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Agricultural Surveys Program
ICR 201908-0535-002 · OMB 0535-0213 · Object 93813001.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Agricultural Surveys Program |
| Author | evanpa |
| Last Modified By | Writer |
| File Modified | 2017-03-17 |
| File Created | 2026-11-04 |
| Conversion State | complete |
Extracted Text
Project Code 124 QC – 0089a OMB No. 0535-0213 Approval Expires 6/30/2017 TELEPHONE QUALITY CONTROL WORKSHEET For June Agricultural Survey (Area Frame Samples) NATIONAL AGRICULTURAL STATISTICS SERVICE Year: ______ State: __________________________________________ Farm, Ranch, or Operation Name: _______________________________________________ Segment: ______________________________________ Operator’s name: _______________________________________________ Tract: __________________________________________ Address: ________________________________________________________ Enumerator: ___________________________________ ________________________________________________________ Interview Date: ________________________________ Telephone: _____________________________________________________ Survey Respondent: _______________________________________ Operator Spouse Acct/Bkpr Other Current respondent: _______________________________________ Operator Spouse Acct/Bkpr Other Good (Morning/Afternoon/Evening): I am __________________________ with the _______________ Agricultural Statistics Service. Recently you should have been contacted by one of our enumerators, Mr./Ms. __________________, to obtain agricultural information about your farm or ranch. 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 or ranch will be kept confidential. Will you help me by answering a few questions about the interview? 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] DK or Don't Remember - [Go to item 2] No - [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] DK or Don't Remember - [Conclude interview] No - [Conclude interview] 3. Did the person conducting the interview ask you to identify or verify land you operate on an aerial photograph, sketch, or topographical map and account for the current field usage(s)? Yes - [Continue] DK or Don't Remember - [Continue] No - [Continue] (Continue on Back) 4. Now I would like to verify several items that are critical to our Survey Quality. a. Was the land area drawn on the photo or map operated by one individual, a hired manager, or a partnership? Reported Verified One individual A hired manager Partners Note: Were total acres operated and entire farm data for hogs, cattle, and sheep obtained from respondent? Yes [Verify the following items, then continue with item 5.] b. Total Land Operated (Section E): Acres Reported: _________________ Acres Verified:_________________ c. Livestock: (Circle correct answer) Survey Item: Reported: Verified: Hogs Cattle Sheep None, Positive, Intentions None, Positive None, Positive None, Positive, Intentions None, Positive None, Positive No d. Did Mr./Ms. ____________________________ ask you about hogs, cattle, and calves on your operation? Yes DK or Don’t Remember No [Go to item 5.] 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:___________________________________________________