QID 030050 Ag Yield Survey - June - IL Version

AG YIELD SURVEY – JUNE 2017
							OMB No. 0535-0213 Approval Expires: 6/30/2017 Project Code: 128 QID: 030050 SMetaKey: 3629 Version 17
								United States Department of Agriculture
								NATIONAL AGRICULTURAL STATISTICS SERVICE
							USDA/NASS - Illinois Heartland Region 9700 Page Ave, #400 St. Louis, MO 63132-1547 Phone: 1-800-551-1014 Fax: 1-855-270-2717 E-mail: [email protected]

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.

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 10 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.

Please make corrections to name, address and ZIP Code, if necessary.
	State	POID	Tract	Subtr.
	__ __	__ __ __ __ __ __ __ __ __	__ __	__ __

If you no longer operate this farm or ranch go to Section 2.

SECTION 1 - CROP ACREAGE and YIELD

Please report the acres for harvest and yield per acre you expect to harvest from the total acres you operate for the following crop. If harvest is not complete, make your best estimate of the final yield for all acres harvested and to be harvested. (Exclude information for land rented to others.)

						TOTAL CROP
WINTER WHEAT Harvested and to be harvested (grain and seed only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					Acres	541
Expected yield for grain and seed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				Bu. Per Acre		151
Has harvest been completed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes=1	No=3	. .	980

SECTION 2 – CONCLUSION If you no longer operate this farm or ranch, please provide the name and address of the new operator.
NAME:	     
ADDRESS:	     
CITY:	     	ZIP CODE:	     
COUNTY:	     	PHONE:	     

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/
Would you rather have a brief summary mailed to you at a later date?. . . . . . . . . . . . .	Yes = 1 No = 3 . . .	9990

	9911 Phone: (______) _____--_________	9910 MM DD YY Date: __ __ __ __ __ __
Respondent Name:

This completes the survey. Thank you for your help.

OFFICE USE ONLY

Response

Respondent

Mode

Enum.

Eval.

Change

Office Use for POID

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

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 __ __ __ - __ __ __ - __ __ __

R. Unit

Optional Use

9921

9907

9908

9906

9916

S/E Name