QID 122899 Area Screening Version B

OMB No. 0535-0213 Approval Expires: 3/31/2014 Project: 124 QID: 122899 SMetaKey: 2899

2012 JUNE AGRICULTURAL SURVEY AREA SCREENING

VERSION B

NATIONAL AGRICULTURAL STATISTICS SERVICE

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]

State

Stratum

Segment

Part________

of

___________

___ ___

___ ___ ___ ___

000___ ___ ___ ___ ___ ___

County __________________________

	INTRODUCTION
[Introduce yourself and ask for the operator. Rephrase in your own words.]
I am working on the June Agricultural Survey. This is a national survey where agricultural producers are asked to provide information on crops and livestock.
Authority for collection of information on the June Agricultural Survey is Title 7 of the U.S. Code and CIPSEA (Public Law 107-347). Facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary. The information will be used to compile and publish agricultural estimates for individual states and for the United States.
The area of land shown on this photo (map) has been selected for this survey.
[Show respondent photo or map. Point out segment boundaries, houses and other identifying landmarks to help the respondent become familiar with the segment.]
1. On June 1, did you operate land inside these red lines?
Yes - [Continue with item 2.] No - [Determine who are the tract operators inside the segment. Thank respondent and conclude interview.]
2. What were the boundaries of land operated inside these red lines?
[Verify or draw tract boundaries in blue, then continue with item 3.]

3. Was any of this land (inside these blue lines) operated by someone else?

Yes - [Correct boundaries, then continue with page 2.]

No - [Continue with page 2.]

B

5		6	8	9	10	11
TRACT	L E T T E R	Line 1 – Full Name (First, Middle, Last) Line 2 – Mailing Address Line 3 – City, State, Zip Code Line 4 – Telephone Number	On the total acres operated on June 1, have there been or will there be any crops grown, hay cut, livestock, poultry or aquaculture raised this year?	On the total acres operated on June 1, have you sold or will you sell agricultural products or receive government payments this year?	On the total acres operated on June 1, are any crops now in storage or will there be any crops stored before June 1, 2013?	Has this operation owned or raised any hogs or pigs in the past 12 months, or does it expect to own or raise any this year?
		Name: _________________________________________________________ Address: ______________________________________________________ _______________________________________________________________ Phone: (_______) ________-_______________________________________	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No
		Name: _________________________________________________________ Address: ______________________________________________________ _______________________________________________________________ Phone: (_______) ________-_______________________________________	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No
		Name: _________________________________________________________ Address: ______________________________________________________ _______________________________________________________________ Phone: (_______) ________-_______________________________________	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No
		Name: _________________________________________________________ Address: ______________________________________________________ ________________________________________________________________ Phone: (_______) ________-_______________________________________	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No
		Name: _________________________________________________________ Address: ______________________________________________________ _______________________________________________________________ Phone: (_______) ________-_______________________________________	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No
		Name: _______________________________________________________ Address: _____________________________________________________ ______________________________________________________________ Phone: (_______) ________-______________________________________	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No
		B

13	14	15	16	17		18	20	20a
On June 1 were there any horses, ponies, or other equine, regardless of ownership, on the total acres operated?	Excluding home use, have there been or will there be any vegetables, melons, fruit, nuts or berries, grown on this operation this year?	Excluding home use, have there been or will there be any nursery, greenhouse, floriculture, sod, cut Christmas trees or other woody crops grown on this operation this year?	On June 1, did this operation have any idle cropland or more than 99 acres of pasture?	O F F I C E	U S E	NON AGRICULTURAL TRACTS				A - 01 B - 02 C - 03 D - 04 E - 05 F - 06 G - 07 H - 08 I - 09 J - 10 K - 11 L - 12 M - 13 N - 14 O - 15 P - 16 Q - 17 R - 18 S - 19 T - 20 U - 21 V - 22 W - 23 X - 24 Y - 25 Z - 26 AA - 27 BB - 28 CC - 29 DD - 30 EE - 31 FF - 32 GG - 33 HH - 34 II - 35 JJ - 36 KK - 37 LL - 38 MM - 39 NN - 40 OO - 41 PP - 42 QQ - 43 RR - 44 SS - 45 TT - 46 UU - 47 VV - 48 WW - 49 XX - 50 YY - 51 ZZ - 52 AAA - 53 Etc .
						How many acres are inside these blue lines? [Enter acres and land use, then continue]	Does this tract have potential for agriculture before June 1, 2013? [Enter code]		What best describes this non-agricultural tract? [Enter code]
Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	__ __ 00		846 •	818		783
						LAND USE	YES = 1 DK = 2 NO = 3
Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	__ __ 00		846 •	818		783
						LAND USE	YES = 1 DK = 2 NO = 3
Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	__ __ 00		846 •	818		783
						LAND USE	YES = 1 DK = 2 NO = 3
Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	__ __ 00		846 •	818		783
						LAND USE	YES = 1 DK = 2 NO = 3
Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	__ __ 00		846 •	818		783
						LAND USE	YES = 1 DK = 2 NO = 3
Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	Yes – Go to Questionnaire DK – Go to Questionnaire No	__ __ 00		846 •	818		783
						LAND USE	YES = 1 DK = 2 NO = 3
B

[Complete this check list when enumeration of segment is completed.]
1. Total tract letters listed in Column 5, page 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Number of tract letters listed on photo or map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[Item 1 must equal item 2.]
3. Number of Area Version questionnaires completed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Number of tracts with acreage listed in Column 18, page 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+
5. Total of items 3 + 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	=
[Item 5 must equal items 1 and 2.]

[comment on any enumerating problems caused by segment boundaries, split fields, aerial photo coverage, etc.]
		OFFICE USE
__________________________________________________________		Activity	Date	Initials
__________________________________________________________		Received
__________________________________________________________		Clerical Edit
__________________________________________________________		OL/NOL Check
__________________________________________________________		1st Manual Edit
__________________________________________________________		2nd Manual Edit
__________________________________________________________		Keyed
__________________________________________________________		Verified
__________________________________________________________		Interactive Edit
__________________________________________________________		Submitted for processing
__________________________________________________________		Mail Maintenance updates completed
__________________________________________________________
ENUMERATOR:_________________________________________		Reported Acres (RA)	OFFICE USE Digitized Acres (DA)	RA / DA
DATE:___________________________________________________
B