forest products? (Include firewood, timber, etc. Exclude maple syrup and Christmas trees.). . . . . . . .
0550
5. 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
e. sales of farm machinery and vehicles? (farm share only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0558
f.
YES - [Enter code 1, then continue]
0559
(i) recognized gain/loss on sales of farmland and other farm real estate reported
above (item 5f)? (can be negative (-) if a loss was incurred). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Were the sales of any farmland
or other farm real estate made to---
1 a non-relative
CODE
2 a relative
3 both non-relatives and relatives
both farm and non-farm purposes. Exclude CCC commodity loans and any loans used exclusively for non-farm purposes.)
0470
...............
1
2
3
4
5
Who is
the lender?
What was the
balance owed
on Dec. 31, 2011
including outstanding
principal plus
unpaid interest?
What was the
interest rate
on 12/31/2011?
What is
the type
of loan?
What
year
was it
obtained?
0552
g. Federal crop and livestock insurance payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0551
h. other crop and livestock insurance indemnity payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0554
[Show lender
codes
in the
Respondent
Booklet.]
[Report in
hundredths
of a percent.
Example:
9% = 09.00]
[See the
Respondent
Booklet.]
PERCENT
CODE
i.
cooperative patronage dividends and refunds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
0530
sales of value-added goods produced (e.g. cheese, cider, jams, jellies, wines, and
other prepared items) from your farm commodities? (Exclude if this is a separate business.) . . . . . . . . . . .
1001
1002
1003
0555
income from royalties or leases associated with energy production (e.g. natural gas,
oil, and wind turbines)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1010
1011
1012
1019
1020
1021
1028
1029
1030
l.
0556
all other farm related sources of income? [This may be a negative (-) number for hedging losses.]
(Show OTHER FARM INCOME in Respondent Booklet.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1058
NO - [Enter code 3, then go to SECTION I] . . . . . . . . .
6. To estimate the financial position of farms correctly and their ability to service debt and to categorize
debt by types, we need to list loans this operation had on December 31, 2011, including any line of
credit. (Include farm/ranch loans, debt on the operator’s house if owned by the operation, and multi-purpose loans used for
DOLLARS
k.
CODE
loans used for both farm and non-farm purposes. Exclude CCC commodity loans and any loans used exclusively
for non-farm purposes.)
proceeds from sales of farmland and other farm real estate owned by this operation only? . . . . . .
CODE
DOLLARS
List each income item and amount separately, below.
1037
1038
1039
. __ __
.__ __
.__ __
.__ __
.__ __
1004
YEAR
1005
6
7
8
9
What is
the original
term of
the loan?
What
percent
is for
operating
expenses,
capital
expenditures,
or other
expenses
of the farm
operation?
What is
the primary
farm purpose
of this loan?
Is this a---
NUMBER
of YEARS
PERCENT
[Show codes
in the
Respondent
Booklet.]
1 fixed rate loan?
If this is a variable
or adjustable rate
loan, how often
is it repriced?
2
3
4
5
monthly
quarterly
annually
more than annually
CODE
CODE
1008
1006
1007
1009
1017
1015
1016
1018
1026
1024
1025
1027
1035
1033
1034
1036
1044
1042
1043
1045
__ __ __ __
1013
1014
1022
1023
1031
1032
__ __ __ __
__ __ __ __
__ __ __ __
1040
1041
__ __ __ __
DOLLARS
7. If you had farm loans in addition to the five that I’ve just recorded, what is the total amount of debt
from these loans owed on December 31, 2011? (Include farm/ranch loans and debt on the operator’s house if it is 1047
owned by the operation. Exclude any loans for non-farm purposes that are secured by assets of the farm/ranch.). . . . . . . . .
8. How much of the total debt owed on December 31, 2011 (reported in items 6 and 7 above),
was for the operator’s dwelling? (If the operator’s dwelling is owned by the operation, debt should be included
1057
here and above. Exclude operator’s dwelling if not owned by the operation.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OFFICE USE
ONLY
SECTION E continues on next page.
12
21
0999
SECTION I FARM MANAGEMENT and USE OF TIME
SECTION E OTHER FARM RELATED INCOME
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
1. In 2011, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
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] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1, then continue]
CODE
0560
NO - [Enter code 3, then go to item 2] . . . . . . . . . . . . .
CODE
DOLLARS
a. In 2011, how much was received for all commodities placed under CCC loans? (Include Austrian
1249
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.).
NUMBER
1246
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.). . . . . . . . . . . . . . . . . . . . .
0518
..
0519
b. In 2011, what was the amount spent to repay all CCC loans? (Exclude storage and service fees.). . . . . .
PERCENT
1248
a. What percent of the ownership interest did you (the operator) and your
household hold? (Exclude relatives not living in your household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[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. In 2011, did this operation receive Federal, State or local farm program payments?
3. In 2011, what was this
operation’s legal status
for tax purposes? . . . . . . . . .
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
.......
CODE
(Include government payments received through a cooperative. Exclude conservation-related payments
recorded in SECTION A and CCC loan payments.)
1240
YES - [Enter code 1, then continue]
0563
NO - [Enter code 3, then go to item 4] . . . . . . . . . . . .
3. What was the total dollar amount this operation received in 2011 for--4. Was this operation organized as a Limited Liability Company (LLC) under State law?
1202
YES - [Enter code 1]
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. payments from the Direct Counter-cyclical Payment (DCP)
and Average Crop Revenue Election (ACRE) programs?
(Include government payments received through a cooperative.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT of 3a
[ENUMERATOR NOTE: If item 3 = code 2 (operation is a partnership), continue; else go to item 7.]
0520
(i) Of the total in item 3a, what percent was for DCP
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
PARTNERSHIP QUESTIONS
0522
(ii) Of the total in item 3a, what percent was for DCP
counter-cyclical payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
CODE
5. Is this partnership registered under State law?
YES - [Enter code 1]
DOLLARS
0525
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1204
0521
(iii) Of the total in item 3a, what percent was for ACRE
direct payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
NUMBER
6. How many partners are there in this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1232
0523
(iv) Of the total in item 3a, what percent was for ACRE
revenue payments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
=
SHARE OF NET FARM INCOME
DOLLARS
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
0528
CODE
profits/losses or, if incorporated, receiving corporate dividends.)
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 8] . . . . . . . . . . . . .
a. How many other households shared in the net income of the farm business?. . . . . . . . . . . . . . . . .
0531
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.]. . . . . . . . . . . . . . . . . . . . . . . . . . .
0976
1226
an LLC that elected to report income for tax purposes as a pass-through, consider this as income here.).
...........
0536
e. net value of commodity certificates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f.
Agriculture Disaster payments? (Include all disaster assistance and market loss payments.
Exclude milk income loss contract payments reported above and Federal crop insurance and
other indemnity payments, to be reported on the next page.) . . . . . . . . . . . . . . . . . . . . . .
0975
g. any other Federal agricultural program payments? (Exclude CRP, CREP, WRP, EQIP,
CSP, and CStP payments reported in SECTION A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0541
h. tobacco buyout payments including lump sum payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0542
0974
i.
any other local or State program payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION E continues on next page.
SECTION I continues on next page.
22
0537
.................
0476
PERCENT
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
Marketing Loan Gains (MLGs)? (Include government payments received through a cooperative.) . . . . . . . . . . .
0565
VALUE CODE
.............
c.
d. Milk Income Loss Contract (MILC) payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
8. Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation?
b. Loan Deficiency Payments (LDPs)? (Include government payments received through a cooperative.) . . . . . . . .
1225
NUMBER
YES - [Enter code 1, then go to item 8a]
100%
11
MARKETING CHARGES
[ENUMERATOR NOTE: If the operation is NOT a family or individual operation, continue; else go to item 10.]
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,
OPERATOR(S) and
PARTNER(S)
LANDLORD(S)
DOLLARS
DOLLARS
0868
inspection, ginning, etc. Include marketing expenses for contract sales.).
0869
CONTRACTOR(S)
DOLLARS
0870
ACRES
9. If the operation rented or leased land from others (reported in Section A, items 2a, 2b,
and 2c), how many of those rented acres are owned by your household?. . . . . . . . . . . . . . . . . . . . . . .
0977
......
FARM OPERATORS
10. 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
ACCOUNTS RECEIVABLE / DEFERRED PAYMENTS
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 cash sales, marketing contract
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
1200
..........
sales, and production contract removals.)
[ENUMERATOR NOTE: Crops in storage and not sold as of the reference date should be reported in Section G, item 4a.]
CODE
11. Did you (the principal operator) have a spouse for at least part of 2011?
YES - [Enter code 1, then continue]
1205
NO - [Enter code 3, then go to item 13] . . . . . . . . . . .
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?. . . . . . . . . . . . . . . . . .
12. 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 10 above.]
0885
YES - [Enter code 1]
0875
CODE
1209
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 and earlier years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
0886
For items 13-16, 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
13. What was the full name of the operator(s)? . . . . . . . . . . . . . . . . .
AGE
1242
AGE
1262
AGE
1282
14. What was the age of the operator(s) on December 31, 2011?. . .
MARKETING EXPENSE WORKSHEET
YEAR
COMMODITY
EXPENSE NAME
FEE PER UNIT
UNIT
NUMBER OF UNITS
TOTAL MARKETING EXPENSE
___ ___.___ ___ ___
15. In what year did the operator(s) begin
to operate any farm operation?. . . . . . . . . . . . . . . . . . . . . . . . . . .
1241
16. What was the gender of the operator(s)? . . . . . .
1 Male
2 Female
...
YEAR
1281
___ ___ ___ ___
___ ___ ___ ___
___ ___ ___ ___
CODE
CODE
CODE
___ ___.___ ___ ___
___ ___.___ ___ ___
YEAR
1261
1243
1263
1283
___ ___.___ ___ ___
___ ___.___ ___ ___
CODE
17. Is the principal operator’s spouse listed as OPERATOR 2 in item 13?
___ ___.___ ___ ___
YES - [Enter code 1, then go to item 18]
1203
NO - [Enter code 3, then continue with item a] . . .
AGE
___ ___.___ ___ ___
1206
a. If NO, and the principal operator had a spouse at any point during 2011,
what was the age of the principal operator’s spouse on December 31, 2011?. . . . . . . . . . . . . . . . . .
___ ___.___ ___ ___
___ ___.___ ___ ___
___ ___.___ ___ ___
18. 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)?
TOTAL MARKETING CHARGES (EXPENSES)
YES - [Enter code 1]
CODE
0995
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . .
OFFICE USE
WORKSHEET
0946
SECTION I continues on next page.
10
23
INTERNET USE
CODE
19. Do you use the Internet in the farm business?
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 19e]. . . . . . . . . . .
5. After subtracting marketing expenses, what was the total dollar amount received in 2011
for cash or open market sales of each of the following crop and/or livestock commodities
produced in 2011 and earlier years? (Exclude marketing contract sales, production contract removals,
1210
a. Do you have high-speed access to the Internet?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES = 1
1211
b. Has the Internet become more useful as a farm business tool (over the last two years)?. .
c.
Do you buy (farm goods or services) or sell (farm commodities, products,
or services) on-line?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
landlord’s share of market value.)
0501
1212
a. Corn, rice, sorghum, soybeans, barley, oats, wheat (Include silage. Exclude sweet corn.) . . . . . . . . .
YES = 1
0502
b. Other grains and oilseeds, dry beans, and dry peas (flaxseed, other grain silage and forage,
other grains and oilseeds, popcorn, sunflowers, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0503
c.
Not useful
Too expensive
High-speed access not available
Internet security concerns
Other reasons
Tobacco, cotton, and cottonseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0504
d. Vegetables, melons, potatoes and sweet potatoes (cabbage, cantaloupes, pumpkins,
red beets, sweet corn, tomatoes, watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: If item 19 = code 3 (Internet not used in farm business), continue; else go to item 20.]
1
2
3
4
5
DOLLARS
YES = 1
d. Exclusive of buying or selling goods and services on-line (item 17c), do you
communicate with farm business associates (farm owners, farm managers,
1233
business partners, cooperative associations, other farmers, bankers, brokers,
etc.) through the Internet?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
e. What is your primary reason
for NOT using the Internet in
the farm business?. . . . . . . . . .
CASH or OPEN MARKET SALES
1201
Exclude from item 5--Marketing Contract sales (report in item 2)
Production Contract removals (report in item 4)
Landlord shares (report in Section B, items 1 & 3 and Section C, item 2)
e. Fruit, tree nuts and berries (almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,
oranges, pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
f.
1234
0505
0506
Nursery, greenhouse, cut Christmas trees, floriculture and sod (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, etc.) . . . . . . . . . . . . . . . . .
0507
g. Other crops, hay, and short rotation woody crops (grass seed, hay and grass silage, hops,
maple syrup, mint, peanuts, sugarcane, sugarbeets, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...........................
0508
h. Hogs and pigs (Exclude breeding stock.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Do you use a smart phone (Blackberry, iPhone, etc.) in your business?
YES - [Enter code 1]
0509
1235
i.
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . . .
Hog breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Recognized gain/loss on sales of breeding hogs reported in item 5i above
(can be negative (-) if losses were incurred) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DISTANCE
MILES
21. About how many miles was it from your home to the nearest town or city with a
population of 10,000 or more?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1277
0510
j.
Milk from cows (before deduction of any hauling fees) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k.
Cattle and calves (fed cattle, beef and dairy cull animals, stockers and feeders, veal calves, etc.)
Exclude breeding stock.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0511
..........
.
22. Where did you buy the majority of the following input items used by
this operation and the principal operator’s household in 2011?
l.
What is the distance
from your farm to
where you purchased
the input item?
Did you purchase
the input item in
the nearest town
or city of any size?
Input Item
1 Yes
3 No
MILES
If NO, ask--What is the
main reason?
0512
Cattle breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Recognized gain/loss on sales of breeding cattle reported in 5l above
(can be negative (-) if losses were incurred) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0535
0513
m. Broilers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0514
1 Price of the input
2 Not available
3 Other
n. Eggs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0515
1278
1236
1293
o. Turkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1279
1237
1294
0516
p. Other poultry (other chickens, ducks, emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1280
1238
1295
a. Fuel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Fertilizer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
0533
Chemicals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1250
1239
q. Other animals and other animal products (sheep, goats, and their products
(wool, mohair, and goat milk); horses, ponies, mules, burros, and donkeys; aquaculture;
bees and honey; semen and embryo sales) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0517
...................
1296
d. Machinery and Implements (Include supplies and repairs.). . . . . .
DOLLARS
6. What was the total amount received from straw and other crop residue sales?
(Exclude hay sales.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION I continues on next page.
24
0527
SECTION D continues on next page.
9
PRODUCTION CONTRACTS AND CUSTOM FED LIVESTOCK
DIRECT SALES
3. Did this operation have production contracts for any commodities it produced in 2011?
23. During 2011 did you produce, raise, or grow any commodities that this operation sold or provided
directly to individual consumers for human consumption, directly to retail outlets, directly to regional
distributors (including food hubs, CSAs, and other local foods aggregators), or directly to institutions
(such as schools and hospitals) that provide dining services to consumers? (Include commodities reported
(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
in Section D if sold to any of the above channels. Exclude non-edible products such as Christmas trees and flowers, craft
items, and processed products such as jellies, sausages, and hams.)
CODE
1244
YES - [Enter code 1, then continue]
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
BALE
11
HEAD/BIRD
39
ANIMAL SPACE
4
BUSHELS
8
CARTON
13
PLANT/POT
40
KILOGRAM
24. Were any of these products delivered under a production contract to a local retail outlet
(e.g., restaurant, grocery store) and reported in Section D, items 3-4?
1245
YES - [Enter code 1, then continue]
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
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.)
DOLLARS & CENTS
TOTAL DOLLARS
CODE
[Write in commodities]
QUANTITY
CODE
0401
0404
0405
0406
0416
0419
0420
0421
NO - [Enter code 3, then continue]. . . . . . . . . . . . . . . .
25. Were any of these products delivered under a production contract to a local institution
(e.g., school or hospital) and reported in Section D, items 3-4?
received to pay for production expenses. Expense reimbursements should be reported in SECTION F.)
(from list
above)
NO - [Enter code 3, then go to item 28]. . . . . . . . . . . .
0407
.___ ___ ___
0422
1247
YES - [Enter code 1, then continue]
NO - [Enter code 3, then continue]. . . . . . . . . . . . . . . .
26. Were any of these commodities reported as a marketing contract in Section D, items 1-2,
or cash or open market sales in Section D, item 5?
1276
YES - [Enter code 1, then continue]
NO - [Enter code 3, then go to item 28]. . . . . . . . . . . .
Crop
Commodities
27. What were the cash market, open market or marketing contract sales sold directly
to these consumers or outlets? (Exclude commodities produced under production contracts.)
.___ ___ ___
0431
0434
0435
0436
0449
0450
0451
1441
1444
1445
1446
0437
a. Sales directly to consumers at farmers markets?. . . . . . . . . . . . . . . . . . . . . . . . .
0452
1286
b. Sales directly to consumers from on-farm stores, u-pick,
road-side stands, or CSAs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1287
1288
1289
1290
1291
1292
1297
1447
c.
.___ ___ ___
1459
1460
1461
1474
1475
Sales to a local retail outlet, e.g., restaurant, grocery stores?. . . . . . . . . . . . . . . .
1462
.___ ___ ___
1471
1476
1477
d. Sales to a regional distributor, e.g., food hubs? . . . . . . . . . . . . . . . . . . . . . . . . . .
.___ ___ ___
1486
1489
1490
1491
DOLLARS
1285
.___ ___ ___
1456
DOLLARS
1284
.___ ___ ___
0446
Livestock Products
and Livestock
Commodities
1492
e. Sales to a local institutional outlet, e.g., schools, hospitals?. . . . . . . . . . . . . . . . .
.___ ___ ___
1/
Income received for commodities produced under contract in previous years should be recorded in item 8a(i) on page 10.
ENERGY GENERATION
28. At any time during 2011 did this operation generate energy or electricity on the farm using wind
or solar technology, methane digester, etc.?
YES - [Enter code 1]
1299
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . .
SECTION I continues on next page.
SECTION D continues on next page.
8
1298
NO - [Enter code 3] . . . . . . . . . . . . . . . . . . . . . . .
29. Did you lease land to others who installed windmills or solar arrays?
YES - [Enter code 1]
CODE
25
USE OF TIME
30. In order to estimate the returns farm households receive for their labor correctly, we need to obtain time allocations.
We know there are 168 total hours in a week (7 days with 24 hours in a day) that you allocate to various activities.
On average, for each of the three month periods
DURING 2011, about how many hours per week did---
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
SECTION D COMMODITY MARKETING and INCOME
MARKETING CONTRACTS
1/
1. Did this operation have marketing contracts for any commodities delivered in 2011?
YES - [Enter code 1, then continue]
a. you (the principal operator) -(i) work for this farm/ranch without paying yourself
a wage or salary? . . . . . . . . . . . . . . . . . . . . . . . . . . .
0480
0481
0482
0483
0484
0485
0486
0487
1091
(iii) operate another business other than this
farm/ranch? (Include operating another farm/ranch.
Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
0488
(iv) work at other employment off this farm/ranch?
(Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
1092
1093
1094
0489
0490
0491
0492
0493
0494
0495
(ii) work for this farm/ranch for a wage or salary? . . . . . .
(v) spend otherwise? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL
168
168
168
0581
0582
0583
0584
0585
0586
0587
1095
(iii) operate another business other than this
farm/ranch? (Include operating another farm/ranch.
Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
0588
(iv) work at other employment off this farm/ranch?
(Exclude commuting time.). . . . . . . . . . . . . . . . . . . . . . . . .
1096
1097
1098
0589
0590
0591
0592
0593
0594
0595
(ii) work for this farm/ranch for a wage or salary?. . . . . .
(v) spend otherwise? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NO - [Enter code 3, then go to item 3] . . . . . . . . . . . . .
1
POUND
5
BIN
9
DOZEN
20
BARREL
2
CWT
6
BOX
3
TON
7
BALE
10
FLAT
22
ACRE
11
HEAD/BIRD
39
ANIMAL SPACE
4
BUSHELS
8
CARTON
13
PLANT/POT
40
KILOGRAM
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, items 1 & 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).)
168
0580
0300
UNIT CODES for ITEM 2, COLUMN 4
b. your spouse (the principal operator’s) -(i) work for this farm/ranch, without being paid
a wage or salary? . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE
(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.)
1
2
3
4
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?
Unit Code
CODE
[Write in commodities]
(from list
above)
(Exclude landlord’s share.)
QUANTITY
CODE
6
5
What was (will be) the
What was the total dollar
FINAL PRICE RECEIVED
amount received in 2011
per [column 4] unit by this
from this contract?
operation for this commodity
(Exclude marketing
marketed under this contract? charges. Exclude money
(Exclude marketing charges. received as reimbursement
Exclude money received as
for production expenses.
reimbursement for production Record this in SECTION F.)
expenses. Record this in
SECTION F.)
DOLLARS & CENTS
0301
0304
0305
0306
0316
0319
0320
0321
TOTAL DOLLARS
0307
.___ ___ ___
168
TOTAL
168
168
168
0322
.___ ___ ___
31. On average, for each of the three-month periods
during 2011, about how many hours per week
(work and management time) did ---
1
2
3
4
Jan-Mar
April-June
July-Sept
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
1061
a. other operators (excluding the principal operator and
principal operator’s spouse) work for this farm/ranch
without receiving a wage or salary? . . . . . . . . . . . . . . . . .
1065
b. other operators (excluding the principal operator and
principal operator’s spouse) work for this farm/ranch
for a wage or salary? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1062
1063
0331
0346
0337
0349
0350
0351
0352
0361
0364
0365
0366
0367
.___ ___ ___
1066
1067
0376
1068
0379
0380
0381
0382
.___ ___ ___
1351
1354
1355
1356
1357
.___ ___ ___
1366
1369
1370
1371
1372
.___ ___ ___
1
Jan-Mar
2
April-June
3
July-Sept
4
Oct-Dec
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
HOURS/WEEK
1381
0842
0843
0859
0860
0861
0862
(Example: If the operation had 4 paid workers who averaged 40 hours per week during Jan-Mar, report 160 for column 1 of question 32b.)
OFFICE USE
ONLY
1384
1385
1386
1387
.___ ___ ___
1396
0841
26
0336
.___ ___ ___
1064
0840
a. unpaid workers (such as non-operator partners,
family members, etc.) work for this farm/ranch? . . . . . . . . .
b. paid workers work for this farm/ranch?
(Exclude custom hire and contract labor.) . . . . . . . . . . . . . . . . . .
0335
.___ ___ ___
(Example: If the operation had 4 other salaried operators who averaged 40 paid hours per week during Jan-Mar, report 160 for column 1 of 31b.)
32. For the other workers on this operation (excluding the
principal operator, the principle operator’s spouse, other
operators, custom hire, and contract labor), on average, for
each of the three-month periods during 2011, about how
many hours per week (work and management time) did ---
0334
1399
1400
1401
1402
.___ ___ ___
1411
1414
1415
1416
1417
.___ ___ ___
1426
1429
1430
1431
1432
.___ ___ ___
1/
“Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2011.
2001
SECTION D continues on next page.
7
SECTION C LIVESTOCK
SECTION J FARM HOUSEHOLD
Please report the total numbers, including landlord’s share, of livestock, poultry, and/or livestock products sold and/or
removed from this operation during 2011 and the total inventory on December 31, 2011, regardless of ownership. (Include
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
[ENUMERATOR NOTE: If the principal operator has a spouse (SECTION I, item 11), please answer for both the principal
operator and his/her spouse.]
1. Are the principal operator and/or 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
1219
SPOUSE
1220
NO - [Enter code 3] . . . . . . . . . . .
Exclude heifers that have not calved, steers, calves,
and bulls.). . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Milk produced in 2011 (report in cwt.). . . . . . .
c.
that have not calved, steers, calves, and bulls.).
e. All hogs and pigs. . . . . . . . . . . . . . . . . . . . . . . .
Egg layers. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Chicken eggs (report in dozens). . . . . . . . . . . .
g. Turkeys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Broilers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i.
0252
American Indian or
Alaska Native? (Specify tribe_________)
0253
All other livestock and poultry
0260
0261
0295
0262
0263
0296
0248
0249
0250
2. Which of these do you and/or your
Asian?
spouse (the principal operator and/or
principal operator’s spouse) consider
yourself? Are you--- . . . . . . . . . . . . . . . Black or African American?
0268
0269
0298
0264
0265
0297
0272
0273
0299
3. What is the highest level of
formal education achieved by
the principal operator and the
principal operator’s spouse?. . . . . .
(Specify type(s): ______________________ ) . . . .
1
2
3
4
1215
1216
1217
1218
1221
1222
1223
1224
...
Native Hawaiian or Other Pacific Islander?
White?
...
Less than high school diploma
High school
Some college (Include associates degree)
4-year college graduate and beyond
1214
...
...
0266
SPOUSE
1213
...
.......
d. Total cattle and calves (total items a + b + c). . . . .
f.
OPERATOR
0270
0251
Other cattle and calves (Include heifers
ENTER CODE 1 FOR ALL THAT APPLY
OPERATOR
1257
SPOUSE
1260
...
2. [If SHARE RENTS from others and has livestock, ask---]
DOLLARS
What was the estimated total market value of your landlord’s share of livestock production
0276
sold or removed from this operation in 2011? (Exclude shared livestock production not part of a land
rental arrangement.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. In 2011, what was the primary
occupation of the principal operator
and the principal operator’s spouse? . . .
1
2
3
Farm or ranch work
Work other than farming or ranching
Currently not in the paid workforce
OPERATOR
1207
SPOUSE
1208
...
OTHER OPERATIONS GROWING, FEEDING, OR RAISING LIVESTOCK FOR THIS OPERATION
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)?
YES - [Enter code 1, then continue]
CODE
0271
YES - [Enter code 1]
NO - [Enter code 3, then go to SECTION D] . . . . . . . .
1
2
3
4
What livestock
or poultry
were being
raised or fed
for you?
See
livestock
codes in
respondent
booklet
What was the
market value
of [type] on hand
on contractee
operations on
Jan.1, 2011?
What was the
estimated market
value (at placement)
of [type] placed
under contract
DURING 2011?
[List type below.]
CODE
DOLLARS
DOLLARS
5
6
How much was paid
How much were
to contractees for your GROSS receipts
labor, management,
from [type] sold or
and reimbursement
removed under
for expenses?
this contract?
DOLLARS
5. Do you (the principal operator) now consider yourself
to be retired from farming/ranching?
CODE
1259
NO - [Enter code 3] . . . . . . . . . . .
7
On Dec. 31, 2011
what was the market
value of unsold [type]
remaining under
contract?
DOLLARS
DOLLARS
0277
0278
0279
0280
0281
0282
0283
0284
0285
0286
0287
0288
0289
0290
0291
0292
0293
0294
SECTION J continues on next page.
6
27
NUMBER
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. How many persons lived in the principal operator’s household on December 31, 2011?
1227
(Include operator, spouse, children, and others living in the operator’s household.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Of the people who lived in your (the principal operator’s) household on December 31, 2011,
how many were---
In each age category?
Were covered by any health
insurance for any part of year?
NUMBER
NUMBER
a. younger than 6 years old?. . . . . . . . . . . . . . . .
+
1228
1126
b. from 6 through 17 years old?. . . . . . . . . . . . . .
+
1229
1127
c.
+
1230
1128
d. 65 years or older?. . . . . . . . . . . . . . . . . . . . . .
+
1231
1129
e. Total persons in household
(should equal number reported in item 6). . . .
=
from 18 through 64 years old?. . . . . . . . . . . . .
a. How many acres planted or grown on this
operation were intended for harvest
in 2011? (For winter wheat, report acreage
Household
Members 65
Years and Over
0231
0233
0240
0234
0241
0226
(i) what was the average total
application rate (lbs per acre)?. . . . . .
0227
1266
other employer or group sponsored policies (e.g., purchased through
a cooperative, union, or farm organization)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1273
(ii) what percentage of nitrogen fertilizer
was applied in the fall?. . . . . . . . . . . .
0228
1269
1270
(iii) what percentage of nitrogen fertilizer
was applied after planting?. . . . . . . . .
0229
1268
1275
e. direct purchase private policy (fully purchased by or for the household)? . . . . . . . .
Medicare, Medicaid, or other public insurance? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: If SECTION I, item 1 = 3 (50% or less interest held by operator and relatives), go to
CONCLUSION; else continue.]
9. How many miles is it one way from your home to your and/or your
0941
spouse’s off-farm job? (Enter zero for home based jobs such as truck driver,
salesperson, enumerator, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. How many acres planted or grown on this
operation were irrigated in 2011?. . . . . . . .
0221
0217
lbs/
acre
0218
%
0244
%
0220
0216
0243
0237
0219
0242
%
%
%
0222
0223
ACRES
5. How many acres of cropland were
0245
(1) planted to a cover crop after the 2010 crop was harvested and
(2) subsequently planted to an annual crop (e.g., corn, wheat) for 2011?. . . . . . . . . . . . . . . . . . . . .
0246
0247
a. How many of these fallow acres were part of an on-going crop rotation that includes
fallow for moisture conservation or other purposes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MILES
0942
SECTION J continues on next page.
28
lbs/
acre
0236
%
SPOUSE
MILES
0235
lbs/
acre
Hay
6. How many acres of cropland were left fallow during 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: If the principal operator and/or the principal operator’s spouse worked off the farm and reported
hours of non-farm work in Section I, items 30a(iii), 30a(iv), 30b(iii), or 30b(iv), ask; otherwise go to item 10.]
OPERATOR
Cotton
0225
b. How many of these acres were planted
with no-till or strip-till?. . . . . . . . . . . . . . . . .
1272
1274
Wheat
0239
1265
1267
Soybeans
0232
For acres that received nitrogen fertilizer---
d. this farming operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f.
Corn
1271
b. an employer (or former employer) from the spouse’s off-farm work? . . . . . . . . . . . .
CODE
0238
0230
How many of these acres received
nitrogen fertilizer? (Exclude manure.). . .
DOLLARS
0183
NO - [Enter code 3, then go to item 5] . . . . . . . . .
1264
a. an employer (or former employer) from the operator’s off-farm work? . . . . . . . . . . .
c.
. ___
0224
c.
ACRES in
the OPEN
0192
4. Did this operation plant any corn, soybeans, wheat, or cotton intended for harvest in 2011,
or hay intended for livestock feed in 2011?
YES - [Enter code 1, then continue]
Household
Members
Under 65
Years of Age
0191
3. [Ask only if starred (*) crops in item 1 were share rented from others.]
For acres rented to this operation on a share basis in 2011, what was
the estimated market value of your landlord’s share of the dry beans,
vegetables, fruits, nuts, nursery, greenhouse and all other crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
planted in fall 2010. For double cropped acres,
include the acreage of both crops. Verify that
planted acreage is equal to or greater than
harvested acreage reported in Section B, item 1.). . .
8. In 2011, how many of these persons had health insurance that was
provided through---
SQUARE FEET
UNDER glass or
other protection
5
lbs/
acre
10. Which value code from the list below represents the total income the household, the principal operator, and spouse
received in 2011 from--- (Exclude farm income reported earlier.)
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
SOURCE
cover crops if not harvested.)
[If share rented
from others, ask--]
2
3
4
5
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?
How much of the
production was the
landlord’s share
of the crop?
ACRES
TOTAL AMOUNT
TOTAL AMOUNT
TOTAL AMOUNT
1
CROP
..............
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
0118
0121
.____
Tons
0126
0129
0130
0133
0134
0137
0138
0141
0142
0107
0111
Bu.
Tons
Lbs.
Cwt.
Cwt.
Bu.
Tons
Bu.
0108
0112
0116
Lbs.
0122
0125
.____
Bu.
0119
0123
0127
0131
0135
0139
Lbs.
Cwt.
Cwt.
Bu.
Tons
Bu.
0120
0124
0128
0132
0136
0140
0144
Lbs.
Bu.
Tons
Oats for grain.
..............
Wheat, all types, for grain.
c.
0951
1070
1071
1059
1060
0955
0956
0958
0959
(i) Which business code (from list in respondent booklet)
represents the type of off-farm business you and/or your
spouse operated?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1072
1073
(ii) What was the total number of employees who worked at
this business? (Include the operator and spouse.). . . . . . . . . . . . .
1074
1075
net cash income from renting farmland to others, excluding
land rented to others from this operation? (can be negative
(-) if a loss was incurred) (Include rental of farmland that is not part
of this operation, which may include whole farms or ranches owned by
household members as well as smaller parcels of land. Include cash
or share-rental income.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0963
......
0960
d. net cash income from operating any other business (net of
depreciation)? (can be negative (-) if a loss was incurred). . . . .
Cwt.
Bu.
Tons
Bu.
0969
e. interest income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......
0145
0146
0149
0150
0153
0154
0157
0158
Bu.
Bu.
Bu.
0147
0151
0155
Bu.
Bu.
Bu.
0148
0152
0156
Bu.
Bu.
f.
Hay, dry, alfalfa and alfalfa mixtures.
...........
0159
Tons
0161
0162
Tons
Tons
Tons
0164
Tons
0939
h. income from private pensions and private disability payments?.
i.
Other oilseeds.
..............
Sugarcane or sugarbeets.
.......
*Dry edible beans/peas/lentils. . . . .
*Vegetables for processing. . . . . .
0166
0169
0170
0173
0174
Lbs.
Lbs.
Tons
0167
0171
0175
Lbs.
Lbs.
Tons
0168
0172
0176
0998
...
Lbs.
Lbs.
0993
j.
other off-farm sources of income?. . . . . . . . . . . . . . . . . . . . . . . .
Tons
Value
Code
Value
Code
Value
Code
Value
Code
0177
Dollar Range
0178
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
0179
*All other vegetables and melons
(Exclude vegetables grown under
glass or other protection.). . . . . .
0165
income from public sources? (Include Social Security, military and
other public retirement, veteran’s benefits, public disability, unemployment,
or other public assistance.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OTHER CROPS
..................
0978
0981
(i) recognized gain/loss on the sale of capital assets
reported above? (item 10g) (can be negative (-) if
capital losses were incurred). . . . . . . . . . . . . . . . . . . . . . . . .
Bu.
0160
Tons
0163
dividend income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. total proceeds from the sale of farm and non-farm capital
assets? (Include operator household’s share only.). . . . . . . . . . . . . . . .
DRY HAY CROPS
Canola.
VALUE CODE
0966
.............
Hay, dry, all others.
VALUE CODE
0950
SMALL GRAINS
Barley for grain.
VALUE CODE
0957
b. net cash income from operating another farm or ranch (net of
depreciation)? (can be negative (-) if a loss was incurred). . . . .
Lbs.
Lbs.
SPOUSE
INCOME
(i) Which business code (from list in respondent booklet)
represents the type of off-farm business you and/or your
spouse worked at?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Which occupational code (from list in respondent booklet)
represents the type of job you and/or your spouse had at
this off-farm business?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lbs.
Cwt.
OPERATOR
INCOME
0952
a. all off-farm wages, salaries, and tips before taxes and
withholdings?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIELD CROPS
Corn for grain.
TOTAL
HOUSEHOLD
INCOME
.
0180
*Fruits, nuts, and berries. . . . . . . .
*Nursery and greenhouse crops
0181
(Include Christmas trees.). . . . . . .
0182
*All other crops not listed above
(Include sweet potatoes.). . . . . . .
.____
Starred (*) crops are addressed in item 3.
Dollar Range
Dollar Range
SECTION J continues on next page.
SECTION B continues on next page.
4
Dollar Range
29
[Show VALUE CODES in Respondent Booklet.]
11. Which value code represents how much this household spent in 2011 on---
VALUE CODE
a. food, including food away from home? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1105
utilities and household supplies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1106
NO - [Enter code 3, then go to item 9] . . . . . . . . .
How many acres of land used for annual crops in the 2010 crop year were
in each of these uses in the 2011 crop year?
ACRES
a. CRP/CREP/WRP land in 2011 that was used for annual crops in 2010. . . . . . . . . . . . . . . . . . . . . .
(i) renting or leasing of vehicles for household use, public transportation expenses, etc.?. . . . . . .
1107
1119
(ii) fuel, maintenance and repairs, vehicle insurance, parking and license fees for
non-farm share of vehicles? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0598
b. Hay, grazing, or other non-crop, non-CRP/CREP/WRP land in 2011
that was used for annual crops in 2010. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. 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?
CODE
(Check yes if you had a current contract, regardless of whether you received a payment during 2011.)
e. health and medical expenses:
1108
(i) health and/or dental insurance costs? (costs not covered by the farm operation or an
off-farm employer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1112
(ii) out of pocket expenses for health and medical needs? (Include co-payments,
co-insurance, deductibles, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1109
contributions to personal insurance (including life, disability, and liability insurance but not including
health, homeowner or vehicle insurance) and retirement plans including pensions and Social Security?. . .
1110
g. contributions to individuals outside of the household, including alimony, child support,
gifts (not including bequests) and charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. mortgage interest for operators who live in a dwelling owned by the household and not the
operation? (Exclude any parts of mortgage principal.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1120
i.
1121
property taxes for operators who live in a dwelling owned by the household and not
the operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
all other family living expenses, such as non-farm household insurance payments,
1118
clothing and personal care products and services; house furnishings and equipment,
education and child (or adult) care, entertainment (hobbies, recreation, and vacations)? . . . . . . . .
12. Which value code represents the total value of each of the following categories of off-farm assets
owned by the operator and members of the operator’s household on December 31, 2011, for--(Exclude assets of this operation, reported in SECTION G.)
a. financial assets held in non-retirement accounts? (Include cash, checking, savings, money market
accounts, certificates of deposit, savings bonds, government securities, outstanding personal loans due to the
operator or household, corporate stock, mutual funds, cash surrender value of life insurance, other financial assets.
Exclude all farm business-related assets.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES - [Enter code 1, then continue]
0526
NO - [Enter code 3, then go to item 10]. . . . . . . . . . . .
a. What was the total acreage of fields subject to conservation treatments under ---
(Include acreage of the fields where practices are applied (e.g., reduced tillage, terraces, and grassed waterways)
and acreage of fields/tracts that are adjacent to field-edge practice such as filter strips, riparian buffers, or fences.)
ACRES
0071
(i) EQIP?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0072
(ii) CSP or CStP?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. What was the total dollar amount received under---
DOLLARS
0540
(i) EQIP? (Verify that acreage is reported in item 9a(i).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0566
(ii) CSP or CStP? (Verify that acreage is reported in item 9a(ii).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RENT PAID
DOLLARS
10. 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 bins,
to be reported in SECTION F, item 20. Exclude grazing of livestock, to be reported in item 11 below.). . . . . . . . . . . . . . . .
[Show VALUE CODES in Respondent Booklet.]
VALUE CODE
0953
....
0954
b. retirement accounts? (401k, 403b, IRA, Keogh, other retirement accounts) . . . . . . . . . . . . . . . . . . . . . . .
0984
c.
0596
0597
d. non-farm transportation:
f.
CODE
that was in this farm in 2010 but not in 2011.)
YES - [Enter code 1, then continue]
b. rent payments for principal operator’s dwelling, if not owned by the household (item 12c, below)
1104
or farm business (SECTION G, item 1a has a zero value)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
8. In the 2011 crop year, did this operation use any land for hay, grazing/pasture, CRP/CREP/WRP
or any other non-crop uses that was used in 2010 for annual crops (row crops, small grains,
vegetables, etc. other than hay)? (Include land that was in this operation in 2011 but not in 2010. Exclude land
operator’s dwelling, if not owned by the operation? (not reported in Section G, item 1a) . . . . . . . . . . . . . .
0985
d. real estate and other personal (second) homes? (other farms, residential rental, commercial,
and other real estate) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0986
e. business not part of this farm? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0044
11. Did this operation use land (on a per head or AUM basis) that is administered either by:
public or private agencies,
industrial corporations,
grazing associations, or
rent from individuals on a short term grazing arrangement?
YES - [Enter code 1, then continue]
CODE
0049
NO - [Enter code 3, then go to item 12] . . . . . . . . . . . .
DOLLARS
a. In 2011, what were the total fees this operation paid for the use of publicly owned
0045
land on an AUM basis? (Include fees paid for privately owned land administered by a public agency
through exchange-of-use.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. In 2011, how much did this operation spend on pasturing or grazing of livestock
0046
on privately owned land (railroads, another farm/ranch, etc.) used on a fee per
head (AUM) or gain basis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0982
f.
RENT RECEIVED
all household vehicles? (including household share of vehicles partly owned by the operation) . . . . . . . . . . . . . .
0987
g. other assets not reported elsewhere? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION J continues on next page.
30
DOLLARS
12. Including rent for land and/or buildings, what was the total CASH RENT RECEIVED in 2011 for
acres 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.).
0042
.
13. For acres share-rented to others, what was the total value of crop or livestock shares received in
0043
2011 by this operation? (Include rent received in 2011 for previous years and government payments received from
those acres.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
[Show VALUE CODES in Respondent Booklet.]
SECTION A LAND IN FARM / RANCH
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
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
13. Which value code represents the total value of each of the following categories of
off-farm debt (debt not associated with this operation) owed by the operator and
members of the operator’s household on December 31, 2011, for--(Include off-farm debt secured with farm assets. Exclude any debt – household debt, credit cards,
etc. – reported in SECTION H, Farm Debt.)
[ENUMERATOR NOTE: If mortgage debt on the operator dwelling was reported earlier in SECTION H,
item 8, then skip item 13a and continue with 13b. If mortgage debt on the operator dwelling was NOT
reported in SECTION H, item 8, then continue with item 13a.]
VALUE CODE
2. How many acres of farm/ranch land were rented or leased from others---
ACRES
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
a. for a fixed or flexible cash rent payment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
+
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.). . . . . . . . . . . . . . . . . . . . . . . .
+
c.
+
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
a. mortgages on operator’s dwelling, if not owned by the operation? (Include home mortgages,
home equity loans, and lines of credit secured by the operator’s dwelling.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. mortgages on other real estate and other personal (second) homes? (Include mortgages,
0023
equity loans, and lines of credit secured by other real estate, including other farms, residential rental,
commercial, and other real estate.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0988
0989
.............
1101
0024
c.
loans on businesses that are not a part of this farm operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1102
d. personal loans? (Include credit cards, auto loans, unpaid taxes, medical bills, any other debts/liabilities
not reported elsewhere.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0025
0983
TOTAL ACRES
4. Then the TOTAL ACRES in this operation in 2011 were: (total items 1 + 2a + 2b + 2c – 3). . . . . . . . =
0026
1117
14. Which value code represents the amount of off-farm debt owed by the operator or household
members that was secured by farm assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Of the total acres in this operation (item 4), how many were---
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.). . . . . . . . . . . . . . . . . . . . . . . . . .
0030
0028
enrolled in the Conservation Reserve Program (CRP), Conservation Reserve Enhancement
Program (CREP), and/or Wetlands Reserve Program (WRP)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0041
DOLLARS
YES - [Enter code 1, then continue]
1115
............
OFFICE USE
ONLY
CODE
0496
NO - [Enter code 3, then go to item 8] . . . . . . . . .
ACRES
0497
a. CRP/CREP/WRP land in 2010 that was used for annual crops in 2011. . . . . . . . . . . . . . . . . . . . . .
0498
b. Hay, grazing, or other non-crop, non-CRP/CREP/WRP land
in 2010 that was used for annual crops in 2011. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION A continues on next page.
2
............
17. 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0477
How many acres of each of these 2010 land uses were used for annual crops in the 2011 crop year?
1113
16. 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. used to harvest certified organic crops? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. In the 2011 crop year, did this operation use any land for annual crops (row crops, small grains,
vegetables, etc. other than hay) that was used in 2010 for hay, grazing/pasture, CRP/CREP/WRP
or any other non-crop uses? (Include land that was in this operation in 2011 but not in 2010. Exclude land that was
in this farm in 2010 but not in 2011.)
VALUE CODE
(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.) . . .
b. covered under a Federal crop insurance policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. In 2011, what was the total dollar amount received from CRP, CREP, and/or WRP payments?
(Verify that CRP, CREP, and/or WRP acres are reported in item 5c.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ENUMERATOR NOTE: Items 15 - 17 refer to Income and Expense items for 2010.]
15. Which value code represents the total farm sales in the previous year (2010)?
0039
c.
e. all other off-farm debt owed by the operator or household? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
2002
CONCLUSION
Project 904 – ARMS Phase III CRR - Version 1 – QID 044001
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
CODE
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: 1-800-727-9540
Fax: 202-690-2090
Email: [email protected]
2011
MILITARY TIME
2. ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Approval Expires 12/31/2012
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]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OMB No. 0535-0218
0005
__ __ __ __
OFFICE USE
TIME IN HOURS
0008
.__
CONTACT RECORD
DATE
TIME
NOTES
MILITARY TIME
0004
BEGINNING TIME [MILITARY]
INTRODUCTION:
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
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.
OFFICE USE
0093
OFFICE USE
0092
Response
1-Comp
2-R
3-Inac
9901
Respondent
1-Op/Mgr
2-Sp
9902
Mode
2-Tel
Enum
9903
0098
Eval
0100
Duplication
Adjustor
0922
Date
MM DD
YY
9910
Optional
0003
__ __ __ __ 12
3-Face-to -Face
3-Acct/Bkpr
Office Use for POID
4-Partner
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.
[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
POID __ __ __ __ __ __ __ __ __
POID __ __ __ __ __ __ __ __ __
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
PHONE NUMBER
0919
9-Other
__ __ __ - __ __ __ - __ __ __
CITY
S/E Name
STATE
TOTAL POINTS
0929
Reported by:_______________________________________________
__ __ __ __
Telephone (_____)_________________________________________
32
ZIP
PHONE NUMBER
CITY
STATE
ZIP
PHONE NUMBER
R. UNIT
0921
PARTNER
STRATUM
0925
0926
0927
0928
0009
0002
| File Type | application/pdf |
| Author | nassuser |
| File Modified | 2011-12-13 |
| File Created | 2011-09-09 |