Form QID Quarterly Colony Loss - Operations with 5 or more coloni

QUARTERLY COLONY LOSS – October 2017
			OMB No. 0535-0153 Approval Expires: 12/31/2018 Project Code: 115 SMetaKey: 3690
				United States Department of Agriculture
		Quarterly Survey of Operations with 5 or more colonies.		NATIONAL AGRICULTURAL STATISTICS SERVICE

Please make corrections to name, address, and ZIP Code, if necessary.	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 E-mail: [email protected]
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 0535-0255. 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.

SECTION 1 – APIARIES

1. Between July 1, 2017 and September 30, 2017 , did this operation own or control any apiaries?
	2705	1 Yes – Go to Section 2 3 No – Go to Section 7

SECTION 2 – COLONIES OWNED

1. On July 1, 2017, how many total colonies did this operation own, regardless of location?	2706
2. On September 30, 2017, how many total colonies did this operation own, regardless of location? . . .	2707

	FOR OFFICE USE ONLY
	9921

SECTION 3 – COLONIES BY STATE: JULY THROUGH SEPTEMBER

1. Please report for all colonies owned by this operation between July 1, 2017 and September 30, 2017.

O F F I C E U S E	1		2		3	4	5	6	7
	Between July 1 and September 30, in which states were your colonies located? (Exclude states that were only passed through to reach a destination state.)		Were these colonies located in this state on July 1? (Check “No” if colonies were moved into the state between July 2 and September 30)		How many colonies did you have in this state on July 1, or when they were first moved into this state after July 1?	Of the (column 3) colonies, how many were completely lost/dead out between July 1 and September 30?	Of the (column 3) colonies, how many were requeened only? (Exclude completely lost/dead out colonies reported in column 4.)	Of the (column 3) colonies, how many received nucs or packages? (Exclude completely lost/dead out colonies reported in column 4.)	How many new colonies did you add? (Include splits, newly created, and replacement colonies. Exclude colonies reported in columns 5 and 6.)
	(State)		Yes	No	(Colonies)	(Colonies)	(Colonies)	(Colonies)	(Colonies)
2710	A		2711 1	3	2712	2713	2716	2717	2715
2710	B		2711 1	3	2712	2713	2716	2717	2715
2710	C		2711 1	3	2712	2713	2716	2717	2715
2710	D		2711 1	3	2712	2713	2716	2717	2715
2710	E		2711 1	3	2712	2713	2716	2717	2715
2710	F		2711 1	3	2712	2713	2716	2717	2715
2710	G		2711 1	3	2712	2713	2716	2717	2715

2. Between July 1 and September 30, did this operation sell any of the colonies in column 3? (Exclude packages and nucs created specifically for sale.)
2718	1Yes – Go to Item 2a	3No – Go to Section 4	Colonies
a. How many colonies from those reported in column 3 were sold? . . . . . . . . . . . . . . . . . . . . . .			2719

SECTION 4 – LOSS

1. Of the total colonies owned between July 1, 2017 and September 30, 2017, did any lost colonies experience all of the following symptoms?

Little to no build-up of dead bees in the hive or at the hive entrance Rapid loss of adult honey bee population despite the presence of queen, capped brood, and food reserves Absence or delayed robbing of the food reserves Loss not attributable to Varroa or Nosema loads
2770	1 Yes – Continue 3 No – Go to Section 5 4 No Loss – Go to Section 5 2 Don’t Know – Go to Section 5
		Colonies
2. How many colonies did you lose that experienced all of the symptoms in Item 1? . . . . . . . . . . . . .		2771

SECTION 5 – COLONY HEALTH: JULY THROUGH SEPTEMBER

1. Of the total colonies owned between July 1, 2017 and September 30, 2017, how many colonies by state were affected by the following, but not necessarily lost? Note: The total of columns 2 through 7 may exceed the total number of colonies in a state.

O F F I C E U S E	1		2	3	4	5	6	7
			Varroa Mites	Other Pests and Parasites 1	Diseases 2	Pesticides	Other 3	Unknown
	(State)		(Colonies)	(Colonies)	(Colonies)	(Colonies)	(Colonies)	(Colonies)
2774	A		2775	2776	2777	2780	2781	2782
2774	B		2775	2776	2777	2780	2781	2782
2774	C		2775	2776	2777	2780	2781	2782
2774	D		2775	2776	2777	2780	2781	2782
2774	E		2775	2776	2777	2780	2781	2782
2774	F		2775	2776	2777	2780	2781	2782
2774	G		2775	2776	2777	2780	2781	2782

1/ Includes Tracheal Mites, Nosema, Hive beetle, Wax moths, etc.

2/ Includes American and European foulbrood, Chalkbrood, Stonebrood, Paralysis (acute and chronic), Kashmir, Deformed Wing, Sacbrood, IAPV, Lake Sinai II, etc.

3/ Includes weather, starvation, insufficient forage, queen failure, hive damage/destroyed, etc.

SECTION 6 – COMMENTS

     

SECTION 7 – CHANGE IN OPERATION

1. Has the operation named on the label been sold or turned over to someone else?

₁Yes – Identify the new operator(s) ₃No – Go to Section 8

Operation Name:

Operator Name:

Address:

City: State: Zip:

Phone: ( ) -

SECTION 8 – CONCLUSION

1. Do you make any day-to-day decisions for any other apiaries?
	1Yes – List other operations: ____________________________________________________________________
	3No

2. SURVEY RESULTS: To receive the complete results of this survey on the release date, go to http://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/

Would you rather have a brief summary mailed to you at a later date? 9990 1Yes 3No

This completes the survey. Thank you for your help.

Respondent Name: ________________________

9911 Phone: (_____) _____–__________

9910 MM DD YY Date: __ __ __ __ __ __

Response

Respondent

Mode

Enum.

Eval.

Change

Office Use for POID

1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est

9901

1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth

9902

1-PASI (Mail) 2-PATI (Tel) 3-PAPI (Face-to- Face) 6-e-mail 7-Fax 19-Other

9903

9998

9900

9985

9989

__ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name