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pdfNATIONAL AGRICULTURAL CLASSIFICATION SURVEY
OMB No. 0535-0140
Approval Expires: 1/31/2020
Project Code: 649
Survey ID: 4043
Version: 3
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.
Your responses to the following items will help us determine your involvement in agriculture. We need your completed form even if you are not involved
in agricultural activity. Please complete your report by mail or via the internet at www.agcounts.usda.gov by May 6, 2019.
Acres Operated
Report land owned, rented, or used by you , your spouse, or by the partnership, corporation, or organization named on the
front of this form. Include all land, regardless of location or use - cropland, Conservation Reserve Program (CRP) and
Wetlands Reserve Program (WRP) land, pastureland, rangeland, woodland, idle land, farmsteads, etc.
Acres
1. Number of acres owned............................................................................................................... +
111
2. Number of acres rented or leased FROM others..........................................................................+
112
INCLUDE
· land worked by you on shares
· land used rent free in exchange for service, payment of taxes, etc.
· Federal, State, and railroad land leased on a per acre basis
· land rented or leased by you for cash
EXCLUDE
· land used on a per-head or animal
unit month (AUM) basis
3. Number of acres rented or leased TO others............................................................................... INCLUDE land
· worked on shares by others
· subleased
· rented or leased to others for cash
· used rent free in exchange for services, payment of taxes, etc.
EXCLUDE acres enrolled in:
· Conservation Reserve Program (CRP)
· Wetlands Reserve Program (WRP)
· Farmable Wetlands Program (FWP)
· Conservation Reserve Enhancement Program (CREP)
or acres rented or leased to others part of the year
4. Total acres operated: [Items 1 + 2 – 3]?....................................................................................=
If your total acres operated equals 0,
or you have NO agricultural activity:
113
900
1. Write a description of the land use above.
2. Complete the conclusion on the back page.
3. RETURN this form so that we can update our records.
-2Acres
220
5. Of the total acres operated (Item 4), how many acres are in permanent pasture, woodland
pasture, or rangeland?............................................................................................................................
Cropland
Acres
6. Of the total acres operated [Item 4], 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)?........................................................................
7. Of the total acres operated [Item 4], 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.)..............................................................................
8. Of the total cropland acres [Item 7], how many are used to produce:
a. Any hay or forage crops on this operation?
345
(Count each acre only once, regardless of the number of cuttings or different uses.)............................
b. Any fruit, berry, or nut crops on this operation?
400
(Exclude home garden, personal or home use crops.)............................................................................
c. Any vegetable or melon crops on this operation?
689
(Exclude potatoes, home garden, personal or home use crops.).............................................................
202
d. All other crops or idle cropland on this operation?..................................................................................
939
e. Any nursery, greenhouse, floriculture crops, or aquatic plants on this operation?.................... ☐
Yes
1
3
☐
No
Grain Storage
Bushels
9. What is the total storage capacity of all structures normally used to store
305
whole grains or oilseeds on the total acres operated?..........................................................................
Livestock, Poultry, Aquaculture and Bees
Report the largest number of the following livestock on hand at any one time, during the last 12 months.
(Include animals of any age, including newborns.)
Number
610
10. All cattle and calves, regardless of ownership?............................................................................................
615
a. Milk cows, including dry cows, regardless of ownership?.............................................................................
630
11. All hogs and pigs owned by this operation, regardless of location?.............................................................
640
12. All sheep and lambs owned by this operation, regardless of location?.........................................................
645
13. All goats and kids, regardless of ownership?...............................................................................................
675
14. All horses, ponies, mules, donkeys, or burros, regardless of ownership?....................................................
-315. Chickens: Report any chickens on the total acres operated during the past 12 months, regardless of ownership.
a. What was the total number of broilers, fryers, capons, roasters,
767
and other chickens being raised for meat production during the past 12 months?.......................................
Number
b. What was the largest number of layers, pullets, and roosters for laying flock at any one
892
time? (Exclude chickens reported in Item 15a.)............................................................................................
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
16. Turkeys: During the past 12 months, how many total turkeys were raised on the total acres
770
operated, regardless of ownership?............................................................................................................
679
17. Aquaculture: During the past 12 months, did you or anyone else have any
aquaculture on this operation? (Exclude aquatic plants reported in Item 8e.).....................
1
☐
Yes
3
18. 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
19. 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 22
20. What livestock or poultry was raised under a production contract?
Specify:______________________________________________________________________
Number
1313
21. What quantity was removed from the operation under this contract in the past 12 months?...................
Labor
22. 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
23. 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
24. In what county and state was the largest value of your agricultural products raised or produced?
Principal County Name
0055
State
0060
Operator
25. 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
-426. 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
c.
What was the
person’s age on
December 31,
2018?
1925
d.
In what year did
the person begin
to operate any
part of THIS
operation?
1930
e.
Is this person of
Hispanic, Latino
or Spanish
origin?
1
☐ Male
2
☐ Female
1586
1
☐ Male
2
☐ Female
☐ Yes
3
2
☐ Male
1587
Mark one or more
1614
☐ Female
☐ Yes
3
2
☐ Female
years
1627
Hispanic, Latino
or Spanish origin
1598
☐ No
☐ Male
years
1595
1
1
1615
years
Hispanic, Latino
or Spanish origin
☐ No
1
1596
1584
1
1873
1597
1585
Hispanic, Latino
or Spanish origin
1927
Person 4
1872
years
Race
(Mark one or more)
Person 3
1852
1926
b.
f.
Person 2
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
1905
☐ Asian
1620
☐ Asian
1904
☐ or Other Pacific
1621
☐ or Other Pacific
African American
2705
☐ Asian
2704
☐ or Other Pacific
1805
☐ Asian
1804
☐ or Other Pacific
Native Hawaiian
Islander
African American
Native Hawaiian
African American
Native Hawaiian
Islander
African American
or Alaska Native
Native Hawaiian
Islander
Islander
Change of Operator
27. 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 29
28. 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
29. 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 |
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