QID 072050 Conservation Effects Assessment Project (CEAP ) - 2011

Project Code 912

QID: 072050

OMB No.0535-0245 Approval Expires 8/31/2014

Conservation Effects Assessment Project (CEAP) - 2011

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]

VERSION 1

CEAP ID __ __ __ __ __ __ __ __ __

TRACT 01

SUBTRACT 01

T-TYPE 0

TABLE 000

LINE 00

CONTACT RECORD

DATE

TIME

NOTES

INTRODUCTION [Introduce yourself, and ask for the operator. Rephrase in your own words.] The National Agricultural Statistics Service is collecting information on land management and conservation practices. The information collected will be used by the Natural Resources Conservation Service (NRCS) to assess the environmental benefits associated with the implementation and installation of conservation practices. We need your help to make the information as accurate as possible. As conservation practices that are in place should be reported-whether they were installed as part of a Federal or State Cost–Share program, an industry or non-profit program, or by you (the operator) with no outside support. We encourage you to refer to your farm records during the interview. Authority for collection on information on the Conservation Effects Assessment Project Report is under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347. Response to this survey is confidential. Response to this survey is voluntary.  You may skip any question(s) you prefer not to answer.

0001 1

H H M M

BEGINNING TIME

0004

[MILITARY]

___ ___ ___ ___

SCREENING

Determine the Area of Interest
To focus the respondent on the area of interest, the location must be identified as follows.
1. Selected field
For purposes of this survey, the actual field where the sample point is located must be identified. This location is referred to as the selected field. The survey collects information about conservation practices, cropping history and management practices being undertaken in the selected field.
2. Conservation practices associated with the field.
Sometimes conservation practices are not actually located in the selected field but are adjacent to or adjoining the field (such as a wind break or filter strip). These practices should be captured during the survey also. For CEAP purposes, this area is referred to as the conservation area.
During this interview, the questions will be about the SELECTED FIELD and/or the associated CONSERVATION AREA.
SCREENING – NO SIGNAL AVAILABLE
ENUMERATOR NOTE: [Show the aerial photography to respondent and locate the sample point. Identify the field associated with the point.]
1. Did you make any of the day-to-day farming/ranching decisions for the field containing this point in 2011?
YES – [If Yes continue.] NO – [If No, conclude the interview and ask for the respondent’s assistance in locating the correct operator.]
ENUMERATOR NOTE: [With the respondent, draw off the entire area that can be identified as the selected field and associated conservation area.]
2. During 2011, was the entire field enrolled in the General or Continuous Conservation Reserve Program (CRP), the Conservation Reserve Enhancement Program (CREP), or any other type of continuous cover conservation program offered by State, local or non-profit organizations?
	CODE
YES – [Enter 1.] NO – [Enter 3.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. In 2011, was any part of this field:
planted to a crop (excluding hay, fruits, nuts, citrus, greenhouse, and nursery crops); or idle cropland; or summer fallow	CODE
YES – [Enter 1, then go to item 5.] NO – [Enter 3, then go to item 4.]. . . . . . . . . . . . . . . .
4. Since 2009, was any part of this field planted to a crop in a rotation with pasture or hay? [Exclude fruits, nuts, citrus, greenhouse, nursery crops.]	CODE
YES – [Enter 1.] NO – [Enter 3.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Was the wireless internet signal present at the time of the screening interview?	CODE
YES – [Enter 1.] NO – [Enter 3.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ENUMERATOR ACTION: If question 3 or 4, above = 1 (Yes), continue, and complete the interview. If questions 3 and 4, above = 3 (No), conclude the interview.

A

FIELD CHARACTERISTICS---SELECTED FIELD

A

1. In 2011, how many acres in the selected field and conservation area containing the sample point were --

ACRES

a. planted or cropped (including hay acres in rotation with crops in 2009 or 2010) (selected field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

0017

.___

b. in field borders, grassed waterways, buffers, and other uses associated with conservation practices but not cropped?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

0018

.___

c. idle cropland, summer fallow or pasture in rotation with crops in 2009 or 2010 (selected field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

0019

.___

d. fruits, nuts, citrus, greenhouse, and nursery crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

0020

.___

e. permanent pasture or hayland?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

0021

.___

f. non-ag (such as dwellings, buildings, structures, roads, and woodland and wasteland not in a conservation practice)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

0022

.___

ACRES

2. So the TOTAL acres in the selected field and conservation area (1a + 1b + 1c + 1d + 1e + 1f) are:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

=

0023

.___

[ENUMERATOR NOTE: [If any acres are reported in 1a (cropped) or 1c (idle cropland, summer fallow, or rotational pasture) continue, else, go to Conclusion.]

3. During 2011, was any portion of the selected field and/or conservation area of interest enrolled in the continuous Conservation Reserve Program (CRP), the Farmable Wetland Program (FWP), or in the Conservation Reserve Enhancement Program (CREP)?

CODE

YES - [Enter 1.]

0732

NO - [Enter 3.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2011

2010

2009

4. Was this field considered organic acreage?. . . . . . . . . . . . . . . . . . . . . . .

YES = 1

3382

3381

3380

Owned by this operation? Rented for fixed CASH payment? Rented for a flexible CASH payment? Rented for a SHARE of the crop? Rented for some combination of CASH and a SHARE of the crop? Used RENT-FREE? Not operated?

2011

2010

2009

5. Were the majority of the acres in this field (reported in 1a or 1c)--. . . . . . . . . .

. . . . . . .

0504

0503

0502

6. Are the day-to-day decisions for this operation made by one individual, partners, or a hired manager?

One individual

[Enter 1.]

CODE

Partners

[Enter number of partners (2-5), involved in the day-to-day decisions, including the operator].

0921

A hired manager

[Enter 8.]

B

CONSERVATION PLAN---SELECTED FIELD/CONSERVATION AREA

B

1. Do you have a written Conservation Plan(s) for the selected field and/or conservation area? [A “written plan” is a plan prepared in accordance with Federal, State, or Conservation District standards.]
This includes a: Conservation Plan, Conservation Compliance (HEL) Plan, or Conservation Plan written as a result of participating in a conservation program, such as: Conservation Reserve Program (CRP) Environmental Quality Incentive Program (EQIP) Plan Wetland Reserve Program (WRP) Plan Wildlife Habitat Incentive Program (WHIP) Plan Grazing Land Reserve Program (GRP) Plan Nutrient Management Plan or Comprehensive Nutrient Management Plan Other written plan
YES – [Enter 1 and continue with Item a.]				CODE
DON’T KNOW – [Enter 2 then go to Item 2.]				0701
NO – [Enter 3 then go to Item 2.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[Encourage the respondent to get their Conservation Plan to answer the following questions.]
a. Does the written plan include any of the following? (Mark all that apply.)				CODE
(i) Practices to reduce soil erosion?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1		0702
(ii) Nutrient management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1		0703
(iii) Pest management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1		0704
(iv) Irrigation water management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1		0705
(v) Wildlife habitat enhancement practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1		0706
(vi) Manure management and handling practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1		0771
2. Did you receive cost share or incentive payments in 2011, 2010, or 2009 for any conservation practices implemented on this field and/or conservation area? [Be sure to include payments for establishing grassed waterways and filter strips or riparian buffers on or adjoining the field.]
				CODE
YES – [Enter 1 and continue.]				0707
NO – [Enter 3 then go to Item 3.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. If YES, for what program? (Mark all that apply.)				CODE
(i) Conservation Security Program (CSP). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES=1	0772
(ii) CRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES=1	0708
(iii) WRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES=1	0709
(iv) EQIP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES=1	0710
(v) State Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES=1	0711
(vi) Other (specify) __________________________	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES=1	0712
(vii) Don’t Know. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES=1	0713

3. Did you receive any help for the development of:
a Conservation Plan for this field/conservation area? [Ask only if there is a written conservation plan for this field,Item 1 = 1 (Yes).] Yes – [Check box then go to item a.] No – [Check box and continue.] conservation practices currently in place on this field/conservation area? Yes – [Check box and continue.] No – [Check box then go to Section C.]
a. If Yes, please identify who provided the assistance for the development of the Conservation Plan and/or conservation practice(s) on this field/conservation area. Include assistance for planning, installing, maintaining, or using conservation practices or systems on this field. Include grassed waterways and filter strips or riparian buffers on or adjoining this field. Include assistance from any source whether paid for or free.
Source	[Mark all that apply.] YES=1	Were you charged for the service? YES=1		Which of these was your PRIMARY source of assistance? [Select ONLY 1] YES=1
NRCS (formerly SCS). . . . . . . . . . . . . . . . . . . . . .	0714	0720		0726
Conservation District. . . . . . . . . . . . . . . . . . . . . . .	0715	0721		0727
Technical Service Providers (Private Sector). . . . . .	0716	0722		0728
University Extension. . . . . . . . . . . . . . . . . . . . . . .	0717	0723		0729
State Agencies. . . . . . . . . . . . . . . . . . . . . . . . . . .	0718	0724		0730
Other (specify:_______________________). . . . . .	0719	0725		0731
			Completion Code for Conservation Plan
			1 = Incomplete/Refusal		0700

C

CROPPING HISTORY & CONSERVATION PRACTICES---SELECTED FIELD

C

1. Now I’d like to ask you about the field where the point is located and obtain the cropping and land use history for the past 3 years. (Please include all crops planted for cover crop, double crop, multiple crop, replanting of same crop and if strip cropped, all crops in the strip crop scheme. [Use a separate column for each use of the field in each year.])
			1			2		3
Let’s begin with the 2011 crop year. What was/were the:			2011			2011		2011
Crop(s) planted or Land Use ________________?		Crop
1. Crop(s) code or Land Use Code. [See Respondent Booklet for codes.]		Code	1005			1037		1069
2. Intended use of Crop(s)? [See Respondent Booklet for codes.]		Code	1006			1038		1070
3. Acres planted? [Include previous planted crops.]		Acres	1007 .____	.___		1039 .____	.___	1071 .____	.___
4. Date planted? (mmddyy)		Date	1008 _ _ _ _ _ _			1040 _ _ _ _ _ _		1072 _ _ _ _ _ _
5. Row Width (for row crops)?		Inches	1011 .____	.___		1043 .____	.___	1075 .____	.___
6. Expected yield/acre at planting (yield goal)?		Number	1012 .____	.___		1044 .____	.___	1076 .____	.___
a. Unit: [See Respondent Booklet for codes.]		Code	1013			1045		1077
7. Type of tillage used? (Select from list)	1 = no till, strip till (direct seed) 2 = ridge till 3 = mulch till 4 = conventional till	Code	1014			1046		1078
8. Acres harvested?		Acres	1015 .____	.___		1047 .____	.___	1079 .____	.___
a. Date harvested? (mmddyy)		Date	1016 _ _ _ _ _ _			1048 _ _ _ _ _ _		1080 _ _ _ _ _ _
9. Actual yield at harvest/acre?		Number	1017 .____	.___		1049 .____	.___	1081 .____	.___
a. Unit: [See Respondent Booklet for codes.]		Code	1018			1050		1082
10. Acres abandoned?		Acres	1019 .____	.___		1051 .____	.___	1083 .____	.___
11. Was this crop irrigated?		YES=1 NO=3	1029			1061		1093
12. Was straw or stubble harvested? If YES enter 1 and continue. If NO, enter 3 then go to question 13.		YES=1 NO=3	1020			1052		1084
a. How many acres were harvested for straw or stubble?		Acres	1021 .____	.___		1053 .____	.___	1085 .____	.___
b. What was the remaining stubble height after harvest?		Inches	1022 .____			1054 .____		1086 .____
13. Was the field grazed? If YES enter 1 and continue. If NO, enter 3 then go to page 7.		YES=1 NO=3	1023			1055		1087
14. What type of livestock grazed the field (primarily)? [See Respondent Booklet for codes.]		Code	1024			1056		1088
15. Regardless of ownership, how many head of _________ grazed this field BEFORE harvest?		#/Head	1025			1057		1089
a. How many total days was the field grazed BEFORE harvest?		#/Days	1026			1058		1090
b. Was supplemental feed supplied to livestock?		YES = 1 NO=3	1411			1413		1422
16. Regardless of ownership, how many head of _________ grazed this field AFTER harvest?		#/Head	1027			1059		1091
a. How many total days was the field grazed AFTER harvest?		#/Days	1028			1060		1092
b. Was supplemental feed supplied to livestock?		YES = 1 NO=3	1412			1421		1423
					2011 EDIT CROPPING TABLE			1004

Let’s continue with the 2010 crop year.			2010			2010			2010
Did you make day-to-day farming/ranching decisions for this field in 2010? If Yes, continue, if No, go to page 8.		YES=1 NO=3	0010
What was/were the:
Crop(s) planted or Land Use _______________?		Crop
1. Crop(s) code or Land Use Code. [See Respondent Booklet for codes.]		Code	1101			1133			1165
2. Intended use of Crop(s)? [See Respondent Booklet for codes.]		Code	1102			1134			1166
3. Acres planted? [Include previous planted crops.]		Acres	1103	.___		1135	.___		1167	.___
4. Date planted? (mmddyy)		Date	1104 _ _ _ _ _ _			1136 _ _ _ _ _ _			1168 _ _ _ _ _ _
5. Row Width (for row crops)?		Inches	1107	.___		1139	.___		1171	.___
6. Expected yield/acre at planting (yield goal)?		Number	1108	.___		1140	.___		1172	.___
a. Unit: [See Respondent Booklet for codes.]		Code	1109			1141			1173
7. Type of tillage used? (Select from list)	1 = no till, strip till (direct seed) 2 = ridge till 3 = mulch till 4 = conventional till	Code	1110			1142			1174
8. Acres harvested?		Acres	1111	.___		1143	.___		1175	.___
a. Date harvested? (mmddyy)		Date	1112 _ _ _ _ _ _			1144 _ _ _ _ _ _			1176 _ _ _ _ _ _
9. Actual yield at harvest/acre?		Number	1113	.___		1145	.___		1177	.___
a. Unit: [See Respondent Booklet for codes.]		Code	1114			1146			1178
10. Acres abandoned?		Acres	1115	.___		1147	.___		1179	.___
11. Was this crop irrigated?		YES=1 NO=3	1125			1157			1189
12. Was straw or stubble harvested? If YES enter 1 and continue. If NO, enter 3 and go to question 13.		YES=1 NO=3	1116			1148			1180
a. How many acres were harvested for straw or stubble?		Acres	1117	.___		1149	.___		1181	.___
b. What was the remaining stubble height after harvest?		Inches	1118			1150			1182
13. Was the field grazed? If YES enter 1 and continue. If NO, enter 3 then go to page 8.		YES=1 NO=3	1119			1151			1183
14. What type of livestock grazed the field (primarily)? [See Respondent Booklet for codes.]		Code	1120			1152			1184
15. Regardless of ownership, how many head of _________ grazed this field BEFORE harvest?		#/Head	1121			1153			1185
a. How many total days was the field grazed BEFORE harvest?		#/Days	1122			1154			1186
b. Was supplemental feed supplied to livestock?		YES=1 NO=3	1431			1433			1442
16. Regardless of ownership, how many head of _________ grazed this field AFTER harvest?		#/Head	1123			1155			1187
a. How many total days was the field grazed AFTER harvest?		#/Days	1124			1156			1188
b. Was supplemental feed supplied to livestock?		YES=1 NO=3	1432			1441			1443
					2010 EDIT CROPPING TABLE			1003

Let’s finish up with the 2009 crop year:			2009			2009			2009
Did you make day-to-day farming/ranching decisions for this field in 2009? If Yes, continue, if No, go to page 9.		YES=1 NO=3	0011
What was/were the:
Crop(s) planted or Land Use ________________?		Crop
1. Crop(s) code or Land Use Code. [See Respondent Booklet for codes.]		Code	1197			1229			1261
2. Intended use of Crop(s)? [See Respondent Booklet for codes.]		Code	1198			1230			1262
3. Acres planted? [Include previous planted crops.]		Acres	1199	.___		1231	.___		1263	.___
4. Date planted? (mmddyy)		Date	1200 _ _ _ _ _ _			1232 _ _ _ _ _ _			1264 _ _ _ _ _ _
5. Row Width (for row crops)?		Inches	1203	.___		1235	.___		1267	.___
6. Expected yield/acre at planting (yield goal)?		Number	1204	.___		1236	.___		1268	.___
a. Unit: [See Respondent Booklet for codes.]		Code	1205			1237			1269
7. Type of tillage used? (Select from list)	1 = no till, strip till (direct seed) 2 = ridge till 3 = mulch till 4 = conventional till	Code	1206			1238			1270
8. Acres harvested?		Acres	1207	.___		1239	.___		1271	.___
a. Date harvested? (mmddyy)		Date	1208 _ _ _ _ _ _			1240 _ _ _ _ _ _			1272 _ _ _ _ _ _
9. Actual yield at harvest/acre?		Number	1209	.___		1241	.___		1273	.___
a. Unit: [See Respondent Booklet for codes.]		Code	1210			1242			1274
10. Acres abandoned?		Acres	1211	.___		1243	.___		1275	.___
11. Was this crop irrigated?		YES=1 NO=3	1221			1253			1285
12. Was straw or stubble harvested? If YES enter 1 and continue. If NO, enter 3 then go to question 13.		YES=1 NO=3	1212			1244			1276
a. How many acres were harvested for straw or stubble?		Acres	1213	.___		1245	.___		1277	.___
b. What was the remaining stubble height after harvest?		Inches	1214			1246			1278
13. Was the field grazed? If YES enter 1 and continue. If NO, enter 3 then go to page 9.		YES=1 NO=3	1215			1247			1279
14. What type of livestock grazed the field (primarily)? [See Respondent Booklet for codes.]		Code	1216			1248			1280
15. Regardless of ownership, how many head of _________ grazed this field BEFORE harvest?		#/Head	1217			1249			1281
a. How many total days was the field grazed BEFORE harvest?		#/Days	1218			1250			1282
b. Was supplemental feed supplied to livestock?		YES=1 NO=3	1451			1453			1462
16. Regardless of ownership, how many head of _________ grazed this field AFTER harvest?		#/Head	1219			1251			1283
a. How many total days was the field grazed AFTER harvest?		#/Days	1220			1252			1284
b. Was supplemental feed supplied to livestock?		YES=1 NO=3	1452			1461			1463
					2009 EDIT CROPPING TABLE			1002

2. Do you have a crop rotation plan for this field?
YES – [Enter 1 and continue.]								CODE
NO – [Enter 3 then go to Item 3.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .								1343
a. Let’s record your crop rotation plan. [Use the crop codes from the Respondent Booklet. Use multiple codes to capture strip cropping, double cropping, and cover crops in a planned rotation.]
Enter the crop name and crop code for the crops in rotation [only use as many years as are in the rotation scheme].		CROPS		CROP CODE			CROP CODE			CROP CODE
1st year of rotation				1344			1351			1358
2nd year of rotation				1345			1352			1359
3rd year of rotation				1346			1353			1360
4th year of rotation				1347			1354			1361
5th year of rotation				1348			1355			1362
6th year of rotation				1349			1356			1363
3. Was a cover crop planted on this field for the 2011, 2010 or 2009 crop years?								CODE
YES – [Enter 1 and continue.]								1471
NO – [Enter 3 then go to Item 4.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Let’s record your cover crop history:
			2011		2010				2009
When was the cover crop planted?	MMDDYY		1472 __ __ __ __ __ __		1483 __ __ __ __ __ __				1571 __ __ __ __ __ __
What type of cover crop was planted? (Enter code)	1 Wheat 2 Rye 3 Other small grain/winter annual 4 Legume (clover, cowpeas, etc.) 5 Other		1473		1491				1572
When was the cover crop terminated?	MMDDYY		1481 __ __ __ __ __ __		1492 __ __ __ __ __ __				1573 __ __ __ __ __ __
How was the cover crop terminated? (Enter code)	1 Herbicide 2 Mowed 3 Hayed 4 Plowed or disked in 5 Roller/Crimper 6 Harvested for grain 7 Burned		1482		1493				1581
								CODE
4. Is the field adjacent to a water body, including a stream, intermittent stream, wetland, or drainage ditch?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1		1327
5. Does this field have subsurface (tile) drainage?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1		1341
6. Does this field have surface drainage structures?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1		1342

7. In 2011, did the selected field and/or conservation area have any of the following conservation practices? [May or may not be included in the conservation plan.]
ENUMERATOR ACTION: If the respondent reports “Yes” to any practice, complete the additional questions about that practice. Otherwise, skip to the next practice.
a. Terraces?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1328
(i) Were these terraces:. . . . . . . . . . . . .		1 = primarily grassed 2 = primarily cropped		. . . . . . . . . . . . . . . . . . . . . .	CODE	1329
b. Stream side forest buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1333
(i) Width of buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					FT	3320
(ii) Species:. . . . . . . . . . . . . . . . . .	1 = evergreen 2 = deciduous 3 = mixed		. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		CODE	3321
c. Stream side herbaceous buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1334
(i) Width of buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					FT	3322
(ii) Is the buffer maintained, for example, by fertilizing, mowing, or repairing any gullies?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3323
(iii) Is the buffer designed to capture---
(1) sediment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3330
(2) nutrients?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3331
(3) pesticide residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3332
d. Field borders?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1337
(i) Width of field border?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					FT	3333
(ii) Is the field border maintained, for example, by fertilizing, mowing, or repairing any gullies?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3334
(iii) Is the field border designed to capture---
(1) sediment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3341
(2) nutrients?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3342
(3) pesticide residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3343
e. Filter strips?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1338
(i) Width of filter strip?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					FT	3344
(ii) Is the filter strip maintained, for example, by fertilizing, mowing, or repairing any gullies?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3350
(iii) Is the filter strip designed to capture---
(1) sediment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3352
(2) nutrients?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3353
(3) pesticide residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	3354

					CODE
f. Grassed waterways?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1330
g. Vegetative barriers (in-field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1331
h. Hedgerow plantings?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1332
i. Windbreak?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1335
j. Herbaceous wind barrier?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	3360
k. Contour buffers (in-field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1336
l. Critical area planting?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1339
m. Grade stabilization structure?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	1340
n. Drainage water management?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	3361
o. Contour farming?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	3362
p. Strip cropping?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				YES = 1	3363
q. Other? (Specify _______________________)			. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1	2450
8. Have you modified or added any conservation practices for the selected field SPECIFICALLY to improve the quality of fish or wildlife habitat?					CODE
Yes= 1	No = 3	Not Applicable = 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			3364
9. Do you manage the vegetative cover for wildlife purposes?					CODE
Yes = 1	No = 3	Not Applicable = 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			3370

D

COMMERCIAL FERTILIZER APPLICATIONS---SELECTED FIELD

D

1. Were commercial FERTILIZERS applied to this field for:
							CODE			Edit Table
a. the 2011 crop? [If Yes, enter 1 and continue. If No, enter 3 then go to c.]. . .						YES = 1 NO = 3	0221			0234
b. Did you use any product to slow the breakdown of nitrogen on this field in 2011? (For example a nitrification inhibitor, an urease inhibitor, or slow release polymer.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1 NO = 3	0222
							CODE			Edit Table
c. the 2010 crop? [If Yes, enter 1 and continue. If No, enter 3 then go to e.]. . .						YES = 1 NO = 3	0235			0233
d. Did you use any product to slow the breakdown of nitrogen on this field in 2010? (For example a nitrification inhibitor, an urease inhibitor, or slow release polymer.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1 NO = 3	0236
							CODE			Edit Table
e. the 2009 crop? [If Yes, enter 1 and continue. If No, enter 3 then go to question 2.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1 NO = 3	0237			0232
f. Did you use any product to slow the breakdown of nitrogen on this field in 2009? (For example a nitrification inhibitor, an urease inhibitor, or slow release polymer.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1 NO = 3	0238
2. Is your soil phosphorus level elevated to a point where no additional phosphorus nutrients can be applied to this field for the 2011 crop year?. . . . . . . . . . . . . . . . . . . . . . . . .									YES =1	0247
3. Were phosphorus nutrients applied to this field as either fertilizer or manure prior to 2009 to supply phosphorus for subsequent years of the crop rotation?										CODE
YES – [Enter 1 and continue.] NO – [Enter 3 then go to item 4.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .										0248
										MMDDYY
a. When were the phosphorus nutrients applied?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .										0249 __ __ __ __ __ __
	Units for fertilizer	Units for manure		AMOUNT				AND		UNIT CODE
b. What rate was applied?. . . . . .	18 lbs/acre P2O5	Pounds Tons 12 Gallons 14 Acre-Inch manure/acre	. . . . . .	0250						0251

4. Was a soil test performed on this field within the last 5 years to determine crop nutrient application needs?
																	CODE
YES – [Enter 1 and continue.] NO – [Enter 3 then go to item 5.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .																	0252
																	CODE
a. How often is the soil test performed?. . . . . . . . . . . .					annual every 2-3 years once during the rotation							. . . . . . . . . . . . .					0253
b. Please provide the following information for the last soil test performed on this field. If nitrogen and phosphorus were tested separately, provide the information for BOTH tests.
1 Year of Test	2	3	4 Soil Test Nitrogen			5 Soil Test Phosphorus							6 Soil Test Potassium							7
YYYY	Crop Name	Crop Code	Test Value	Unit lbs/acre ppm			Test Value	Unit lbs/acre ppm mg/kg					Test Value			Unit lbs/acre ppm			Soil pH
0254 __ __ __ __		0255	0256	0257			0258	0259					0260			0261			0262		.___
0263 __ __ __ __		0264	0265	0266			0267	0268					0269			0270			0271		.___
5. Were any of the following types of soil or tissue tests performed to determine nutrient needs on this field?																	CODE
a. Pre-plant or pre-sidedress nitrate-nitrogen test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .														YES = 1			0272
b. Deep soil profile nitrate-nitrogen test (greater than one foot deep). . . . . . . . . . . . . . . . . . . .														YES = 1			0273
c. Leaf petiole or leaf tissue tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .														YES = 1			0274
d. Post-harvest stalk test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .														YES = 1			0275
e. Chlorophyll analysis (for example, leaf color charts, chlorophyll meters, optical sensors, or remote aerial sensing). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .														YES = 1			0276
6. During crop years 2011, 2010, or 2009---											2011				2010			2009
Was a GPS (Global Positioning System) device used to georeference and/or produce a map of the soil properties of this field (such as soil nitrate levels, pH, etc.)?. . . . . . . . . . . . . . . . . . . . .										YES = 1	1299				1310			1321
[If Yes to any crop year, continue. If No to all crop years go to item 7a.]											2011				2010			2009
a. Was the map based on random sampling?. . . . . . . . . . . . . . . . . . . . . . . .										YES = 1	0277				0279			0281
b. Was the map based on grid sampling?. . . . . . . . . . . . . . . . . . . . . . . . . . .										YES = 1	0278				0280			0282
c. Was the map based on a machine that measured electrical conductivity of the soil?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .										YES = 1	1301				1312			1323

ENUMERATOR NOTE: Was fertilizer applied in 2011? [If Yes continue. If No go to Item 7b.]
7a. Now I need to record information for each fertilizer application for the 2011 crop. [Probe for applications made in the fall of 2010 (and those made earlier if this field was fallow) for the 2011 crop year.]
CHECKLIST
INCLUDE				EXCLUDE
Custom applied fertilizers				Micronutrients							T-TYPE 2		TABLE 100
Sulfur				Commercially prepared manure
				Unprocessed manure				Line 99			Office use Lines in table		0220
				Lime and gypsum
	1	2	3		4					5		6
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code [Enter crop code from Respondent Booklet.]		MATERIALS USED Enter actual pounds of plant nutrients applied per acre. If only fertilizer analysis is known, enter percent analysis in this column and quantity of plant nutrients applied per acre in column 5. [Show Common Fertilizers in Respondent Booklet.]					What quantity was applied per acre? [Leave this column blank if actual nutrients were reported in column 4.]		[Enter material code.]
												1 3 12		Pounds Tons Gallons
					Nitrogen N	Phosphorus P2O5	Potassium K2O		Sulfur S
01	11		0204		0205	0206	0207		0239	0208		0209
02	11		0204		0205	0206	0207		0239	0208		0209
03	11		0204		0205	0206	0207		0239	0208		0209
04	11		0204		0205	0206	0207		0239	0208		0209
05	11		0204		0205	0206	0207		0239	0208		0209
06	11		0204		0205	0206	0207		0239	0208		0209
07	11		0204		0205	0206	0207		0239	0208		0209
08	11		0204		0205	0206	0207		0239	0208		0209
09	11		0204		0205	0206	0207		0239	0208		0209
10	11		0204		0205	0206	0207		0239	0208		0209
11	11		0204		0205	0206	0207		0239	0208		0209
12	11		0204		0205	0206	0207		0239	0208		0209
13	11		0204		0205	0206	0207		0239	0208		0209
14	11		0204		0205	0206	0207		0239	0208		0209

		APPLICATION CODES FOR COLUMN 8
		1 Broadcast, ground without incorporation 2 Broadcast, ground with incorporation 3 Broadcast, by air 4 In seed furrow 5 In irrigation water (fertigation) 6 Chiseled/injected or knifed in 7 Banded/side-dressed on the soil surface 8 Foliar or directed spray
	7		8		9	10		NOTES
LINE	When was this applied?		How was this applied? [Enter code from box above.]		How many acres were treated in this application?	Was variable rate technology (VRT) used? [Include “on-the-go” sensing.]
	MMDDYY				ACRES	YES=1
01	0210 __ __ __ __ __ __			0211	0212 .___	0215
02	0210 __ __ __ __ __ __			0211	0212 .___	0215
03	0210 __ __ __ __ __ __			0211	0212 .___	0215
04	0210 __ __ __ __ __ __			0211	0212 .___	0215
05	0210 __ __ __ __ __ __			0211	0212 .___	0215
06	0210 __ __ __ __ __ __			0211	0212 .___	0215
07	0210 __ __ __ __ __ __			0211	0212 .___	0215
08	0210 __ __ __ __ __ __			0211	0212 .___	0215
09	0210 __ __ __ __ __ __			0211	0212 .___	0215
10	0210 __ __ __ __ __ __			0211	0212 .___	0215
11	0210 __ __ __ __ __ __			0211	0212 .___	0215
12	0210 __ __ __ __ __ __			0211	0212 .___	0215
13	0210 __ __ __ __ __ __			0211	0212 .___	0215
14	0210 __ __ __ __ __ __			0211	0212 .___	0215

ENUMERATOR NOTE: Was fertilizer applied in 2010? [If Yes continue. If No go to Item 7c.]
7b. Now I need to record information for each fertilizer application for the 2010 crop. [Probe for applications made in the fall of 2009 (and those made earlier if this field was fallow) for the 2010 crop year.]
CHECKLIST
INCLUDE				EXCLUDE
Custom applied fertilizers				Micronutrients							T-TYPE 2		TABLE 200
Sulfur				Commercially prepared manure
				Unprocessed manure				Line 99			Office use Lines in table		0220
				Lime and gypsum
	1	2	3		4					5		6
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code [Enter crop code from Respondent Booklet.]		MATERIALS USED Enter actual pounds of plant nutrients applied per acre. If only fertilizer analysis is known, enter percent analysis in this column and quantity of plant nutrients applied per acre in column 5. [Show Common Fertilizers in Respondent Booklet.]					What quantity was applied per acre? [Leave this column blank if actual nutrients were reported in column 4.]		[Enter material code.]
												1 3 12		Pounds Tons Gallons
					Nitrogen N	Phosphorus P2O5	Potassium K2O		Sulfur S
01	10		0204		0205	0206	0207		0239	0208		0209
02	10		0204		0205	0206	0207		0239	0208		0209
03	10		0204		0205	0206	0207		0239	0208		0209
04	10		0204		0205	0206	0207		0239	0208		0209
05	10		0204		0205	0206	0207		0239	0208		0209
06	10		0204		0205	0206	0207		0239	0208		0209
07	10		0204		0205	0206	0207		0239	0208		0209
08	10		0204		0205	0206	0207		0239	0208		0209
09	10		0204		0205	0206	0207		0239	0208		0209
10	10		0204		0205	0206	0207		0239	0208		0209
11	10		0204		0205	0206	0207		0239	0208		0209
12	10		0204		0205	0206	0207		0239	0208		0209
13	10		0204		0205	0206	0207		0239	0208		0209
14	10		0204		0205	0206	0207		0239	0208		0209

		APPLICATION CODES FOR COLUMN 8
		1 Broadcast, ground without incorporation 2 Broadcast, ground with incorporation 3 Broadcast, by air 4 In seed furrow 5 In irrigation water (fertigation) 6 Chiseled/injected or knifed in 7 Banded/side-dressed on the soil surface 8 Foliar or directed spray
	7		8	9	10		NOTES
LINE	When was this applied?		How was this applied? [Enter code from box above.]	How many acres were treated in this application?	Was variable rate technology (VRT) used? [Include “on-the-go” sensing.]
	MMDDYY			ACRES	YES=1
01	0210 __ __ __ __ __ __		0211	0212 .___	0215
02	0210 __ __ __ __ __ __		0211	0212 .___	0215
03	0210 __ __ __ __ __ __		0211	0212 .___	0215
04	0210 __ __ __ __ __ __		0211	0212 .___	0215
05	0210 __ __ __ __ __ __		0211	0212 .___	0215
06	0210 __ __ __ __ __ __		0211	0212 .___	0215
07	0210 __ __ __ __ __ __		0211	0212 .___	0215
08	0210 __ __ __ __ __ __		0211	0212 .___	0215
09	0210 __ __ __ __ __ __		0211	0212 .___	0215
10	0210 __ __ __ __ __ __		0211	0212 .___	0215
11	0210 __ __ __ __ __ __		0211	0212 .___	0215
12	0210 __ __ __ __ __ __		0211	0212 .___	0215
13	0210 __ __ __ __ __ __		0211	0212 .___	0215
14	0210 __ __ __ __ __ __		0211	0212 .___	0215

ENUMERATOR NOTE: Was fertilizer applied in 2009? [If Yes continue. If No go to Section E.]
7c. Now I need to record information for each fertilizer application for the 2009 crop. [Probe for applications made in the fall of 2008 (and those made earlier if this field was fallow) for the 2009 crop year.]
CHECKLIST
INCLUDE	EXCLUDE
Custom applied fertilizers	Micronutrients		T-TYPE 2	TABLE 300
Sulfur	Commercially prepared manure
	Unprocessed manure	Line 99	Office use Lines in table	0220
	Lime and gypsum

	1	2	3	4				5	6
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code [Enter crop code from Respondent Booklet.]	MATERIALS USED Enter actual pounds of plant nutrients applied per acre. If only fertilizer analysis is known, enter percent analysis in this column and quantity of plant nutrients applied per acre in column 5. [Show Common Fertilizers in Respondent Booklet.]				What quantity was applied per acre? [Leave this column blank if actual nutrients were reported in column 4.]	[Enter material code.]
									1 3 12	Pounds Tons Gallons
				Nitrogen N	Phosphorus P2O5	Potassium K2O	Sulfur S
01	09		0204	0205	0206	0207	0239	0208	0209
02	09		0204	0205	0206	0207	0239	0208	0209
03	09		0204	0205	0206	0207	0239	0208	0209
04	09		0204	0205	0206	0207	0239	0208	0209
05	09		0204	0205	0206	0207	0239	0208	0209
06	09		0204	0205	0206	0207	0239	0208	0209
07	09		0204	0205	0206	0207	0239	0208	0209
08	09		0204	0205	0206	0207	0239	0208	0209
09	09		0204	0205	0206	0207	0239	0208	0209
10	09		0204	0205	0206	0207	0239	0208	0209
11	09		0204	0205	0206	0207	0239	0208	0209
12	09		0204	0205	0206	0207	0239	0208	0209
13	09		0204	0205	0206	0207	0239	0208	0209
14	09		0204	0205	0206	0207	0239	0208	0209

		APPLICATION CODES FOR COLUMN 8
		1 Broadcast, ground without incorporation 2 Broadcast, ground with incorporation 3 Broadcast, by air 4 In seed furrow 5 In irrigation water (fertigation) 6 Chiseled/injected or knifed in 7 Banded/side-dressed on the soil surface 8 Foliar or directed spray
	7		8	9	10		NOTES
LINE	When was this applied?		How was this applied? [Enter code from box above.]	How many acres were treated in this application?	Was variable rate technology (VRT) used? [Include “on-the-go” sensing.]
	MMDDYY			ACRES	YES=1
01	0210 __ __ __ __ __ __		0211	0212 .___	0215
02	0210 __ __ __ __ __ __		0211	0212 .___	0215
03	0210 __ __ __ __ __ __		0211	0212 .___	0215
04	0210 __ __ __ __ __ __		0211	0212 .___	0215
05	0210 __ __ __ __ __ __		0211	0212 .___	0215
06	0210 __ __ __ __ __ __		0211	0212 .___	0215
07	0210 __ __ __ __ __ __		0211	0212 .___	0215
08	0210 __ __ __ __ __ __		0211	0212 .___	0215
09	0210 __ __ __ __ __ __		0211	0212 .___	0215
10	0210 __ __ __ __ __ __		0211	0212 .___	0215
11	0210 __ __ __ __ __ __		0211	0212 .___	0215
12	0210 __ __ __ __ __ __		0211	0212 .___	0215
13	0210 __ __ __ __ __ __		0211	0212 .___	0215
14	0210 __ __ __ __ __ __		0211	0212 .___	0215

E

MANURE APPLICATIONS---SELECTED FIELD

E

1. Was manure applied to this field for the 2011, 2010, or 2009 crop year? Manure applications include effluents from waste lagoons, waste holding ponds, and waste runoff storage ponds. (Include commercially prepared manure.)
										T-TYPE			TABLE			LINE
										0			000			00
[Probe for applications made in the fall of 2008, 2009 and 2010 (and those made earlier if this field was fallow) for the 2009, 2010, and 2011 crop years.]
														CODE
YES – [Enter 1 and continue.] NO – [Enter 3 then go to Section F.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .														0418
											T-TYPE				TABLE
											4				001
2. Now I need to record information for each manure application.								LINE 99			OFFICE USE LINES IN TABLE				0417
	1	2	3	4		5	6					7			8
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code	What quantity of manure was applied per acre?		Unit (column 4 only) 1 Pounds 3 Tons 4 Bushels 12 Gallons 14 Acres/Inch	Where was the manure produced?					How was the manure handled? 1 Solid 2 Liquid 3 Slurry			Was a manure test done? 1 YES 2 DON’T KNOW 3 NO
							1 2 3 4 5		On this operation Purchased Obtained at no cost off this operation Obtained with compensation Commercially prepared manure
	YY		CODE				CODE					CODE			CODE
	0403		0404	0408		0409	0407					0416			0455
01	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
02	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
03	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
04	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
05	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
06	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
07	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
08	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
09	___ ___				.___
	0403		0404	0408		0409	0407					0416			0455
10	___ ___				.___

		CODES FOR MANURE SOURCE COLUMN 11											CODES FOR APPLICATION COLUMN 15
		1 Beef cattle 2 Dairy cattle 3 Hogs 4 Sheep 5 Poultry 6 Equine 7 Biosolids 8 Other (specify)______________________________ 9 Don’t Know											1 Dry broadcast, without incorporation 2 Dry broadcast, with incorporation 3 Liquid broadcast, without incorporation 4 Liquid broadcast, with incorporation 5 Chiseled/injected or knifed in 6 Furrow or basin irrigated 7 Sprinkler irrigated
	9						10		11	12				13	14		15		16
LINE	Results from manure analysis test OR actual amount of nutrients applied [Leave this column blank if column 8 = 2 or 3]						Unit (column 9 only)		Major source of manure [Enter code from box above.]	Was manure composted before application? 1 Yes 2 Don’t Know 3 No				Composting Method? [Leave this column blank if column 12 = 2 or 3] 1 Windrow 2 Static pile 3 In-Vessel 4 Other	When was this applied?		How was this applied? [Enter code from box above.]		How many acres were treated in this application?
	Nitrogen N		Phosphorus P2O5		Potassium K2O		31 lbs/ton 121 lbs/1000gals 19 actual nutrients 15 lbs/acre-inch								MMDDYY				ACRES
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
01															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
02															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
03															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
04															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
05															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
06															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
07															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
08															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
09															__ __ __ __ __ __				.____
	0405		0406		0457		0456		0413	0415				0458	0410		0411		0412
10															__ __ __ __ __ __				.____
						T-TYPE		TABLE			LINE	EDIT MANURE TABLE
						0		000			00	2011				2010		2009
												0454				0453		0452

TYPE 0

TABLE 000

LINE 00

3. Were the manure application rates to this field influenced by State or local restrictions, by your conservation plan, nutrient management plan (NMP) or your comprehensive nutrient management plan (CNMP)? [If Yes, enter 1 and continue; if No, enter 3 then go to Item 4.]. . . . . . .

0419

CODE

a. What nutrient requirement basis was used to determine these manure applications?. . . . . . . . . . .

1 Nitrogen 2 Phosphorus

. . . . . . . . . . . . . . . . . . .

0420

Soil Test P

UNIT CODES

CODE

b. What was the soil test phosphorus level in the field before the manure application occurred?. . . .

459

mg/kg P ppm P lbs/acre

. . . . . . . . . .

0460

4. Was the use of commercial fertilizers adjusted on this field in years when manure was applied? [If Yes, enter 1 and continue; if No, enter 3 then go to Item 5.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0421

a. Was commercial nitrogen reduced?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

0422

b. Was commercial phosphorus reduced?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

0423

1 No plans to apply manure again 2 At least once per year 3 Once every 2 years 4 Once every 3 years 5 Once every 4 years 6 Once every 5 or more years

. . . . . . . . . . . . . . . . .

CODE

5. How often do you plan to apply manure to this field in future years?. . .

0424

ENUMERATOR NOTE: If a “1” was reported in Section E, question 2, column 6, continue. If not, go to question 8.

6. Was any manure applied to the selected field produced on this operation?

CODE

YES – [Enter 1 and continue.] NO – [Enter 3 then go to question 8.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0425

7. What type of manure storage and/or treatment system is used for the bulk of manure that was applied to this field?.

Solid

Slurry

Liquid

CODE

1 2 3 4 5 6

stacking slab (open storage) covered slab manure pack barn, shed or house other (specify) _______________ none

7 8 9

concrete or steel tank, basin or pit earthen storage facility other (specify) _________________

10 11 12 13

single stage lagoon or holding pond two stage lagoon system with the second stage being either a lagoon or a holding pond run off storage pond used only for collection of open-lot run off other (specify)________

. . . .

0426

CODE

8. Was an amendment added to manure prior to application, or to the field, in order to enhance nutrient efficiency or reduce environmental impacts? [For example, aluminum or iron compounds, strong acids, nitrapyrin, or NBPT]. . . . . . . . . . . . . . . . . . . .

YES = 1

0461

F

PEST CONTROL APPLICATIONS---SELECTED FIELD

F

1. Were any products applied to this field in 2011, 2010, or 2009 to control weeds, insects, or diseases? [ Include herbicides, insecticides, fungicides, biocontrol agents, and other conventional or organic products]. . . . . . . . . . . . . . . . . . . . . . . . . . .
			2011	2010			2009
		YES = 1 NO = 3	0315	0345			0346
[ENUMERATOR ACTION: If pesticides applied in any year, continue. Complete table only for year(s) specified, else go to Section G.]		Edit Table	0344	0343			0342
						CODE
2. Did you use a pesticide product for the purpose of improving plant health as opposed to controlling a pest?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	0347
3. Did you alter any of your pesticide applications specifically to protect honey bees and/or native pollinators? (For example, utilize an IPM program that specifically protects pollinators, only apply insecticides outside of the bloom period, only apply insecticides at night, etc.). . .					YES = 1	0348
4. Were pesticides with different mechanisms of action rotated or tank mixed for the PRIMARY PURPOSE of keeping pests from becoming resistant to pesticides?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	0318
5. Did you select and plant crop seeds that had been commercially treated with fungicides or insecticides?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	0349
6. Did you select and plant crop cultivars with genetically engineered tolerances to specific herbicides such as glyphosate or glufosinate?. . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	0350
ENUMERATOR ACTION: Were any pest control products applied in 2011? [If Yes continue. If No go to item 8b.]
7. Other than cost and product effectiveness, did you consider any other factors in determining which pest control product to use in 2011?						CODE
YES – [Enter 1 and continue.] NO – [Enter 3 then go to item 8a.]. . . . . . . . . . . . . . . . . .						0351
a. Which of the following factors did you consider?
Source						[Mark all that apply.] YES = 1
Potential health risk to applicator or farm worker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0352
Risk to populations of beneficial organisms (earthworms, bees, ladybugs, etc.). . . . . . . . . . . . . . . . . . . . . .						0353
Risk to natural resources (drinking water, wildlife, fish, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0354
Pest resistance management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0355
Crop safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0356
Other (specify)___________________________________________	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					0357

ENUMERATOR NOTE: Were pest control products applied in 2011? [If Yes continue. If No go to Item 8b.]
8a. Including both custom applications and applications made by this operation, list all the pest control products used on this field for the 2011 crop(s).
[Probe for applications made in the fall of 2010 (and those made earlier if this field was fallow) for the 2011 crop year.]
Include herbicides, insecticides, fungicides, defoliants, growth regulators, microbial agents, miticides, nematicides, rodenticides, soil fumigants, and seed treatments.								Exclude fertilizers, adjuvants (e.g. wetting agents, stickers, spreaders, etc.).
														T-TYPE			TABLE
														3			100
Include biological and botanical pest control products.												Line 99		Office use Lines in table			0314
				1	2				3	4			5			6
PRODUCT NAME			LINE	Crop Year	Primary crop for which control agent was intended				Crop Code [Enter crop code from Respondent Booklet.]	What products were applied to this field? [Enter product codes from Respondent Booklet.]			Was this product bought in liquid or dry form? [Enter L or D.]			Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]
			01	11					0304	0305						0306
			02	11					0304	0305						0306
			03	11					0304	0305						0306
			04	11					0304	0305						0306
			05	11					0304	0305						0306
			06	11					0304	0305						0306
			07	11					0304	0305						0306
			08	11					0304	0305						0306
			09	11					0304	0305						0306
			10	11					0304	0305						0306
			11	11					0304	0305						0306
			12	11					0304	0305						0306
			13	11					0304	0305						0306
			14	11					0304	0305						0306
			15	11					0304	0305						0306
[For pest control products not listed in Respondent Booklet, specify --]
Line		Pest Control Product Type (Herbicide, Insecticide, Fungicide, etc.)					EPA No. or Tradename and Formulation				Form Purchased (Liquid or Dry)				Where Purchased [Ask only if EPA No. cannot be reported.]
____________		__________________________					_________________________				____________________				_____________________
____________		__________________________					_________________________				____________________				_____________________
____________		__________________________					_________________________				____________________				_____________________

					APPLICATION CODES FOR COLUMN 11
					4 Seed furrow 5 Chemigation (in irrigation water) 6 Chisel/injected or knifed in 8 Direct spray, foliar 10 Seed treatment by producer prior to planting 11 Broadcast, ground, not incorporated 13 Broadcast, ground, foliar 21 Broadcast, ground, incorporated					31 Broadcast, aerial 32 Broadcast, aerial, foliar 71 Banded/side-dressed 73 Banded/side-dressed, foliar 76 T-Banded (combo of banded and injected)
	7			8		OR	9	10	11		12	13
LINE	When was it applied? MMDDYY			How much was applied per acre per application			What was the total amount applied per application in this field?	[Enter unit code.] (col. 8 or 9 only) 1 Pounds 12 Gallons 13 Quarts 14 Pints 15 Liquid Ounces 28 Dry Ounces 30 Grams 40 Kilograms 41 Liters	How was this product applied? [Enter code from above.]		Was this product applied to the entire field, to only a portion of the field, or as a spot treatment? 1 Entire field 2 Part of field 3 Spot treatment	How many acres in this field were treated with this product? ACRES
01	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
02	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
03	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
04	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
05	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
06	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
07	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
08	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
09	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
10	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
11	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
12	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
13	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
14	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
15	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____

ENUMERATOR NOTE: Were pest control products applied in 2010? [If Yes continue. If No go to Item 8c.]
8b. Including both custom applications and applications made by this operation, list all the pest control products used on this field for the 2010 crop(s).
[Probe for applications made in the fall of 2009 (and those made earlier if this field was fallow) for the 2010 crop year.]
Include herbicides, insecticides, fungicides, defoliants, growth regulators, microbial agents, miticides, nematicides, rodenticides, soil fumigants, and seed treatments.								Exclude fertilizers, adjuvants (e.g. wetting agents, stickers, spreaders, etc.).
														T-TYPE			TABLE
														3			200
Include biological and botanical control products.												Line 99		Office use Lines in table			0314
				1	2				3	4			5			6
PRODUCT NAME			LINE	Crop Year	Primary crop for which control agent was intended				Crop Code [Enter crop code from Respondent Booklet.]	What products were applied to this field? [Enter product codes from Respondent Booklet.]			Was this product bought in liquid or dry form? [Enter L or D.]			Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]
			01	10					0304	0305						0306
			02	10					0304	0305						0306
			03	10					0304	0305						0306
			04	10					0304	0305						0306
			05	10					0304	0305						0306
			06	10					0304	0305						0306
			07	10					0304	0305						0306
			08	10					0304	0305						0306
			09	10					0304	0305						0306
			10	10					0304	0305						0306
			11	10					0304	0305						0306
			12	10					0304	0305						0306
			13	10					0304	0305						0306
			14	10					0304	0305						0306
			15	10					0304	0305						0306
[For pest control products not listed in Respondent Booklet, specify --]
Line		Pest Control Product Type (Herbicide, Insecticide, Fungicide, etc.)					EPA No. or Tradename and Formulation				Form Purchased (Liquid or Dry)				Where Purchased [Ask only if EPA No. cannot be reported.]
____________		__________________________					_________________________				____________________				_____________________
____________		__________________________					_________________________				____________________				_____________________
____________		__________________________					_________________________				____________________				_____________________

					APPLICATION CODES FOR COLUMN 11
					4 Seed furrow 5 Chemigation (in irrigation water) 6 Chisel/injected or knifed in 8 Direct spray, foliar 10 Seed treatment by producer prior to planting 11 Broadcast, ground, not incorporated 13 Broadcast, ground, foliar 21 Broadcast, ground, incorporated 31 Broadcast, aerial 32 Broadcast, aerial, foliar					31 Broadcast, aerial 32 Broadcast, aerial, foliar 71 Banded/side-dressed 73 Banded/side-dressed, foliar 76 T-Banded (combo of banded and injected)
	7			8		OR	9	10	11		12	13
LINE	When was it applied? MMDDYY			How much was applied per acre per application?			What was the total amount applied per application in this field?	[Enter unit code.] (col. 8 or 9 only) 1 Pounds 12 Gallons 13 Quarts 14 Pints 15 Liquid Ounces 28 Dry Ounces 30 Grams 40 Kilograms 41 Liters	How was this product applied? [Enter code from above.]		Was this product applied to the entire field, to only a portion of the field, or as a spot treatment? 1 Entire field 2 Part of field 3 Spot treatment	How many acres in this field were treated with this product? ACRES
01	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
02	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
03	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
04	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
05	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
06	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
07	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0388	0312 .____
08	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
09	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
10	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
11	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
12	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
13	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
14	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
15	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____

ENUMERATOR NOTE: Were pest control products applied in 2009? [If Yes continue. If No go to Section G.]
8c. Including both custom applications and applications made by this operation, list all the pest control products used on this field for the 2009 crop(s).
[Probe for applications made in the fall of 2008 (and those made earlier if this field was fallow) for the 2009 crop year.]
Include herbicides, insecticides, fungicides, defoliants, growth regulators, microbial agents, miticides, nematicides, rodenticides, soil fumigants, and seed treatments.								Exclude fertilizers, adjuvants (e.g. wetting agents, stickers, spreaders, etc.).
														T-TYPE			TABLE
														3			300
Include biological and botanical pest control products.												Line 99		Office use Lines in table			0314
				1	2				3	4			5			6
PRODUCT NAME			LINE	Crop Year	Primary crop for which control agent was intended				Crop Code [Enter crop code from Respondent Booklet.]	What products were applied to this field? [Show product codes from Respondent Booklet.]			Was this product bought in liquid or dry form? [Enter L or D.]			Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]
			01	09					0304	0305						0306
			02	09					0304	0305						0306
			03	09					0304	0305						0306
			04	09					0304	0305						0306
			05	09					0304	0305						0306
			06	09					0304	0305						0306
			07	09					0304	0305						0306
			08	09					0304	0305						0306
			09	09					0304	0305						0306
			10	09					0304	0305						0306
			11	09					0304	0305						0306
			12	09					0304	0305						0306
			13	09					0304	0305						0306
			14	09					0304	0305						0306
			15	09					0304	0305						0306
[For pest control products not listed in Respondent Booklet, specify --]
Line		Pest Control Product Type (Herbicide, Insecticide, Fungicide, etc.)					EPA No. or Tradename and Formulation				Form Purchased (Liquid or Dry)				Where Purchased [Ask only if EPA No. cannot be reported.]
____________		__________________________					__________________________				____________________				_____________________
____________		__________________________					__________________________				____________________				_____________________
____________		__________________________					__________________________				____________________				_____________________

					APPLICATION CODES FOR COLUMN 11
					4 Seed furrow 5 Chemigation (in irrigation water) 6 Chisel/injected or knifed in 8 Direct spray, foliar 10 Seed treatment by producer prior to planting 11 Broadcast, ground, not incorporated 13 Broadcast, ground, foliar 21 Broadcast, ground, incorporated					31 Broadcast, aerial 32 Broadcast, aerial, foliar 71 Banded/side-dressed 73 Banded/side-dressed, foliar 76 T-Banded (combo of banded and injected)
	7			8		OR	9	10	11		12	13
LINE	When was it applied? MMDDYY			How much was applied per acre per application?			What was the total amount applied per application in this field?	[Enter unit code.] (col. 8 or 9 only) 1 Pounds 12 Gallons 13 Quarts 14 Pints 15 Liquid Ounces 28 Dry Ounces 30 Grams 40 Kilograms 41 Liters	How was this product applied? [Enter code from above.]		Was this product applied to the entire field, to only a portion of the field, or as a spot treatment? 1 Entire field 2 Part of field 3 Spot treatment	How many acres in this field were treated with this product? ACRES
01	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
02	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
03	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
04	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
05	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
06	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
07	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
08	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
09	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
10	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
11	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
12	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
13	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
14	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____
15	0307 __ __ __ __ __ __			0308 .___ ___			0309 .___ ___	0310	0311		0358	0312 .____

G

PEST MANAGEMENT PRACTICES---SELECTED FIELD

G

	T-Type	Table	Line
	0	000	00
Now I have some questions about the pest management decisions and practices used on this field during the 2011 crop year. By pests, we mean INSECTS, WEEDS, and PLANT DISEASES.

1. During 2011, how was this field primarily scouted for pests and/or beneficial organisms?. . . . . . . . . . . . . . . .	1 By conducting general observations while performing routine tasks. [Enter 1 then go to Item 3.] 2 By deliberately going to the field specifically for scouting activities. [Enter 2 then go to Item 2.] 3 This field was not scouted for pests. [Enter 3 then go to Item 8.]		CODE
		. . . . . . . . . . .	1701

2. Was an established scouting process used in this field (systematic sampling, recording counts, use of insect traps, etc.)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1702
3. Was scouting for pests done in this field due to --
a. a pre-determined schedule or calendar?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1773
b. a pest development model based on degree days, maximum or minimum temperatures, or wetness?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1703
c. a pest advisory warning?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1704
4. Was this field scouted for --
1			2 [If column 1 = YES, ASK--] Who did the majority of the scouting for [column 1]— 1 Operator, partner or family member 2 An employee 3 Farm supply or chemical dealer 4 Independent crop consultant or commercial scout	3 [If column 1 = YES, ASK--] Based on the scouting report and compared to published threshold levels, rate the pest pressure as— Low Medium High
		YES = 1	CODE	CODE
a. weeds?. . . . . . . . . . . . . . . . . . . . .		1705	1709	1774
b. insects or mites?. . . . . . . . . . . . . .		1706	1710	1775
c. diseases?. . . . . . . . . . . . . . . . . . .		1707	1711	1776
d. other? (specify) ______	. . . . . . . .	1708	1712	1777
						CODE
5. Was scouting for pests done in the field after a pest control application to evaluate degree of control?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1778
6. Were either written or electronic records kept for this field to track the activity or numbers of weeds, insects, or diseases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1713
7. Were scouting data compared to published information on infestation thresholds to determine when to take measures to manage pests in this field?. . . . . . . . . . . . . . . . . .					YES = 1	1714

						CODE
8. Were field mapping data used for making weed management decisions on this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES = 1			1715
9. Were the services of a diagnostic laboratory used for pest identification or soil or plant tissue pest analysis for this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1					1716
10. Did you conduct any of the following activities for the crops grown in 2011 SPECIFICALLY for the purpose of managing pests or reducing the spread of pests?
				YES = 1
a. Remove, plow down, or burn any crop or crop residue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1717
b. Alter crop rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1718
c. Maintain ground covers, mulches, or other physical barriers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1719
d. Use no-till or minimum till. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1720
e. Adjust spacing or plant density . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1721
f. Release beneficial organisms (insects, nematodes, fungi) in the field. . . . . . . . . . . . . . . . . . . . . . . .				1722
g. Chop, spray, mow, plow, or burn field edges, lanes, ditches, roadways or fence lines. . . . . . . . . . .				1723
h. Grow a trap crop. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1724
i. Clean equipment and field implements after completing field work. . . . . . . . . . . . . . . . . . . . . . . . . .				1725
j. Cultivate for weed control during the growing season. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				1727
k. Choose crop variety because of specific resistance to a pest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1728
l. Choose not to plant a crop in certain areas of the field to avoid a specific pest. . . . . . . . . . . . . . . . .					1779
m. Adjust planting or harvesting dates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1730
					CODE
11. Were weather data used to assist in determining either the ‘need for’ or ‘when to’ apply a pest management practice?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1			1731
12. Other than pesticide applicator training, have you (the operator) attended any training sessions on pest identification and management in the past 3 years?. . . . . . . . . . . . . . .		YES = 1			1746
13. Were floral lures, attractants, repellants, pheromone traps or other biological pest controls used on this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1			1756

ENUMERATOR ACTION: Were any products listed in the table on page 24? [If Yes continue, if No go to Section H.]
	APPLICATION DECISION CODE LIST
	Preventative schedule – Routine treatments? Scouting data compared to published threshold guidelines? Scouting data and your established thresholds? Field mapping or GPS data on pests? Recommendations from a chemical dealer? Recommendations from an independent crop consultant? Recommendations from University extension? Recommendations from a neighbor? Information from ipmPIPE (Pest Information Platform for Extension & Education)? Other? (specify_________________)
ENUMERATOR ACTION: Show the operator the Application Decision Code List in the Respondent Booklet. Were any herbicides (4000 series chemicals) listed in the table on page 24? [If Yes continue, if No go to item 15.]
				PRIMARY CODE
				1880
14. What were the two most important factors that influenced your decision to apply herbicides to this field in 2011? [Identify the 2 most important sources from the Application Decision Code list].				SECONDARY CODE
				1881
ENUMERATOR ACTION: Were any insecticides (1000 series chemicals) listed in the table on page 24? [If Yes continue, if No go to item 16.]
				PRIMARY CODE
				1882
15. What were the two most important factors that influenced your decision to apply insecticides to this field in 2011? [Identify the 2 most important sources from the Application Decision Code list].				SECONDARY CODE
				1883
ENUMERATOR ACTION: Were any fungicides (7000 series chemicals) listed in the table on page 24? [If Yes continue, if No go to Section H.]
				PRIMARY CODE
				1884
16. What were the two most important factors that influenced your decision to apply fungicides to this field in 2011? [Identify the 2 most important sources from the Application Decision Code list]				SECONDARY CODE
				1885
		Completion Code for Pest Management Data
		1 – Incomplete/Refusal		1700

H

IRRIGATION---SELECTED FIELD

H

ENUMERATOR NOTE:

Ask ONLY if irrigation was reported in Section C. Cropping History and Conservation Practices, line 11 = Yes on pages 6, 7, or 8. If no irrigation was reported for any crop years in Section C, go to Section I.

1. Now, I have some questions about the irrigation of this field for the [years of irrigation] crop(s).

a. What type of irrigation system(s) were used to irrigate this field?

2011 SYSTEM TYPE CODE

2010 SYSTEM TYPE CODE

2009 SYSTEM TYPE CODE

[Show System Type Codes in Respondent Booklet. If more than 1 system was used, enter System Type Code covering the most field acres.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1505

1506

1507

b. Were any major changes made to the way the field was irrigated during the period 2009 – 2011? (Include irrigation system type, source of water, and major changes to scheduling or monitoring.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1593

ENUMERATOR NOTE: If an irrigation system reported in 1a for any year is a gravity system (code 10-19) then continue, else go to Item 4.]

1 furrow 2 border 3 basin 4 contour levee 5 meadow or wild flood

2011

2010

2009

2. What gravity irrigation system source was used?. . . .

. . . . . . .

CODE

1508

1509

1510

2011

2010

2009

3. Did you use any practices in order to reduce irrigation water use or improve water use efficiency in 2011, 2010, or 2009?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1520

1521

1522

[If Yes, continue, if No, go to Item 6.]

2011

2010

2009

a. Did you apply PAM (poly-acrylamide) to your water delivery system?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1523

1524

1525

2011

2010

2009

b. Did you adjust the slope of this field to a specific grade, including zero slope?. . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1526

1527

1528

[If Yes, continue, if No, go to Item c.]

2011

2010

2009

(i) Was laser leveling used?. . . . . . . . . . . . . . . . . . . . . .

YES = 1

1529

1530

1531

(ii) Was the slope adjusted as part of a conservation plan?. . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1532

c. Were other practices used to improve water use efficiency?. . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1533

[If Yes, please list practices. See Respondent Booklet.]

1565

1566

1567

ENUMERATOR NOTE: If irrigation system reported in 1a for any year is a pressure system (code 1-9), continue, else go to Item 6.

YYYY

4. What year was your pressure system installed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1534 ___ ___ ___ ___

5. What year was your pressure system last refurbished?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1535 ___ ___ ___ ___

6. Is the runoff from the field primarily --

retained at the end of the field with no re-use? retained at the end of the field and re-used to irrigate on the farm? collected in evaporation ponds on the farm? drained from the farm? there is no runoff.

2011

2010

2009

. . . . . . . . . . .

CODE

1536

1537

1538

7. Do you manage irrigation to address salinity problems in this field?. . . . . . . . . . . . . . . . . .

YES=1

1539

Completion Code for Irrigation

2011

2010

2009

1504

1503

1502

I

FIELD OPERATIONS---SELECTED FIELD

I

1. Including custom operations, I need to list field work performed by machines on this field for the 2011, 2010 and 2009 crop years.
Begin with the first field operation for the 2011 crop (after harvesting of 2010 crop.)
List the operations in order by crop year, through harvest.
Maintain the order of tandem hook-ups.
a. Let’s start with the 2011 crops.
CHECK LIST
Include all field work using machines for--						Exclude all field work using machines for--
Land Forming				Planting				Lime & Gypsum applications
Tillage				Harvesting				Fertilizers, Manure & Pesticides applications
Preparing for Irrigation before seeding				Hauling within field				Hauling from field edge to storage
Custom Operations				Residue Management
1	2		3		4		5		6		7
Crop Year	Sequence Number	What crop was associated with this operation?	Crop Code [Record from Respondent Booklet.]		What operation or equipment was used on this field?		Machine Code [Record from Respondent Booklet.]		What was the timing of the field operation?		What was the depth of tillage for tillage/planting operations?
YEAR	NUMBER	CROP NAME	CODE				CODE		MMDDYY		INCHES
2011	3005		3006				3007		3008 __ __ __ __ __ __		3009 .___
2011	3015		3016				3017		3018 __ __ __ __ __ __		3019 .___
2011	3025		3026				3027		3028 __ __ __ __ __ __		3029 .___
2011	3035		3036				3037		3038 __ __ __ __ __ __		3039 .___
2011	3045		3046				3047		3048 __ __ __ __ __ __		3049 .___
2011	3055		3056				3057		3058 __ __ __ __ __ __		3059 .___
2011	3065		3066				3067		3068 __ __ __ __ __ __		3069 .___
2011	3075		3076				3077		3078 __ __ __ __ __ __		3079 .___
2011	3085		3086				3087		3088 __ __ __ __ __ __		3089 .___
2011	3095		3096				3097		3098 __ __ __ __ __ __		3099 .___
2011	3105		3106				3107		3108 __ __ __ __ __ __		3109 .___
2011	3115		3116				3117		3118 __ __ __ __ __ __		3119 .___
2011	3125		3126				3127		3128 __ __ __ __ __ __		3129 .___
2011	3135		3136				3137		3138 __ __ __ __ __ __		3139 .___
2011	3145		3146				3147		3148 __ __ __ __ __ __		3149 .___
2011	3155		3156				3157		3158 __ __ __ __ __ __		3159 .___
2011	3165		3166				3167		3168 __ __ __ __ __ __		3169 .___
2011	3175		3176				3177		3178 __ __ __ __ __ __		3179 .___
										2011 EDIT FIELD OPERATIONS TABLE
										3004

b. Now let’s continue with the 2010 crop year.
Begin with the first field operation for the 2010 crop (after harvesting of 2009 crop.)
CHECK LIST
Include all field work using machines for--					Exclude all field work using machines for--
Land Forming			Planting				Lime & Gypsum applications
Tillage			Harvesting				Fertilizers, Manure & Pesticides applications
Preparing for Irrigation before seeding			Hauling within field				Hauling from field edge to storage
Custom Operations			Residue Management
1	2		3	4		5		6		7
Crop Year	Sequence Number	What crop was associated with this operation?	Crop Code [Record from Respondent Booklet.]	What operation or equipment was used on this field?		Machine Code [Record from Respondent Booklet.]		What was the timing of the field operation?		What was the depth of tillage for tillage/planting operations?
YEAR	NUMBER	CROP NAME	CODE			CODE		MMDDYY		INCHES
2010	3305		3306			3307		3308 __ __ __ __ __ __		3309 .__
2010	3315		3316			3317		3318 __ __ __ __ __ __		3319 .__
2010	3325		3326			3327		3328 __ __ __ __ __ __		3329 .__
2010	3335		3336			3337		3338 __ __ __ __ __ __		3339 .__
2010	3345		3346			3347		3348 __ __ __ __ __ __		3349 .__
2010	3355		3356			3357		3358 __ __ __ __ __ __		3359 .__
2010	3365		3366			3367		3368 __ __ __ __ __ __		3369 .__
2010	3375		3376			3377		3378 __ __ __ __ __ __		3379 .__
2010	3385		3386			3387		3388 __ __ __ __ __ __		3389 .__
2010	3395		3396			3397		3398 __ __ __ __ __ __		3399 .__
2010	3405		3406			3407		3408 __ __ __ __ __ __		3409 .__
2010	3415		3416			3417		3418 __ __ __ __ __ __		3419 .__
2010	3425		3426			3427		3428 __ __ __ __ __ __		3429 .__
2010	3435		3436			3437		3438 __ __ __ __ __ __		3439 .__
2010	3445		3446			3447		3448 __ __ __ __ __ __		3449 .__
2010	3455		3456			3457		3458 __ __ __ __ __ __		3459 .__
2010	3465		3466			3467		3468 __ __ __ __ __ __		3469 .__
2010	3475		3476			3477		3478 __ __ __ __ __ __		3479 .__
									2010 EDIT FIELD OPERATIONS TABLE
									3003

c. Please answer the following for the 2009 crop year.
Begin with the first field operation for the 2009 crop (after harvesting of 2008 crop.)
CHECK LIST
Include all field work using machines for--						Exclude all field work using machines for--
Land Forming				Planting				Lime & Gypsum applications
Tillage				Harvesting				Fertilizers, Manure & Pesticides applications
Preparing for Irrigation before seeding				Hauling within field				Hauling from field edge to storage
Custom Operations				Residue Management
1	2		3		4		5		6		7
Crop Year	Sequence Number	What crop was associated with this operation?	Crop Code [Record from Respondent Booklet.]		What operation or equipment was used on this field?		Machine Code [Record from Respondent Booklet.]		What was the timing of the field operation?		What was the depth of tillage for tillage/planting operations?
YEAR	NUMBER	CROP NAME	CODE				CODE		MMDDYY		INCHES
2009	3605		3606				3607		3608 __ __ __ __ __ __		3609 .___
2009	3615		3616				3617		3618 __ __ __ __ __ __		3619 .___
2009	3625		3626				3627		3628 __ __ __ __ __ __		3629 .___
2009	3635		3636				3637		3638 __ __ __ __ __ __		3639 .___
2009	3645		3646				3647		3648 __ __ __ __ __ __		3649 .___
2009	3655		3656				3657		3658 __ __ __ __ __ __		3659 .___
2009	3665		3666				3667		3668 __ __ __ __ __ __		3669 .___
2009	3675		3676				3677		3678 __ __ __ __ __ __		3679 .___
2009	3685		3686				3687		3688 __ __ __ __ __ __		3689 .___
2009	3695		3696				3697		3698 __ __ __ __ __ __		3699 .___
2009	3705		3706				3707		3708 __ __ __ __ __ __		3709 .___
2009	3715		3716				3717		3718 __ __ __ __ __ __		3719 .___
2009	3725		3726				3727		3728 __ __ __ __ __ __		3729 .___
2009	3735		3736				3737		3738 __ __ __ __ __ __		3739 .___
2009	3745		3746				3747		3748 __ __ __ __ __ __		3749 .___
2009	3755		3756				3757		3758 __ __ __ __ __ __		3759 .___
2009	3765		3766				3767		3768 __ __ __ __ __ __		3769 .___
2009	3775		3776				3777		3778 __ __ __ __ __ __		3779 .___
										2009 EDIT FIELD OPERATIONS TABLE
										3002

J

WHOLE FARM

J

TOTAL ACRES IN THIS OPERATING ARRANGEMENT
Now I’m going to ask you a few general questions about your entire operation. (Include the farmstead, all cropland, pastureland, wasteland, wetland, woodland and government program land. Include land in other states.)
1. During the 2011 crop year, how many total acres did this operation --			ACRES
a. own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		+	1901	.___
b. rent FROM others? (Exclude land used on an AUM basis.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		+	1902	.___
c. rent TO others? (Include privately owned/rented land administered by a public agency through exchange-of-use.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		-	1903	.___
2. Then the TOTAL acres in this operation including the farmstead, all cropland, pastureland, wasteland, wetland, woodland and government program land is – [total of 1a + 1b – 1c]?		=	1904	.___
a. Have I accounted for the farmstead, all cropland, pastureland, wasteland, wetland, woodland and government program land in this operation?
YES – [Continue.]	NO – [Make corrections then continue.]
			ACRES
3. Of the total (Item 2) acres operated, how many acres are considered cropland, including land in hay and cropland in government programs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .			1905	.___

K

OPERATOR AND OPERATION CHARACTERISTICS

K

1. In 2011, was this operation’s LEGAL STATUS . . . . . . . . . . . . . . . . . . . . . . . .				1 Individual (Sole/family Proprietorship)? 2 A legal Partnership? 3 A Family-held Corporation? 4 A Non-family Corporation? 5 Other, (including estates, trusts and cooperatives)? Describe___________________________________			. . . . .		CODE
									1912
2. In 2011, what was your (the operator’s) major occupation?. . . . . . . . . . . . . . . . . . . . . . . . . . . .				1 Farm or ranch work 2 Hired farm manager 3 Something else 4 Retired			. . . . .		CODE
									1913
3. What is the highest level of formal education you (the operator) have completed?. . . . . . . . . .				1 Less than a high school diploma 2 High school diploma or equivalency (GED) 3 Some college 4 Completed a 4 year degree (BA or BS) 5 Graduate school			. . . . .		CODE
									1914
									YYYY
									1915
4. In what year did you (the operator) begin making day-to-day decisions for any farm/ranch?. . . . .									___ ___ ___ ___
5. Now I would like to classify the total acres operated in terms of total gross value of sales.
Considering--	all crops sold, all livestock, poultry (including commercial broilers), and products (milk, eggs, etc.) sold, all sales of crops, livestock or poultry, produced under contract, all sales of any miscellaneous agricultural products, all government payments received, landlord’s share of government payments and crops sold in 2010
What code represents the total gross value of sales for this operation in 2010?
99 None during 2010
1 $1 - $999
2 $1,000 - $2,499
3 $2,500 - $4,999								CODE
4 $5,000 - $9,999									1916
5 $10,000 - $24,999			. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 $25,000 - $49,999
7 $50,000 - $99,999
8 $100,000 - $249,999
9 $250,000 - $499,999
10 $500,000 - $999,999
11 $1,000,000 - $2,499,999
12 $2,500,000 - $4,999,999
13 $5,000,000 and over
									CODE
6. Of the farm income reported, which of these categories represents the largest portion of the gross income from the operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .									1917
FARM TYPE CODES
1 GRAINS, OILSEEDS and DRY BEANS					9 HOGS and PIGS
2 TOBACCO					10 MILK and OTHER DAIRY PRODUCTS FROM COWS
3 COTTON and COTTONSEED					11 CATTLE and CALVES
4 VEGETABLES, MELONS and POTATOES					12 SHEEP, GOATS, and THEIR PRODUCTS
5 FRUIT TREES, NUTS and BERRIES					13 HORSES, PONIES and MULES
6 NURSERY, GREENHOUSE, FLORICULTURE and SOD					14 POULTRY and EGGS
7 CUT CHRISTMAS TREES and SHORT WOODY CROPS					15 AQUACULTURE
8 OTHER CROPS and HAY, CRP and PASTURE					16 OTHER ANIMALS and OTHER ANIMAL PRODUCTS
CONCLUDE INTERVIEW and THANK the RESPONDENT

CONCLUSION

RECORDS USE
1. [Did respondent use farm/ranch records to report---]				CODE
a. [fertilizer data?]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES = 1	0026
b. [pest control data?]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES = 1	0027
c. [manure data?]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES = 1	0028
				CODE
2. [Did the respondent use a Conservation Plan to complete Section B?]. . . . . . . . . . . . . . . . . . .		YES = 1		0029
SUPPLEMENTS USED				NUMBER
3. [Record the total number of each type of supplement used to complete this interview.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	FERTILIZER APPLICATIONS			0030
	PEST CONTROL APPLICATIONS			0031
	FIELD OPERATIONS			0032
	MANURE APPLICATIONS			0033

	MILITARY TIME H H M M
ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0005 __ __ __ __
	TOTAL HOURS
	0006 .____

9910 MM DD YY Date: __ __ __ __ __ __

Response

Respondent

Mode

Enum.

Eval.

Change

Optional Use

1-Comp 2-R 3-Inac

9901

1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner

9902

3-Face-to-Face

9903

098

100

785

0002

0003

9906

9916

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 number is 0535-0245. The time required to complete this information collection is estimated to average 70 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.