QC 0089a Telephone Quality Control Worksheet - June Area

Agricultural Surveys Program

0213 - Quality Control Area Seg - Telephone

Agricultural Surveys Program

OMB: 0535-0213

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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:___________________________________________________



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