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2015 AGRICULTURAL RESOURCE MANAGEMENT SURVEY - PHASE 1
OMB No. 0535-0218
Approval Expires: ##/XX/XXXX
Project Code: 905 QID: ######
SMetaKey: 1222
Version XX
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
HQ MASTER VERSION
U.S Department of Agriculture
National Operations Division
9700 Page Avenue, Suite 400
St. Louis, MO 63132-1547
Phone: 1-888-424-7828
Fax: 314-595-9990
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. Please return your report in the enclosed postage paid envelope. Thank you for your help.
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
0535-0218. 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.
1.
Please make any needed corrections to the name, including the correct operation name, and mailing address on the label.
2.
During 2015, will this operation (name on label):
grow any crops, including field crops, fruits, vegetables, nursery/greenhouse, or other specialty crops; or
cut any hay; or
have any livestock or poultry or bees; or
sell any agricultural products; or
receive government payments (CRP, WRP, etc.); or
have more than 19 acres of idle cropland or more than 99 acres of pastureland?
Exclude crops planted on land rented\leased to others.
YES – [Go to SECTION 1.]
NO – [Complete items a and b, then go to SECTION 5 on back page.]
a.
Has the operation name on the label been sold, rented, or turned over to someone else?
YES
NO
Will the land be used for any agricultural purpose by you (the
individual listed on the label), or anyone else in the next year?
YES
b. What is the name and address of the new operator?
NO
DON’T KNOW
Please explain, then go to SECTION 5 on back page.
Operation Name: __________________________________________ _________________________________________________________
Operator Name: __________________________________________
_________________________________________________________
Address: _________________________________________________
_________________________________________________________
City: ____________________ State: ____________ Zip: _________
_________________________________________________________
Phone: (
_________________________________________________________
) ______________________________
-2-
SECTION 1 – 2015 TOTAL ACRES OPERATED
1.
Including the farmstead, all cropland, woodland, pasture land, wasteland, and government
program land, how many total acres does this operation –
a.
own? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
b.
rent or lease from others, including for cash, shares or rent free?
c.
901
902
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
2.
Acres
........ +
rent to others, including for cash, shares or rent free? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . –
Total Acres Operated: [item 1a + 1b - 1c] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
3. Of the total [item 2] acres operated, how many acres are considered cropland?
(Include hay land, summer fallow, idle cropland, cropland used for pasture, and cropland in government programs.)
....
905
900
802
SECTION 2 – 2015 CROPS
1. For the crop listed below, please report acres planted and to be planted for all purposes for the 2015 crop year.
(Include acres planted and to be planted, even if the crop will not be harvested, for instance, plowed under or
abandoned. If specified, also report acres harvested and to be harvested for cotton in the 2015 crop year. Exclude
crops planted on land rented/leased to others.)
Check
Here if
NONE
Acres Planted
Acres Harvested
and to be Planted and to be Harvested
for All Purposes
for Lint
####
####
####
####
Pima Cotton (net acres if skip row) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Upland Cotton (net acres if skip row) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. For the crop listed below, please report acres planted and to be planted for all purposes for the 2015 crop year.
(Include acres planted and to be planted, even if the crop will not be harvested, for instance, used for cover crop,
plowed under or abandoned. If specified, also report acres harvested and to be harvested for grain in the 2015 crop
year. Exclude crops planted on land rented/leased to others)
Check
Here if
NONE
Acres Harvested
Acres Planted
and to be Harvested
and to be Planted
for Either Grain
for All Purposes
or Seed
####
####
Oats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. For the crop listed below, please report acres planted and to be planted for all purposes for the 2015 crop year.
(Include acres planted and to be planted, even if the crop will not be harvested, for instance, used for cover crop,
plowed under or abandoned. If specified, also report acres harvested and to be harvested for beans in the 2015 crop
year. Exclude crops planted on land rented/leased to others.)
Check
Here if
NONE
Acres Planted
Acres Harvested
and to be Planted and to be Harvested
for All Purposes
for Beans
590
591
Soybeans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. For the following class of wheat, please report acres planted for all purposes in fall 2014 for the 2015 crop year.
(Include acres planted even if the crop will not be harvested, for instance, used for cover crop, plowed under, or
abandoned. Exclude crops planted on land rented/leased to others.)
Check
Here if
NONE
Acres Planted
for All Purposes
540
Winter Wheat planted during the fall of 2014. . . . . . . . . . . . . . . . . . . . . . .
-2-
5. For the following class(es) of wheat, please report acres planted and to be planted for all purposes in fall 2014 or spring
2015 for the 2015 crop year. (Include acres planted and to be planted, even if the crop will not be harvested, for
instance, used for cover crop, plowed under, or abandoned. Exclude crops planted on land rented/leased to others.)
Check
Here if
NONE
Acres Planted
for All Purposes
553
Durum Wheat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
550
Other Spring Wheat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SECTION 2 – 2015 Hogs and Pigs
Check
Here if
NONE
1. During 2014, what was or will be the peak number of hogs and pigs on
this operation, regardless of ownership? ......................................................
Number
630
-2-
SECTION 3 – 2014 VALUE OF SALES
1. Considering:
sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in 2014;
the value of product removed for all crops, livestock, and poultry produced under contract in 2014;
sales of all miscellaneous agricultural products in 2014;
all government agricultural payments received in 2014; and
exclude dollars received on land rented to others.
a. What code represents the total gross value of sales, including government agricultural payments?
Total Value
GVS Code
‘None’ during 2014. . . . . . . . . . . . .
$
1 –
$
999 …..
$
1,000 –
$
2,499 …..
$
2,500 –
$
4,999 …..
$
5,000 –
$
9,999 …..
$
10,000 –
$
24,999 …..
$
25,000 –
$
49,999 …..
$
50,000 –
$
99,999 …..
$
100,000 –
$
249,999 …..
$
250,000 –
$
499,999 …..
$
500,000 –
$
999,999 …..
$ 1,000,000 –
$ 2,499,999 …..
$ 2,500,000 –
$ 4,999,999 …..
99
1
2
3
4
5
6
7
8
9
10
11
12
$ 5,000,000 and over. . . . . . . . . . . .
13
b. Is the GVS Code in box 860 equal to ‘1’ or ‘99’?
YES – [Go to item c, next page.]
NO – [Go to item 2, next page.]
GVS Code
860
-3-
SECTION 3 – 2014 VALUE OF SALES (Continued)
c.
Record all 2015 crops, land uses, and livestock or poultry now on the total acres operated.
Land Use
ACRES
Field Crops Intended For
Harvest
ACRES
ACRES
Other Crops
CRP/WRP. . . . . . . . . . . .
________________. . .
Cut Christmas Trees. . .
Idle Cropland. . . . . . . . . .
________________. . .
Nursery & Greenhouse.
Summer Fallow. . . . . . . . .
________________. . .
________________. . .
_________________. . . . .
________________. . .
________________. . .
Government Payments
WHOLE
DOLLARS
Fruits/Nuts
ACRES
NUMBER
Livestock
CRP/WRP Payments. . . . .
________________. . .
Cattle - Dairy. . . . . . . .
Other Gov’t Payments. . . .
________________. . .
Cattle - Other. . . . . . . .
________________. . .
Chickens. . . . . . . . . . .
________________. . .
Hogs. . . . . . . . . . . . . .
________________. . .
Horses. . . . . . . . . . . . .
Pasture/Rangeland
ACRES
Cropland Used Only
For Pasture. . . . . . . . . .
Mules/Burros. . . . . . . .
ACRES
Permanent Pasture. . . . . .
Vegetables/Melons
Woodland Pasture. . . . . . .
________________. . .
________________. . .
________________. . .
________________. . .
Aquaculture
NUMBER
Sheep & Goats. . . . . . .
________________. . .
OFFICE USE
Acres of Ponds in Use. . . .
Foodsize/Stockers. . . . . . .
Berries
Fingerlings/Broodfish. . . . .
________________. . .
Trout Eggs. . . . . . . . . . . .
________________. . .
Other Aquaculture. . . . . . .
________________. . .
ACRES
Total Points
861
Pasture Points
869
2. Which of these categories represents the largest portion of the gross income
from the operation in 2014?
Farm Type Code
1 Grains, Oilseeds, Dry Beans, and Dry Peas ……………….…………………..……..
1
(corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, straw, etc.)
2 Tobacco ………………………………………………………………….……………...…..
3 Cotton and Cottonseed ……………………………………………………….…...……..
4 Vegetables, Melons, Potatoes and Sweet Potatoes ………………………………...
2
3
4
(beets, cabbage, cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable seeds, etc.)
5 Fruit, Tree Nuts and Berries ………………………………………………………...…..
5
(almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,
oranges, pears, pecans, strawberries, walnuts, etc.)
6 Nursery, Greenhouse, Floriculture and Sod ………………………………...............
6
(bedding plants, bulbs, cut flowers, flower seeds, foliage plants,
mushrooms, nursery potted plants, shrubbery, sod, etc.)
7 Cut Christmas Trees and Short Rotation Woody Crops ……………………….…..
8 Other Crops and Hay, CRP and Pasture …………………………………..................
7
8
(grass seed, hay and grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, CRP, etc.)
9 Hogs and Pigs …………………………………………………………………….……….. 9
10 Milk and Other Dairy Products from Cows …………………………………………… 10
11 Cattle and Calves ………………………………………………………………................ 11
(beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals,
stockers and feeders, veal calves, etc.)
12 Sheep, Goats, and their Products …………………………………………………..…. 12
(wool, mohair, milk and cheese)
13 Horses, Ponies, and Mules ………………………………………………………...……. 13
(burros and donkeys)
14 Poultry and Eggs ………………..……………………………………………...……….... 14
(broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings,
ostriches, pigeons, pheasants, quail, poultry products, etc.)
15 Aquaculture ………………………..…………..………………………………………...... 15
(catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.)
16 Other Animals and Other Animal Products ………………..………………............... 16
(bees, honey, rabbits, fur-bearing animals, semen, manure, other animal specialties, etc.)
Farm Type Code
862
-4-
SECTION 4 – OPERATION TYPE
1. Are the day-to-day decisions for this operation made by one individual,
a hired manager, or partners? [Check one]
One individual – [Go to SECTION 5, below.]
A hired manager – [Go to SECTION 5, below.]
Partners – [Complete items a and b, then go to SECTION 5, below.]
Number
a. How many individuals, including the operator, are involved in the day-to-day
decisions for this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Please record partners’ names and addresses, then go to SECTION 5, below.
[Enter names and addresses of partners, including partners who jointly operate land and share in decision making.
Do not include landlords and tenants as partners.]
PARTNER 1
PARTNER 2
Partner name: ______________________________________________
Partner name: ______________________________________________
Address: ___________________________________________________
Address: ___________________________________________________
City: _____________________
City: ____________________
State: ____________ Zip: __________
State: ____________ Zip: __________
Phone: (______) __________________________
Phone: (______) __________________________
PARTNER 3
PARTNER 4
Partner name: ______________________________________________
Partner name: ______________________________________________
Address: ___________________________________________________
Address: ___________________________________________________
City: _____________________
City: ____________________
State: __________ Zip: ___________
Phone: (______) __________________________
State: __________ Zip: ___________
Phone: (______) __________________________
SECTION 5 – CONCLUSION
1. Do you (the operator named on the label) make any day-to-day decisions for another farm or ranch?
YES – Please list the other operation(s):__________________________________________________________________________
NO – [Continue.]
This completes the survey. Thank you for your help.
Reported by: __________________________________
9911
9910
____ ____ ____ ____
M
M
D
15
D
Telephone: ________________
OFFICE USE
R. Unit
9921
Ptr 1 Str
9922
Response
1-Comp
2-R
3-Inac
4-Office Hold
5-R – Est
6-Inac – Est
7-Off Hold – Est
8-Known Zero
Ptr 2 Str
9923
Ptr 3 Str
9927
Respondent
9901
1-Op/Mgr
2-Sp
3-Acct/Bkpr
4-Partner
9-Other
9902
Ptr 4 Str
9928
OPS
923
Mode
1-Mail
2-Tel
3-Face-to-Face
4-CATI
5-Web
6-E-mail
7-Fax
8-CAPI
19-Other
SSO 1
9907
ADJ
922
Enum.
9903
9998
Optional Use
9906
9916
POID
9989
___ ___ ___ ___ ___ ___ ___ ___ ___
Eval.
9900
Change
9985
File Type | application/pdf |
Author | nassuser |
File Modified | 2015-04-21 |
File Created | 2015-04-21 |