Form QID Bee and Honey Inquiry Dec. 2015 - (Operations with less

BEE AND HONEY INQUIRY – December 2015
			OMB No. 0535-0153 Approval Expires: 6/30/2016 Project Code: 196 QID: 110096–AL SMetaKey: 3836
(for operations with 4 or fewer colonies)
				United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE

Please make corrections to name, address, and ZIP Code, if necessary.	USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO  63132-1547 Phone: 1-888-424-7828 Fax: 1-855-415-3687 E-mail: [email protected]

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.
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 number is 0535-0153. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
State	POID	Tract	Subtr.
___ ___	___ ___ ___ ___ ___ ___ ___ ___ ___	___ ___	___ ___

1. During 2015, did this operation own or control any apiaries?
2701	1 Yes – Go to Item 3, page 2	3 No – Continue

2. Did this operation have any honey sales in 2015 from any production year?
2703	1 Yes – Go to Item 6, page 2	3 No – Go to Item 12, page 4
			FOR OFFICE USE ONLY
			2701
			2703
			9921

Please respond for all apiaries owned during 2015:	None	Colonies
3. What was the largest number of colonies for all purposes that this operation had in 2015? (Include colonies for honey production, pollination, hobby, etc.). . . . . . . . . . . .		1851
4. From how many of these colonies did you harvest or “pull off” honey? . . . . . . . . . . . .		1852
		Pounds
5. How many total pounds of honey were harvested from these colonies? . . . . . . . . . . .		1853

6. Did you sell any honey during 2015?
1854	1Yes – Go to Item 6a	3No – Go to Item 7
a. What was your total income from honey sales? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			1855 $

7. During 2015, did this operation receive any income from contracting colonies as pollinators?
1856	1Yes – Go to Item 7a	3No – Go to Item 8
a. What was your total dollar amount received from contracting colonies for pollination? . . . . . . . .			1857 $

8. During 2015, did this operation receive any other income for honey bees? (Including sales of queen/queen cells, beeswax, propolis, etc.)
1858	1Yes – Go to Item 8a	3No – Go to Item 9
a. What was your total other income from honey bees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			1859 $

9. In 2015, what were total expenditures for the following items on this operation:	None
a. Varroa control/treatment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1860 $
b. Prevent/treat other colony health issues? (Including Nosema, tracheal mites, foulbrood, paralysis, Kashmir, cloudy wing, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . .		1861 $
c. Feed? (Including syrup, sugar water, honey, pollen patties, and other feeds.) . . .		1862 $
d. Purchased queens? (Exclude self-created queens.) . . . . . . . . . . . . . . . . . . . . . . .		1863 $
e. Purchased packages? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1864 $
f. Purchased nucs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1865 $
g. New foundation for combs? (Exclude comb purchased with nucs.) . . . . . . . . . . . .		1866 $
h. New hives? (Langstroth, Top bar, other) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1867 $

10. During 2015, did this operation pay any fees to winter colonies in a warehouse or on land?
1868	1Yes – Go to Item 10a	3No – Go to Item 11
a. What were your total fees/rent to winter your colony? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			1869 $

	Employees
11. During 2015, including yourself, what was the peak number of people working on your apiaries? (Exclude employees that did not work with colonies, i.e. office staff, etc.) . . . . . . . . . . . . . . . . . . . .	1870

NOTES/COMMENTS

Complete Items 12, 13, and 14 only if the operation named on the label did NOT report for Items 3, 4, or 6; otherwise, go to Item 13.
12. Will this operation own or control any apiaries in 2016?
2702		1Yes		3No
13. Has the operation named on the label been sold, rented, or turned over to someone else?
1Yes – Continue			3No				Will the land be used for any agricultural purpose by you (the operator), or anyone else in the next year, or will you control or own bee colonies in the future? (Include growing crops, grains, row crops, oilseeds, fruits, vegetables, or specialty crops, raising any livestock or poultry).
14. What is the name and address of the new operation that has taken over the land or colonies?
Operation Name: Operator Name: Address: City: State: Zip: Phone:							Yes Don’t Know No
							(Regardless of answer to above, write a note to explain the situation.)

15. SURVEY RESULTS: To receive the complete results of this survey on the release date, go to http://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/

Would you rather have a brief summary mailed to you at a later date? 9990 1Yes 3No

Comments:	 

Respondent Name: ______________________

9911 Phone: (_____) _____–__________

9910 MM DD YY Date: __ __ __ __ __ __

Response

Respondent

Mode

Enum.

Eval.

Change

Office Use for POID

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

9901

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

9902

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

9903

9998

9900

9985

9989

__ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name