Form QID Quarterly Colony Loss - January 2017

QUARTERLY COLONY LOSS – January 2017
			OMB No. 0535-0255 Approval Expires: 4/30/2018 Project Code: 115 QID: 153690 SMetaKey: 3690
				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: 1-855-515-3687 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.
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SECTION 1 – APIARIES

1. Between October 1, 2016 and December 31, 2016, did this operation own or control any apiaries?
	2705	1 Yes – Go to Section 2 3 No – Go to Section 8

SECTION 2 – COLONIES OWNED

1. On October 1, 2016, how many total colonies did this operation own, regardless of location? . . . . .	2706
2. On December 31, 2016, how many total colonies did this operation own, regardless of location? . . . .	2707

SECTION 3 – COLONIES BY STATE: OCTOBER THROUGH DECEMBER

1. Please report for all colonies owned by this operation between October 1, 2016 and December 31, 2016.

O F F I C E U S E	1		2		3	4	5	6	7
	Between October 1 and December 31, in which states were your colonies located? (Exclude states that were only passed through to reach a destination state.)		Were these colonies located in this state on October 1? (Check “No” if colonies were moved into the state between October 2 and December 31)		How many colonies did you have in this state on October 1, or when they were first moved into this state after October 1?	Of the (column 3) colonies, how many were completely lost/dead out between October 1 and December 31?	Of the (column 3) colonies, how many were requeened? (Exclude completely lost/dead out colonies reported in column 4.)	Of the (column 3) colonies, how many received nucs or packages? (Exclude completely lost/dead out colonies reported in column 4.)	How many new colonies did you add? (Include splits, newly created, and replacement colonies. Exclude colonies reported in columns 5 and 6.)
	(State)		Yes	No	(Colonies)	(Colonies)	(Colonies)	(Colonies)	(Colonies)
2710	A		2711 1	3	2712	2713	xxxx	xxxx	2715
2710	B		2711 1	3	2712	2713	xxxx	xxxx	2715
2710	C		2711 1	3	2712	2713	xxxx	xxxx	2715
2710	D		2711 1	3	2712	2713	xxxx	xxxx	2715
2710	E		2711 1	3	2712	2713	xxxx	xxxx	2715
2710	F		2711 1	3	2712	2713	xxxx	xxxx	2715
2710	G		2711 1	3	2712	2713	xxxx	xxxx	2715

2. Between October 1 and December 31, did this operation sell any of the colonies in column 3? (Exclude packages and nucs created specifically for sale.)
1856	1Yes – Go to Item 2a	3No – Go to Section 4	Colonies
a. How many colonies from those reported in column 3 were sold? . . . . . . . . . . . . . . . . . . . . . . . . . .			xxxx

FOR OFFICE

USE ONLY

xxx

SECTION 4 – LOSS

1. Of the total colonies owned between October 1, 2016 and December 31, 2016, did any lost colonies experience all of the following symptoms?

Little to no build-up of dead bees in the hive or at the hive entrance Rapid loss of adult honey bee population despite the presence of queen, capped brood, and food reserves Absence or delayed robbing of the food reserves Loss not attributable to Varroa or Nosema loads
2770	1 Yes - Continue 3 No - Go to Section 6 4 No Loss - Go to Section 6 2 Don't Know - Go to Section 6
		Colonies
2. How many colonies did you lose that experienced all of the symptoms in Item 1? . . . . . . . . . . . . .		2771

SECTION 5 – COLONY HEALTH: OCTOBER THROUGH DECEMBER

1. Of the total colonies owned between October 1, 2016 and December 31, 2016, how many colonies by state were affected by the following, but not necessarily lost? Note: The total of columns 2 through 7 may exceed the total number of colonies in a state.

O F F I C E U S E	1		2	3	4	5	6	7
			Varroa Mites	Other Pests and Parasites 1	Diseases 2	Pesticides	Other 3	Unknown
	(State)		(Colonies)	(Colonies)	(Colonies)	(Colonies)	(Colonies)	(Colonies)
2774	A		2775	2776	2777	2780	2781	2782
2774	B		2775	2776	2777	2780	2781	2782
2774	C		2775	2776	2777	2780	2781	2782
2774	D		2775	2776	2777	2780	2781	2782
2774	E		2775	2776	2777	2780	2781	2782
2774	F		2775	2776	2777	2780	2781	2782
2774	G		2775	2776	2777	2780	2781	2782

1/ Includes Tracheal Mites, Nosema, Hive beetle, Wax moths, etc.

2/ Includes American and European foulbrood, Chalkbrood, Stonebrood, Paralysis (acute and chronic), Kashmir, Deformed Wing, Sacbrood, IAPV, Lake Sinai II, etc.

3/ Includes weather, starvation, insufficient forage, queen failure, hive damage/destroyed, etc.

FOR OFFICE USE ONLY

xxx

SECTION 6 – COMMENTS

     

SECTION 7 – CHANGE IN OPERATION

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

₁Yes – Identify the new operator(s) ₃No – Go to Section 8

Operation Name:

Operator Name:

Address:

City: State: Zip:

Phone: ( ) -

SECTION 8 – CONCLUSION

1. Do you make any day-to-day decisions for any other apiaries?

₁Yes – List other operations: ____________________________________________________________________

₃No

THANK YOU FOR YOUR COOPERATION

2. 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

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