QID 150028 Draft Contractor/Broker Agricultural Labor Survey

Generic Clearance of Survey Improvement Projects

0248 - APR_2019_Ag_Labor_Survey_Q_Contractor_OMB

Ag Labor Cognitive Testing

OMB: 0535-0248

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DRAFT CONTRACTOR/BROKER AGRICULTURAL LABOR SURVEY – April 2018


OMB No. 0535-xxxx

Approval Expires: xx/xx/xxxx

Project Code: 528 QID: 150028

SMetaKey: 3275

Version: 99

Draft as of November 20, 2017




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: 1-855-415-3687

E-mail: [email protected]









The information you provide will be used for statistical purposes only. Your responses will be kept confidential and any person who willfully discloses ANY identifiable information about you or your operation is subject to a jail term, a fine, or both.  This survey is conducted in accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and other applicable Federal laws. For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality. Response to this survey 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 0535-0109. 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.







Attempted Contacts







Date

Time

Notes











State

POID

Tract

Subtr.







__ __

__ __ __ __ __ __ __ __ __

__ __

__ __







1. [Verify name and mailing address of this contractor. Make any corrections necessary (including the correct operation name) on the label and continue.]

[Check if name label verified]

2. Since June 1, 2018, have you or will you (name on label)--

a. provide contract agricultural workers to farms or ranches in <state>?




1 Yes - [Continue] 3 No - [Skip to section 4.]































































































































For Office Use Only


For Office Use Only


For Office Use Only


For Office Use Only

Stratum


Stratum


Stratum


Stratum

9922


9923


9927


9928

Ind. Op.


Ind. Op.


Ind. Op.


Ind. Op.

9924


9924


9924


9924








Contract Worker codes for Sections 1 and 2

Code

Work Hired to Do



FIELD WORKERS


11

Agricultural Equipment Operators - Crop, Nursery and Greenhouse:

Drive and control farm equipment to till soil and to plant, cultivate, and harvest crops.

12

Farmworkers - Crop, Nursery and Greenhouse:

Manually plant, cultivate, and harvest vegetables, fruits, nuts, horticultural specialties, field crops, Christmas trees and short rotation woody crops. Use hand tools, such as shovels, trowels, hoes, tampers, pruning hooks, shears, and knives. Duties may include tilling soil and applying fertilizers; transplanting, weeding, thinning, or pruning crops; applying pesticides; or cleaning, grading, sorting, packing, and loading harvested products. May construct trellises, repair fences and farm buildings, or participate in irrigation activities.

13

Graders And Sorters - Crop, Nursery and Greenhouse Products:

Grade, sort, or classify agricultural crops by size, weight, color or condition.

14

Hand Packers And Packagers - Crop, Nursery and Greenhouse Products:

Pack or package by hand a wide variety of products and materials.

15

All Other Field Workers:

All agricultural workers working with crops, nursery or greenhouse products not included in codes 11-14.



LIVESTOCK WORKERS


20

Agricultural Equipment Operators – Farm, Ranch, and Aquacultural Animals: Drive and control heavy farm equipment while attending to live farm, ranch, or aquacultural animals and in harvest of unprocessed animal products.

21

Farmworkers - Farm, Ranch, and Aquacultural Animals: Attend to live farm, ranch, or aquacultural animals including cattle, sheep, swine, goats, horses and other equines, poultry, finfish, shellfish, and bees. Duties may include feeding, watering, herding, milking, grazing, castrating, branding, de-beaking, weighing, catching, and loading animals. May conduct simple exams; maintain records; assist in births; and administer medications, vaccinations, or insecticides. May clean and maintain animal housing areas.

22

Graders And Sorters - Farm, Ranch, and Aquacultural Animal Products:

Grade, sort, or classify unprocessed food and other agricultural products by size, weight, color, or condition.

23

Hand Packers And Packagers - Farm, Ranch and Aquacultural Animal Products:

Pack or package by hand a wide variety of products and materials.

24

All Other Livestock Workers:

All agricultural workers working with farm, ranch and aquacultural animals or products not included in codes 20 – 23.



SUPERVISORS


31

Farmers, Ranchers and Other Agricultural Managers:

Plan, direct, or coordinate the management or operation of farms, ranches, greenhouses, aquacultural operations, nurseries, tree farms, or other agricultural establishments.

32

First-Line Supervisors of Farm Workers:

Directly supervise and coordinate the activities of agricultural, aquacultural, and related workers.



OTHER WORKERS


41

Agricultural Inspectors:

Inspect agricultural commodities, processing equipment and facilities, and aquacultural operations, to ensure compliance with regulations and laws governing health, quality, and safety.

42

Animal Breeders:

Select and breed animals according to their genealogy, characteristics, and offspring.

43

Pesticide Handlers and Sprayers:

Mix or apply pesticides, herbicides, fungicides, or insecticides through sprays, dusts, vapors, soil incorporation, or chemical application to all crops including nursery and greenhouse products and facilities, and livestock, and livestock facilities. Usually requires specific training and state or federal certification. Excludes pilots who dust or spray crops from aircraft.

44

Any Other Worker Not Listed Above:

Including, but not limited to, mechanics, shop workers, truck drivers, accountants, bookkeepers, office workers. Excluding contract & custom workers, retail workers, and “value-added” workers.







April 2018



S

M

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W

Th

F

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30







Section 1 - PAID WORKERS for APRIL

1. Did this contractor employ anyone on the payroll to perform contract agricultural work the week of April 8th through April 14th?

INCLUDE:

  • Workers hired and paid a wage or salary by the contractor

  • Part-time and full-time workers

  • All hired workers regardless of method of pay


EXCLUDE:

  • Retail workers and “value-added” workers

  • Self-employed workers



1 Yes [Continue]

3 No [Go to Section 2]

2 Don’t Know [Go to Section 2]


2. For the workers placed by this contractor, record the number of workers, wages paid, hours worked, and the gross wages paid the week of April 8th through April 14th.

  • Record each worker only once

  • Separate the workers by the main type of agricultural work they were hired to perform based on the groups outlined on page 2 and by the base wage paid per hour

  • Report only one week of wages for the reference week


Worker Code

(select from list on page 4)

Number

of Paid

Workers

Base Wage Paid Per Hour

(excluding incentive pay)

(Dollars per Hour)

Total

Hours

Worked

Total Gross Wages That Week

(including incentive pay and overtime pay)


(Dollars)


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614



3.TOTAL PAID WORKERS

660



4. In 2018, how many of these TOTAL WORKERS PLACED BY THIS CONTRACTOR will be paid by this contractor----

NUMBER OF WORKERS

a. for 150 days or more of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

700

b. for 149 days or less of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

701

Sum MUST equal TOTAL PAID WORKERS, item 3 above. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TOTAL

702



Office Use – Completion Code – Usability

1 – Incomplete, Has Labor

2 – Incomplete, Unknown

3 – No Labor

698





Contract Worker codes for Sections 1 and 2

Code

Work Hired to Do



FIELD WORKERS


11

Agricultural Equipment Operators - Crop, Nursery and Greenhouse:

Drive and control farm equipment to till soil and to plant, cultivate, and harvest crops.

12

Farmworkers - Crop, Nursery and Greenhouse:

Manually plant, cultivate, and harvest vegetables, fruits, nuts, horticultural specialties, field crops, Christmas trees and short rotation woody crops. Use hand tools, such as shovels, trowels, hoes, tampers, pruning hooks, shears, and knives. Duties may include tilling soil and applying fertilizers; transplanting, weeding, thinning, or pruning crops; applying pesticides; or cleaning, grading, sorting, packing, and loading harvested products. May construct trellises, repair fences and farm buildings, or participate in irrigation activities.

13

Graders And Sorters - Crop, Nursery and Greenhouse Products:

Grade, sort, or classify agricultural crops by size, weight, color or condition.

14

Hand Packers And Packagers - Crop, Nursery and Greenhouse Products:

Pack or package by hand a wide variety of products and materials.

15

All Other Field Workers:

All agricultural workers working with crops, nursery or greenhouse products not included in codes 11-14.



LIVESTOCK WORKERS


20

Agricultural Equipment Operators – Farm, Ranch, and Aquacultural Animals: Drive and control heavy farm equipment while attending to live farm, ranch, or aquacultural animals and in harvest of unprocessed animal products.

21

Farmworkers - Farm, Ranch, and Aquacultural Animals: Attend to live farm, ranch, or aquacultural animals including cattle, sheep, swine, goats, horses and other equines, poultry, finfish, shellfish, and bees. Duties may include feeding, watering, herding, milking, grazing, castrating, branding, de-beaking, weighing, catching, and loading animals. May conduct simple exams; maintain records; assist in births; and administer medications, vaccinations, or insecticides. May clean and maintain animal housing areas.

22

Graders And Sorters - Farm, Ranch, and Aquacultural Animal Products:

Grade, sort, or classify unprocessed food and other agricultural products by size, weight, color, or condition.

23

Hand Packers And Packagers - Farm, Ranch and Aquacultural Animal Products:

Pack or package by hand a wide variety of products and materials.

24

All Other Livestock Workers:

All agricultural workers working with farm, ranch and aquacultural animals or products not included in codes 20 – 23.



SUPERVISORS


31

Farmers, Ranchers and Other Agricultural Managers:

Plan, direct, or coordinate the management or operation of farms, ranches, greenhouses, aquacultural operations, nurseries, tree farms, or other agricultural establishments.

32

First-Line Supervisors of Farm Workers:

Directly supervise and coordinate the activities of agricultural, aquacultural, and related workers.



OTHER WORKERS


41

Agricultural Inspectors:

Inspect agricultural commodities, processing equipment and facilities, and aquacultural operations, to ensure compliance with regulations and laws governing health, quality, and safety.

42

Animal Breeders:

Select and breed animals according to their genealogy, characteristics, and offspring.

43

Pesticide Handlers and Sprayers:

Mix or apply pesticides, herbicides, fungicides, or insecticides through sprays, dusts, vapors, soil incorporation, or chemical application to all crops including nursery and greenhouse products and facilities, and livestock, and livestock facilities. Usually requires specific training and state or federal certification. Excludes pilots who dust or spray crops from aircraft.

44

Any Other Worker Not Listed Above:

Including, but not limited to, mechanics, shop workers, truck drivers, accountants, bookkeepers, office workers. Excluding contract & custom workers, retail workers, and “value-added” workers.







January 2018



S

M

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W

Th

F

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1

2

3

4

5

6



7

8

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11

12

13



14

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19

20



21

22

23

24

25

26

27



28

29

30

31





Section 2 - PAID WORKERS for JANUARY


1. Did this contractor employ anyone on the payroll to perform contract agricultural work the week of January 7th through January 13th?

INCLUDE:

  • Workers hired and paid a wage or salary by the operation

  • Part-time and full-time workers

  • All hired workers regardless of method of pay


EXCLUDE:

  • Retail workers and “value-added” workers

  • Self-employed workers



1 Yes [Continue]

3 No [Go to Section 3]

2 Don’t Know [Go to Section 3]


2. For the workers placed by this contractor, record the number of workers, wages paid, hours worked, and the gross wages paid the week of January 7th through January 13th.

  • Record each worker only once

  • Separate the workers by the main type of agricultural work they were hired to perform based on the groups outlined on page 4 and by the base wage paid per hour

  • Report only one week of wages for the reference week.


Worker Code

(select from list on page 6)

Number

of Paid

Workers

Base Wage Paid Per Hour

(excluding incentive pay)

(Dollars per Hour)

Total

Hours

Worked

Total Gross Wages That Week

(including incentive pay and overtime pay)


(Dollars)


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614


611

612

xxx

613

614



3.TOTAL PAID WORKERS

660





4. In 2018, how many of these TOTAL WORKERS PAID BY THIS CONTRACTOR will be paid by this contractor -

NUMBER OF WORKERS

a. for 150 days or more of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

700

b. for 149 days or less of work?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

701

Sum MUST equal TOTAL PAID WORKERS, item 3 above. . . . . . . . . . . . . . . . . . . . . .

TOTAL

702



Office Use – Completion Code – Usability

1 – Incomplete, Has Labor

2 – Incomplete, Unknown

3 – No Labor

698

Section 3 - PAID WORKERS IN 2018



NUMBER OF WORKERS

1. During 2018, what was or will be the largest number of contract agricultural workers on the payroll on any one day?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

277





2. During 2018, did or will this contractor have any H-2A Temporary Agricultural Workers on the payroll?


1 Yes

3 No

2 Don’t know












Section 4 - CHANGE IN CONTACT PERSON

Complete this section only if you answered “NO” for questions on the face page.

1. Has the contractor named on the label been sold, rented or turned over to someone else?


1 Yes - [Go to item 2] 3 No - [Continue ]

a.

Write a note to explain the situation, then go to back page, item 1.































2.

Please provide the following information for the operation that has taken over the land:



Contractor Name: _______________________________________________________________________________


Person Name: ________________________________________________________________________________


Address: ________________________________________ Phone: (________) - _________________________


City: ______________________________________________________ State: __________ ZIP: _________




3. Was this new contractor, reported in item 2, in business before June 1, 2018?


1 Yes



3 No

























Section 5 - CONCLUSION






















1. Do you (the person named on the label) make any day - to - day decisions for ANOTHER contractor?




a. 1Yes - What is the name of this other
contractor? . . . . . . . . . . . . . . . . . . . .

Operation Name: ______________________________________

3No - [Go to item 2 below.]

Address: ________________________________________


City: __________________

State:____

ZIP: ____


Phone: (______) __________________






b. Was this additional contractor in business before June 1, 2018?



1 Yes – [Continue.] 3 No – [Continue.]



COMMENTS:


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

Would you rather have a brief summary mailed to you at a later date?

1 Yes 3 No

9990



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-PASI (Mail)

2-PATI (Tel)

3-PAPI (Face-

to-Face)

6-e-mail

7-Fax

19-Other

9903

9998

9900

9985








9989


__ __ __ - __ __ __ - __ __ __



Optional Use


9907

9908

9906

9916

S/E Name








File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorReddick, Cedric - NASS
File Modified0000-00-00
File Created2021-01-21

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