QID Quality Control Worksheet - ARMS III

Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys

0218 - Quality Control - ARMS III

Agricultural Resource Management, Chemical Use, and Contractor Expense Surveys

OMB: 0535-0218

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NATIONAL AGRICULTURAL STATISTICS

SERVICE

QUALITY CONTROL WORKSHEET

ARMS III

Form Approved

OMB Number 0535-0218

Approval Expires xx/xx/xxxx

Project code 904


U.S. Department of Agriculture

Rm 5829, South Building

1400 Independence Avenue, S.W.

Washington, D.C. 20250-2000

1-800-727-9540

Fax: 202-690-2090

E-mail: [email protected]


State: _________________________________________________


Farm, Ranch, or

Operation Name: __________________________________________

Version:


Operator’s name: _________________________________________

ID/POID: ______________________________________________


Address: __________________________________________________

Enumerator: ___________________________________________


__________________________________________________




Interview Date & Time: ________________________________


Telephone: _______________________________________________

Survey Respondent: ___________________________________


Operation Mgr/ Spouse Accountant/ Other

Partner Bookkeeper

Current Respondent: __________________________________


Operation Mgr/ Spouse Accountant/ Other

Partner Bookkeeper





















INTRODUCTION:

[Introduce yourself, and ask for the survey respondent. Rephrase in your own words.]


Recently you should have been contacted by one of our interviewers, Mr./Ms. ,

for the Agricultural Resource Management Survey. This telephone call is part of our survey quality assurance measures to verify that personal contact was actually made with you for that purpose. Your response is voluntary and not required by law, but your cooperation will be appreciated. Facts about your farm/ranch will be kept confidential.





















1. During the past few days, do you recall an interview with Mr./Ms. , for the purpose of obtaining information about your farming or ranching operation?

YES - [Go to item 3.]

NO - [Go to item 2.]

DON'T REMEMBER - [Go to item 2.]

2. During the past few days, did any other person from the Agricultural Statistics Service, NASS, or USDA, interview you to obtain information about your farm or ranch?

YES - [Go to item 3.]

NO - [Conclude interview.]

DON'T REMEMBER - [Conclude interview.]

3. Did the person conducting the interview ask you to verify the spelling of your name, address

and the operation name?

YES

NO

DON'T REMEMBER

[Continue on back.]



4. Now I need to verify farm operation items that are critical to our survey procedures.


Reported

Verified


a. Total Land Operated (Section 1, item 4)


_______________________



_______________________



b. Did this operation have marketing contracts for any commodities delivered in 20XX?

(A marketing contract is a verbal or written agreement reached before harvest of a crop or before completion of a livestock

production stage, setting a price or pricing formula and market for the commodity.)

YES

NO

c. Did this operation have production contracts for any commodities it produced in 20XX?

(A production contract is a verbal or written agreement setting terms, conditions, and fees to be paid by the contractor to the operation

for the production of crops, livestock, or poultry. The contractor usually owns the commodity and often provides inputs.)

YES

NO

d. Was debt used in funding the operation of this farm/ranch in 20XX, including any loans obtained in earlier years? (Include seasonal production and other loans taken and repaid during 20XX.)

YES

NO

e. Did you use hired labor (either for wages, contract, or custom) in 20XX?

YES

NO




5. Did Mr./Ms. conduct the interview in a knowledgeable and professional manner?

YES

NO – Explain: ____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________


6. Do you have any additional comments you would like to make concerning our survey contact?

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

This concludes the interview. Thank you for your help.


Signature:___________________________________________________

Date:____________________________________________________



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