QID Screening Supplement - ARMS III

Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys

0218 - ARMS III - Screening Supplement

Agricultural Resource Management, Chemical Use, and Contractor Expense Surveys

OMB: 0535-0218

Document [pdf]
Download: pdf | pdf
AGRICULTURAL RESOURCE MANAGEMENT SURVEY (ARMS) – PHASE III
SCREENING SUPPLEMENT
VERSION

ID

TRACT

SUBTRACT

___ ___

___ ___ ___ ___ ___ ___ ___ ___ ___

01

___ ___

1. Does this operation do business under any other name?
(such as a farm or ranch name)

NO – [Go to item 2]

YES – [Record other name below and ask---]

a. Is _____________________________________________
NO

the name that should appear on the label?

YES

2. During 2012, were any crops grown, hay cut or livestock or poultry raised on the total acres operated?
NO – [Continue]

YES – [Go to item 6]

3. During 2012, did this operation sell any agricultural products or receive government agricultural payments?
(Exclude any income received as a landlord.)

NO – [Go to item 4]

YES – [Go to item 6]

4. [Complete only if items 2 and 3 are both ‘NO’]
Is anyone now operating the land you [operation on the questionnaire face page] formerly operated?
YES – Complete name and address information
below for new operator

NO – Make notes

Name________________________________________________

NOTES:___________________________________________

Address______________________________________________

___________________________________________________

______________________________________________________

___________________________________________________

Phone (_____)________________________________________

___________________________________________________

5. The selected operation is out-of-business or duplicated, therefore the questionnaire does not need to be completed.
Enter code 9 in cell 0921 below.
Go to the questionnaire and enter code 1 in cell 9901 on the back page, then complete all other administrative
boxes on the back page of the questionnaire.
6. Are the day-to-day decisions for this farming/ranching operation made by--REPORTING UNIT

one individual? [Enter code 1]

0921

a hired manager? [Enter code 8]
partners? [Enter number of partners + operator]

[ENUMERATOR NOTE: If OpDom = 99, enter code 1 in cell 0923 on the next page, then go to the questionnaire and begin
the interview with Section A; else, continue with the next page.]
PARTNER STRATUM
OFFICE
USE

Partner 1
0925

Partner 2
0926

Partner 3
0927

Partner 4
0928

Duplication
Adjustor
0922

-2-

7. Do you [target name] make any day-to-day decisions for another farm or ranch?
NO – [Enter code 1 in cell 0923 below, then go to the questionnaire and begin the interview with Section A.]
YES – [Ask---]
NUMBER

a. How many total operating arrangements (including the sampled operation)
do you (target operator) make day-to-day decisions for?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0923

b. [List or verify names associated with each additional operation.
Use this page from other supplements for additional operations.]
OPERATION 2:
c.

Are the day-to-day decisions for this
farming/ranching operation [operation 2]
made by---

OPERATION NAME (IF ANY)
OPERATOR NAME

one individual?
a hired manager?

ADDRESS

partners? [List partners below.]
CITY

STATE

ZIP

PHONE

PARTNERS:
POID______________________________________________

POID______________________________________________

PARTNER NAME

PARTNER NAME

ADDRESS

ADDRESS

CITY

STATE

ZIP

PHONE

CITY

POID______________________________________________

STATE

PARTNER NAME

ADDRESS

ADDRESS
STATE

ZIP

PHONE

PHONE

POID______________________________________________

PARTNER NAME

CITY

ZIP

CITY

STATE

ZIP

PHONE

[ENUMERATOR NOTE: After obtaining/verifying all names and addresses associated with each additional operating
arrangement, go to the questionnaire and begin the interview with Section A.]


File Typeapplication/pdf
AuthorCarol Pinto
File Modified2012-05-25
File Created2012-05-24

© 2024 OMB.report | Privacy Policy