OMB No. 0535-0088: Approval Expires 4/30/2015 |
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FORM A POTATO YIELD SURVEY INITIAL INTERVIEW 2015 |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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YEAR, CROP, FORM, MMDD (1 – 7) |
Region, State, District |
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5 8 1 ___ ___ ___ ___ |
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Date: |
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Earlier this season you gave a representative from our office information about the potato acreage on your farming operation. We are now collecting information to help determine potato production in (Your State) and the United States.
The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107–347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents. By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or your operation. Response is voluntary.
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Respondent Name: ______________________________________ |
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STARTING TIME (Military Time) |
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171 |
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0535-0088. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
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ACRES |
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1. Earlier this season, you had planted or intended to plant ________ . ____ acres of potatoes on all the land you operate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
101 |
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Now I need to locate all of your potato fields and obtain the acreage in each field. This will be used to randomly select one or more of your fields for objective yield observations. |
DO NOT CHANGE |
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► Draw each potato field on grid map. |
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► Number fields; north to south – west to east. |
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► Complete column 2 if required by your Survey Statistician. |
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► Record the VARIETY of potatoes planted in each field. |
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► Obtain acres actually PLANTED in each field. Exclude acres in roads, ditches, rock piles and other non-planted acres. |
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► Obtain acres for HARVEST in each field. Exclude acres already abandoned or otherwise not intended for harvest. |
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► Accumulate ACRES FOR HARVEST, field by field, to a total for the entire operation. |
TABLE A |
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FIELD NUMBER |
FO OPTIONAL USE |
VARIETY |
ACRES PLANTED |
ACRES FOR HARVEST Cum. = Cumulative Total |
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1 |
2 |
3 |
4 |
5 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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TABLE A – (continued) |
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FIELD NUMBER |
FO OPTIONAL USE |
VARIETY |
ACRES PLANTED |
ACRES FOR HARVEST Cum. = Cumulative Total |
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1 |
2 |
3 |
4 |
5 |
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17 |
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a. The total acres of potatoes planted on the land you operate is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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2. The total potato acreage (column 5) for harvest on the land you operate is. . . |
ACRES |
103 |
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Is that right? YES – Continue. NO – Review all fields, correct table A and item 2. |
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IF ITEM 2 HAS |
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-- A ZERO entry – Return all forms. |
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-- An Acreage entry – Make selection of sample field(s). |
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TABLE B |
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SELECTION OF SAMPLE FIELD(S) ON THIS FARM |
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Sample Number(s) |
Selected Acre(s) |
Selected Field Number(s) |
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a. Select first field in Table A in which the cumulative harvested acres equals or exceeds the selected acre for sample as shown in Table B. |
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b. Enter selected field number in Table B. |
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c. Circle selected sample field number in Table A. Enter field acreage (Column 5) in item 3. |
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OFFICE USE ONLY |
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a. Sum Planted acres by varieties. |
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b. Variety planted in sample field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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All questions on this page apply to the SAMPLE FIELD ONLY. |
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3. Acres of potatoes to be harvested in Sample Field Number _______ (Exclude acres planted to potatoes but not intended for harvest.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
ACRES |
105 |
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4. On what date was planting completed in this potato field? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
MM DD |
107 |
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5. When do you expect to begin harvesting this field? (Month / Day) |
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a. When do you plan to top kill this field? (Month / Day) |
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6. Have or will you enter this field for certified seed production? |
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YES = 1 NO = 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
CODE |
108 |
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7. Has this field been (or will it be) irrigated? YES = 1 NO = 3 . . . . . . . . . . . . . . . |
CODE |
109 |
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8. With your permission I will go out to the field to make observations and dig a few hills. Would that be alright? |
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YES – Continue. If this is a gleaning sample, tell the operator, “After harvest, I will also lay out two small plots to determine harvest loss.” |
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NO – Conclude interview and return all forms. |
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9. Have you or will you apply pesticides with organophosphorous content to the sample field? |
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YES DON’T KNOW NO |
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If YES, enter latest application date and name of pesticide |
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Ending Time (Military Time) |
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IMPORTANT: Review for completeness. Record ending time and sign name. Copy answers in items 5, 6, 7, 9 and variety of sample field to the kit envelope. |
Enumerator Number |
190 |
Supervisor Number |
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Area Location Code (optional) |
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County (optional) |
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Evaluation |
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R. Unit |
921 |
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10. Enumerator Name |
STATUS CODE |
180 |
FORM A POTATO TABLE B SUPPLEMENT |
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TABLE B |
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SELECTION OF SAMPLE FIELD(S) ON THIS FARM |
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Sample Number(s) |
Selected Acre(s) |
Selected Field Number(s) |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | murpdi |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |