QID 153838 June Area Survey Screening Form Version C

Agricultural Surveys Program

0213 - June Area Screening Form - Version C

Agricultural Surveys Program

OMB: 0535-0213

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2017 JUNE AREA SURVEY SCREENING - Version C


OMB No. 0535-0213

Approval Expires: 6/30/2018

Project Code: 124 QID: 153838

SMetaKey: 3838





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: 1-855-515-1328

E-mail: [email protected]

KS, NE, NM, OK, TX














State

Stratum

Segment


Part ____

of

______







___ ___

___ ___ ___ ___

000___ ___ ___ ___ ___ ___


County ________________




INTRODUCTION


[Introduce yourself and ask for the operator. Rephrase in your own words.]

I am working on the June Agricultural Survey. This is a national survey where agricultural producers are asked to provide information on crops and livestock.

The information you provide will be used for statistical purposes only. Your response 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.

The area of land shown on this photo (map) has been selected for this survey.

[Show respondent photo or map. Point out segment boundaries, houses and other identifying
landmarks to help the respondent become familiar with the segment.
]

1. On June 1, did you operate land inside these red lines?

Yes - [Continue with item 2.]

No - [Determine who are the tract operators inside the segment. Thank respondent and conclude interview.]

2. What were the boundaries of land operated inside these red lines?

[Verify or draw tract boundaries in blue, then continue with item 3.]


3. Was any of this land (inside these blue lines) operated by someone else?

Yes - [Correct boundaries, then continue with item 4.]

No - [Continue with item 4.]


4. Was any land inside these blue lines administered or controlled by a public agency, industrial corporation,
or grazing association for use on a fee per head or animal unit month (AUM) basis?

Yes - [Correct boundaries and assign a separate tract code to the PIGA land, then go to page 2.]

No - [Go to page 2.]

C




5

6

7

8

9

10

11

TRACT

L

E

T

T

E

R

Line 1 – Full Name (First, Middle, Last)

Line 2 – Mailing Address

Line 3 – City, State, ZIP Code

Line 4 – Telephone Number

Is this tract

Public, Industrial, or

Grazing

Association

land used on

an AUM basis?

On the total

acres

operated on June 1, have there been or will there be

any crops grown, hay cut, livestock, poultry, honey bees or

aquaculture raised

this year?


On the total

acres operated on June 1, have you sold or will you sell agricultural products or receive government payments

this

year?

On the total

acres

operated on

June 1, are any

crops now

in storage

or will there

be any crops

stored

before

June 1, 2018?


Has this operation owned or raised any hogs or pigs

in the past

12 months, or does it expect

to own or raise

any this

year?




Name: _____________________________________________________

Address: _____________________________________________________


_____________________________________________________


Phone: (_______) ________-____________________________

Yes – Enter

acres in col.21

and conclude

interview.






No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No



Name: _____________________________________________________

Address: _____________________________________________________


_____________________________________________________


Phone: (_______) ________-____________________________

Yes – Enter

acres in col.21

and conclude

interview.






No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No



Name: _____________________________________________________

Address: _____________________________________________________


_____________________________________________________


Phone: (_______) ________-____________________________

Yes – Enter

acres in col.21

and conclude

interview.







No

Yes – Go to Questionnaire




DK – Go to Questionnaire




No

Yes – Go to Questionnaire




DK – Go to Questionnaire




No

Yes – Go to Questionnaire




DK – Go to Questionnaire




No

Yes – Go to Questionnaire




DK – Go to Questionnaire




No



Name: _____________________________________________________

Address: _____________________________________________________


_____________________________________________________


Phone: (_______) ________-____________________________

Yes – Enter

acres in col.21

and conclude

interview.






No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No



Name: _____________________________________________________

Address: _____________________________________________________


_____________________________________________________


Phone: (_______) ________-____________________________

Yes – Enter

acres in col.21

and conclude

interview.






No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No



Name: ____________________________________________________

Address: ____________________________________________________


____________________________________________________


Phone: (_______) ________-___________________________

Yes – Enter

acres in col.21

and conclude

interview.


No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No

Yes – Go to Questionnaire




DK – Go to Questionnaire



No



C




13

14

15

16

17

18

20

20a

21


On June 1

were there any horses,

ponies, or other equine, regardless of ownership,

on the

total acres operated?




Excluding home use,

have there been

or will there be

any vegetables, melons, fruit, nuts or berries,

grown on this operation

this year?

Excluding

home use,

have there been

or will there be

any nursery, greenhouse, floriculture, sod, cut Christmas trees or other woody crops grown on this operation this year?

On June 1 did this operation have any idle cropland or more than 99 acres of pasture?




O

F

F

I

C

E

U

S

E

NON-AGRICULTURAL TRACTS

PIGA

A - 01

B - 02

C - 03

D - 04

E - 05

F - 06

G - 07

H - 08

I - 09

J - 10

K - 11

L - 12

M - 13

N - 14

O - 15

P - 16

Q - 17

R - 18

S - 19

T - 20

U - 21

V - 22

W - 23

X - 24

Y - 25

Z - 26



AA - 27

BB - 28

CC - 29

DD - 30

EE - 31

FF - 32

GG- 33

HH - 34

II - 35

JJ - 36

KK - 37

LL - 38

MM- 39

NN - 40

OO -41

PP - 42

QQ -43

RR - 44

SS - 45

TT - 46

UU - 47

VV - 48

WW-49

XX - 50

YY - 51

ZZ - 52


AAA-53


Etc.


How many acres are inside these blue lines?





[Enter acres and land use, then continue]

Does

this tract have potential for agriculture before

June 1, 2018?





[Enter code]

What best describes this non-agricultural tract?






[Enter code]

Acres of Public,

Industrial, or

Grazing Association land used on AUM basis.




[Enter acres]

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

__ __


00

846

818

783

849








LAND USE

YES = 1

DK = 2

NO = 3


Yes – Go to Questionnaire



DK – Go to Questionnaire





No

Yes – Go to Questionnaire



DK – Go to Questionnaire





No

Yes – Go to Questionnaire



DK – Go to Questionnaire





No

Yes – Go to Questionnaire



DK – Go to Questionnaire





No

__ __


00

846

818

783

849









LAND USE

YES = 1

DK = 2

NO = 3


Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

__ __


00

846

818

783

849









LAND USE

YES = 1

DK = 2

NO = 3


Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

__ __


00

846

818

783

849








LAND USE

YES = 1

DK = 2

NO = 3


Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

__ __


00

846

818

783

849








LAND USE

YES = 1

DK = 2

NO = 3


Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

Yes – Go to Questionnaire



DK – Go to Questionnaire




No

__ __


00

846

818

783

849









LAND USE

YES = 1

DK = 2

NO = 3



C




[Complete this check list when enumeration of segment is completed.]

1. Total tract letters listed in Column 5, page 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .




2. Number of tract letters listed on photo or map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


[Item 1 must equal item 2.]


3. Number of Area Version questionnaires completed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .





4. Number of tracts with acreage listed in Column 18, page 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+




5. Number of tracts with acreage listed in Column 21, page 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

+




6. Total of items 3 + 4 + 5. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

=

5326

Worksheet

[Item 6 must equal items 1 and 2.]

Ag Tract Acres

Non-Ag Tract Acres

PIGA Tract Acres






















[comment on any enumerating problems caused by segment boundaries, split fields, aerial photo coverage, etc.]

OFFICE USE

____________________________________________


Activity

Date

Initials

____________________________________________


Received



____________________________________________


Clerical Edit



____________________________________________


OL/NOL Check



____________________________________________


1st Manual Edit



____________________________________________


2nd Manual Edit



____________________________________________


Keyed



____________________________________________


Verified



____________________________________________


Interactive Edit



____________________________________________


Submitted for processing



____________________________________________


ELMA updates completed



____________________________________________





ENUMERATOR:________________________________


Reported Acres

(RA)

OFFICE USE

Digitized Acres

(DA)

RA / DA

DATE:________________________________________






C



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