On-Farm Market Directory Form OMB NO. 0581- NEW
[current
year] USDA
National On-Farm Market
Directory
============================================================================================
Questions
1 – 6 are designed to appear in subsequent years of the
Directory and will be visible only to those who filled the Directory
form in the previous year or information is already available from
another source.
These questions are included for the OMB
approval.
(Only
managers/ representatives from previous year’s Directory see
this question)
[Q1]
Will your
[name of the on-farm market from previous year’s Directory]
be open for business on
or adjacent to your farm
anytime in
[current year]?
O
1- Yes => Go to Q2 (Still manager/ rep)
O 2- No
=>
Skip to Q3 (Manager/ rep of another on-FM)
O 3- Do not know
=> Go to Q2 (Still manager/
rep)
------------------------------------------------------------------------------------------------------------------------------------------------------------
[Q2]
According to the USDA National On-Farm Market Directory, you were
either the manager or a representative of [name
of the on-farm market from previous year’s Directory]
in previous Directory. Are you still the manager or a
representative of this on-farm market in [current
year]?
O
1- Yes
=> If Yes (open) in Q1 and Yes (manager/ rep)
in Q2 => Skip to Q6 (Correct on-FM name?)
=> If Don’t
know (if open) in Q1 and Yes (manager/ rep) in Q2 => Go to
additional message below
O 2- No => Go to Q3
(Manager/ rep of another
on-FM)
------------------------------------------------------------------------------------------------------------------------------------------------------------
ADDITIONAL
MESSAGE
Only respondents who “Don’t
know”(if market open) in Q1 and Yes (are
managers/representatives) in Q2 will see the below message
Based
on your response, we see that you are still the manager or the
representative of
[name of the on-farm market from previous year’s Directory],
but you do not know if it is going to operate anytime in [current
year].
This Directory will be available for online updating throughout the
year, so please update the information for this market if it opens
sometime in [current
year].
=>
Exit the current year USDA Directory
update
------------------------------------------------------------------------------------------------------------------------------------------------------------
[Q3]
Are you a manager or a representative of another on-farm market
in [current
year]?
O
1- Yes => Go to Q4 (Willing to provide info on another
on-FM)
O 2- No
=>
Exit the current year USDA Directory
update
------------------------------------------------------------------------------------------------------------------------------------------------------------
[Q4]
Are you willing to provide information about the on-farm market
that you manage or represent in [current
year]?
O
1- Yes => Go to Q5 (Search engine)
O 2- No
=>
Exit the current year USDA Directory
update
=================================================================================
(Question
visible only to those who came through the public web site or who
came through the link but manage different market)
SEARCH
ENGINE
[Q5] Please type in the correct official
name of the on-farm market that you manage or represent.
As
you start typing, on-farm markets with the same or similar name(s)
may appear and you may choose the proper market name by clicking on
the “update” link in the right column.
Should
there be a spelling mistake in the name of the market listed, but
you are sure (by checking the location address) that this is the
market you manage or represent, you will have an opportunity to
correct the spelling of the official market name.
For
your convenience, you may also search the list by typing in the zip
code of the physical LOCATION of the on-farm market (not the zip
code for the mailing address, as it might be different).
On-farm market name or location zipcode:……………………
Displayed on-farm market names |
Location street |
City |
State |
Zip code |
Update |
Xa |
|
Ka |
AZ |
|
Update => Go to Q6 (Is the name correct?) |
Xb |
|
Le |
OK |
|
Update => Go to Q6 (Is the name correct?) |
Xc |
|
Mw |
RI |
|
Update => Go to Q6 (Is the name correct?) |
aXa |
|
Kl |
AZ |
|
Update => Go to Q6 (Is the name correct?) |
bXb |
|
Lm |
OK |
|
Update => Go to Q6 (Is the name correct?) |
cXc |
|
Mg |
RI |
|
Update => Go to Q6 (Is the name correct?) |
If
the name of the on-farm market that you manage or represent is not
listed, please click
here
to continue. =>
Skip to Q7 (Type correct
name)
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(Question
visible only to those who came through the public web site AND
clicked on “update” in the table in Q6)
[NameCheck]
Is “[name
of the on-farm market from previous year’s Directory]”
the correct official
name of your on-farm market?
O
1- Yes. If yes, this information will appear in the [current
year]
USDA National On-Farm Market Directory.
=> Skip to Q8
(on-FM definition)
O 2- No => Go to Q7 (Provide
correct
name)
=================================================================================
(New-comers and “No” [i.e., incorrect name] in Q5 or in Q6 see this question)
[CorrectedName]
Please type in the correct official
name of the on-farm market that you manage or represent. The name
that you provide here will appear in the [current
year]
USDA National On-Farm Market
Directory.
…………………………………………………………
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(Everyone
sees this question)
[QualifiedMarket]
For the purposes of this Directory, an “on-farm market”
is a single farm operation that sells agricultural and/or
horticultural products directly to consumers on its farm property
or on property adjacent to its farm. The majority of products sold
at the on-farm market are either grown on the proprietor’s
farm or are sourced from neighboring farms.
Does your
market qualify as an on-farm market as defined above?
O
1- Yes=> Go to Q9 (Person’s contact info)
O 2-
No => Exit the [current year] USDA Directory
update
============================================================================================
Contact
information listed in this section will not
be published in
the
[current
year]
USDA On-Farm Market Directory. This is for internal purposes only.
This information will be kept confidential.
Please
provide contact information of person completing this form:
(Information
below filled with [current year] data for those that access the
form via the unique link and are still managers of their
markets)
[Contact_Name]
Name:
……………………
[Contact_Email]
Email
address:
……………………
[Contact_Phone]
Contact
(phone) number:
……………………
[Contact_relation]
What is your primary
relationship with this on-farm market?
O
1- Market manager
O 2- Farm owner
O 3- Contact
person / public liaison for market
O 4- Market employee
O
5- Volunteer
O 6- Other,
please
specify:
……………………
Mailing
address for your on-farm market:
(Information
below filled with previous-year data for those that access the form
via the unique link and are still managers of their
markets)
[Mailing_ST]
Street
name and number or P.O. Box number:
……………………
[Mailing_City]
City:
……………………
(required)
[Mailing_State]
State:
……………… (A drop-down menu)
(required)
[Mailing_Zip]
5-digit
ZIP Code:
……………………(only
5 digits
allowed)
============================================================================================
All
information you provide from this point forward will
be published in the [current
year]
USDA National On-Farm Market Directory.
Please
provide the contact information for your on-farm market:
(Information
below filled with [current year] data for those that access the
form via the unique link and are still managers of their
markets)
[Market_ManagerName]
Market
Manager’s name:
……………………
[Market_Email]
Market
email address:
……………………
[Market_Phone]
Market
phone number:
……………………
[Market_Website]
Market
website address:
……………………
[Market_Facebook]
Market
Facebook page:
……………………
[Market_Twitter]
Market
Twitter address:
……………………
[Market_Blog]
Market
blog address:
……………………
Market
contact information on other social media:
……………………
============================================================================================
Everybody
sees this information, but those who accessed the site via a unique
link will see prepopulated information if they were in the system
in the previous year.
Please
provide information about the physical location (actual place)
where your on-farm market will operate.
If there is not
a street address, number or zipcode for this location, or you do
not know it, please provide the state, city/town, a description of
the location with the nearest road intersection listed (e.g., on
High Road near Anytown, 3 miles west of the intersection with State
Highway 300) and short driving directions. The Directory will
include this description to assist customers in locating your
on-farm market.
[Location_State]
Market
location – state:
…………………… (a
drop-down menu)
(required)
[Location_County]
Market
location – county (or parish, if located in Louisiana; or
borough, if located in Alaska):
………….. (required)
[Location_ST]
Physical
street name and number where market located:
……………………
[Location_City]
Market
location – city:
……………………
(required)
[Location_Zip]
Market
location – 5-digit ZIP Code: ……………………
(only 5 digits allowed)
[Location_Desc]
Location
description:
……………………
Example: on High Road near Anytown, 3 miles west of the
intersection with state hwy 300.
[Location_Drive]
Driving
directions:
……………………
---------------------------------------------------------------------------------------------------------------------------------------------------------------
The
[current
year]
USDA On-Farm Market Directory will not just include each listed
market’s physical address information (i.e., street name and
number, city/town, county, state and zipcode, if available) but it
will also include a related map featuring an arrow pointing to the
location where this market will operate in [current
year].
Please
review the location on the map. If the location on the map is
correct, click on "Continue"
button below to go to next section.
If the arrow does
not point to the correct location of the market, please drag
the arrow
to the correct location.
If you lose sight of the arrow (by
zooming in, for example), you can click
anywhere on the map and a new arrow will appear.
When done correcting the location of the arrow, click
on “Continue”.
-----INTERACTIVE
Map-----
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[OperationMultiSchedule]
Will your on-farm market operate during the same
days
of the week and
the same
times
(i.e., have the same schedule) during
all the months in which it operates
in [current
year]?
O
1- Yes => Go to Q16A
(Indicate months)
O 2- No => Go to Q16B
(Indicate months with different
schedules)
---------------------------------------------------------------------------------------------------------------------------------------------------------------
A)
During which months will your on-farm market operate in 2013?
B)
You can indicate the schedule (business days and times) of this
on-farm market by clicking on a month (or group of months with the
exact same schedule) that this market will be open, and then
clicking on the button Enter Operation Days and Times.
B)
You may come back to this screen to select other month(s) when the
market is open, until you have provided all the schedules for this
market in [current
year].
Every time you reenter the screen, you will see the schedule
information that you have provided so far.
[_]
Year round (visible only to those that have the same schedule in
Q15)
[_]
January
[_] February
[_] March
[_] April
[_]
May
[_] June
[_] July
[_] August
[_]
September
[_] October
[_] November
[_] December
[_]
Not sure yet
[_] By appointment only
Enter
Operation Days and Times
Go to Q17 (Record days/ times)
(it will be a “looped”
process for those with different schedule in Q16B)
Schedules
|
When
you are done updating the schedules for this market in [current
year],
please click on the button below.
Continue
Go
to Q17 (Record days/ times) (it will be a “looped”
process for those seeing
Q16B)
---------------------------------------------------------------------------------------------------------------------------------------------------------------
In
the indicated month(s) [selected
months from Q16A or most recently selected months from Q16B],
which days
of the week will this market be open and during which times
will it be open on those days?
Please indicate all days
and times that apply to your market. The schedule will be
automatically updated in all the months you have selected.
[_]
Not sure yet => Go to Q18 (What products sold at the
market?)
[_] By appointment only => Go to Q18 (What
products sold at the market?)
|
Open time |
Close time |
Monday |
(Drop-down menu with am and pm times listed) [mon_s] |
(Drop-down menu with am and pm times listed) [mon_e] |
Tuesday |
[tue_s] |
[tue_e] |
Wednesday |
[wed_s] |
[wed_e] |
Thursday |
[thu_s] |
[thu_e] |
Friday |
[fri_s] |
[fri_e] |
Saturday |
[sat_s] |
[sat_e] |
Sunday |
[sun_s] |
[sun_e] |
[comments]
Please provide additional comments on market’s open days and
hours. This comment will appear on the Directory:…………
Continue
Respondents
with the same schedule in Q15 => Go to Q18 (What products sold at
the market?).
Respondents
with the different schedule in Q15 will be sent back to the list of
month in Q16B and see the filled out schedule information for the
selected months. They can adjust the schedule or click on the button
there to skip to Q18 (What products sold at the market?)
Which
farm products and other items will be sold at your on-farm market
in [current
year]?
Please select all that apply.
[_]
Baked goods: breads, pies, etc.
[_] Bedding plants
[_]
Canned or preserved fruits/ vegetables: jams, jellies, preserves,
salsas, pickles, dried fruit, etc.
[_] Coffee and/or tea
[_]
Crafts and/or woodworking items
[_] Cut flowers
[_]
Dairy products: milk, cheese, etc.
[_] Dry beans
[_]
Eggs
[_] Fish and/or seafood
[_] Fresh and/or dried
herbs
[_] Fresh fruits
[_] Fresh vegetables
[_]
Grains and/or flour
[_] Honey
[_] Juices and/or
non-alcoholic ciders
[_] Maple syrup and/or maple
products
[_] Mushrooms
[_] Nursery stock (trees,
shrubs)
[_] Nuts
[_] Pet food
[_] Poultry/
fowl meat and products
[_] Prepared foods (for immediate
consumption)
[_] Red and other non-poultry meat and
products
[_] Soap and/or body care products
[_] Tofu
and/or non-animal protein
[_] Wild harvested forest
products: mushrooms, medicinal herbs, edible fruits and nuts,
etc.
[_] Wine, spirits, beer, hard cider
[_] Other,
please specify: ……………………
Does
your on-farm store provide shipping of products to the customers’
homes?
O
Yes
O No
Does
your on-farm market offer products certified as “organic”
by the USDA?
O
Yes
O No
What
kind of activities and/ or services will be offered, on a regular
basis, to the public at your farm in [current
year]?
Please select all that apply.
[_]
Celebrations/ corporate events
[_] Educational tours/
classes
[_] Farm meals (lunches, dinners, etc.)
[_]
Family/ youth activities
[_] Pick Your Own/U-Pick operation
[_] Tours of manufacturing facilities (creamery, cider
mill, maple syrup, etc.)
[_] Pumpkin shooting
[_] Hay
rides
[_] Corn maze
[_] Petting zoo
[_] Pony
rides
[_] Other agri-tourism, please specify:
..........................
Please
indicate the facilities that are available at your farm. Please
select all that apply.
[_]
Hand washing station(s)
[_] Flush toilets
[_]
Picnic areas w/o tables
[_] Picnic areas with tables
[_]
None of the
above
---------------------------------------------------------------------------------------------------------------------------------------------------------------
[Payment]
What
form of payment will be accepted
at
your on-farm market in
[current
year]?
[_]
SNAP/ EBT (formerly called “food stamps”)
[_]
Cash
[_]
Checks
[_]
Debit/Credit card(s)”
[_]
Other, please specify: ..........................
============================================================================================
REVIEW PAGE
Please review your on-farm market information that you have just provided. If you approve the information, this is what will be displayed on [current year] USDA National On-Farm Market Directory.
If
everything is correct, please click on “Finish” button.
If
you want to make a correction in a particular section, please click
on a “Edit” link in that section.
(Respondents
will be on a loop clicking on a button and correcting one section at
a time, until they click on “Save
and finish the form” button.
[Name of the on-farm market from [current year] Directory] |
Edit |
||||
Address |
Edit |
Schedule |
Edit |
Products |
Edit |
Market directions |
Edit |
Market details |
Edit |
Activities/ services |
Edit |
Contact information |
Edit |
Farming practices |
Edit |
Events |
Edit |
|
|
|
|
Payment options |
Edit |
============================================================================================
THANK-YOU PAGE
Dear
On-Farm Market Manager/Representative,
Thank you for
updating your market listing for the [current
year]
National On-Farm Market Directory. If
you wish to enter information about an additional market, please
click
here.
We greatly appreciate your participation in this very important project to help keep consumers informed about on-farm markets.
If
you have any questions about the Directory itself, please contact us
at [email protected] or (202)
720-8317.
If
you update information on your market by XXXX,
it will appear in the [current
year]
USDA
National On-Farm Market Directory by YYYY.
This means consumers will be able to find your market just as the
busy summer season is getting underway. Market listings submitted
after MMMM,
but by KKKK
will be published in the Directory by LLLL.
Thank you for updating your market listing for the [current year] National On-Farm Market Directory.
Sincerely,
Velma Lakins
Agricultural Marketing Specialist
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 0581-NEW. The time required to complete this information collection is estimated to average 10 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.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
2014 On-Farm Market Directory
Update Form -
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | On-Farm Market Directory Form |
Author | carrsadmin |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |