QID Criteria for Horticultural Specialties - Example Follow-

Project Code 633 QID		OMB No.0535-0140 Approval Expires 01/31/2019
	Criteria for Horticultural Specialties					NATIONAL AGRICULTURAL STATISTICS SERVICE
	EXAMPLE			National Agricultural Statistics Service U.S. Department of Agriculture 1400 Independence Ave., S.W. (202) 690-8768 Fax: (202) 690-8750 Email: [email protected]
The National Agricultural Statistics Service is in the process of updating our list of agricultural operators. Your response on this survey will verify current agricultural operations and help identify duplication. Please complete all items that relate to your operation and return the questionnaire in the enclosed postage paid envelope. Your report is needed even if you are not involved in agriculture. 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/confidentialit. Response is voluntary. 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 is 0535-0140. 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.
Please verify name and mailing address of this operation. Make corrections (including operation name) on the label and continue.

SECTION 1 Exclude all items purchased by this operation for the purpose of resale without any additional growing on or value added to the plants purchased. Please check all items produced by your operation in 2013.
xxxx Cut flowers					xxxx Sod, Sprigs, and Plugs
xxxx Potted flowering plants for indoor or patio use					xxxx Short rotation woody crops (trees with growth cycles of less than 10 years)
xxxx Potted herbaceous perennials					xxxx Aquatic plants
xxxx Annual bedding/garden plants					xxxx Vegetable seeds
xxxx Foliage plants for indoor or patio use					xxxx Flower seeds
xxxx Foliage plants for indoor or patio use					xxxx Dried bulbs, corms, rhizomes, and tubers
xxxx Food crops grown under protection					xxxx Propagative materials, bareroot and unfinished plants
xxxx Cut Christmas trees					xxxx Transplants for commercial vegetable and strawberry production.
xxxx Nursery stock – ornamentals, shrubs, shade trees, live Christmas trees, fruit and nut trees, vines, palms, ornamental grasses. etc.					xxxx Tobacco transplants
					xxxx None – please return this form in the enclosed envelope.
Did (or will) this operation sell $10,000 or more of these horticultural crops in 2013?
xxxx 1 YES 3 NO
Was the operation (listed on the label) in business before January 1, 2013?
xxxx 1 YES 3 NO

Continue on Next Page

SECTION 2

ACRES OPERATED – Please report the total acres you operate including farmstead, all cropland, woodland, pastureland, and wasteland.

Acres

1. How many total acres does this operation:

111

1. Own?.......................................................................................................................................

112

2. Rent from others?.....................................................................................................................

113

3. Rent to others?........................................................................................................................

100

2. Total Acres operated (Calculate items 1a +1b -1c)……………………………………………………

3. 

   300

   
   

   On the (Item 2) acres operated, how many are considered horticulture land, cropland,

and cropland in government programs?.........................................................................................

NUMBER

4. What was the largest number of workers on the payroll on any one day? Exclude workers

885

employed only for the retail operation, those working as landscapers, and non-paid

family members……………………………………………………………………………………………

CIRCLE

954 YES NO

5. Does this operation produce any organic products for sale?.........................................................

6. What are the primary counties of production? _________________________

_________________________

_________________________

SECTION 3

VALUE OF SALES

Report the gross value of sales for the horticultural categories below. Include sales of items sold that were finished or produced. Exclude all items purchased for the sole purpose of reselling, that is no value was added to the plants.

Category	Description of Category	Gross Sales in 2013
Floriculture Crops	Include cut flowers, potted flowering, herbaceous perennials, annual bedding and garden plants, foliage plants, or foliage hanging baskets, cut cultivated greens, propagative floriculture material, and unfinished plants.	910 $
Trees, Shrubs, Fruit and Nut Plants, Ornamental Grasses	Include coniferous evergreens, broadleaf evergreens, deciduous shrubs, deciduous shade trees, deciduous flowering trees, fruit and nut plants, palms, ornamental grasses, other woody ornamentals, or vines. Exclude sod.	915 $
Propagative Nursery Material	Include root stock, lining-out stock, understock, seedlings, cuttings, tissue culture, whips, other propagative nursery material. Exclude material intended for reforestation.	912 $
Transplants for Commercial Vegetable and Strawberry Production		913 $
Christmas Trees	Include Christmas trees cut on your operation. Exclude Christmas trees cut elsewhere.	914 $

SECTION 4 Only complete if this operation has been sold or turned over to someone else.

New Operator Information

Name

Address

City

Phone __________________________________________

Thank you for your response. Please return this form in the enclosed, postage-paid envelope