Form QID Cost of Pollination Inquiry

COST OF POLLINATION INQUIRY - December 1, 2015
							OMB No. 0535-0258 Approval Expires: 11/30/2018 Project Code: 118 QID: 153781 SMetaKey: 3781
								United States Department of Agriculture
								NATIONAL AGRICULTURAL STATISTICS SERVICE
							USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828 FAX: 1-855-515-1328 Email: [email protected]
Please make corrections to name, address and ZIP Code, if necessary.
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 0535-0258 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.

SECTION 1 – HONEY BEE POLLINATION

1. During 2015, did the operation listed on the label own or have any honey bee colonies brought in for pollination?

2271 ₁Yes – Continue ₃No - Go to Section 3

	Colonies
2. During 2015, how many total honey bee colonies did this operation use to pollinate crops? (Include all colonies owned or brought onto this operation.)	2275
	Dollars
3. During 2015, what was the total amount paid by this operation to beekeepers to pollinate all crops?	2276

  

SECTION 2 – COST OF HONEY BEE POLLINATION

1	2		3		4	5		6
Please answer for all crops pollinated by honey bees in 2015 (whether the bees were owned by the operation or brought in).	How many acres of the crop in column 1 did honey bees pollinate?		How many colonies of honey bees were used to pollinate the crop in column 1? Report colonies owned by this operation and those colonies brought onto the operation.		Did this operation pay for honey bees to pollinate acres of the crop in column 1?	For how many acres of the crop in column 1 did this operation pay for pollination?		What was the total amount paid for honey bees not owned by this operation to pollinate the crop in column 1?
			Owned	Brought onto/ Not owned
(Crop)	(Acres)		(Colonies)			(Acres)		(Dollars)
4. Please report for all NUT crops grown for any purpose on this operation.
ALMONDS	2800	.	2801	XXXX	2803 1Yes – Continue 3No - Go to next crop	2804	.	2805 $
2806 OTHER/SPECIFY ____________	2807	.	2808	XXXX	2810 1Yes - Continue 3No - Go to next crop	2811	.	2812 $

5. Please report for all MELON crops grown for any purpose on this operation.
WATERMELON	2919	.	2920	XXXX	2922 1Yes - Continue 3No - Go to next crop	2923	.	2924 $
CANTALOUPE	2977	.	2978	XXXX	2979 1Yes - Continue 3No - Go to next crop	2980	.	2981 $
2932 OTHER/SPECIFY	2933	.	2934	XXXX	2936 1Yes - Continue 3No - Go to next crop	2937	.	2938 $

6. Please report for all OIL/HAY/SEED crops grown for any purpose on this operation.
CANOLA/ RAPESEED	2898	.	2899	XXXX	2901 1Yes - Continue 3No - Go to next crop	2902	.	2903 $
SUNFLOWERS	2905	.	2906	XXXX	2908 1Yes - Continue 3No - Go to next crop	2909	.	2910 $
2911 OTHER/SPECIFY	2912	.	2913	XXXX	2915 1Yes - Continue 3No - Go to next crop	2916	.	2917 $

7. Please report for all VEGETABLE crops grown for any purpose on this operation.
1	2		3		4	5		6
Please answer for all vegetable crops pollinated by honey bees in 2015 (whether the bees were owned by the operation or brought in).	How many acres of the crop in column 1 did honey bees pollinate?		How many colonies of honey bees were used to pollinate the crop in column 1? Report colonies owned by this operation and those colonies brought onto the operation.		Did this operation pay for honey bees to pollinate acres of the crop in column 1?	For how many acres of the crop in column 1 did this operation pay for pollination?		What was the total amount paid for honey bees not owned by this operation to pollinate the crop in column 1?
			Owned	Brought onto/ Not owned
(Crop)	(Acres)		(Colonies)			(Acres)		(Dollars)
CUCUMBER	2940	.	2941	XXXX	2943 1Yes - Continue 3No - Go to next crop	2944	.	2945
PUMPKIN	2947	.	2948	XXXX	2950 1Yes - Continue 3No - Go to next crop	2951	.	2952
SQUASH	2954	.	2955	XXXX	2957 1Yes - Continue 3No - Go to next crop	2958	.	2959
2960 OTHER/SPECIFY	2961	.	2962	XXXX	2964 1Yes - Continue 3No - Go to next crop	2965	.	2966 $

8. Please report for all TREE FRUIT crops grown for any purpose on this operation.
1	2		3		4	5		6
Please answer for all tree fruit crops pollinated by honey bees in 2015 (whether the bees were owned by the operation or brought in).	How many acres of the crop in column 1 did honey bees pollinate?		How many colonies of honey bees were used to pollinate the crop in column 1? Report colonies owned by this operation and those colonies brought onto the operation.		Did this operation pay for honey bees to pollinate acres of the crop in column 1?	For how many acres of the crop in column 1 did this operation pay for pollination?		What was the total amount paid for honey bees not owned by this operation to pollinate the crop in column 1?
			Owned	Brought onto/ Not owned
(Crop)	(Acres)		(Colonies)			(Acres)		(Dollars)
APPLES	2814	.	2815	XXXX	2817 1Yes - Continue 3No - Go to next crop	2818	.	2819 $
CHERRIES	2821	.	2822	XXXX	2824 1Yes - Continue 3No - Go to next crop	2825	.	2826 $
ORANGES	2835	.	2836	XXXX	2838 1Yes - Continue 3No - Go to next crop	2839	.	2840 $
PEACHES/ NECTARINES	2842	.	2843	XXXX	2845 1Yes - Continue 3No - Go to next crop	2846	.	2847 $
PEARS	2849	.	2850	XXXX	2852 1Yes - Continue 3No - Go to next crop	2853	.	2854 $
2855 OTHER/SPECIFY	2856	.	2857	XXXX	2859 1Yes - Continue 3No - Go to next crop	2860	.	2861 $

9. Please report for all BERRY AND OTHER FRUIT crops grown for any purpose on this operation.
1	2		3		4	5		6
Please answer for all berry and other fruit crops pollinated by honey bees in 2015 (whether the bees were owned by the operation or brought in).	How many acres of the crop in column 1 did honey bees pollinate?		How many colonies of honey bees were used to pollinate the crop in column 1? Report colonies owned by this operation and those colonies brought onto the operation.		Did this operation pay for honey bees to pollinate acres of the crop in column 1?	For how many acres of the crop in column 1 did this operation pay for pollination?		What was the total amount paid for honey bees not owned by this operation to pollinate the crop in column 1?
			Owned	Brought onto/ Not owned
(Crop)	(Acres)		(Colonies)			(Acres)		(Dollars)
BLUEBERRIES	2863	.	2864	XXXX	2866 1Yes - Continue 3No - Go to next crop	2867	.	2868 $
CRANBERRIES	2870	.	2871	XXXX	2873 1Yes - Continue 3No - Go to next crop	2874	.	2875 $
GRAPES	2828	.	2829	XXXX	2831 1Yes – Continue 3No - Go to next crop	2832	.	2833 $
RASPBERRIES	2877	.	2878	XXXX	2880 1Yes - Continue 3No - Go to next crop	2881	.	2882 $
STRAWBERRIES	2884	.	2885	XXXX	2887 1Yes - Continue 3No - Go to next crop	2888	.	2889 $
2890 OTHER/SPECIFY	2891	.	2892	XXXX	2894 1Yes - Continue 3No - Go to next crop	2895	.	2896 $

10. Please report for all ALL OTHER crops grown for any purpose on this operation.
1	2		3		4	5		6
Please answer for all other crops pollinated by honey bees in 2015 (whether the bees were owned by the operation or brought in).	How many acres of the crop in column 1 did honey bees pollinate?		How many colonies of honey bees were used to pollinate the crop in column 1? Report colonies owned by this operation and those colonies brought onto the operation.		Did this operation pay for honey bees to pollinate acres of the crop in column 1?	For how many acres of the crop in column 1 did this operation pay for pollination?		What was the total amount paid for honey bees not owned by this operation to pollinate the crop in column 1?
			Owned	Brought onto/ Not owned
(Crop)	(Acres)		(Colonies)			(Acres)		(Dollars)
2967 OTHER/SPECIFY	2968	.	2969	XXXX	2971 1Yes - Continue 3No - Go to next section	2972	.	2973 $

SECTION 3 – OTHER POLLINATION COSTS

11. During 2015, did this operation pay for products or services used to increase pollination that did not involve honey bees? (Exclude any fees, expenses to maintain, or transportation costs related to honey bees.)

2291

₁Yes - Continue to Item 11a ₃No - Go to Section 4

	None	Dollars
a. How much did this operation pay in 2015 for pollination using other (that is, non-apis) bees? (Bumble, cutter, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2992
b. How much did this operation pay in 2015 for artifical pollination?. . . . . . . . . . . . . .		2993
c. How much did this operation pay in 2015 for all other forms of increasing pollination? (include flower mixes, bee attractants, bat houses, etc.). . . . . . . . . . . . .		2994

SECTION 4 – COMMENTS

SECTION 5 – CHANGE IN OPERATOR

12. Has the operation (named on label) been sold or turned over to someone else?

₁Yes – Identify the new operator(s) below ₃No – Go to Section 6

Operation Name:		______________________________________________________________________________
Operator Name:		______________________________________________________________________________
Address:	____________________________________________________				Phone:	( ) ________________
City:	______________________		State:	____________________	Zip:	______________________

SECTION 6 – CONCLUSION

	13. Survey Results: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results.
Would you rather have a brief summary mailed to you at a later date?		1 Yes 3 No	9990

THANK YOU FOR YOUR COOPERATION.

Respondent Name:

9911 Phone: (______) ____--__________

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

Office Use Only

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  __ __ __ - __ __ __ - __ __ __

R. Unit

Optional Use

9921

9907

9908

9906

9916

S/E Name