QID 120033A-1 Form A Cotton Yield Survey

Project Code 108 QID 120033A-1		OMB No. 0535-0088: Approval Expires 7/31/2018
	FORM A COTTON YIELD SURVEY INITIAL INTERVIEW 2018 SEGMENT__________TRACT_________			NATIONAL AGRICULTURAL STATISTICS SERVICE

Date:

Earlier this season you gave a representative from our office information about the cotton acreage on your farming operation. We are now collecting information to help determine cotton production in (Your State) and the United States.

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 is voluntary.

	Starting Time (Military Time)	171
		JAS PLANTED TRACT ACRES

1. Around June 1, the number of upland cotton acres you had planted or intended to plant for all purposes in the field(s) in this tract.was. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		101
Show operator their tract and fields on PHOTO. Verify the fields and the acreage of UPLAND COTTON planted in the tract and entered in Table A. Add any additional fields that have been planted to upland cotton.		DO NOT CHANGE

TABLE A

FIELD NUMBER (Sample field number has ##)

TOTAL ACRES in FIELD

ACRES PLANTED to UPLAND COTTON

Acres in USE or CROPS OTHER THAN UPLAND COTTON. (For example: skip rows, ditches, roads, abandonment, etc.)

ACRES of UPLAND COTTON for HARVEST (Col. 2 minus Col. 5)

USE

ACRES

1

2

3

4

5

6

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

114

. ____

2. The total UPLAND COTTON acreage (column 6) for harvest in this tract is . . . . . . . . . .

ACRES

102

. ____

Verify that the ACREAGE is correct. If NOT, RE-ADD.

IF ITEM 2 HAS

{

-- A ZERO entry – Return all forms.

-- An Acreage entry – CONTINUE.

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 0535-0088. The time required to complete this information collection is estimated to average 20 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.

FORM A COTTON - Question 2 continued

a. Was upland cotton planted in field number greater than zero?

YES – Continue.

NO -- Did you list a NEW FIELD in Table A that is intended for harvest?

YES – This new field is now the sample field. If you listed 2 or more new fields, choose the one

closest to the originally selected field. Continue.

NO -- Conclude interview, record Form A ending time, and return all forms.

All questions below apply to the SAMPLE FIELD ONLY.
3. Copy acres of upland cotton for harvest in Sample Field Number from Table A, column 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	ACRES	103	. ____
4. What was the seeding rate used PER ACRE in planting this field? (Include seed used for replanting this field)

a. Pounds per acre?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			Pounds to Tenths	109	. ____
OR b. Seeds per acre?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			Seeds per Acre	108
5. What type of seed was planted? . . . . . . .	Fuzzy (non-delinted) Mechanical delinted Acid delinted Don’t know	. . .	CODE	110

6. Has this field been (or will it be) irrigated? YES = 1 NO=3 DON’T KNOW = 2

CODE

105

7. With your permission I will go out to the field and mark off two small plots to be used in making plant and fruit counts. I will return to the plots each month until harvest to make counts and measurements, and harvest and weigh a few bolls. Would that be all right?
YES –Continue. If this is a gleanings sample, tell the operator, “After harvest, I will also lay out two small plots to determine harvest loss.”
NO – Conclude interview and return all Forms.
8. Have you or will you apply pesticides with organophosphorus content to the sample field?
YES NO DON’T KNOW
If YES, enter latest application date _ and name of pesticide .
9. May the cotton I pick be removed from the field and not returned?
YES NO, where should I leave the cotton picked from the plots?
10. Respondent Name:	Ending Time (Military Time)			172
PLEASE CHECK THE FOLLOWING: Review for completeness Record ending time and sign name. Record operators’ Harvest date. Pesticide intentions (Item 8), and Location to leave cotton (Item 9) on your kit envelope.	Enumerator Number			190
	Supervisor Number			191
			Evaluation	193
			R. Unit	921
11. Enumerator Name:		STATUS CODE		180