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Telephone Quality Control Worksheet - Vegetables
ICR 201804-0535-002 · OMB 0535-0218 · Object 82893101.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Telephone Quality Control Worksheet - Vegetables |
| Author | Carol Pinto |
| Last Modified By | Writer |
| File Modified | 2018-05-07 |
| File Created | 2026-11-04 |
| Conversion State | complete |
Extracted Text
NATIONAL AGRICULTURAL STATISTICS SERVICE TELEPHONE QUALITY CONTROL WORKSHEET for 20XX VEGETABLE CHEMICAL USE SURVEY Form Approved OMB Number 0535-0218 Approval Expires XX/XX/XXXX Project code 136 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: __________________________________ Operator/Mgr Spouse Accountant/ Partner Other Bookkeeper Current Respondent: __________________________________ Operator/Mgr Spouse Accountant/ Partner Other 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 Vegetable Chemical Use 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 items that are critical to our survey procedures. Reported Verified a. Total acres of all vegetables (Section A, item 4) _______________________ _______________________ b. Chemical applications to target vegetables None, Positive None, Positive 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:____________________________________________________