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OMB No. 0535-0213 Approval Expires: 6/30/2017 Project Code: 122 QID: 301031 SMetaKey: 1980 Version 19 |
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United States Department of Agriculture |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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USDA/NASS - Iowa Upper Midwest Region 210
Walnut St., #833 Phone: 1-800-772-0825 Fax: 1-855-271-9802 E-mail: [email protected]
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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 to this survey is voluntary. |
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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 0535-0213. The time required to complete this information collection is estimated to average 20 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. |
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Office Use |
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State |
POID |
Tract |
Subtr. |
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1. Please
verify name and mailing address of this operation. |
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2. Please answer the following question(s) for the total acres you (name on label) operate. |
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a. Will you grow any crops or cut hay in 2017?. . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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b. Is any of the land in this operation cropland?. . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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(Including idle cropland and cropland in government programs such as CRP, etc.) |
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c. On March 1, did you have any whole grains, oilseeds, or hay stored on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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d. Do you have facilities for storing whole grains or oilseeds?. . . . . |
Yes (Go to Item 3) |
No (Continue) |
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e. Do you own or raise any livestock, poultry, or bees?. . . . . . . . . . |
Yes (Go to Item 3) |
No (Continue) |
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f. On March 1, did this operation have more than 99 acres of pasture?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Yes (Go to Item 3) |
No (Go to Section 5) |
3. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners? (Check one) |
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For Office Use Only |
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R. UNIT |
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One individual – (Go to Section 1 on Page 3.) A hired manager – (Go to Section 1 on Page 3.) Partners – (Continue) |
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9921 |
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SUB |
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9941 |
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June 1 |
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9930 |
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Number |
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4. How many individuals are involved in the day-to-day decisions of this operation? . . . . |
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Enter the number of partners. Include the partner named on the label. Partners jointly operate land and share in decision making. Do not include landlords and tenants as partners. |
5. Please identify the other person(s) in this partnership, then go to Section 1, Page 3. (Verify partners’ names and make necessary corrections if names have already been entered.) |
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Name: __________________________________________ |
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Name: ___________________________________________ |
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Address: ________________________________________ |
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Address: _________________________________________ |
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City: ____________________ State: ______ Zip: _______ |
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City: ___________________ State: ______ Zip: _________ |
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Phone: ( ______ ) - ______________________ |
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Phone: ( ______ ) - ______________________ |
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Did this partner also operate land individually on June 1, 2016? |
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Did this partner also operate land individually on June 1, 2016? |
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Yes No |
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Yes No |
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Name: __________________________________________ |
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Name: ___________________________________________ |
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Address: ________________________________________ |
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Address:_________________________________________ |
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City:__________________ State: ______ Zip: _________ |
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City: ___________________ State: ______ Zip: _________ |
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Phone: ( ______ ) - ______________________ |
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Phone: ( ______ ) - ______________________ |
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Did this partner also operate land individually on June 1, 2016? |
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Did this partner also operate land individually on June 1, 2016? |
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Yes No |
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Yes No |
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For Office Use Only |
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For Office Use Only |
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For Office Use Only |
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For Office Use Only |
Stratum |
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Stratum |
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Stratum |
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Stratum |
9922 |
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9923 |
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9927 |
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9928 |
Ind. Op |
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Ind. Op |
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Ind. Op |
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Ind. Op |
9924 |
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9924 |
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9924 |
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9924 |
Section 1 – Acres Operated |
A |
Please report total acres operated under this land arrangement. |
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1. On March 1, how many acres did this operation: |
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Acres |
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a. Own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
+ |
901 |
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b. Rent or Lease from others or use Rent Free? (Exclude land used on an animal unit month (AUM) basis, BLM and Forest Service land.). . . . |
+ |
902 |
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c. Rent to others?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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905 |
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2. Calculate item 1a + 1b - 1c. Then the total acres operated on March 1 was:. . . . . . . . . . . . . . . . . . |
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900 |
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a. Does this include the farmstead, all cropland, woodland, pasture land, wasteland, and government program land? |
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Yes – (Continue) |
No – (Make corrections, then Continue.) |
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The remaining questions in this survey refer to the total acres operated (Item 2). |
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3. Of the total acres operated, how many acres are considered cropland, including land in hay, summer fallow, cropland idle, cropland used for pasture and cropland in government programs? . . . . . . . . . . . . |
802 |
Section 2 – Crops |
19 |
1. Winter Wheat planted and to be planted for all purposes and acres to be harvested for either grain or seed for the 2017 crop year. |
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Winter Wheat |
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a.
Winter
Wheat acres planted
for all purposes? |
540 |
b. Winter Wheat acres to be harvested for either grain or seed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
541 |
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2. For the following small grains, please report acres planted and to be planted for all purposes last fall or this spring, for the 2017 crop year. |
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Oats |
a.
Oats
planted and to be planted for all purposes? |
533 |
3. For
the following crops, please report acres planted and to be planted
for all purposes |
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Corn |
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a. Corn for all purposes? (Excluding popcorn and sweet corn.). . . . . . . . . . . . . . . . . . . . . . . . . . . . |
530 |
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Soybeans |
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b. Soybeans for all purposes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
600 |
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4. Please report acres cut and to be cut for dry hay in 2017. ● Include acres to be cut for dry hay that are enrolled in government programs. (For example: Conservation Reserve Program (CRP)). ● Exclude (from dry hay) acres to be cut only for straw, haylage, or greenchop. |
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All Dry Hay |
a. All Dry Hay? (Including alfalfa and alfalfa mixtures, timothy, clover and grass mixtures, grains, orchard grass, brome, Sudan and Sudan crosses, and other tame and wild hays.). . . . . . . . . . . . |
650 |
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For Office Use Only: Completion Code for Crops in This Section |
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1 – Incomplete, has crops listed above 2 – Incomplete, presence of crops listed above is unknown |
138 |
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3 – Valid Zero |
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Section 3 – Storage Capacity and Crops Stored On This Operation |
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Capacity |
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1. On March 1, what was the Storage Capacity of all structures normally used to store Whole Grains or Oilseeds on the total acres operated?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
None |
bushels |
808 |
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Please account for whole grains, and oilseeds stored March 1 on the total acres operated, whether for feed, seed or sale. They may have belonged to you or someone else, or been stored under a government program (loan, farmer owned reserve, or CCC). |
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2. On March 1, were any of the following crops on hand or stored on this operation from 2016 and earlier crop years:
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No |
Yes |
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Amount on Hand March 1 |
a. Whole Grain Corn?. . . . . . . . . . . . . . . . . . . . . . . . . |
3 |
1 |
How many bushels?. . . . . . . . |
121 |
b. Soybeans?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3 |
1 |
How many bushels?. . . . . . . . |
125 |
c.
Wheat, including all types |
3 |
1 |
How many bushels?. . . . . . . . |
126 |
d. Oats?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3 |
1 |
How many bushels?. . . . . . . . |
123 |
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For Office Use Only: Completion Code for Stocks |
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1 – Incomplete, has stocks 2 – Incomplete, stocks presence unknown |
141 |
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3 – Valid Zero |
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Skip to next page
Or
Space for Notes and Comments |
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Section 4 – Cash Rents |
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1. In 2017, will this operation rent or lease any cropland or pasture acres from others for cash? (Exclude land rented/leased on a share basis, per head or AUM basis, free of charge, and rent/lease with buildings such as barns included in the rent/lease, BLM and Forest Service land.) |
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Code |
1Yes – (Enter code 1 and Continue.) 3No – (Enter code 3 and Go to Section 6.) |
3420 |
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Acres |
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a. How many acres of non-irrigated cropland will be rented or leased for cash? (Include acres cut and to be cut for hay.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3421 |
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Dollars per Acre |
OR Total Dollars |
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(i) What will be the cash rent/lease per acre or total dollars paid on non-irrigated cropland? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3422 $ |
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3522 $ |
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Acres |
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b. How many acres of irrigated cropland will be rented or leased for cash? (Include fruit, nut, berry, vineyard, nursery, hay land, and all other irrigated cropland.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3424 |
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Dollars per Acre |
OR Total Dollars |
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(i) What will be the cash rent/lease per acre or total dollars paid on irrigated cropland? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3425 $ |
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3525 $ |
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Acres |
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c. How many acres of permanent pasture, grazing or grassland will be rented/leased for cash? (Exclude Federal, State, and other types of land rented on an [AUM] basis, BLM and Forest Service land.) . |
3427 |
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Dollars per Acre |
OR Total Dollars |
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(i) What will be the cash rent/lease per acre or total dollars paid on permanent pasture?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3428 $ |
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3528 $ |
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2. In 2017 for the cropland and pasture acres rented or leased from others for cash (reported in items 1a, 1b, and 1c) were any acres rented or leased from relatives? (Include grandparents, parents, siblings, and children.) |
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Code |
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1Yes - (Enter code 1 and Continue.) 3No - (Enter code 3 and Go to Section 6.) |
3600 |
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Acres |
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a. How many acres rented or leased from others for cash were from relatives?. . . . . . . . . . . . . . |
3650 |
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Section 5 – Change in Operator |
19 |
●(Complete this section only if all questions in Item 2 on the face page are answered “No”.) |
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1. Has the operation named on the label been sold, rented, or turned over to someone else? |
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Yes – (Continue) No – (Go to a.) → → → → |
a. Will the land be used for any agricultural purpose by you (the operator), or anyone else in the next year? (Including growing crops or raising livestock, poultry or bees.)
Yes Don't Know No
(Regardless of answer to above, write a note to explain the situation, then go to Section 6.) __________________________________ __________________________________ __________________________________ |
2. Was the operator (name on label) operating a farm or ranch on June 1, 2016? Yes – (Continue) No – (Continue) |
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3. Please provide the following information for the operation that has taken over the land: |
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What is the name and address of the new operation? Operation Name: Operator Name: Address: City: State: Zip: Phone: |
4. Was the (Item 3) new operation in business before June 1, 2016 ? |
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1 Yes - (Go to Section 6.) |
3 No - (Continue) |
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5. Is the (Item 3) new operation managed? |
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1 Yes – (Go to Section 6.) |
3 No - (Continue) |
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6. Were any of the individuals associated with the (Item 3) new operation operating land individually before June 1, 2016 ? |
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1Yes – (Go to Section 6.) |
3 No – (Go to Section 6.) |
Section 6 - Conclusion |
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1. Do you (the operator named on the label) make any day-to-day decisions for another farm or ranch? Yes – (Continue) No – (Go to Item 2.) |
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a. What is the name of the other operation(s)? . . . . . . |
Operation Name: ______________________________________ |
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b. Was this additional operation in business before June 1, 2016? Yes – (Continue) No – (Continue) |
Address: ____________________________________________ |
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City: ____________________ |
State: __ |
ZIP: ________ |
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Phone: (______) ______________________ |
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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/ |
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Would you rather have a brief summary mailed to you at a later date? Yes – (Enter code 1.) No – (Enter code 3.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
9990 |
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This completes the survey. Thank you for your help. |
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Respondent Name: ________________________ |
9911
Phone: (_____) _____–__________ |
9910 MM DD YY
Date: __ __ __ __ __ __ |
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Response |
Respondent |
Mode |
Enum. |
Eval. |
Change |
Office Use for POID |
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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
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9902 |
1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-e-mail 7-Fax 8-CAPI 19-Other |
9903 |
9998 |
9900 |
9985 |
9989 |
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Optional Use |
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9907 |
9908 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | nassuser |
File Modified | 0000-00-00 |
File Created | 2021-01-15 |