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pdfNATIONAL AGRICULTURAL CLASSIFICATION SURVEY
OMB No. 0535-0140
Approval Expires: 1/31/2020
Project Code: 649
Survey ID: 4042
Version: 2
United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS
National Operations Division
9700 Page Avenue, Suite 400
St. Louis, MO 63132-1547
Phone: 1-888-424-7828
Fax: 1-855-415-3687
Email: [email protected]
Please make corrections to name, address, and ZIP Code, if necessary.
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.
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 number is . 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.
In the past 12 months…
·
·
Did you raise or sell any livestock (including cattle,
hogs, sheep, goats, equine, poultry, bees, aquaculture,
etc.)?................................................................................
Did you operate cropland, pastureland, or other land
with agricultural activity? (Exclude personal or home
use gardens.)...................................................................
·
Do you have any land with potential for agricultural
activity?............................................................................
·
Did you receive any Federal or state agricultural
payments? (Include Federal Farm Program, CRP,
WRP, FWP, and CREP payments.)..................................
003
198
199
004
1
☐
Yes
3
☐
No
1
☐
Yes
3
☐
No
1
☐
Yes
3
☐
No
1
☐
Yes
3
☐
No
If you
answered
No to ALL
questions,
complete the
Conclusion
on back page
and return
this form.
If you answered Yes to ANY question above, continue on next page.
To avoid further contacts, please complete and return this form
by mail or via the internet at www.agcounts.usda.gov by May 6, 2019.
-2Acres Operated and Land Usage
Include the farmstead, all cropland, ponds, woodland, pastureland, wasteland, and land that is in government programs.
1. How many acres are:
Acres
+
a. Owned?........................................................................................................................................
b. Rent or lease from others, or use rent free?
+
(Exclude land used on an animal unit month (AUM) basis.).........................................................
c. Rented or leased to others?.........................................................................................................
2. Total acres operated: [Items 1a + 1b – 1c]?............................................................................... =
111
112
113
900
3. Of the total acres operated [Item 2], how many acres are in permanent pasture, woodland
220
pasture, or rangeland?....................................................................................................................................
4. Of the total acres operated [Item 2], how many acres are in the Conservation Reserve
Program (CRP), Wetlands Reserve Program (WRP), Farmable Wetlands Program (FWP), or
200
Conservation Reserve Enhancement Program (CREP)?........................................................................
5. Of the total acres operated [Item 2], how many acres are considered cropland?
(Include planted cropland, land in hay, summer fallow, idle cropland, cropland used
300
for pasture, and cropland in government programs.)..............................................................................
6. Of the total cropland acres [Item 5], how many are used to produce:
a. Any hay or forage crops?
345
(Count each acre only once, regardless of the number of cuttings or different uses.)............................
b. Any fruit, berry, or nut crops?
400
(Exclude home garden, personal or home use crops.)............................................................................
c. Any vegetable or melon crops?
689
(Exclude potatoes, home garden, personal or home use crops.)............................................................
202
d. All other crops or idle cropland?..............................................................................................................
939
e. Any nursery, greenhouse, floriculture crops, or aquatic plants?...........................................1
☐
Yes
☐
3
No
Grain Storage
Bushels
7. What is the total storage capacity of all structures normally used to store
305
whole grains or oilseeds on the total acres operated?..........................................................................
Bush
Livestock, Poultry, Aquaculture and Bees
8. During the past 12 months, what was the largest number of the following livestock on hand at
any one time? (Include animals of any age, including newborns.)
Number
610
a. All cattle and calves, regardless of ownership?............................................................................................
i.
615
Milk cows, including dry cows, regardless of ownership?.............................................................................
630
b. All hogs and pigs owned by this operation, regardless of location?.............................................................
640
c. All sheep and lambs owned by this operation, regardless of location?.........................................................
645
d. All goats and kids, regardless of ownership?...............................................................................................
675
e. All horses, ponies, mules, donkeys, or burros, regardless of ownership?....................................................
-39. Chickens: Report any chickens on the total acres operated during the past 12 months, regardless of ownership.
Number
a. What was the total number of broilers, fryers, capons, roasters,
767
b. What was the largest number of layers, pullets, and roosters for laying flock at any one time?
892
and other chickens being raised for meat production during the past 12 months?...............................................
(Exclude chickens reported in Item 9a.)................................................................................................................
i.
If there were any layers, pullets, or roosters, what was the primary type of layer/pullet operation?
756
3
2
☐
☐
☐
4☐
Table Egg
1
Broiler Type Hatchery
Egg Type Hatchery
Pullets for Laying Flock
Number
10. Turkeys: During the past 12 months, how many total turkeys were raised on the total acres
770
operated, regardless of ownership?............................................................................................................
679
11. Aquaculture: During the past 12 months, did you or anyone else have any
aquaculture on this operation? (Exclude aquatic plants reported in Item 6e.).....................
1
☐
Yes
3
12. Bees: During the past 12 months, what was the largest number of colonies of bees
839
owned by this operation regardless of location?...........................................................................................
☐
No
Number
Production Contracts
13. Did this operation have a contract to raise or custom feed any livestock or poultry that it did not own,
with the contractor providing at least some inputs (such as feed) within the past 12 months?
1301
1
☐
Yes - Continue
3
☐
No - Go to Item 16
14. What livestock or poultry was raised under a production contract?
Specify:______________________________________________________________________
Number
1313
15. What quantity was removed from the operation under this contract in the past 12 months?...................
Labor
16. During the past 12 months, what was the largest number of hired agricultural workers, including
885
paid family members, on the payroll on any one day? (Exclude contract labor.).........................................
Number
Sales and Federal Farm Program Payments
17. Please indicate below which code best describes the total gross value of sales for 2018, including landlord’s share,
Federal Farm Program Payments, and value of product for all crops, livestock, and poultry produced under contract.
(Exclude cash rent received or share of crops received for land rented to others.)
(Include value from: field crops, hay, silage and forage crops, Christmas trees, short rotation woody crops, seed crops,
nursery, greenhouse, floriculture, sod, mushrooms, seeds, bulbs, vegetables, melons, fruits, nuts, berries, other crops,
maple syrup, hogs and pigs, cattle and calves, sheep and lambs, goats, poultry, horses, bees and honey, eggs, dairy
products, other animals, livestock and animal products, fish, and other aquaculture.)
201
2
☐ 'None' this year
3
☐ $1 - $999
4
☐ $1,000 - $2,499
5
☐ $2,500 - $4,999
6
☐ $5,000 - $9,999
7
☐ $10,000 - $24,999
8
☐ $25,000 - $49,999
9
☐ $50,000 - $99,999
10
☐ $100,000 - $149,999
11
☐ $150,000 - $249,999
14
☐ $500,000 - $999,999
15
☐ $1,000,000 - over
12
☐ $250,000 - $349,999
13
☐ $350,000 - $499,999
Location of Agricultural Activity for this Operation
18. In what county and state was the largest value of your agricultural products raised or produced?
Principal County Name
0055
State
0060
Operator
19. In the past 12 months, how many men and women were involved in decisions
for this operation? (Include family members and hired managers. Exclude
1571
hired workers unless they were a hired manager or family member.)...........................
Men
Women
1574
-420. Answer the following for up to four individuals who were involved in the decisions for this operation as of December 31, 2018.
Person 1
a. Full Name
1836
Sex
What was the
person’s age on
December 31,
2018?
1925
d. In what year did
1930
c.
Person 3
1852
1926
b.
Person 2
1
☐ Male
2
☐ Female
Person 4
1872
1586
1
☐ Male
2
☐ Female
1873
1597
1
☐ Male
1614
2 ☐ Female
1585
1596
years
☐ Male
2
☐ Female
1615
years
1584
1
years
1595
years
1627
the person begin
to operate any
part of THIS
operation?
e.
f.
Is this person of
Hispanic, Latino
or Spanish
origin?
Hispanic, Latino
or Spanish origin
1927
1
☐ Yes
3
Hispanic, Latino
or Spanish origin
☐ No
1587
Mark one or more
Race
(Mark one or more)
☐ Yes
1
3
Hispanic, Latino
or Spanish origin
1598
☐ No
Mark one or more
1
☐ Yes
3
Hispanic, Latino
or Spanish origin
☐ No
1622
Mark one or more
1
☐ Yes
3
☐ No
Mark one or more
2701
☐ White
1801
☐ White
1901
☐ White
1616
☐ White
2702
☐ Black or
1802
☐ Black or
1902
☐ Black or
1617
☐ Black or
2703
☐ American Indian
or Alaska Native
1803
☐ American Indian
or Alaska Native
1903
☐ American Indian
or Alaska Native
1618
☐ American Indian
2705
☐ Asian
1805
☐ Asian
1905
☐ Asian
1620
☐ Asian
2704
☐ or Other Pacific
1804
☐ or Other Pacific
1904
☐ or Other Pacific
1621
☐ or Other Pacific
African American
Native Hawaiian
Islander
African American
Native Hawaiian
African American
Native Hawaiian
Islander
African American
or Alaska Native
Native Hawaiian
Islander
Islander
Change of Operator
21. Has the operator named on the label sold, rented, or turned over this operation to someone else?
1086
1
☐
Yes - Continue
3
☐
No - Go to Item 23
22. Please provide the following information for the operation that has taken over the land.
1088
Operation Name
1090
Address
1091
City
1095
Phone
1089
Operator Name
State
1092
1094
Zip Code
Possible Duplication or Other Names
23. It is important that we do not have duplication on our list of farms and ranches. Is it possible the information on this
form would be reported by another operation or under another name?
1080
1
☐
Yes - please provide the name and address below
1081
Operation Name
1082
Address
1083
City
3
☐
1087
1084
State
No
Operator Name
1085
Zip Code
9912
9911
9910
MM
DD
YY
Completed by: _____________________________
Phone:(____)________________
Date:
__ __
__ __
__ __
Please return this form in the postage-paid envelope provided. Thank you for your cooperation.
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File Modified | 0000-00-00 |
File Created | 0000-00-00 |