Form QID Organic Survey Quality Control Form

Organic Survey

0249 - Organic Survey Quality Control Form

Organic Survey

OMB: 0535-0249

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NATIONAL AGRICULTURAL STATISTICS

SERVICE

Organic Survey

Quality Control Form

Form Approved

OMB Number 0535-0249

Approval Expires 07/31/20XX

Project code 968


U.S. Department of Agriculture

Rm 5829, South Building

1400 Independence Avenue, S.W.

Washington, D.C. 20250-2000

1-800-727-9540

Fax: 202-690-2090

E-mail: [email protected]






ID: __________________________________________



State:



Enumerator:



Interview Date:


Operation Name:



Operator’s Name:



Address:



Telephone:




Survey Respondent:



Current Respondent:



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 information about your operation. 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 organic production?


Yes - [Go to Item 3.]

DK or Don't Remember - [Go to Item 2.]

No - [Go to Item 2.]


  1. During the past few days, did any other person from the Agricultural Statistics Service, NASS, or USDA, interview you to obtain information about your operation?


Yes - [Go to Item 3.]

DK or Don't Remember - [Conclude interview.]

No - [Conclude interview.]



  1. Did the person conducting the interview ask you to verify the spelling of your name, address, and operation name?


Yes - [Continue.]

DK or Don't Remember - [Continue.]

No - [Continue.]


  1. Now I would like to verify the types of organic plants your operation produced and sold last year.


Reported Verified Crop Types Propagative Floriculture Materials and Unfinished Plants



Field Crops

(Wheat, Corn, Soybeans, Oats, Barley, Flaxseed, etc.)



Vegetables

(Lettuce, Tomatoes, Carrots, etc.)



Fruit, Nuts and Berries

(Grapes, Tree Nuts, Apples, Citrus, etc.)




  1. Now I would like to verify the types of organic livestock, poultry, and livestock products produced and sold last year.


Reported Verified Livestock and Poultry Types



Raised Organic Cattle and/or Calves



Raised Organic Hogs



Raised Organic Sheep



Raised Organic Goats



Raised Organic Poultry





  1. Were you asked any questions about your expenses for the organic portion of your operation?


YES NO




  1. Did Mr./Ms. conduct the interview in a knowledgeable and professional manner?


YES NO [Explain] ________________________________________________




  1. Do you have any additional comments you would like to make concerning our survey contact?




This concludes the interview. Thank you for your help.


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