QID 030050 Ag Yield Survey - June - IL Version

Agricultural Surveys Program

0213 - Ag Yield - June - Version 17

Agricultural Surveys Program

OMB: 0535-0213

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AG YIELD SURVEYJUNE 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







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