QID 072050 Conservation Effects Assessment Project - Questionnaire

Conservation Effects Assessment Project

0245 - 2014 CEAP questionnaire - V1

Conservation Effects Assessment Project

OMB: 0535-0245

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CONSERVATION EFFECTS ASSESSMENT PROJECT (CEAP) - 2014
OMB No. 0535-0245
0535
Approval Expires: 10/31/2014
Project Code: 912 QID: 072050
SMetaKey: 3273

United States
Department of
Agriculture
National
Agricultural
Statistics Service
U.S. Department of Agriculture,
Rm 5030, South Building
1400 Independence Ave., S.W.
Washington, DC 20250-2000
20250
Phone: 1-800
800-727-9540
Fax: 1-202
202-690-2090
Email: [email protected]

VERSION

CEAP ID

TRACT

SUBTRACT

1

__ __ __ __ __ __ __ __ __

01

01
CONTACT RECORD

DATE

TIME

NOTES

INTRODUCTION
[Introduce yourself, and ask for the operator.]
The National Agricultural Statistics Service is collecting information on land management and conservation practices. The in
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. All cconservation
onservation practices that are in place should be reportedreported
whether they were installed as part of a Federal or State Cost
Cost–Share program, an industry or non-profit
profit program, or by you (the operator)
with no outside support. We encourage you to refer to your farm records during the interview.
The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Prote
Protection
provisions of Title V, Subtitle A, Public Law 107–347
7 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.

0001

1
HHMM
BEGINNING TIME
[MILITARY]

0004
___ ___ ___ ___

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respo
respond
nd 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 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaini
maintaining
ng the data needed, and
completing and reviewing the collection of information.

-2-

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 also be captured during the
survey.
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 2014?
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. In 2014, was any part of this field:
•
•
•
•

planted to a crop? (Include hay. Exclude greenhouse and nursery crops)
pasture?
idle cropland? or
summer fallow?

Yes – [Enter 1, then go to Item 4.]
....

No – [Enter 3, then go to Item 3.]. . . . . . . . . . . . .

3. During 2014, was the entire field enrolled in continuous conservation cover?
[Include 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.]
Yes – [Enter 1, then go to Item 4.]
....
4.

CODE

No – [Enter 3] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Was the wireless internet signal present at the time of the screening interview?
Yes – [Enter 1]
....

CODE

No – [Enter 3, then go to Item 4.]. . . . . . . . . . . . .

Is this FSA Farm/Tract/Field information [on FSA name and address sheet] correct for the
field we just identified?
Yes – [Enter 1]
....

CODE

No – [Enter 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ENUMERATOR ACTION: If Items 2 or 3 = 1 (Yes), provide comments below.
If Items 2 and 3 = 3 (No), conclude the interview.

CODE

-3-

A

FIELD CHARACTERISTICS---SELECTED FIELD

A

1. In 2014, how many acres in the selected field and conservation area containing the sample point were:
ACRES

a. planted or cropped (Excluding greenhouse and nursery crops)
(selected field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. in field borders, grassed waterways, buffers, and other uses associated
with conservation practices but not cropped?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0017

+

.___
0018

+

.___
0019

c. idle cropland or summer fallow (selected field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

.___
0020

d. greenhouse and nursery crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +

.___
0021

e. pasture (selected field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

.___
0016

f.

continuous conservation cover (selected field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

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

+

.___
0022

.___
ACRES

0023
2. So the TOTAL acres in the selected field and conservation area
(1a + 1b + 1c + 1d + 1e + 1f + 1g) are:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =

.___

ENUMERATOR NOTE: [If any acres are reported in Item 1a (planted or cropped), or Item 1c (idle cropland or
summer fallow), Item 1e (pasture), or Item 1f (continuous conservation cover), continue;
else, go to Conclusion, on page 40]
3. During 2014, 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] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2014
3382

2013
3381

2012
3380

4. Was this field considered organic acreage?. . . . . . . . . . . . . . . . . . . . . . Yes = 1

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

1
2
3
4
5
6
7

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?

2014
0504

2013
0503

2012
0502

-4-

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
• Grassland Reserve Program (GRP) Plan
• Agricultural Water Enhancement Program (AWEP) Plan
• Nutrient Management Plan or Comprehensive Nutrient Management Plan
Yes – [Enter 1 and continue with Item 1a.]

CODE
0701

Don’t Know – [Enter 2, then go to Item 2.]
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? (Select all that apply)

CODE
0702

(i) Practices to reduce soil erosion?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(ii) Nutrient management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iii) Pest management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iv) Irrigation water management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(v) Wildlife habitat enhancement practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(vi) Manure management and handling practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(vii) Agricultural water management plan that meets state or local requirements?. . . . . .

Yes = 1

(viii) Grazing Management Plan and Practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

0703
0704
0705
0706
0771
0742
0743

2. Did you receive cost share or incentive payments in 2014, 2013, or 2012 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.]

No –

[Enter 3, then go to Item 3.] . . . . . . . . . . . . . .

0707

a. If Yes, for what program? (Select all that apply)

CODE
0772

(i) Conservation Security Program (CSP). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(ii) CRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iii) WRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iv) EQIP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(v) AWEP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(vi) State Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(vii) Other (Specify) ____________________________________________________

Yes = 1

(viii)Don’t Know. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

0708
0709
0710
0745
0711
0712
0713

-5-

3. Did you receive any help for the development of:
a. a Conservation Plan for this field/conservation area? [Ask only if there is a written conservation plan
for this field, Item 1 = 1 (Yes).]
0780

1
3

Yes - [Check box, then go to Item 3c.]
No - [Check box and continue.]

b. conservation practices currently in place on this field/conservation area?
0781
1
3

c.

Yes - [Check box and continue.]
No - [Check box, then go to Item 4.]

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.
[Select all that
apply]

Were you charged for
the service?

Which of these was your
PRIMARY source of
assistance?

Source
[Select only 1]
Yes = 1

Yes = 1

Yes = 1

0714

0720

0726

0715

0721

0727

0716

0722

0728

0747

0760

0762

0751

0761

0763

0717

0723

0729

0718

0724

0730

0719

0725

0731

NRCS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conservation District. . . . . . . . . . . . . . . . . . . . . . . .
Technical Service Providers (NRCS Certified). . . . .
Private Consultant. . . . . . . . . . . . . . . . . . . . . . . . . .
Trade Organizations. . . . . . . . . . . . . . . . . . . . . . . . .
University Extension. . . . . . . . . . . . . . . . . . . . . . . . .
State Agencies. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (Specify:_______________________). . . . .

Completion Code for Conservation Plan
1 = Incomplete/Refusal

0700

-6-

4. In 2014, 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.
1328

a. Terraces?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Were these terraces:. . . . . . . . . . . .

1 = primarily grassed
2 = primarily cropped

Yes = 1
1329

. . . . . . . . . . . . . . . . . . . . . Code
1333

b. Stream side forest buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
3320

(i) Width of buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(ii) Species:. . . . . . . . . . . . . . . . .

1 = evergreen
2 = deciduous
3 = mixed

Feet
3321

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

Code
1334

c.

Stream side herbaceous buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
3322

(i) Width of buffer?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Feet

(ii) Is the buffer maintained, for example, by fertilizing, mowing,
or repairing any gullies?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

3323

(iii) Is the buffer designed to capture--3330

(a) sediment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(b) nutrients?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(c) pesticide residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

3331
3332
1337

d. Field borders?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1
3333

(i) Width of field border?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Feet

(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--3341

(a) sediment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(b) nutrients?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(c) pesticide residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

e. Filter strips?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

3342
3343
1338
3344

(i) Width of filter strip?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Feet
3350
(ii) Is the filter strip maintained, for example, by fertilizing, mowing,
or repairing any gullies?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
(iii) Is the filter strip designed to capture--3352

(a) sediment?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(b) nutrients?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(c) pesticide residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

3353
3354

-7CODE

f.

Grassed waterways?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

g. Vegetative barriers (in-field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

h. Hedgerow plantings?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

i.

Windbreak?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1

j.

Herbaceous wind barrier?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1

k.

Contour buffers (in-field)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

l.

Critical area planting?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

m. Grade stabilization structure?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

n. Drainage water management?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

1330
1331
1332
1335
3360
1336
1339
1340
3361

Are water tables managed for – (Include above ground and below ground water levels.)
3390

(i) Reduction of nutrient, pathogen, pesticide, and other contaminant losses from the field?

Yes = 1

(ii) Seasonal wildlife habitat?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
(iii) Weed control?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iv) Managing crop residue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
(v) Conserving soil organic matter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(vi) Reducing wind erosion and particulate emissions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(vii) Other purposes? Specify: ______________________________________________

Yes = 1

o. Irrigation tailwater recovery system?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
p. Contour farming?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

q. Strip cropping?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

r.

Fence for the purpose of managing domestic livestock? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(i) Cross-fence for animal rotation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(ii) Stream and/or water body protection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iii) Sensitive area protection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1
(iv) Supplemental feeding area? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

s.

Prescribed Grazing? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes = 1

t.

Other? Specify: _______________________________________________________________________

Yes = 1

3391
3392
3393
3394
3371
3372
3373
3362
3363
3110
3111
3112
3113
3114
3115
2450

5. Have you modified or added any conservation practices for the selected field SPECIFICALLY
to improve the quality of fish or wildlife habitat?
Yes = 1

No = 3

Not Applicable = 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CODE
3364

6. Do you manage the vegetative cover for wildlife purposes?
Yes = 1

No = 3

Not Applicable = 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CODE
3370

-8-

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.])

Let’s begin with the 2014 crop year. What was/were the:

1

2

3

2014

2014

2014

Crop(s) planted or Land Use?

Crop

1. Crop(s) code or Land Use Code. [See Resp. Booklet pg. 3 for codes]

Code

1005

1037

1069

2. Intended use of Crop(s)? [See Respondent Booklet pg. 6 for codes]

Code

1006

1038

1070

3. Acres planted? [Include previous planted crops.]

Acres

1007

.__ 1039

.__ 1071

4. Date planted? (MMDDYY)

1008

1040

1072

Date

5. Row Width (for row crops)?

Inches

1011

.__ 1043

.__ 1075

6. Spacing between rows (for orchards and vineyards)?

Feet

4600

4602

4604

7. Spacing between plants within rows (for orchards and vineyards)?

Feet

4601

4603

4605

Number 1012

.__ 1044

.__ 1076

Code

1013

1045

1077

9. Type of tillage used? [See Respondent Booklet pg. 6 for codes]

Code

1014

1046

1078

10. Acres harvested?

Acres

1015

.__ 1047

.__ 1079

1016

1048

1080

8. Expected yield/acre at planting (yield goal)?
a. Unit: [See Respondent Booklet pg. 6 for codes]

a. Date harvested? (MMDDYY)
11. Actual yield at harvest/acre?
a. Unit: [See Respondent Booklet pg. 6 for codes]
12. Acres abandoned?
13. Was this crop irrigated?
14. Was the grass vegetation, straw or stubble harvested? If Yes,
enter 1 and continue. If No, enter 3, then go to Item 15

Date

__ __ __ __ __ __

__ __ __ __ __ __

__ __ __ __ __ __

__ __ __ __ __ __

.__ 1049

.__ 1081

Code

1018

1050

1082

Acres

1019

.__ 1051

.__ 1083

Yes = 1
No = 3

1029

1061

1093

1020

1052

1084

Yes = 1
No = 3

1021

1053

.__

Acres
1022

1054

1086

15. Was the field grazed? If Yes, enter 1 and continue. If No,

Yes = 1
No = 3

1023

1055

1087

1024

1056

1088

1025

1057

1089

[See Respondent Booklet pg. 6 for codes]

Code

17. Regardless of ownership, how many head of _________ grazed this
field BEFORE harvest?

Head

a. How many total days was the field grazed BEFORE harvest?

Days

1026

1058

1090

Yes = 1
No = 3

1411

1413

1422

1027

1059

1091

b. Was supplemental feed supplied to livestock?
18. Regardless of ownership, how many head of _________ grazed this
field AFTER harvest?

Head

a. How many total days was the field grazed AFTER harvest?

Days

1028

1060

1092

Yes = 1
No = 3

1412

1421

1423

19. Was any forage intentionally left behind for wildlife use, cover, Yes = 1 2610
and/or shelter?
No = 3

2611

2612

b. Was supplemental feed supplied to livestock?

.__

.__

.__

.__

Inches

16. What type of livestock grazed the field (primarily)?

.__

1085

.__

b. What was the remaining stubble height after harvest?
enter 3, then go to item 19.

.__

__ __ __ __ __ __

Number 1017

a. How many acres of grass vegetation, straw or stubble were
harvested?

__ __ __ __ __ __

.__

2014 EDIT CROPPING TABLE

1004

-9-

Let’s continue with the 2013 crop year.
Did you make day-to-day farming/ranching decisions for this
field in 2013? If Yes, continue. If No, go to page 10.

Yes = 1
No = 3

1

2

3

2013

2013

2013

0010

What was/were the:
Crop(s) planted or Land Use?

Crop

1. Crop(s) code or Land Use Code. [See Resp. Booklet pg. 3 for codes]

Code

2. Intended use of Crop(s)? [See Respondent Booklet pg. 6 for codes]

Code

3. Acres planted? [Include previous planted crops.]

Acres

4. Date planted? (MMDDYY)

Date

5. Row Width (for row crops)?

Inches
Feet

7. Spacing between plants within rows (for orchards and vineyards)?

Feet

a. Unit: [See Respondent Booklet pg. 6 for codes]

1133

1165

1102

1134

1166

1103

.__

1104

6. Spacing between rows (for orchards and vineyards)?

8. Expected yield/acre at planting (yield goal)?

1101

Number
Code

9. Type of tillage used? [See Respondent Booklet pg. 6 for codes]

Code

10. Acres harvested?

Acres

.__

11. Actual yield at harvest/acre?
a. Unit: [See Respondent Booklet pg. 6 for codes]
12. Acres abandoned?
13. Was this crop irrigated?
14. Was the grass vegetation, straw, or stubble harvested? If Yes,
enter 1 and continue. If No, enter 3 and go to Item 15

Date
Number
Code
Acres
Yes = 1
No = 3
Yes = 1
No = 3

4622

4619

4621

4623

.__

harvested?

b. What was the remaining stubble height after harvest?
15. Was the field grazed? If Yes, enter 1 and continue. If No,
enter 3, then go to item 19.

Yes = 1
No = 3

16. What type of livestock grazed the field (primarily)?
[See Respondent Booklet pg. 6 for codes]
field BEFORE harvest?

Head

a. How many total days was the field grazed BEFORE harvest?

Days
Yes = 1
No = 3

18. Regardless of ownership, how many head of _________ grazed this
field AFTER harvest?

Head

a. How many total days was the field grazed AFTER harvest?

Days

b. Was supplemental feed supplied to livestock?
19. Was any forage intentionally left behind for wildlife use, cover,
and/or shelter?

1172
1173

1110

1142

1174

1111

.__

.__

1114
1115

.__

1144

__ __ __ __ __ __

1113

1143

.__

1146

.__

1147

Yes = 1
No = 3

.__

.__

__ __ __ __ __ __

1177

.__

1178

.__

1179

1125

1157

1189

1116

1148

1180

1149

.__

.__

1176

__ __ __ __ __ __

1145

1175

.__

1181

.__

.__

1118

1150

1182

1119

1151

1183

1120

1152

1184

1121

1153

1185

1122

1154

1186

1431

1433

1442

1123

1155

1187

1124

1156

1188

1432

1441

1443

2622

2623

2624

Code

17. Regardless of ownership, how many head of _________ grazed this

b. Was supplemental feed supplied to livestock?

.__

1141

Acres
Inches

1140

1109

1117

a. How many acres of grass vegetation, straw, or stubble were

.__

__ __ __ __ __ __

1171

4620

1108

.__

1168

__ __ __ __ __ __

1139

1167

4618

1112

a. Date harvested? (MMDDYY)

.__

1136

__ __ __ __ __ __

1107

1135

Yes = 1
No = 3
2013 EDIT CROPPING TABLE

1003

-10-

Let’s finish up with the 2012 crop year:
Did you make day-to-day farming/ranching decisions for this
field in 2012? If Yes, continue. If No, go to page 11.

Yes = 1
No = 3

1

2

3

2012

2012

2012

0011

What was/were the:
Crop(s) planted or Land Use?

Crop

1. Crop(s) code or Land Use Code. [See Resp. Booklet pg. 3 for codes]

Code

2. Intended use of Crop(s)? [See Respondent Booklet pg. 6 for codes]

Code

3. Acres planted? [Include previous planted crops.]

Acres

4. Date planted? (MMDDYY)

Date

5. Row Width (for row crops)?

Inches
Feet

7. Spacing between plants within rows (for orchards and vineyards)?

Feet

a. Unit: [See Respondent Booklet pg. 6 for codes]

Number
Code

9. Type of tillage used? [See Respondent Booklet pg. 6 for codes]

Code

10. Acres harvested?

Acres

a. Date harvested? (MMDDYY)
11. Actual yield at harvest/acre?
a. Unit: [See Respondent Booklet pg. 6 for codes]
12. Acres abandoned?
13. Was this crop irrigated?
14. Was the grass vegetation, straw, or stubble harvested? If Yes
enter 1 and continue. If No, enter 3, then go to Item 15.

Date
Number
Code
Acres
Yes = 1
No = 3
Yes = 1
No = 3

15. Was the field grazed? If Yes, enter 1 and continue. If No,

Yes = 1
No = 3

16. What type of livestock grazed the field (primarily)?

field BEFORE harvest?

Head

a. How many total days was the field grazed BEFORE harvest?

Days
Yes = 1
No = 3

18. Regardless of ownership, how many head of _________ grazed this
field AFTER harvest?

Head

a. How many total days was the field grazed AFTER harvest?

Days

b. Was supplemental feed supplied to livestock?
19. Was any forage intentionally left behind for wildlife use, cover,
and/or shelter?

1262

1199

.__

.__

1232

__ __ __ __ __ __

1203

1231

.__

.__

__ __ __ __ __ __

1267

4624

4626

4628

4625

4627

4629

1204

.__

1236

.__

1268

1205

1237

1269

1206

1238

1270

1207

.__

.__

1210
1211

.__

1240

__ __ __ __ __ __

1209

1239

.__

1242

.__

1243

1271

Yes = 1
No = 3

.__

.__

__ __ __ __ __ __

1273

.__

1274

.__

1275

1221

1253

1285

1212

1244

1276

1245

.__

.__

1272

__ __ __ __ __ __

1241

.__

1264

__ __ __ __ __ __

1235

1263

.__

1277

.__

.__

1214

1246

1278

1215

1247

1279

1216

1248

1280

1217

1249

1281

1218

1250

1282

1451

1453

1462

1219

1251

1283

1220

1252

1284

1452

1461

1463

2625

2626

2627

Code

17. Regardless of ownership, how many head of _________ grazed this

b. Was supplemental feed supplied to livestock?

1230

1213

Inches

[See Respondent Booklet pg. 6 for codes]

1198

Acres

b. What was the remaining stubble height after harvest?
enter 3, then go to item 19.

1261

1208

a. How many acres of grass vegetation, straw, or stubble were
harvested?

1229

1200

6. Spacing between rows (for orchards and vineyards)?

8. Expected yield/acre at planting (yield goal)?

1197

Yes = 1
No = 3
2012 EDIT CROPPING TABLE

1002

-11-

2. Do you have a crop rotation plan for this field?. .

1343
1

Yes – [Continue.]

3

No – [Go to Item 3.]

a. Let’s record your crop rotation plan. [Use the crop codes from the Respondent Booklet pg.3. 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].
st

1

year of rotation

nd

year of rotation

rd

year of rotation

th

year of rotation

th

year of rotation

th

year of rotation

2
3
4
5
6

CROP
CODE

CROPS

3. Was a cover crop planted on this field for the
2014, 2013 or 2012 crop years?. . . . . . . . . . . . . . .

1471
1

Yes – [Continue.]

3

1472

What type of cover crop was
planted? (Enter code)

1351

1358

1345

1352

1359

1346

1353

1360

1347

1354

1361

1348

1355

1362

1349

1356

1363

No – [Go to Item 4.]

4 Legume (clover,
cowpeas, etc.)
5 Other

When was the cover crop
terminated?
How was the cover crop
terminated? (Enter code)

Herbicide
Mowed
Hayed
Plowed or disked in

1483

2012
1571

1473

1491

1572

1481

1492

1573

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

MMDDYY
1
2
3
4

2013

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

MMDDYY
1 Wheat
2 Rye
3 Other small grain/
winter annual

CROP
CODE

1344

2014

When was the cover crop
planted?

CROP
CODE

5 Roller/Crimper
6 Harvested for grain
7 Burned

1482

1493

1581

CODE

4. Is the field adjacent (within 100 feet up slope) to a water body, including a stream,
intermittent stream, wetland, drainage ditch or irrigation canal/ditch?. . . . . . . . . . . . . . .

1327
Yes = 1

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

a. Is livestock access to the water body:
3400

(i) Prevented? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(ii) Controlled? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

(iii) Unrestricted? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

3401
3402
CODE

5. Are irrigation/drainage ditches lined or vegetated to maintain a stable channel?. . . . . .

Yes = 1

1364

6. Does this field have subsurface (tile) drainage?
1341
1

Yes – [Continue.]

2

Don’t Know – [Go to Item 7.]

3

No – [Go to Item 7.]

a. Are the drainage tiles organized in a pattern?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

1781

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

CODE
1782

b. What is the approximate subsurface (tile) drain spacing?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 – less than 30 feet

2 – 30-59 feet

3 – 60-100 feet

4 – more than 100 feet

CODE
1783

c.

Are there surface inlet pipes connected to the subsurface (tile) drains in this field?. . . . . .

Yes = 1

7. Does this field have surface drainage structures?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

1342

-12-

D

COMMERCIAL FERTILIZER APPLICATIONS---SELECTED FIELD

D

1. Were commercial FERTILIZERS applied to this field for:
CODE

a. the 2014 crop? [If Yes, enter 1 and continue. If No, enter 3, then go to Item 1c.]. . . .
b. Did you use any product to slow the breakdown of nitrogen on this field in
2014? (For example, a nitrification inhibitor, a urease inhibitor, or slow release
polymer.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1 0221
No = 3

EDIT TABLE
0234

0222
Yes = 1
No = 3
CODE

c.

the 2013 crop? [If Yes, enter 1 and continue. If No, enter 3, then go to Item 1e.]. . . .

d. Did you use any product to slow the breakdown of nitrogen on this field in
2013? (For example, a nitrification inhibitor, a urease inhibitor, or slow release
polymer.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1
No = 3

0235

EDIT TABLE
0233

0236
Yes = 1
No = 3
CODE

e. the 2012 crop? [If Yes, enter 1 and continue. If No, enter 3, then go to Item 2.]. . . . .
f.

Did you use any product to slow the breakdown of nitrogen on this field in
2012? (For example, a nitrification inhibitor, a urease inhibitor, or slow release
polymer.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1 0237
No = 3

EDIT TABLE
0232

0238
Yes = 1
No = 3

2. Is your soil phosphorus level elevated to a point where no additional phosphorus
nutrients can be applied to this field for the 2014 crop year?. . . . . . . . . . . . . . . . . . . . . . .

0247
Yes = 1

3. Were phosphorus nutrients applied to this field as either fertilizer or manure prior to 2012 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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Units
for fertilizer

b. What rate was
applied?. . . . .

18 lbs/acre P2O5

Units
for manure
1
3
12
14

AMOUNT

Pounds per acre
Tons per acre
Gallons per acre
Acre-Inch manure/acre . . . .

AND

0250
. ___

0283

2013
0285

2012
0287

Yes = 1

[If Yes, continue for that year. If No for all years, go to Item 5.]
a. Were the amendments added to address pH, soil structure, or
micronutrient–related problems?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNIT CODE
0251

2014

4. Were soil amendments other than nutrients added to this field?. . . .

0249
__ __ __ __ __ __

2014
0284

2013
0286

2012
0288

Yes = 1

5. 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.]

0252

No – [Enter 3, then go to Item 6.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CODE

a. How often is the soil test performed?. . . . . . . . . . .

1
2
3

annually
every 2-3 years
once during the rotation

0253

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

-13-

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. (Report soil test value only. Do not report
recommended fertilizer amounts.)
1

2

3

4

5

6

Year of
Test

Crop
Name

Crop Code

Soil Test
Nitrogen

Soil Test
Phosphorus

Soil Test
Potassium

Test
Value

YY
0254

Unit
lbs/acre
ppm

1
2

Test
Value

1
2
3

Unit
lbs/acre
ppm
mg/kg

Unit
lbs/acre
ppm

1
2

Test
Value

0255

0256

0257

0258

0259

0260

0261

0264

0265

0266

0267

0268

0269

0270

__ __
0263
__ __
7

8

9

Soil pH

Soil Test
Electrical Conductivity
(EC)

Soil Test
Sodium Absorption
Ratio
(SAR)

Test
Value
0262

1
2
3
4

Unit
siemens per meter (S/m)
deciSiemens per meter (dS/m)
microSiemens per centimeter (µS/cm)
millimhos per centimeter (mmho/cm)

Test
Value

0291

0292

0293

0296

0297

0298

.___
0271
.___

6. Were any of the following types of soil or tissue tests performed to determine nutrient
needs on this field?

CODE
0272

a. Pre-plant or pre-sidedress nitrate-nitrogen test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. Deep soil profile nitrate-nitrogen test (greater than one foot deep). . . . . . . . . . . . . . . . . .

Yes = 1

c.

Yes = 1

0273
0274

Leaf petiole or leaf tissue tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0275

d. Post-harvest stalk test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

e. Chlorophyll analysis (for example, leaf color charts, chlorophyll meters, optical
sensors, or remote aerial sensing). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

7. During crop years 2014, 2013, or 2012--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.)?. . . . . . . . . . . . . . . . . . . . .

2014
1299

2014

a. Was the map based on random sampling?. . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. Was the map based on grid sampling?. . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

Was the map based on a machine that measured electrical
conductivity of the soil?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2013
1310

2012
1321

Yes = 1

[If Yes to any crop year, continue. If No to all crop years, go to Item 8a.]

c.

0276

Yes = 1

2013

2012

0277

0279

0281

0278

0280

0282

1301

1312

1323

-14-

ENUMERATOR NOTE: Was fertilizer applied in 2014? [If Yes, continue. If No, go to Item 8b.]
8a. Now I need to record information for each fertilizer application for the 2014 crop.
[Probe for applications made in the fall of 2013 (and those made earlier if this field was fallow) for the 2014 crop year.]
CHECKLIST
INCLUDE

EXCLUDE

Custom applied fertilizers

Micronutrients

Sulfur

Commercially prepared manure
0299

Unprocessed manure
Office Use
Lines in Table

Lime and gypsum

LINE

1

2

3

4

5

6

Crop
Year

Primary crop
for which
nutrients
were
intended

Crop
Code

MATERIALS USED

What quantity
was applied
per acre?

[Enter material
code.]

Enter actual pounds of plant nutrients applied per acre.
If only fertilizer analysis is known, enter percent analysis
in this column and quantity applied per acre
in column 5.

[Enter crop
code from
Respondent
Booklet pg, 3 .]

[Show Common Fertilizers in
Respondent Booklet pg, 7.]

Nitrogen
N
28

01

Phosphorus
P2O5

Potassium
K2O

1
[Leave this column 3
12
blank if pounds
of actual nutrients 13
were reported
19
in column 4.]

Sulfur
S

28

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

14
28

14

03
28

14

04
28

14

05
28

14

06
28

14

07
28

14

08
28

14

09
28

14

10
28

14

11
28

14

12
28

14

13
28

14

Pounds
Tons
Gallons
Quarts
Pounds of
actual
nutrients

CODE

31

14

02

14

TABLE 100

-15APPLICATION CODES FOR COLUMN 8
1
2
3
4
5
6
7
8

LINE

Broadcast, ground without incorporation
Broadcast, ground with incorporation
Broadcast, by air
In seed furrow
In irrigation water (fertigation)
Chiseled/injected or knifed in
Banded/side-dressed on the soil surface
Foliar or directed spray

7

8

9

10

When was this
applied?

How was this
applied?

How many acres were
treated in this
application?

Was variable
rate
technology
(VRT) used?

[Enter code
from box
above.]

[Include
“on-the-go”
sensing.]

MMDDYY

ACRES

01

30
__ __ __ __ __ __

39

30
__ __ __ __ __ __

39

02

30
__ __ __ __ __ __

39

03

30
__ __ __ __ __ __

39

04

30
__ __ __ __ __ __

39

05

30
__ __ __ __ __ __

39

06

30
__ __ __ __ __ __

39

07

30
__ __ __ __ __ __

39

08

30
__ __ __ __ __ __

39

09

30
__ __ __ __ __ __

39

10

30
__ __ __ __ __ __

39

11

30
__ __ __ __ __ __

39

12

30
__ __ __ __ __ __

39

13

30
__ __ __ __ __ __

39

14

Yes = 1

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

NOTES

-16-

ENUMERATOR NOTE: Was fertilizer applied in 2013? [If Yes, continue. If No, go to Item 8c.]
8b. Now I need to record information for each fertilizer application for the 2013 crop.
[Probe for applications made in the fall of 2012 (and those made earlier if this field was fallow) for the
2013 crop year.]
CHECKLIST
INCLUDE

EXCLUDE

Custom applied fertilizers

Micronutrients

Sulfur

Commercially prepared manure
0299

Unprocessed manure
Office Use
Lines in Table

Lime and gypsum

LINE

1

2

3

Crop
Year

Primary crop
for which
nutrients
were
intended

Crop
Code

5

6

MATERIALS USED

What quantity
was applied
per acre?

[Enter material
code.]

Enter actual pounds of plant nutrients applied per acre.
If only fertilizer analysis is known, enter percent analysis
in this column and quantity applied per acre
in column 5.

[Enter crop
code from
Respondent
Booklet pg, 3 .]

[Show Common Fertilizers in
Respondent Booklet pg, 7.]

Nitrogen
N
28

01

Phosphorus
P2O5

Potassium
K2O

1
[Leave this column 3
12
blank if pounds
of actual nutrients 13
were reported
19
in column 4.]

Sulfur
S

28

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

13
28

13

03
28

13

04
28

13

05
28

13

06
28

13

07
28

13

08
28

13

09
28

13

10
28

13

11
28

13

12
28

13

13
28

13

Pounds
Tons
Gallons
Quarts
Pounds of
actual
nutrients

CODE

31

13

02

14

TABLE 200

4

-17APPLICATION CODES FOR COLUMN 8
1
2
3
4
5
6
7
8

LINE

Broadcast, ground without incorporation
Broadcast, ground with incorporation
Broadcast, by air
In seed furrow
In irrigation water (fertigation)
Chiseled/injected or knifed in
Banded/side-dressed on the soil surface
Foliar or directed spray

7

8

9

10

When was this
applied?

How was this
applied?

How many acres were
treated in this
application?

Was variable
rate
technology
(VRT) used?

[Enter code
from box
above.]

[Include
“on-the-go”
sensing.]

MMDDYY

ACRES

01

30
__ __ __ __ __ __

39

30
__ __ __ __ __ __

39

02

30
__ __ __ __ __ __

39

03

30
__ __ __ __ __ __

39

04

30
__ __ __ __ __ __

39

05

30
__ __ __ __ __ __

39

06

30
__ __ __ __ __ __

39

07

30
__ __ __ __ __ __

39

08

30
__ __ __ __ __ __

39

09

30
__ __ __ __ __ __

39

10

30
__ __ __ __ __ __

39

11

30
__ __ __ __ __ __

39

12

30
__ __ __ __ __ __

39

13

30
__ __ __ __ __ __

39

14

Yes = 1

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

NOTES

-18-

ENUMERATOR NOTE: Was fertilizer applied in 2012? [If Yes, continue. If No, go to Section E.]
8c. Now I need to record information for each fertilizer application for the 2012 crop.
[Probe for applications made in the fall of 2011 (and those made earlier if this field was fallow) for the 2012 crop year.]
CHECKLIST
INCLUDE

EXCLUDE

Custom applied fertilizers

Micronutrients

Sulfur

Commercially prepared manure
0299

Unprocessed manure
Office Use
Lines in Table

Lime and gypsum

LINE

1

2

3

Crop
Year

Primary crop
for which
nutrients
were
intended

Crop
Code

5

6

MATERIALS USED

What quantity
was applied
per acre?

[Enter material
code.]

Enter actual pounds of plant nutrients applied per acre.
If only fertilizer analysis is known, enter percent analysis
in this column and quantity applied per acre
in column 5.

[Enter crop
code from
Respondent
Booklet pg, 3 .]

[Show Common Fertilizers in
Respondent Booklet pg, 7.]

Nitrogen
N
28

01

Phosphorus
P2O5

Potassium
K2O

1
3
[Leave this column
12
blank if pounds
13
of actual nutrients
19
were reported
in column 4.]

Sulfur
S

28

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

31

32

33

34

36

37

12
28

12

03
28

12

04
28

12

05
28

12

06
28

12

07
28

12

08
28

12

09
28

12

10
28

12

11
28

12

12
28

12

13
28

12

Pounds
Tons
Gallons
Quarts
Pounds of
actual
nutrients

CODE

12

02

14

TABLE 300

4

-19APPLICATION CODES FOR COLUMN 8
1
2
3
4
5
6
7
8

LINE

Broadcast, ground without incorporation
Broadcast, ground with incorporation
Broadcast, by air
In seed furrow
In irrigation water (fertigation)
Chiseled/injected or knifed in
Banded/side-dressed on the soil surface
Foliar or directed spray

7

8

9

10

When was this
applied?

How was this
applied?

How many acres were
treated in this
application?

Was variable
rate
technology
(VRT) used?

[Enter code
from box
above.]

[Include
“on-the-go”
sensing.]

MMDDYY

ACRES

01

30
__ __ __ __ __ __

39

30
__ __ __ __ __ __

39

02

30
__ __ __ __ __ __

39

03

30
__ __ __ __ __ __

39

04

30
__ __ __ __ __ __

39

05

30
__ __ __ __ __ __

39

06

30
__ __ __ __ __ __

39

07

30
__ __ __ __ __ __

39

08

30
__ __ __ __ __ __

39

09

30
__ __ __ __ __ __

39

10

30
__ __ __ __ __ __

39

11

30
__ __ __ __ __ __

39

12

30
__ __ __ __ __ __

39

13

30
__ __ __ __ __ __

39

14

Yes = 1

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

40

29
.___

NOTES

-20-

MANURE APPLICATIONS---SELECTED FIELD

E

E

1. Was manure or manure compost applied to this field for the 2014, 2013, or 2012 crop year?
Manure applications include solids and effluents from waste lagoons, waste holding ponds, and
waste runoff storage ponds. (Include commercially prepared manure.)
[Probe for applications made in the fall of 2011, 2012 and 2013 (and those made earlier if this field was fallow) for the 2012, 2013,
and 2014 crop years.]
CODE

Yes – [Enter 1 and continue.]
No – [Enter 3, then go to Section F.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Office Use
Lines in Table

2. Now I need to record information for each manure application.

LINE

1

2

3

4

5

6

7

8

Primary crop
for which
nutrients were
intended

Crop Code

What
quantity of
manure
was applied
per acre?

Unit

Where was the
manure produced?

How was
the manure
handled?

Was a
manure
test done?

YY

04
05
06

08

10

__ __

CODE

1 Yes
2 DK
3 No

CODE

CODE

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

45

46

47

48

.___
44
.___
44
.___
44
.___
44
.___
44

__ __
42

5

Solid
Liquid
Slurry

.___
44

__ __
42

09

44

__ __
42

4

1
2
3

.___

__ __
42

07

44

__ __
42

Pounds
Tons
Bushels
Gallons
Acres/Inch

On this operation
Purchased
Obtained at no cost
off this operation
Obtained with
compensation
Commercially
prepared manure

.___

__ __
42

1
3
4
12
14

1
2
3

CODE
44

__ __
42

(column 4 only)

CODE

__ __
42

03

[Enter crop
code from
Respondent
Booklet pg. 3.]

__ __
42

02

0599

TABLE
001

Crop
Year

42

01

0418

.___
44
.___

-21-

CODES FOR UNIT COLUMN 10
31 lbs/ton
121 lbs/1000gals
19 lbs of actual nutrients/acre
15 lbs/acre-inch
29 % by weight

L
I
N
E

CODES FOR MANURE SOURCE COLUMN 11

CODES FOR APPLICATION COLUMN 15

1
2
3
4
5
6
7
8
9
10
11
12
13

1 Dry broadcast, without incorporation

Beef cattle
Dairy cattle
Hogs
Sheep/Goats
Broiler
Layer
Poultry Breeder
Turkey
Poultry (other)
Equine
Biosolids
Other (Specify)__________________________
Don’t Know

9

10

Results from manure
analysis test
OR
actual amount
of nutrients applied

Unit

[Leave this column blank if
column 8 = 2 or 3]

Nitrogen
N
49

01

50

.__ __
49

02

.__ __

.__ __

03
04
49

05

.__ __

.__ __
49

06

.__ __

.__ __
49

07
08

.__ __

.__ __
49

09

.__ __

.__ __
49

.__ __
50

.__ __

54

55

16

When was this
applied?

How
was this
applied?

How many
acres were
treated
in this
application?

[Enter
code
from box
above.]

MMDDYY

ACRES
57

56

52

53

54

55

56

52

53

54

55

56

58

.__
57

58

.__
57

58

57

58

__ __ __ __ __ __

.__

__ __ __ __ __ __
53

54

55

56

.__
57

58

__ __ __ __ __ __
52

53

54

55

56

52

53

54

55

56

52

53

54

55

56

.__
57

58

57

58

57

58

__ __ __ __ __ __

.__

__ __ __ __ __ __

.__

__ __ __ __ __ __
52

53

54

55

56

52

53

54

55

56

.__ __
51

.__ __

53

.__ __
51

15

56

.__ __
51

50

55

.__ __
51

50

54

.__ __

.__ __

.__ __
49

53

14

__ __ __ __ __ __

52

51

50

13

.__ __
51

50

7 Sprinkler irrigated

.__ __
51

50

6 Furrow or basin irrigated

.__ __

.__ __

.__ __

5 Chiseled/injected or knifed in

__ __ __ __ __ __
52

51

50

4 Liquid broadcast, with incorporation

.__ __

.__ __

.__ __

12

3 Liquid broadcast, without incorporation

Major Was manure Composting
source composted
Method?
before
of
(column
[Leave
manure application?
9
this column
only)
blank if
[Enter
1 Yes
column 12
code
[Enter
2 DK
= 2 or 3]
from
code
3 No
box
from
1 Windrow
above.]
box
2 Static pile
above.]
3 In-Vessel
4 Other
CODE
52

51

50

49

Potassium
K2O
51

50

49

10

Phosphorus
P2O5

11

2 Dry broadcast, with incorporation

.__
57

58

57

58

__ __ __ __ __ __

.__

__ __ __ __ __ __

.__ __

.__

EDIT MANURE TABLE
2014
0454

2013
0453

2012
0452

-22-

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
2

Nitrogen
Phosphorus

Soil Test P
0459

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

0420

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

UNIT CODES
1
2
3

mg/kg P
ppm P
lbs/acre

CODE
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

0422

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

Yes = 1

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

Yes = 1

0423

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

1
2
3
4
5
6
7

No plans to apply manure again
At least once per month
4 times a year
Twice a year
Once a year
Once every 2 years
Once every 3 or more years

CODE
0424

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

6. Was any manure applied to the selected field produced on this operation?
[ENUMERATOR NOTE: Manure applied on this field that was produced on this operation should have
been reported in Item 2, column 6.]
CODE

Yes – [Enter 1 and continue.]
No – [Enter 3, then go to Item 8.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. For each form of manure
applied to this field, what
type of storage and/or
treatment system is used
for the bulk of that
manure?. . . . . . . . . . . . .

Solid
1
2
3
4
5
6

stacking slab
(open storage)
covered slab
manure pack
barn, shed or house
other (Specify)

Slurry
7
8
9

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

Liquid
10
11

____________
12

____________

0425

none
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)

______________
Code
0468

Code
0469

Code
0470
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]. . . . . . . . . . . . . . . . . .

0461
Yes = 1

-23-

F

PEST CONTROL APPLICATIONS---SELECTED FIELD

F

1. Were any products applied to this field in 2014, 2013, or
2012 to control weeds, insects, or diseases? [Include
herbicides, insecticides, fungicides, biocontrol agents, and other
conventional or organic products]. . . . . . . . . . . . . . . . . . . . . . . . . .

ENUMERATOR ACTION: [If pesticides applied in any year,
continue. Complete table only for year(s) specified, else go to
Section G.]

2014
Yes = 1
No = 3

2013

2012

0315

0345

0346

0344

0343

0342

Edit
Table
CODE

2. Did you use a pesticide product for the purpose of improving plant health as
opposed to controlling a pest?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0347
Yes = 1

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.). . .

0348
Yes = 1

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

5. Did you select and plant crop seeds that had been commercially treated with
fungicides or insecticides?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

6. Did you select and plant crop cultivars with genetically engineered tolerances to
specific herbicides such as glyphosate or glufosinate?. . . . . . . . . . . . . . . . . . . . . . . . . . .

0318

0349

0350
Yes = 1

ENUMERATOR ACTION: Were any pest control products applied in 2014? [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 2014?

CODE
0351

Yes – [Enter 1 and continue.]

No – [Enter 3, then go to Item 8a.]. . . . . . . . . . . . . . . . . . . . .

a. Which of the following factors did you consider – –
Source

(Select all that
apply)
Yes = 1
0352

Potential health risk to applicator or farm worker?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0353

Risk to populations of beneficial organisms (earthworms, bees, ladybugs, etc.)?. . . . . . . . . . . . . . . . . . . .
0354

Risk to natural resources (drinking water, wildlife, fish, etc.)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0355

Pest resistance management?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0356

Crop safety?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0357

Other? (specify)____________________________________________________________________

-24-

8a. Including both custom applications and applications made by this operation,
list all the pest control products used on this field for the 2014 crop(s).
[Probe for applications made in the fall of 2013 (and those made earlier if this field was fallow) for the 2014 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.).
Office Use
Lines in Table

Include biological and botanical pest control products.

PRODUCT
NAME

LINE

1

2

3

4

5

6

Primary crop
for which
control agent
was intended

Crop Code

What products
were applied to
this field?

Was this
product
bought in
liquid or
dry form?

Was this part
of a
tank mix?

[Enter crop
code from
Respondent
Booklet pg. 3.]

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

14
60

15

61

14
60

14

63

14
60

13

61

14
60

12

63

14
60

11

61

14
60

10

63

14
60

09

61

14
60

08

63

14
60

07

61

14
60

06

63

14
60

05

61

14
60

04

[Enter
L or D.]

[If tank mix,
enter line number
of first product
in mix.]

14
60

03

[Enter Product
Code from
Respondent
Booklet pg. 9.]

14
60

02

0399

Crop
Year

60

01

TABLE
100

14

[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.]

________

__________________

__________________

______________

______________

________

__________________

__________________

______________

______________

________

__________________

__________________

______________

______________

-25-

APPLICATION CODES FOR COLUMN 11
4 Seed furrow

31 Broadcast, aerial

5 Chemigation (in irrigation water)

32 Broadcast, aerial, foliar

6 Chisel/injected or knifed in

71 Banded/side-dressed

8 Direct spray, foliar

73 Banded/side-dressed, foliar

10 Seed treatment by producer prior to planting

76 T-Banded (combo of banded and injected)

11 Broadcast, ground, not incorporated
13 Broadcast, ground, foliar
21 Broadcast, ground, incorporated

LINE

7

8

When was it
applied?

How much
was
applied
per acre
per application

9

10

11

12

13

What was
the total amount
applied per
application
in this field?

[Enter unit code.]

How was
this
product
applied?

Was this product
applied to the
entire field, to
only a portion of
the field, or as a
spot treatment?

How many acres
in this field
were treated
with this
product?

OR

MMDDYY

(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

[Enter code
from above.]
1
2
3
4

Entire field
Part of field
Spot treatment
Entire field plus
borders and
buffers

ACRES

CODE

01

83
65
__ __ __ __ __ __

.__ __

02

83
65
__ __ __ __ __ __

.__ __

03

83
65
__ __ __ __ __ __

.__ __

04

83
65
__ __ __ __ __ __

.__ __

05

83
65
__ __ __ __ __ __

.__ __

06

83
65
__ __ __ __ __ __

07

83
65
__ __ __ __ __ __

08

83
65
__ __ __ __ __ __

.__ __

09

83
65
__ __ __ __ __ __

.__ __

10

83
65
__ __ __ __ __ __

.__ __

11

83
65
__ __ __ __ __ __

.__ __

12

83
65
__ __ __ __ __ __

.__ __

13

83
65
__ __ __ __ __ __

14

83
65
__ __ __ __ __ __

15

83
65
__ __ __ __ __ __

73

74

.__ __

.__ __
.__ __
.__ __

84

77

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

.__ __
73

.__ __

76

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

.__ __
73

.___

.__ __
73

.___

.__ __
73

.___

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

.__ __
73

.___

.__ __
73

.___

.__ __
73
.__ __

.___
.___

-26-

ENUMERATOR NOTE: Were pest control products applied in 2013? [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 2013 crop(s).
[Probe for applications made in the fall of 2012 (and those made earlier if this field was fallow) for the 2013 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.).
Office Use
Lines in Table

Include biological and botanical control products.

PRODUCT
NAME

LINE

1

2

3

4

Crop
Year

Primary crop
for which
control agent
was intended

Crop Code

What products
were applied to
this field?

[Enter crop
code from
Respondent
Booklet pg. 3.]

60

01

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

13
60

15

61

13
60

14

63

13
60

13

61

13
60

12

63

13
60

11

61

13
60

10

63

13
60

09

61

13
60

08

63

13
60

07

61

13
60

06

number of first
product in mix.]

[Enter
L or D.]

13
60

05

Was this
Was this part
product
of a
bought in
tank mix?
liquid or
dry form? [If tank mix, enter line

13
60

04

6

13
60

03

5

0399

13
60

02

[Enter Product
Code from
Respondent
Booklet pg. 9.]

TABLE
200

13

[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.]

________

__________________

__________________

______________

______________

__________

____________________

____________________

________________

________________

__________

____________________

____________________

________________

______________

-27-

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

LINE

7

8

When was it
applied?

How much
was
applied
per acre
per application?

OR

31 Broadcast, aerial
32 Broadcast, aerial, foliar
71 Banded/side-dressed
73 Banded/side-dressed, foliar
76 T-Banded (combo of banded and injected)

9

10

11

12

13

What was
the
total amount
applied per
application
in this field?

[Enter unit code.]

How was
this
product
applied?

Was this product
applied to the
entire field, to
only a portion of
the field, or as a
spot treatment?

How many acres
in this field
were treated
with this
product?

MMDDYY

(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

[Enter code
from above.]
1
2
3
4

Entire field
Part of field
Spot treatment
Entire field plus
borders and
buffers

ACRES

CODE

01

83
65
__ __ __ __ __ __

.__ __

73

02

83
65
__ __ __ __ __ __

.__ __

03

83
65
__ __ __ __ __ __

.__ __

04

83
65
__ __ __ __ __ __

.__ __

05

83
65
__ __ __ __ __ __

.__ __

06

83
65
__ __ __ __ __ __

.__ __

07

83
65
__ __ __ __ __ __

.__ __

08

83
65
__ __ __ __ __ __

.__ __

09

83
65
__ __ __ __ __ __

.__ __

10

83
65
__ __ __ __ __ __

.__ __

11

83
65
__ __ __ __ __ __

.__ __

12

83
65
__ __ __ __ __ __

.__ __

13

83
65
__ __ __ __ __ __

.__ __

14

83
65
__ __ __ __ __ __

.__ __

15

83
65
__ __ __ __ __ __

.__ __

73
73
73
73

.__ __
.__ __
.__ __
.__ __
.__ __

73

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

.__ __
73
73
73
73
73
73
73
73
73

.__ __
.__ __
.__ __
.__ __
.__ __
.__ __
.__ __
.__ __
.__ __

.___
.___
.___
.___
.___
.___

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

.___
.___
.___
.___
.___
.___
.___
.___
.___

-28-

ENUMERATOR NOTE: Were pest control products applied in 2012? [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 2012 crop(s).
[Probe for applications made in the fall of 2011 (and those made earlier if this field was fallow) for the 2012 crop year.]

Include herbicides, insecticides, fungicides, defoliants, Exclude fertilizers, adjuvants
(e.g. wetting agents, stickers,
growth regulators, microbial agents, miticides,
spreaders, etc.).
nematicides, rodenticides, soil fumigants, and seed
treatments.
Office Use
Lines in Table

Include biological and botanical pest control products.

PRODUCT
NAME

LINE

2

3

4

5

6

Crop
Year

Primary crop
for which
control agent
was intended

Crop Code

What products
were applied to
this field?

Was this
product
bought in
liquid or
dry form?

Was this part
of a
tank mix?

[Enter crop
code from
Respondent
Booklet pg. 3.]

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

12
60

15

61

12
60

14

63

12
60

13

61

12
60

12

63

12
60

11

61

12
60

10

63

12
60

09

61

12
60

08

63

12
60

07

61

12
60

06

63

12
60

05

61

12
60

04

[Enter
L or D.]

[If tank mix,
enter line number
of first product
in mix.]

12
60

03

[Show Product
Code from
Respondent
Booklet pg. 9.]

12
60

02

0399

1

60

01

TABLE
300

12

[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.]

________

__________________

__________________

______________

______________

__________

____________________

____________________

________________

________________

__________

____________________

____________________

________________

______________

-29-

APPLICATION CODES FOR COLUMN 11
4 Seed furrow

31 Broadcast, aerial

5 Chemigation (in irrigation water)

32 Broadcast, aerial, foliar

6 Chisel/injected or knifed in

71 Banded/side-dressed

8 Direct spray, foliar

73 Banded/side-dressed, foliar

10 Seed treatment by producer prior to planting

76 T-Banded (combo of banded and injected)

11 Broadcast, ground, not incorporated
13 Broadcast, ground, foliar
21 Broadcast, ground, incorporated

LINE

7

8

When was it
applied?

How much
was
applied
per acre
per application?

9

10

11

12

13

What was
the total amount
applied per
application
in this field?

[Enter unit code.]

How was
this
product
applied?

Was this product
applied to the
entire field, to only
a portion of the
field, or as a spot
treatment?

How many acres
in this field
were treated
with this
product?

OR

MMDDYY

(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

[Enter code
from
above.]

1
2
3
4

Entire field
Part of field
Spot treatment
Entire field plus
borders and
buffers

ACRES

CODE

01

83
65
__ __ __ __ __ __

73
.__ __

02

83
65
__ __ __ __ __ __

.__ __

03

83
65
__ __ __ __ __ __

04

83
65
__ __ __ __ __ __

05

83
65
__ __ __ __ __ __

.__ __

06

83
65
__ __ __ __ __ __

.__ __

07

83
65
__ __ __ __ __ __

.__ __

08

83
65
__ __ __ __ __ __

.__ __

09

83
65
__ __ __ __ __ __

.__ __

10

83
65
__ __ __ __ __ __

11

83
65
__ __ __ __ __ __

12

83
65
__ __ __ __ __ __

13

83
65
__ __ __ __ __ __

.__ __

14

83
65
__ __ __ __ __ __

.__ __

15

83
65
__ __ __ __ __ __

.__ __

74

76

84

77

.__ __
73

.___
74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

.__ __
73

.__ __

.___

.__ __
73

.__ __

.___

.__ __
73

.___

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

74

76

84

77

.__ __
73

.__ __

.___

.__ __
73

.__ __

.___

.__ __
73

.__ __

.___

.__ __
73

.___

.__ __
73

.___
74

76

84

77

.__ __
73

.___
74

.__ __

76

84

77
.___

-30-

G

PEST MANAGEMENT PRACTICES---SELECTED FIELD

G

Now I have some questions about the pest management decisions and practices used on this field during the 2014
crop year. By pests, we mean INSECTS, WEEDS, and PLANT DISEASES.
1

1. During 2014, how was this
field primarily scouted for
pests and/or beneficial
organisms?. . . . . . . . . . . . . . .

2
3

By conducting general observations while performing
routine tasks. [Enter 1, then go to Item 3.]
By deliberately going to the field specifically for scouting
activities. [Enter 2, then go to Item 2.]

CODE
1701

..........

This field was not scouted for pests.
[Enter 3, then go to Item 8.]

2. Was an established scouting process used in this field (systematic sampling, recording
counts, use of insect traps, etc.)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1702
Yes = 1

3. Was scouting for pests done in this field due to:
1773

a. a pre-determined schedule or calendar?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1
1703

b. a pest development model based on degree days, maximum or minimum
temperatures, or wetness?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Yes = 1

1704

a pest advisory warning?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Was this field scouted for:
1

3

4

[If column 2 = Yes, Ask--]

[If column 2 = Yes, Ask--]

Who did the majority of the scouting for
[column 1]—

Based on the scouting report
and compared to published
threshold levels,
rate the pest pressure as—

2

Yes = 1

1
2
3
4

CODE

Operator, partner or family member
An employee
Farm supply or chemical dealer
Independent crop consultant or
commercial scout

1
2
3

CODE

Low
Medium
High
CODE

1705

1709

1774

1706

1710

1775

1707

1711

1776

1708

1712

1777

a. weeds?. . . . . . . . . . . . . . . . . . . .
b. insects or mites?. . . . . . . . . . . . .
c.

diseases?. . . . . . . . . . . . . . . . . .

d. other? (Specify) __________
CODE
1778

5. Was scouting for pests done in the field after a pest control application to
evaluate degree of control?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

6. Were either written or electronic records kept for this field to track the activity or
numbers of weeds, insects, or diseases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

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

1713
1714

-31CODE
1715

8. Were field mapping data used for making weed management decisions
on this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

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 2014 SPECIFICALLY for the purpose of
managing pests or reducing the spread of pests – –
CODE
1717

a. Remove, plow down, or burn any crop or crop residue?. . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. Alter crop rotation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Maintain ground covers, mulches, or other physical barriers?. . . . . . . . . . . . . . . . . . . . . .

Yes = 1

d. Use no-till or minimum till?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

e. Adjust spacing or plant density?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

f.

Release beneficial organisms (insects, nematodes, fungi) in the field?. . . . . . . . . . . . . . .

Yes = 1

g. Chop, spray, mow, plow, or burn field edges, lanes, ditches, roadways or fence lines?. .

Yes = 1

h. Grow a trap crop?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

i.

Clean equipment and field implements after completing field work?. . . . . . . . . . . . . . . . .

Yes = 1

j.

Cultivate for weed control during the growing season?. . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

k.

Choose crop variety because of specific resistance to a pest?. . . . . . . . . . . . . . . . . . . . .

Yes = 1

l.

Choose not to plant a crop in certain areas of the field to avoid a specific pest?. . . . . . . .

Yes = 1

1718
1719
1720
1721
1722
1723
1724
1725
1727
1728
1779
1730

m. Adjust planting or harvesting dates?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

n. Adjust grazing animal rotation(s), timing, or duration?. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

3403

CODE

11. Were weather data used to assist in determining either the ‘need for’ or
‘when to’ apply a pest management practice?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1731
Yes = 1
1746

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

13. Were floral lures, attractants, repellants, pheromone traps or other biological pest
controls used on this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

1756

Completion Code for Pest Management Data
1700
1 – Incomplete/Refusal

-32-

H

IRRIGATION---SELECTED FIELD

H

ENUMERATOR NOTE: [Ask ONLY if irrigation was reported in Section C. Cropping History and Conservation Practices,
Item 13 = Yes on pages 8, 9, or 10. 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?
[Show System Type Codes in Respondent Booklet pg. 20. If more than 1 system was used, enter System Type Code for the
system most–used during the irrigation season as the Primary System and the next most-used system during the irrigation
season asthe Secondary System. If only 1 type of system was used, report under the Primary System and then skip to Item 1b.]
2014
SYSTEM TYPE

(i) Primary Irrigation System. . . . . . . . . . . . . . . . . . . . . .

2013
SYSTEM TYPE

2012
SYSTEM TYPE

1505

1506

1507

1511

1513

1515

1514

1516

__ __ __ __ __ __

__ __ __ __ __ __

Code

(ii) Secondary Irrigation System. . . . . . . . . . . . . . . . . . .
Code
1512
(iii) What was the estimated date that
primary and secondary irrigation
systems were switched?. . . . . . . . . . . . . . . . . . .
(MMDDYY) __ __ __ __ __ __

1593

b. Were any major changes made to the way the field was irrigated during
the period 2012 – 2014? (Include irrigation system type, source of water,
and major changes to scheduling or monitoring.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

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.]

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

1
2
3
4
5

furrow
border
basin
contour levee
meadow or wild flood

2014

2013

2012

1508

1509

1510

1517

1518

1519

Primary System Code
Secondary System Code
2014

3. Did you take steps to allow for or encourage quicker
water advance rates to the end of the field, such as
shortening runs, furrow smoothing, higher flow
rates, narrow checks, tailwater recovery systems,
etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1520

2013
1521

6. What was the total amount of water applied?. . . . . . . . .

1522

Yes = 1
2014

4. Is the irrigation runoff from the field primarily:
[See Respondent Booklet pg. 20 for codes.] . . . . . . . . . .
5. Do you know how much water you applied to
the crop(s) in this field? . . . . . . . . . . . . . . . . . . . . . . . . . .
[If Yes, continue. If No, go to Item 7.]

2012

2013

2012

1536

1537

1538

3404

3405

3406

Code
Yes = 1
2014
Inches 3407
per
Acre

2013
3408

2012
3409

1540

7. Is there a limit on water availability or supply for this field?. . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

[If Yes, continue. If No, go to Item 8.]
Amount/Acre
1541

a. If there is a water availability limit for irrigation, what is the maximum
annual application amount ? (If no maximum annual application amount, enter 99). . . .

Inches

8. Has the irrigation water supply been tested for either nitrogen content or salinity?. . . .

Yes = 1

[If Yes, continue. If No, go to ENUMERATOR NOTE.]

1542

-33-

Please provide the following information for
the last test performed on this field:

Salinity
Test Value

Nitrate–Nitrogen
(NO3–N)

Unit
1 = ppm
2 = mg/L
3 = microseimens/cm

Unit
1 = ppm
2 = mg/L

Test Value

a. Surface Water. . . . . . . . . . . . . . . . . . . .

1543

1544

1547

1548

b. Groundwater. . . . . . . . . . . . . . . . . . . . .

1545

1546

1549

1550

ENUMERATOR NOTE: [If irrigation system reported in Item 1a, for any year, is a pressure system (code 1 – 9), then
continue; else, go to Item 10.]
9. Did you take steps to evaluate or improve the uniformity of water application of your
pressure system?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1551
Yes = 1

10. Which of the following are sources of your irrigation water? (Select all that apply)
1552

a. Well?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. Irrigation district?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Yes = 1

River or stream?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d. Other? Specify: __________________________________________________

1553
1554
1555
Yes = 1

[If Item 8b = 1, continue; else go to Item 12.]
11. Which one of the following best describes how you receive your water from the
irrigation district?
a. I receive it when it’s my turn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. I receive it by calling one or more days ahead of when I want it. . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Yes = 1

I receive it any time I want it. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12. Does the source of your water limit your selection of irrigation methods, such as a
conversion to a pressurized system?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1556
1557
1558
1559

Yes = 1

13. Which of the following are ways you decide when to irrigate? (Select all that apply)
a. When plants appear dry or stressed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. When indicated by the calendar or schedule of field operations?. . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

When water is available?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

d. On the surface soil appearance or feel, or general current climate observations?. . . . . . .

Yes = 1

e. When a target “dryness” value, such as inches depleted, centibars of tension,
percent remaining, etc., from soil moisture monitoring devices is reached?. . . . . . . . . . . .
f.

1560
1561
1562
1563
1564

Yes = 1
1568

When a target water use value, such as inches of ET since last irrigation, from root zone
water budget and current weather data (CIMIS) is reached?. . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

g. When a target measured plant stress level, such as pressure bomb, canopy temperature,
etc., is reached?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

h. Other? Specify: __________________________________________________

Yes = 1

1569
1570

14. Which of the following are ways you decide how long or how much to run the water on
each set? (Select all that apply)
1574

a. Observe when the right amount of time has passed, the furrows or border checks
appear to be adequately wet, or the water has reached the end of the field?. . . . . . . . . . .

Yes = 1

b. Run times based on past experience and schedule of required field operations?. . . . . . . .

Yes = 1 1575

c.

Sets or blocks are changed when the target number of inches or gallons, per tree
or vine, are applied? (May be calculated from the run time and flow rate.). . . . . . . . . . . . .

1576
Yes = 1
1577

d. Other? Specify: __________________________________________________

Yes = 1

-34-

15. Which of the following are ways you determine how much water is applied?
(Select all that apply)
1579

a. Irrigation district record, report, or bill?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. A flow measuring device?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Measuring the flows to the field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

d. Measuring the flows at the water supply?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

e. The runtime plus a known system application rate?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

f.

Yes = 1

1580
1582
1583
1584
1585

A pump test flow rate and runtime?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1586

g. Other? Specify: ____________________________________________________

Yes = 1

16. Do you know how much water the crop(s) removed from the soil?. . . . . . . . . . . . . . . . . .

1587
Yes = 1

[If Yes, continue. If No, go to Item 18.]
17. How did you determine how much water the crop(s) removed from the soil? (Select all that apply)
1588

a. The current (real-time) climate–based measurements such as CIMIS?. . . . . . . . . . . . . . .

Yes = 1

b. Historic ET data through CIMIS, Cooperative Extension publications, etc.?. . . . . . . . . . . .

Yes = 1

c.

Yes = 1

1589

Tracking root zone soil moisture changes with electronic probes or other devices?. . . . . .

1590
1591

d. Other? Specify: ____________________________________________________

Yes = 1

18. In addition to replacing water used by the crop, which of the following were reasons
you irrigated: (Select all that apply)
a. Pre–planting irrigation to refill rootzone?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. Apply moisture for seed germination and emergence?. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Freeze protection or crop cooling?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

d. To apply fertilizer or other chemicals?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

e. Ground water recharge?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

f.

Yes = 1

1592
1594
1595
1596
1597
1598

Other? Specify: ____________________________________________________

1533

19. Were other practices used to improve water applications?. . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

[If Yes, please list practices. See Respondent Booklet pg. 20.]
1565

1566

1567

3410
20. During and after each irrigation, do you defer grazing animals from the field until soil is
no longer saturated? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes = 1
1539

21. Do you manage irrigation to address salinity problems in this field?. . . . . . . . . . . . . . . .
Completion
Code for Irrigation 1504

Yes = 1

2014

2013
1503

2012
1502

-35-

I

FIELD OPERATIONS---SELECTED FIELD

I

1. Including custom operations, I need to list the operations performed by hand or machines on this field for the
2014, 2013, and 2012 crop years.
• Begin with the first field operation for the 2014 crop (after harvesting of 2013 crop.)
• List the operations in order by crop year, through harvest.
• Maintain the order of tandem hook-ups.
• Include field operations performed by hand.
Office Use
Lines in Table

a. Let’s start with the 2014 crops.

TABLE 100

0499

CHECK LIST
Exclude all field work done by hand or using machines for--

Include all field work done by hand or using machines for-Land Forming

Planting

Hauling within field

Lime & Gypsum applications

Tillage

Harvesting

Residue Management

Fertilizers, Manure & Pesticides applications

Preparing for Irrigation before seeding
Custom Operations
LINE

01

1

2

3

Sequence
Number

Was this part
of a tandem
operation?

YEAR

NUMBER

[If Yes, record
the sequence
order of
equipment]

86

87

98

87

98

88

87

98

88

96

97
.___

96

97
.___

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

14
14

.___

__ __ __ __ __ __

14

86

16

INCHES
97

__ __ __ __ __ __

14

86

15

88

14

86

14

98

14

86

13

87

14

86

12

MMDDYY
96
__ __ __ __ __ __

14

86

11

CODE
88

14

86

10

CODE

14

86

09

9
What was the
depth of tillage for
tillage/planting
operations?

14

86

08

8
What was the
timing of
the field
operation?

14

86

07

7
Machine Code
[Record from
Respondent
Booklet pg. 21.]

14

86

06

CROP NAME

6
What operation
or equipment
was used
on this field?

14

86

05

5

14

86

04

4

What crop was Crop Code
associated
[Record from
with this
Resp. Book
operation?
pg. 3.]

14

86

03

Pruning, hedging, topping

Crop
Year

86

02

Hauling from field edge to storage

87

98

88

96

97
.___

__ __ __ __ __ __

2013 EDIT FIELD OPERATIONS

3004

-36-

b. Now let’s continue with the 2013 crop year.
Begin with the first field operation for the 2013 crop (after harvesting of 2012 crop.)

•

Office Use
Lines in Table

TABLE 200

0499

CHECK LIST
Exclude all field work done by hand or using machines for--

Include all field work done by hand or using machines for-Land Forming

Planting

Hauling within field

Lime & Gypsum applications

Tillage

Harvesting

Residue Management

Fertilizers, Manure & Pesticides applications

Preparing for Irrigation before seeding
Custom Operations

LINE

01

1

2

3

Sequence
Number

Was this part
of a tandem
operation?

YEAR

NUMBER

[If Yes, record
the sequence
order of
equipment]

86

87

98

87

98

88

87

98

88

96

97
.___

96

97
.___

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

13
13

.___

__ __ __ __ __ __

13

86

16

INCHES
97

__ __ __ __ __ __

13

86

15

88

13

86

14

98

13

86

13

87

13

86

12

MMDDYY
96
__ __ __ __ __ __

13

86

11

CODE
88

13

86

10

CODE

13

86

09

9
What was the
depth of tillage for
tillage/planting
operations?

13

86

08

8
What was the
timing of
the field
operation?

13

86

07

7
Machine Code
[Record from
Respondent
Booklet pg. 21.]

13

86

06

CROP NAME

6
What operation
or equipment
was used
on this field?

13

86

05

5

13

86

04

4

What crop was Crop Code
associated
[Record from
with this
Resp. Book
operation?
pg. 3.]

13

86

03

Pruning, hedging, topping

Crop
Year

86

02

Hauling from field edge to storage

87

98

88

96

97
.___

__ __ __ __ __ __

2012 EDIT FIELD OPERATIONS

3003

-37-

c.

Please answer the following for the 2012 crop year.
Begin with the first field operation for the 2012 crop (after harvesting of 2011 crop.)

•

Office Use
Lines in Table

TABLE 300

0499

CHECK LIST
Exclude all field work done by hand or using machines for--

Include all field work done by hand or using machines for-Land Forming

Planting

Hauling within field

Lime & Gypsum applications

Tillage

Harvesting

Residue Management

Fertilizers, Manure & Pesticides applications

Preparing for Irrigation before seeding
Custom Operations

LINE

01

2

3

Crop
Year

Sequence
Number

Was this part
of a tandem
operation?

YEAR

NUMBER

[If Yes, record
the sequence
order of
equipment]

86

87

98

88

87

98

88

97
.___

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

87

98

88

96

97
.___

__ __ __ __ __ __

12
12

96
__ __ __ __ __ __

12

86

16

INCHES

12

86

15

MMDDYY

12

86

14

CODE

CODE

12

86

13

What was the
depth of tillage for
tillage/planting
operations?

12

86

12

What was the
timing of
the field
operation?

12

86

11

Machine Code
[Record from
Respondent
Booklet pg. 21.]

12

86

10

What operation
or equipment
was used
on this field?

12

86

09

9

12

86

08

8

12

86

07

CROP NAME

7

12

86

06

What crop was Crop Code
associated
[Record from
with this
Resp. Book
operation?
pg. 3.]

6

12

86

05

5

12

86

04

4

12

86

03

Pruning, hedging, topping

1

86

02

Hauling from field edge to storage

87

98

88

96

97
.___

__ __ __ __ __ __

2011 EDIT FIELD OPERATIONS

3002

-38-

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 2014 crop year, how many total acres did this operation:

ACRES
1901

a. own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+

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.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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]?. . .

.___
1903

-

.___
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
.___
1906

4. Of the total (Item 2) acres operated, how many acres are considered pastureland?. . . . . . . . . . .

.___

-39-

K

OPERATOR AND OPERATION CHARACTERISTICS

1. In 2014, was this operation’s
LEGAL STATUS . . . . . . . . . . . . . . . . . . . . . . .

2. In 2014, what was your (the operator’s) major
occupation?. . . . . . . . . . . . . . . . . . . . . . . . . . .
3. What is the highest level of formal education
you (the operator) have completed?. . . . . . .

1
2
3
4
5

Individual (Sole/family Proprietorship)?
A legal Partnership?
A Family-held Corporation?
A Non-family Corporation?
Other, (including estates, trusts and cooperatives)?
Describe________________________________

1
2
3
4

Farm or ranch work
Hired farm manager
Something else
Retired

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

K
CODE
1912

....

CODE
1913

....
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, and
• landlord’s share of government payments and crops sold in 2013.
What code represents the total gross value of sales for this operation in 2013?
99 None during 2013
1
$1
- $999
2
$1,000
- $2,499
3
$2,500
- $4,999
CODE
1916
4
$5,000
- $9,999
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

2

TOBACCO

10 MILK and OTHER DAIRY PRODUCTS FROM COWS

HOGS and PIGS

3

COTTON and COTTONSEED

11 CATTLE and CALVES

4

VEGETABLES, MELONS and POTATOES

12 SHEEP, GOATS, and THEIR PRODUCTS

5

FRUIT TREES, NUTS, GRAPES, CITRUS, 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

-40-

CONCLUSION
RECORDS USE
1. Did respondent use farm/ranch records to report:

CODE
0026

a. fertilizer data?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

b. pest control data?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes = 1

c.

Yes = 1

manure data?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d. livestock grazing data?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0027
0028
0035
Yes = 1
CODE
0029

2. Did the respondent use a Conservation Plan or Grazing Plan to complete Section B?. . . . . .

Yes = 1

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

CROP HISTORY
SUPPLEMENT

0034

MILITARY TIME
HHMM
0005

ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

__ __ __ __
TOTAL HOURS
0006

.___

Office Use Only
Response
1-Comp
2-R
3-Inac
4-Office Hold
5-R – Est
6-Inac – Est
7-Off Hold – Est

S/E Name

Respondent
9901

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

9902

Mode
1-Mail
2-Tel
3-Face-to-Face
4-CATI
5-Web
6-e-mail
7-Fax
8-CAPI
19-Other

Enum.
9903

9998

Eval.
9900

Change
9985

Office Use for POID
9989
__ __ __ - __ __ __ - __ __ __

R. Unit
9921

Optional Use
9907

9908

9906

9916


File Typeapplication/pdf
File TitleMicrosoft Word - 2014_CEAP_Questionnaire_OMB.docx
Authorlawrto
File Modified2014-06-11
File Created2014-06-11

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