Form QID-R 2015 Urban Agriculture Pilot Study-Revised

2015 URBAN AGRICULTURE PILOT STUDY

			OMB No.0535-0248 Approval Expires: 04/30/2016 Project Code: QID: SMetaKey:
				United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE
			USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828 Fax: 1-855-415-3687 E-mail: [email protected]
Please make corrections to name, address and ZIP Code, if necessary.
The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents. By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or your operation. Response is voluntary. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0535-0248. The time required to complete this information collection is estimated to average 35 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.

					Attempted Contacts
					Date	Time	Notes
State	POID	Tract	Subtr.
__ __	__ __ __ __ __ __ __ __ __	__ __	__ __

1. In 2014 did you grow any food crops in an urban area, such as in a backyard garden, community garden, school garden, roof-top garden? Include gardens grown under cover, such as green houses or hoop houses and gardens grown in containers or raised beds. Food crops include vegetables, fruits, berries, herbs, grains, legumes, and nuts.

xxx ¹ Yes ³ No

2. In 2014 were you in charge of organizing or administering a location in an urban area where food crops were grown in sub-divided or multiple plots where each plot was operated by separate individuals or families? Examples include a community garden or a roof-top garden.

xxx ¹ Yes ³ No

ENUMERATOR NOTE:

If Item 1 = Yes and Item 2 = Yes, go to Item 3
If Item 1 = Yes and Item 2 = No, go to Item 7

If Item 1 = No and Item 2 = Yes, go to Item 3

If Item 1 = No and Item 2 = No, go to Item 25

3. In which of the following types of places were you in charge of organizing or administering the growing of food crops in an urban area in 2014?

xxx

1 Community garden

2 Roof-top garden

3 Other (Specify: ^xxx_______________________________________)

Number of Plots

xxx

4. How many total individual occupied plots were used to grow food crops at this location in 2014? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Please list each of the individual occupied plots reported in Item 4 based on an identifier such as the individual grower’s name or plot location.

Plot #	Plot Identifier		Plot #	Plot Identifier
1			29
2			30
3			31
4			32
5			33
6			34
7			35
8			36
9			37
10			38
11			39
12			40
13			41
14			42
15			43
16			44
17			45
18			46
19			47
20			48
21			49
22			50
23			51
24			52
25			53
26			54
27			55
28			56

* Use additional pages if necessary

PLOT SELECTION FOR SUB-SAMPLING

Month

Numeric Month

xxx

6. In what month is the respondent’s birthday?

ENUMERATOR ACTION:

1. Based on the numeric month of the respondent’s birthday reported above, start down the first column of plots (starting with plot #1) listed in Item 5 until you reach the number of the respondent’s birthday month. This will be the first selected plot to complete an additional questionnaire.

2. From this first selected plot, count down the same number of plots as the respondent’s birthday month. This will be the second selected plot to complete an additional questionnaire. Once you reach the last listed plot in Item 5, continue counting at the beginning of the list at plot #1. Continue doing this until you have randomly selected five plots to complete an additional questionnaire. If there are five or less total plots, select all plots to complete an additional questionnaire.

3. For the five selected plots to complete an additional questionnaire, collect the individual grower’s name and contact information in order to use for the collection of an additional questionnaire.

Selected Respondent 1 – NAME: __________________________________ PHONE: ( ) _________ -- _________

ADDRESS: Notes:

Selected Respondent 2 – NAME: __________________________________ PHONE: ( ) _________ -- _________

ADDRESS: Notes:

Selected Respondent 3 – NAME: __________________________________ PHONE: ( ) _________ -- _________

ADDRESS: Notes:

Selected Respondent 4 – NAME: __________________________________ PHONE: ( ) _________ -- _________

ADDRESS: Notes:

Selected Respondent 5 – NAME: __________________________________ PHONE: ( ) _________ -- _________

ADDRE SS: Notes:

ENUMERATOR NOTE: Make sure contact information has been collected for up to five selected respondents. If Item 1 = Yes, continue with Item 7; otherwise go to Item 31.

7. Which of the following did you use to grow food crops in 2014? Check all that apply.

	Places and/or structures utilized to grow food crops
xxx 1	Aquaponics: Growing fish and plants together in one integrated system.
xxx 1	Backyard or Home Garden or Residential Garden: A single-plot garden on the same lot as a single-family or multi-family building.
xxx 1	Commercial Enterprise (Located on the roof or within a commercial business building)
xxx 1	Community Garden: A garden divided into individual plots.
xxx 1	Demonstration Garden
xxx 1	Hydroponics: Growing plants in water without soil.
xxx 1	Roof-top garden
xxx 1	School Garden: A garden on the grounds of a school.
xxx 1	Urban Farm: A large garden comprising more than one vacant lot managed by a single gardener/farmer or group.
xxx 1	Vacant Lot Garden: A garden on a vacant lot,
xxx 1	Other, specify: Such as railroad and utility rights-of-way, public parks, parking lots.
xxx 1
xxx 1

8. In 2014, did you grow or harvest any vegetables, potatoes, or melons, in an urban area? Examples include:

Beans, snap Broccoli Carrots Cantaloupe Cucumbers Eggplant Garlic

Green peas Herbs, fresh Horseradish Onions Peppers, Bell Peppers, other Potatoes Pumpkins

Spinach Sweet corn Sweet potatoes Tomatoes Watermelon Other, specify below

xxx ¹ Yes – Continue ³ No – Go to Item 10

9. What types of vegetables, potatoes, or melons did you grow in an urban area in 2014?

Type of vegetables potatoes, or melons grown in 2014	How many square feet was the total space in which these vegetables, potatoes, or melons were grown in 2014?	How many total pounds of these vegetables, potatoes, or melons did you produce in 2014?	Of the total production, what percent of these vegetables, potatoes, or melons were for home use, including produce shared with others?	How many total dollars did you make from selling these vegetables, potatoes, or melons in 2014 if you did not use all for home use or share with others?
Type	Square Feet	Pounds	Percent	Dollars
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx

10. In 2014, did you grow or harvest any fruit, nuts, or berries in an urban area? Examples include:

Apples Cherries, sweet Cherries, tart

Grapes Peaches Plums and prunes Strawberries

Strawberries Other, specify below

xxx ¹ Yes – Continue ³ No – Go to Item 12

11. What types of fruit, nuts, or berries did you grow in an urban area in 2014?

Type of fruit, nuts, or berries grown in 2014	How many square feet was the total space in which these fruit, nuts, or berries were grown in 2014?	How many total pounds of these fruit, nuts, or berries did you produce in 2014?	Of the total production, what percent of these fruit, nuts, or berries were for home use, including produce shared with others?	How many total dollars did you make from selling these fruit, nuts, or berries in 2014 if you did not use all for home use or share with others?
Type	Square Feet	Pounds	Percent	Dollars
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx

12. In 2014, did you grow or harvest any greenhouse or nursery crops, including floriculture in an urban area?

Examples include:

Aquatic plants Bedding plants Cut flowers Flower seeds

Garden plants Herbs Mushrooms Ornamentals

Sod Vegetable seeds Other, specify below

xxx ¹ Yes – Continue ³ No – Go to Item 14

13. What types of greenhouse or nursery crops; including floriculture did you grow in an urban area in 2014?

Type of greenhouse or nursery crops grown in 2014	How many square feet was the total space in which these greenhouse or nursery crops were grown in 2014?	How many total pounds of these greenhouse or nursery crops did you produce in 2014?	Of the total production, what percent of these greenhouse or nursery crops were for home use, including produce shared with others?	How many total dollars did you make from selling these greenhouse or nursery crops 2014 if you did not use all for home use or share with others?
Type	Square Feet	Pounds	Percent	Dollars
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx

14. In 2014, did you grow or harvest any grains, hay, legumes, or other field crops in an urban area?

Examples include:

Corn for grain Hay Oats Peanuts

Soybeans Tobacco Wheat Other field crops, specify below

xxx ¹ Yes – Continue ³ No – Go to Item 16

15. What types of grains, hay, legumes, or other field crops did you grow in an urban area in 2014?

Type of grains, hay, legumes, or other field crops grown in 2014	How many square feet was the total space in which these grains, hay, legumes, or other field crops were grown in 2014?	How many total pounds of these grains, hay, legumes, or other field crops did you produce in 2014?	Of the total production, what percent of these grains, hay, legumes, or other field crops were for home use, including produce shared with others?	How many total dollars did you make from selling these grains, hay, legumes, or other field crops in 2014 if you did not use all for home use or share with others?
Type	Square Feet	Pounds	Percent	Dollars
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx
xxx	xxx	xxx	xxx	xxx

16. In 2014, did you raise or keep any animals in an urban area? Examples include:

Cattle Colonies of Bees Fish in captivity (Aquaculture and aquaponics) Goats	Hogs Horses Poultry Rabbits, mink	Sheep Other, specify below

xxx ¹ Yes – Continue ³ No – Go to Item 18

17. What were the types of animals raised in 2014 and the number on December 31, 2014?

Type of animal raised In 2014	Number of animals on December 31, 2014	How many total dollars did you make selling or boarding these livestock
Type	Number	Dollars
xxx	xxx	xxx
xxx	xxx	Xxx
xxx	xxx	Xxx
xxx	xxx	Xxx
xxx	xxx	Xxx
xxx	xxx	Xxx

18. In 2014, did you produce any livestock products in an urban area? Examples include:

Eggs Honey Milk	Wool Other, specify below

xxx ¹ Yes – Continue ³ No – Go to Item 20

19. What were the types of livestock products produced in 2014?

Type of Livestock products produced in 2014		Quantity of product produced in 2014		How many total dollars did you make selling these products
Type		Quantity		Dollars
xxx	Eggs	xxx	Dozen	xxx
xxx	Honey	xxx	Pounds	xxx
xxx	Milk	xxx	Pounds	xxx
xxx	Mohair	xxx	Pounds	xxx
xxx	Wool	xxx	Pounds	xxx
xxx		xxx		xxx

20. In 2014, did you produce any certified organic products according to USDA’s National Organic Program (NOP)?

xxx ¹ Yes ³ No

	None		Number of Hired Workers
21. How many hired workers, including paid family members, assisted you with growing any food crops, raising any animals, or producing any livestock products in this urban area?	xxx	1

22. At any time during 2014, did you do any of the following? Check all that apply.

			YES	NO
a.	Produce and sell value added crops, livestock, or products such as beef jerky, fruit jams, jelly, preserves, floral arrangements, etc.	xxx	1	3
b.	Market products through a community supported agriculture (CSA) arrangement	xxx	1	3
c.	Market products at a farmers market or farm stand	xxx	1	3
d.	Market products to restaurants	xxx	1	3
e.	Market products to institutions (such as schools)	xxx	1	3
f.	Market products to grocery stores	xxx	1	3
g.	Donate products to food pantries or shelters	xxx	1	3

	Total Number of Individuals	Number of Women
23. In 2014, how many people (individuals) were involved in making the day-to-day decisions for this agricultural activity (backyard garden, community garden, school garden, roof-top garden, greenhouse, etc.)? Enter the total number of individuals and the number of women. Exclude hired workers unless they were a hired manager or family member.	xxx	xxx

24. Answer the following questions for up to four individuals who made the day-to-day decisions for this urban agricultural activity, referred to here as an urban farm, which includes backyard garden, community garden, school garden, roof-top garden, greenhouse, hoop house, etc., as of December 31, 2014.

	Respondent	Person 2	Person 3	Person 4
Name	xxx	xxx	xxx	xxx
Sex	xxx 1 Male 3 Female	xxx 1 Male 3 Female	xxx 1 Male 3 Female	xxx 1 Male 3 Female
At which occupation did each person spend the majority (50 percent or more) of his/her worktime in 2014?	Mark one answer only xxx 1 Urban farm 2 Other	Mark one answer only xxx 1 Urban farm 2 Other	Mark one answer only xxx 1 Urban farm 2 Other	Mark one answer only xxx 1 Urban farm 2 Other
Is this person retired from farming?	xxx 1 Yes 3 No	xxx 1 Yes 3 No	xxx 1 Yes 3 No	xxx 1 Yes 3 No
How many days did each person work at least four hours per day in an off-farm job. Include work on someone else’s farm for pay.	Mark one answer only xxx 1 None 2 1 – 49 days 3 50 – 99 days 4 100 – 199 days 5 200 days or more	Mark one answer only xxx 1 None 2 1 – 49 days 3 50 – 99 days 4 100 – 199 days 5 200 days or more	Mark one answer only xxx 1 None 2 1 – 49 days 3 50 – 99 days 4 100 – 199 days 5 200 days or more	Mark one answer only xxx 1 None 2 1 – 49 days 3 50 – 99 days 4 100 – 199 days 5 200 days or more
Did each person live at the address where the urban farm is located at any time in 2014?	xxx 1 Yes 3 No	xxx 1 Yes 3 No	xxx 1 Yes 3 No	xxx 1 Yes 3 No
In what year did each person begin to operate any part of this urban farm?	xxx year	xxx year	xxx year	xxx year
In what year did each person begin to operate ANY urban farm?	xxx year	xxx year	xxx year	xxx year
What was each person’s age on Dec 31, 2014?	xxx years	xxx years	xxx years	xxx years
Is the person of Spanish, Hispanic, or Latino origin or background, such as Mexican, Cuban, or Puerto Rican, regardless of race?	xxx 1 Yes 3 No	xxx 1 Yes 3 No	xxx 1 Yes 3 No	xxx 1 Yes 3 No

	Respondent		Person 2		Person 3		Person 4
	Mark one or more		Mark one or more		Mark one or more		Mark one or more
Race?	xxx	White	xxx	White	xxx	White	xxx White
	xxx	Black or African American	xxx	Black or African American	xxx	Black or African American	xxx Black or African American
	xxx	American Indian or Alaskan Native. Specify Tribe	xxx	American Indian or Alaskan Native. Specify Tribe	xxx	American Indian or Alaskan Native. Specify Tribe	xxx American Indian or Alaskan Native. Specify Tribe
	xxx	Asian	xxx	Asian	xxx	Asian	xxx Asian
	xxx	Native Hawaiian or other Pacific Islander	xxx	Native Hawaiian or other Pacific Islander	xxx	Native Hawaiian or other Pacific Islander	xxx Native Hawaiian or other Pacific Islander
	Mark one answer only		Mark one answer only		Mark one answer only		Mark one answer only
Has this person ever served on active duty in the U.S. Armed Forces, Reserves, National Guard?	xxx 1 Never served in the military 2 Only on active duty for training in the Reserves or National Guard 3 Now on active duty 4 On active duty in the past, but not now		xxx 1 Never served in the military 2 Only on active duty for training in the Reserves or National Guard 3 Now on active duty 4 On active duty in the past, but not now		xxx 1 Never served in the military 2 Only on active duty for training in the Reserves or National Guard 3 Now on active duty 4 On active duty in the past, but not now		xxx 1 Never served in the military 2 Only on active duty for training in the Reserves or National Guard 3 Now on active duty 4 On active duty in the past, but not now
How many people lived in each person’s household in 2014?	Number of persons living in the Respondent’s household		Number living in household of Person 2. Enter “0” if Person 2 was counted in the previous column.		Number living in household of Person 3. Enter “0” if Person 3 was counted in the previous column.		Number living in household of Person 4. Enter “0” if Person 4 was counted in the previous column.
	xxx	number	xxx	number	xxx	number	xxx number
Is this person a hired manager for this urban farm?	xxx 1 Yes 3 No		xxx 1 Yes 3 No		xxx 1 Yes 3 No		xxx 1 Yes 3 No

25. Would the Respondent, Person 2, Person 3, or Person 4 be considered the Primary Operator?

xxx ¹ Respondent ² Person 2 ³ Person 3 ⁴ Person 4 ⁵ Other Person

226. How many beginning farmers not listed above make decisions for this urban farm? A “beginning farmer” is a person who has been a farmer (made decisions for an operation) for a total of less than 10 years.	Number
	xxx

27. Answer the following as to who was responsible for the major decisions, either primarily or jointly, as of December 31, 2014? For each person and for each item, mark as many as apply.

Mark as many as apply

	Respondent	Person 2	Person 3	Person 4	Owner or Contractor (Skip this column if operation is owned)	Contract Service
Land acquisition or sales decisions also including leasing.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No
Land use and crop decisions including planting, crop spraying, or other, e.g., grazing.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No
Livestock decisions including purchase and marketing, breeding or pasturing.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No
Major farm equipment purchases or sale.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No
Hiring and/or contracting with agriculture service or business service providers.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No
Business management, accounting, payroll, marketing decisions.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No
Applying for government programs.	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No	xxx 1 Yes 2 Joint 3 No

2 28. In 2014, how many households shared in the net farm income of this operation?	Number
	xxx

2 29. In 2014, what percent of the principal operator’s total household income came from this urban farm?	Percent (%)
	xxx

30. At any time during 2014, did this urban farm have internet access, either on the operation or at the principal operator’s residence?

xxx ¹ Yes – Report the type of service that was used to access the internet. Check all that apply. ³ No

xxx Dial-up service	xxx Fiber-optic service	xxx Broadband over Power Lines (BPL)
xxx DSL service	xxx Moblile broadband plan for a computer or a cell phone	xxx Other, specify below
xxx Cable modem service	xxx Satellite service	xxx

31. Thank you for participating in the survey. Do you have any additional comments? [Write them in the box below].

Xxx

Respondent Name		Area Code and Phone Number		Date (MM DD YY)
xxx	xxx		xxx

32. [Were the questions in this study appropriate for this respondent?]

xxx ¹ Yes – Go to item 22 ³ No – Explain why the questions were not appropriate

xxx

33. [Describe what you encountered at this location. Was there agriculture? What was at the location, etc.?]

xxx

Enumerator Name		Area Code and Phone Number
xxx	xxx

OFFICE USE ONLY
Response		Respondent		Mode		Enum.	Eval.	Change		Office Use for POID
1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est	9901	1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth	9902	1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other	9903	9998	9900	9985		9989 __ __ __ - __ __ __ - __ __ __
							R. Unit			Optional Use
							9921			9907		9908	9906		9916
S/E Name