QID 040121 List Sampling Farm Criteria

Project Code 633 QID 040121

OMB No. 0535-0140 Approval Expires 5/31/2016

LIST SAMPLING FARM CRITERIA (Master Listing)

NATIONAL AGRICULTURAL STATISTICS SERVICE

National Field Office

U.S. Department of Agriculture,

Rm 5030, South Building

1400 Independence Ave., S.W.

Washington, DC 20250-2000

1-800-727-9540

Fax: 202-690-2090

[email protected]

Please make corrections to name, address and ZIP Code, if necessary. The National Agricultural Statistics Service is in the process of updating our list of agricultural operators. Your response on this survey will verify current agricultural operations and help identify duplication. Please complete all items that relate to your operation and return the questionnaire in the enclosed postage paid envelope. Your report is needed even if you are not involved in agriculture. Under Title 7 of the U.S. Code 3 and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes in combination with similar reports from other producers. Response is voluntary According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number is 0535-0140. The time required to complete this information collection is estimated to average 15 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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IDENTIFICATION
1. Do you own or rent any land? Yes NO
2. Do you have a few head of cattle, some horses, poultry, own bees, other livestock or agriculture products? Yes No
3. Do you grow vegetable, hay or nursery stock? Yes No
4. Do you farm or ranch? Yes No
5. Do you receive government payments? Yes No
If you answered yes to any of the above questions continue, otherwise go to item 47.
6. Does this farm or ranch do business under any other name than what is on the address label? Yes – Enter Name NO – Continue

7. Are the day-to-day decisions for this operation made by an individual, hired manager or by partners? Individual operator Hired Manager Partners – Enter number of partners
LAND OPERATED
8. How many acres does this operation--
a. own?	+
b. rent or lease from others, or use rent free?	+
c. rent to others?	-
9. Total Acres Operated-- [items 8a + 8b – 8c]	=
a. Of the total acres operated, how many acres are in permanent pasture, woodland pasture and rangeland?
b. Of the total acres operated, how many acres of harvested land were irrigated?

CROPLAND
10. Of the total acres operated, how many acres are considered cropland? (Include planted cropland, land in hay, summer fallow, cropland idle, cropland used for pasture and cropland in government programs?)
11. Of the total cropland acres, how many acres are used to produce--
a. Any hay or forage crops on this operation? (Count each acre only once, regardless of the number of cuttings or different uses.)
b. Any fruit and nut crops on this operation?
c. Any vegetable crops on this operation?
d. Any nursery, greenhouse, floriculture crops, or aquatic plants on this operation? Yes No
e. All other cropland acres on this operation?
12. Of the total acres operated [item x], how many acres are in the Conservation Reserve Program (CRP), Wetland Reserve Program (WRP), Farmable Wetland Program (FWP) or Conservation Reserve Enhancement Program (CREP)?

FIELD CROPS
13. For each item below, enter the number of acres that were planted or harvested on this operation in 2013.
315	Barley	Acres
319	Corn for Seed	Acres
320	Corn	Acres
322	White Corn	Acres
325	Cotton, all	Acres
326	Cotton, Upland	Acres
327	Cotton, Pima	Acres
330	Dry Edible Beans	Acres
331	Chickpeas	Acres
335	Dry Edible Peas	Acres
336	Lentils	Acres
339	Mustard Seed	Acres
340	Flaxseed	Acres
341	Rapeseed	Acres
342	Grain Sorghum	Acres
345	Hay, All	Acres
346	Hay, Alfalfa	Acres
347	Hay, Other	Acres
348	Spearmint	Acres
349	Peppermint	Acres
350	Mint, All	Acres
352	Oats	Acres
353	Hops	Acres
354	Peanuts	Acres
356	Popcorn	Acres
360	Potatoes	Acres
365	Rice	Acres
370	Rye	Acres
371	Safflower	Acres
372	Soybeans	Acres
373	Canola	Acres
374	Sugarbeets	Acres
376	Sugarcane	Acres
377	Sunflowers (oil)	Acres
378	Sunflowers, All	Acres
379	Sunflowers (non-oil)	Acres
380	Sweet Potatoes	Acres
382	Tobacco, All	Acres
383	Tobacco, Burley	Acres
384	Tobacco, Dark Fired	Acres
385	Tobacco, Dark Aired	Acres
386	Tobacco, Flue Cured	Acres
390	Wheat, All	Acres
392	Wheat, Winter	Acres
394	Wheat, Durum	Acres
396	Wheat, Other Spring	Acres

STORAGE CAPACITY
14. For each item below, enter the total storage capacity of all structure normally used to store the item on this operation.
a.	Whole Grains or Oilseeds	Bushels
b.	Potatoes	Cwt

FRUIT and NUT CROPS
15. For each item below, enter the number of bearing acres on this operation in 2013.
413	Almonds	Bearing Acres
414	Hazelnuts	Bearing Acres
415	Macadamia Nuts	Bearing Acres
416	Pecans	Bearing Acres
417	Pistachios	Bearing Acres
418	Walnuts, All	Bearing Acres
420	Apples	Bearing Acres
421	Apricots	Bearing Acres
423	Avocados	Bearing Acres
426	Blackberries	Bearing Acres
468	Blueberries	Bearing Acres
428	Bushberries, Other	Bearing Acres
429	Cherries, All	Bearing Acres
430	Cherries, Sweet	Bearing Acres
432	Cherries, Tart	Bearing Acres
434	Kiwifruit	Bearing Acres
435	Cranberries	Bearing Acres
437	Dates	Bearing Acres
438	Figs	Bearing Acres
439	Nectarines	Bearing Acres
440	Grapes, All	Bearing Acres
441	Grapes, Raisin	Bearing Acres
442	Grapes, Table	Bearing Acres
443	Grapes, Wine	Bearing Acres
444	Grapes, Concord	Bearing Acres
445	Grapes, Rootstock	Bearing Acres
447	Plums	Bearing Acres
448	Prunes	Bearing Acres
449	Plums and Prunes	Bearing Acres
450	Peaches, All	Bearing Acres
451	Peaches, Clingstone	Bearing Acres
452	Peaches, Freestone	Bearing Acres
453	Olives	Bearing Acres
455	Pears, All	Bearing Acres
456	Pears, Bartlett	Bearing Acres
457	Pears, Other	Bearing Acres
459	Pomegranates	Bearing Acres
464	Raspberries, Red/Black	Bearing Acres
465	Strawberries	Bearing Acres
467	Caneberries, Other	Bearing Acres
480	Grapefruit, All	Bearing Acres
481	Grapefruit, Desert	Bearing Acres
482	Grapefruit, Other	Bearing Acres
484	Oranges, All	Bearing Acres
485	Oranges, Navel	Bearing Acres
486	Oranges, Valencia	Bearing Acres
487	Boysenberries	Bearing Acres
488	Loganberries	Bearing Acres
489	Lemons, All	Bearing Acres
493	Lime	Bearing Acres
494	Tangerines	Bearing Acres
495	Citrus, K-Early	Bearing Acres
496	Citrus, Other (Mandarin, Tangos)	Bearing Acres
497	Tangelo	Bearing Acres
498	Temples	Bearing Acres

VEGETABLE CROPS
16. For each item below, enter the number of acres planted on this operation in 2013.
513	Artichokes	Acres
514	Brussels Sprouts	Acres
515	Asparagus	Acres
516	Snap Beans, Fresh	Acres
517	Snap Beans, Processing	Acres
518	Snap Beans, All	Acres
519	Beets	Acres
520	Broccoli	Acres
521	Cabbage, All	Acres
522	Cabbage, for Kraut	Acres
523	Cabbage, Fresh	Acres
524	Cantaloupes	Acres
525	Honeydew Melons	Acres
527	Carrots	Acres
530	Cauliflower	Acres
531	Garlic	Acres
532	Greens	Acres
533	Celery	Acres
534	Eggplant	Acres
535	Escarole/Endive	Acres
536	Green Lima Beans, All	Acres
537	Green Lima Beans, Processing	Acres
538	Green Lima Beans, Fresh	Acres
539	Cucumber, All	Acres
540	Cucumber, Fresh	Acres
541	Cucumber, for Pickles	Acres
542	Lettuce, All	Acres
543	Lettuce, Iceberg/Other Head Types	Acres
544	Lettuce, Leaf and Stem	Acres
546	Lettuce, Romaine	Acres
548	Dry Onions, All	Acres
549	Dry Onions, Processing	Acres
550	Dry Onions, Fresh	Acres
551	Green Peas	Acres
553	Pumpkin	Acres
554	Peppers, Green	Acres
555	Spinach, Fresh	Acres
556	Spinach, Processing	Acres
557	Spinach, All	Acres
558	Squash	Acres
559	Southern Field Pea	Acres
560	Sweet Corn, All	Acres
561	Sweet Corn, Fresh	Acres
562	Sweet Corn, Processing	Acres
563	Tomatoes, All	Acres
564	Tomatoes, Fresh	Acres
565	Tomatoes, Processing	Acres
566	Watermelons	Acres
567	Parsley	Acres
568	Radishes	Acres
581	Peppers, All Other	Acres
XXX	All Other Crops	Acres

LIVESTOCK
17. During the past 12 months, what was the largest number of the following livestock on hand at any one time? (Include animals of any age, including newborns.)
610	Cattle and Calves, all	Head
611	Cows, Beef	Head
615	Cows, Milk	Head
620	Cattle on Feed	Head
621	Cattle on Feed	Capacity
640	Sheep, all (Includes sheep on feed)	Head
641	Sheep on Feed	Head
645	Goats, All	Head
646	Goats, Other	Head
647	Goats, Angora	Head
648	Goats, Milk	Head
670	Mink	Females
675	Horses	Head
XXX	All Other Livestock	Head

HOGS and PIGS
18. Has the operation owned or raised hogs or pigs at anytime during the past 12 months? Yes – continue No – Go to item x.
19. For the following items, what was the largest number Owned by this operation regardless of location--
a. Total Hogs and Pigs Owned	Head
b. Sows Owned	Head
20. How many Hogs and Pigs (owned by this operation) were being raised under contract by another person or firm?	Head
21. How many Hogs and Pigs Owned by Someone else were on this operation	Head
a. Who owned the hogs Name Address City State Zip
b. Is the hog owner a contractor? Yes No

BEES
22. During the past 12 months, what was the largest number of bee colonies owned regardless of location for the following items--
a. Total Producing Colonies	Head
b. Total Number of Colonies	Head

AQUACULTURE
23. What is the total value of sales of Aquaculture Products produced on this operation during the past 12 months regardless of ownership?	DOLLARS

POULTRY
(Report any chickens or turkeys on the total acres operated during the past 12 months, regardless of ownership.)
24. What was the largest number of layers, pullets, and roosters for laying flock at any one time?
a. What was the primary type of layer/pullet operation?
Table Egg Egg Type hatch Broiler Type Hatch Pullets for Laying Flock	Number
b. How many of the layers, pullets, and roosters for laying flock on this operation were owned by someone else?	Number
c. Who owned the chickens? Name_______________________________________ Address _____________________________________ City ___________________ State _____ Zip ________
d. Is the owner a contractor? Yes No
25. What was the peak number at any one time of broilers, fryers, capons, roasters and other chickens raised for meat production during the past 12 months? (Exclude chickens reported in item xx.)	Number
a. How many of the broilers, fryers, capons, roasters and other chickens raised for meat on this operation were owned by someone else?	Number
b. Who owned the chickens? Name_______________________________________ Address _____________________________________ City ___________________ State _____ Zip ________
c. Is the owner a contractor? Yes No
26. What was the total number of turkeys raised for meat on this operation during the past 12 months?	Number
27. What was the peak number of turkey breeder hens on this operation during the past 12 months?	Number
28. How many of the turkeys on this operation were owned by someone else?	Number
a. Who owned the turkeys? Name_______________________________________ Address _____________________________________ City ___________________ State _____ Zip ________
b. Is the owner a contractor? Yes No

POULTRY HATCHERY
29. What is the hatchery or incubator capacity for chicken and turkey o this operation?	Number
30. During the past 12 months, what was the total number of chicks hatched for commercial meat production (broiler type chicken)?	Number
31. During the past 12 months, what was the total number of chicks hatched for breading or layer replacements (egg type chickens)?	Number
32. During the past 12 months, what was the total number of turkeys hatched?	Number

PRODUCTION CONTRACTS
33. Did this operation have a contract to raise or custom feed any livestock or poultry that it did not own, with the contractor providing at least some inputs (such as feed) within the past 12 months? Yes – Continue. No - Go to item x.
34. What livestock or poultry was raised under a production contract? Specify— _______________________________________________________ _______________________________________________________ _______________________________________________________
35. What quantity was removed from the operation under this contract in the past 12 months?	Number

LABOR.
36. For the items below, what was the largest number on the payroll on any one day during the past 12 months?
885	Farm workers Hired	Peak Number
886	Agricultural Service Workers	Peak Number

AGRICULTURAL SPECIALTIES and MICELLANEOUS
37. For each item below, enter the number of acres that were planted on this operation in 2013.
921	Alfalfa Seed	Acres
923	Clover Seed, All	Acres
925	Kentucky Bluegrass Seed	Acres
927	Vetch Seed	Acres
929	Lespedeza Seed	Acres
931	Orchard Grass Seed	Acres
933	Fescue Seed	Acres
935	Timothy Seed	Acres
938	Sod	Acres
942	Christmas Trees	Acres
945	Bananas	Acres
946	Coffee	Acres
950	Ginger Root	Acres
951	Guava	Acres
954	Papayas	Acres
955	Pineapple	Acres
961	Taro	Acres
38. How many taps were set for collecting maple sap by this operation regardless of ownership of the trees?		Number
39. What was the total value of sales of all mushrooms sold by this operation during the past 12 months?		Dollar
40. What was the total value of sales of all floriculture products (cut flowers and greens) sold by this operation during the past 12 months?		Dollar
41. Does this operation produce any nursery products? Yes No
42. Does this operation grow any organic crops? Yes – Specify ________________________________________ No

SALES and FARM PROGRAM PAYMENTS

43. Please indicate below which code best describes the expected total gross value of sales this year, including landlord’s share, Federal Farm Program Payments, and value of product for all crops, livestock, and poultry produced under contract. (Exclude cash rent received or share of crops received for rented out land. Include value from: Field Crops, Hay, Silage and Forage Crops, Christmas Trees, Short Rotation Woody Crops, Seed Crops, Nursery, Greenhouse, Floriculture, Sod, Mushrooms, Seeds, Bulbs, Vegetables, Melons, Fruits, Nuts, Berries, Other Crops, Maple Syrup, Hogs and Pigs, Cattle and Calves, Sheep and Lambs, Goats, Poultry, Horses, Bees and Honey, Eggs, Dairy Products, Other Animals, Livestock and Animal Products, Fish and Other Aquaculture.)

2 None

3 Less than $1,000

4 $1,000 to $2,499

5 $2,500 to $4,999

6 $5,000 to $9,999

7 $10,000 to $24,999

8 $25,000 to $49,999

9 $50,000 to $99,999

10 $100,000 to $149,999

11 $150,000 to 249,999

12 $250,000 To $349,999

13 $350,000 to $499,999

14 $500,000 to $999,999

15 1,000,000 and over

44. In what county was the largest value of your agricultural products raised or produced?

County_______________________________ State_____________________________

OPERATOR
45. The following questions are for the principal operator or senior partner of this operation.
a. Name: _______________________________________
b. Sex of principal operator: Male Female
c. In what year did the principal operator being to operate any part of “THIS OPERATION”? _________________
d. Is the principal operator of Spanish, Hispanic, or Latino origin or background, such as Mexican, Cuban, or Puerto Rican, regardless of race? Yes No
e. Race of operator: [Mark one or more.] American Indian or Alaska Native (Specify tribe: _________________________) Asian Black or African American Native Hawaiian or Other Pacific Islander White
46. In 2013, how many operators (individuals) were involved in the day-to-day decisions for this operation? Enter the number of operators and the number of women operators. (Exclude hired workers unless they were a hired manager or family member.)
	Total Number of Operators
	Women Operators
CHANGE of OPERATOR
47. Has the operator named on the label sold, rented, or turned over this operation to someone else? Yes – Go to item 48. No – Go to item 49.
48. Please provide the following information for the operation that has taken over the land— Operation Name: Operator Name: Address City State Zip Code Area Code and Phone Number
POSSIBLE DUPLICATION
49. It is important that we do not have duplication on our list of farms and ranches. Is it possible the information on this form would be reported by another operation or under another name or address? Yes – Please provide the name and address below No Operation Name: Operator Name: Address City State

Reported by:				Date														Telephone	( ) -
Title																		Fax Number	( ) -
	OFFICE USE								ENTER ALL CODES THAT APPLY
	1 Re-contact/verified 2 Re-contact/ changed 3 Rounded 4 Circled Units					5 Changed Units 6 Office Error 7 Other- comment			801	802	803			804
									805	806	807					9910 MM DD YY
Response					Respondent			Mode							Enum.		Eval.			Office Use for POID
1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est 8-Known Zero		9901			1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth		9902	1-Mail 6-e-mail 2-Tel 7-Fax 3-Face-to-Face 8-CAPI 4-CATI 19-Other 5-Web				9903			098		100			789 __ __ __ - __ __ __ - __ __ __
																					R Unit	Optional Use
																					0921	407		408
S/E Name