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pdfProject 143 QID 072041
OMB No. 0535-0218
Approval Expires 12/31/2011
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
2011 POSTHARVEST
CHEMICAL USE SURVEY - CORN
U.S Department of Agriculture
Rm. 5030, South Building
1400 Independence Avenue, S.W.
Washington, D.C. 20250-2000
Phone: 1-800-727-9540
Fax: 202-690-2090
POID
SUBTRACT
T-TYPE
TABLE
LINE
___ ___ ___ ___ ___ ___ ___ ___ ___
___ ___
0
000
00
VERSION
CONTACT RECORD
DATE
TIME
NOTES
INTRODUCTION:
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
We are collecting information on chemical use and need your help to make the information as accurate as possible. Authority for
collection of information on the Corn Postharvest Chemical Use Survey 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.
We encourage you to refer to your records during the interview.
004
BEGINNING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
__ __ __ __
Name __________________________________________
Address ________________________________________
_________________________________________
Phone (_____) _________________________________
[Name, address and partners verified and updated if necessary.]
1. Did this operation (as listed on the label) handle/receive any corn
from September 1, 2010 through August 31, 2011?
YES – [Go to page 3.]
NO – [Go to page 2.]
-2-
CHANGE IN OPERATION
●
[Complete this section only if item 1 on the front page is answered “No.”]
1. Has the operation named on the label been sold, rented, or turned over to someone else?
YES – [Go to item 2.]
No – [Continue.]
a. Will the operation handle or receive corn or other crops at any of its facilities in 2011?
YES
DON'T KNOW
NO
[Write a note to explain the situation, then go to Conclusion on back page.]
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
2. Please provide the name and address of the operation that has taken over the business you formerly operated.
Operation Name: ____________________________________________________________________________________________________
Operator Name: _____________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________________
City: ___________________________________________________
State: ____________________________
Zip: ________________
Phone: (______) _________________________________________
Make notes below and conclude interview.
NOTES AND CALCULATIONS:
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-3-
A
QUANTITY HANDLED
A
Now I would like to ask about the corn handled/received from September 1, 2010 through August 31, 2011.
Please use your records to help us get an accurate indication of corn receipts.
1. What was the total quantity of corn handled/received on this operation
from September 1, 2010 through August 31, 2011?
UNIT CODES
1 BUSHEL (56 lbs)
4 SHORT TON (2,000 lbs)
5 CWT. (100 lbs)
6 POUNDS (lbs)
7 METRIC TON (2,204.6 lbs)
9 OTHER
QUANTITY
If “9” enter
POUNDS/UNIT
UNIT
200
201
202
. ___
__ __ __ ,__ __ __ ,__ __ __ .__
2. Was ALL corn received September 1, 2010 through August 31, 2011 given a postharvest chemical application?
YES – [Go to page 4.]
NO – [Continue.]
a. Of the corn in item 1, how much DID NOT receive postharvest chemical
applications while in storage, on the ground, in barges, ships, railcars or on trucks?
QUANTITY
206
__ __ __ ,__ __ __ ,__ __ __ .__
ENUMERATOR NOTE:
[If postharvest chemicals were NOT applied, go to Section C, page 6.]
[If postharvest chemicals were applied, go to page 4.]
OR
PERCENT OF TOTAL
NOT TREATED
207
-4-
B
POSTHARVEST CHEMICAL TREATMENTS APPLIED
B
Now I have some questions about postharvest chemical use on corn handled, stored, or processed by your operation from
September 1, 2010 through August 31, 2011. I will be asking for chemical products used, quantity treated, total amount of
product applied, and timing and method of application. Please use your records to answer the questions as accurately as
possible and to insure we do not miss any products used. Include corn treated by this operation while in storage; on the
ground; in barges, ships, or rail cars; or on trucks.
OFFICE USE
EDIT TABLE
1 Incomp/R
3 Valid Zero
300
OFFICE USE
LINES IN TABLE
T-TYPE
TABLE
LINE
3
001
99
399
STORAGE CODES FOR COLUMN 2
1 In Bound
2 During Binning
L
I
N
E
CHEMICAL
PRODUCT NAME
01
02
03
04
05
06
07
08
09
10
3 While Stored
4 Out Bound
1
2
3
What products
were applied?
When was this
product applied?
What was the total
quantity of corn
treated with
this chemical
(in column 1)?
[Enter product code from
Respondent Booklet.]
[Enter code
from above.]
302
303
304
. ___
302
303
304
. ___
302
303
304
. ___
302
303
304
. ___
302
303
304
302
303
304
302
303
304
302
303
304
. ___
. ___
. ___
. ___
302
303
304
. ___
302
303
304
. ___
[For pesticides not listed in Respondent Booklet, specify---]
Line
No.
EPA No. or Trade Name
and Formulation
Form Purchased
(Liquid or Dry)
Where Purchased
[Ask only if EPA No. cannot be reported.]
-5-
B
POSTHARVEST CHEMICAL TREATMENTS APPLIED
UNIT CODES FOR COLUMN 4
1 BUSHEL (56 lbs)
UNIT CODES FOR COLUMN 7
1 POUNDS
B
APPLICATION CODES FOR COLUMN 8
30 GRAMS
2 SEED TREATMENT
4 SHORT TON (2,000 lbs)
12 GALLONS
40 KILOGRAMS
3 DIRECT SPRAY
5 CWT. (100 lbs)
13 QUARTS
41 LITERS
5 TOP DRESS
6 POUNDS (lbs)
14 PINTS
45 PELLETS
7 MIXING PELLETS/TABLETS
7 METRIC TON (2,204.6 lbs)
15 LIQUID OUNCES
46 TABLETS
9 OTHER
28 DRY OUNCES
50 OTHER (Specify __________ )
9 DIRECT POWDERING
10 RE-CIRCULATION
11 OTHER (Specify _______________ )
4
5
6
7
8
Unit Code
If column 4 unit
equals “9”
enter pounds
per unit.
What was the total amount
of formulated product
applied to the (column 3)
amount of CORN?
Unit Code
What was the method
used to apply this
product?
[Enter code
from above.]
[If unit is pounds,
enter 1.0.]
L
I
N
E
01
02
03
04
05
06
07
08
09
10
305
[Enter code
from above.]
306
307
. ___
305
306
307
306
307
306
307
306
307
306
307
306
307
306
307
306
307
306
308
309
308
309
308
309
308
309
308
309
308
309
. ___ ___
307
. ___
309
. ___ ___
. ___
305
308
. ___ ___
. ___
305
309
. ___ ___
. ___
305
308
. ___ ___
. ___
305
309
. ___ ___
. ___
305
308
. ___ ___
. ___
305
309
. ___ ___
. ___
305
308
. ___ ___
. ___
305
CODE
. ___ ___
Enumerator Notes:
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
-6-
C
PEST MANAGEMENT PRACTICES
C
T-TYPE
TABLE
LINE
0
000
00
Now I have some questions about pest management practices
you may have used at your facilities. Include all grains handled.
1. Did you use a ---
CODE
650
a. power probe? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
651
b. aeration controller? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
652
c.
phosphine pellet dispenser? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
653
d. temperature cable in bins? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
654
e. grain spreader in bins? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
655
f.
re-circulation fumigation device? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
656
g. deep bin sampler? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
657
h. protein analyzer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
2. During the spring/summer and fall/winter months,
how often is your grain inspected for insects in your--SPRING/SUMMER
CODE
FALL/WINTER
658
659
660
661
a. concrete silos? . . . . . . . . .
b. steel tanks or bins? . . . . .
c.
662
other structures?
(Include wood bins.) .
..........
663
......
1
2
3
4
5
6
7
8
DAILY
TWICE A WEEK
WEEKLY
EVERY 2 WEEKS
MONTHLY
OTHER (Specify ___________________ )
DO NOT MONITOR
DO NOT HAVE STRUCTURE
3. During the spring/summer and fall/winter months,
how often do you measure grain temperature in your--SPRING/SUMMER
CODE
FALL/WINTER
664
665
666
667
668
669
a. concrete silos? . . . . . . . . .
b. steel tanks or bins? . . . . .
c.
other structures?
(Include wood bins.) .
......
..........
1
2
3
4
5
6
7
8
DAILY
TWICE A WEEK
WEEKLY
EVERY 2 WEEKS
MONTHLY
OTHER (Specify ___________________ )
DO NOT MONITOR
DO NOT HAVE STRUCTURE
-7-
C
PEST MANAGEMENT PRACTICES
C
4. Which practices did you use at your storage facilities? Did you ---
CODE
670
a. sweep or vacuum empty bins? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
671
b. hose down empty bins? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
672
c.
fumigate empty bins? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
673
d. pick up spilled grain? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
674
e. control vegetation around bins? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
675
f.
clean aeration ducts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
676
g. core bins after filling? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES = 1
CODE
5. Did you use any other practices, besides those listed above, to clean your storage facilities?
YES – [Enter code 1 and continue.]
677
NO – [Go to item 6.]. . . . . . . . . . . . . . . . . . . . . . . . . . .
a. What did you do? [Record responses below.]
OFFICE USE
678
______________________________________________________________________
679
______________________________________________________________________
680
______________________________________________________________________
681
______________________________________________________________________
CODE
6.
Did you fumigate grain?
YES – [Enter code 1 and continue.]
682
NO – [Go to Conclusion.]. . . . . . . . . . . . . . . . . . . . . . .
a. What strategy(ies) did you use to decide when to fumigate grain?
(Enter up to two strategies.)
1 PRESET CALENDAR DATE
CODE
2 BIN SAMPLES
3 COMBINED WITH OTHER HANDLING OPERATIONS
4 INSECT TRAP COUNTS
683
..............................
684
5 VISUAL GRAIN INSPECTION
6 OTHER (Describe _______________________________ )
COMPLETION CODE for
PEST MANAGEMENT SECTION
1 Incompl/R
3 Valid Zero
600
-8-
CONCLUSION
SURVEY RESULTS
To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/.
CODE
099
Would you rather have a brief summary mailed to you at a later date? . . . . . . . . . . . . . . . . . . . . YES = 1
[Thank the respondent, then review this questionnaire.]
005
ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___ ___ ___ ___
OFFICE USE
TIME IN HOURS
006
. ___
RECORD USE
Did respondent use operation records to report chemical data?
CODE
064
YES – [Enter code 1 and continue.]
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . .
SUPPLEMENT USE
NUMBER
068
Record the total number of chemical treatment supplements used to complete this interview. . . . . . . .
Reported by: __________________________________________________
Response
1-Comp
Respondent
9901
1- Op/Mgr
2-R
2-Sp
3-Inac
3-Acct/Bkpr
4-Office Hold
8-Known Zero
9902
Mode
2-Tel
Telephone No.(_____) _________________________________
Enum ID
9903
098
Eval
100
Date
MM DD YY
9910
R Unit
921
Adj
Factor
922
Optional Optional
002
003
3-Face-to Face
4-Partner
9-Other
__ __ __ __11
S/E Name
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0535-0218. The time required
to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
File Type | application/pdf |
Author | Carol Pinto |
File Modified | 2011-09-12 |
File Created | 2011-09-12 |