QID 120031 A-1W Form A-1 - Winter Wheat - Yield Survey

Project Code 101 QID 120031 A-1 W		OMB No. 0535-0088: Approval Expires 7/31/2018
	FORM A 1 WINTER WHEAT YIELD SURVEY INITIAL INTERVIEW 2018			NATIONAL AGRICULTURAL STATISTICS SERVICE

Earlier this season you gave a representative from our office information about the Winter Wheat acreage on your farming operation. We are now collecting information to help determine Winter Wheat production in (Your State) and the United States. 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 is voluntary.
Date:
Starting Time (Military Time)	171

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 0535-0088. The time required to complete this information collection is estimated to average 30 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.

FORM A-1: WINTER WHEAT
1. Earlier this season, the number of winter wheat acres you intended to harvest on all the land you operate was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	ACRES	101	. ____
		(Do not change)

Now, I need to locate all of your winter wheat fields and obtain the acreage in each field. This will be used to randomly select one or more of your fields for objective yield observations.
a. Draw each winter wheat field on the grid map.
b. Number fields; north to south – west to east.
c. For each field record the data required in Table A, Columns 2 thru 5.
(Column 5) Accumulate the acreage to be harvested, field by field, to a total for the entire operation. Note that the cumulative acreage for the first field will be the same as the acreage in that first field. The cumulative acreage for the second field equals the first cumulative acreage plus the second field acreage for harvest.
TABLE A
FIELD NUMBER	TOTAL ACRES IN FIELD		Acres in USE or CROPS OTHER THAN WINTER WHEAT to be HARVESTED for GRAIN or SEED (For example: not seeded, bare spots, winter kill, waterways, roads, other crops, etc.)			ACRES of WINTER WHEAT to be HARVESTED for GRAIN or SEED Cum. = Cumulative Total
			USE	ACRES
1	2		3	4		5
1		. ____			. ____		. ____
						Cum.	. ____
2		. ____			. ____		. ____
						Cum.	. ____
3		. ____			. ____		. ____
						Cum.	. ____
4		. ____			. ____		. ____
						Cum.	. ____
5		. ____			. ____		. ____
						Cum.	. ____
6		. ____			. ____		. ____
						Cum.	. ____
7		. ____			. ____		. ____
						Cum.	. ____
8		. ____			. ____		. ____
						Cum.	. ____
9		. ____			. ____		. ____
						Cum.	. ____
10		. ____			. ____		. ____
						Cum.	. ____
11		. ____			. ____		. ____
						Cum.	. ____
12		. ____			. ____		. ____
						Cum.	. ____

FORM A-1: WINTER WHEAT, TABLE A – Continued

TABLE A
FIELD NUMBER	TOTAL ACRES IN FIELD		Acres in USE or CROPS OTHER THAN WINTER WHEAT to be HARVESTED for GRAIN or SEED (For example: not seeded, bare spots, winter kill, waterways, roads, other crops, etc.)			ACRES of WINTER WHEAT to be HARVESTED for GRAIN or SEED Cum. = Cumulative Total
			USE	ACRES
1	2		3	4		5
13		. ____			. ____		. ____
						Cum.	. ____
14		. ____			. ____		. ____
						Cum.	. ____
15		. ____			. ____		. ____
						Cum.	. ____
16		. ____			. ____		. ____
						Cum.	. ____
17		. ____			. ____		. ____
						Cum.	. ____
18		. ____			. ____		. ____
						Cum.	. ____
19		. ____			. ____		. ____
						Cum.	. ____
20		. ____			. ____		. ____
						Cum.	. ____
21		. ____			. ____		. ____
						Cum.	. ____
22		. ____			. ____		. ____
						Cum.	. ____
23		. ____			. ____		. ____
						Cum.	. ____
24		. ____			. ____		. ____
						Cum.	. ____

2. The total acres of winter wheat (last cumulative entry) for harvest on the land you operate is? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						ACRES	102	. ____
a. Is that right? YES – Continue. NO – Review all fields, correct Table A and item 2.
(i) If item 2 has -- A ZERO entry -- Return all forms
An ACREAGE entry -- Make selection of sample field(s).

TABLE B
SELECTION OF SAMPLE FIELD(S) ON THIS FARM					Select first field in Table A in which the cumulative harvested acres equals or exceeds the selected acre for sample as shown in Table B. Enter selected field number in Table B. Circle selected sample field number in Table A. Enter field acreage (Column 5) in item 3.
Sample Number(s)	Selected Acre(s)		Selected Field Number(s)
		.
		.
		.
		.

FORM A-1: WINTER WHEAT--Continued
All questions on this page apply to the SAMPLE FIELD ONLY.
3. Copy acres of winter wheat to be harvested for grain or seed in Sample Field Number from Table A, column 5. . . . . . . . . . . . . . . . . . . . . . . . .	ACRES	103	. ____
4. What class of wheat was seeded in this Sample Field Number
HARD RED Winter = 1 SOFT RED Winter = 2 WHITE Winter = 3 . . . . .	CODE	104
5. WASHINGTON STATE ONLY

What variety of wheat was seeded in the sample field?
	Wheat Variety Name

6. Has this field been (or will it be) irrigated?
YES = 1 NO = 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	CODE	105

7. With your permission I will go out to the field and mark off two small plots to be used in making plant and fruit counts. I will return to the plots each month until harvest to make counts and clip a few heads to determine their size and weight. Would that be all right?
YES – Continue. If this is a gleanings sample, tell the operator, “After harvest, I will also lay out two small plots to determine harvest loss.”
NO – Conclude interview and return all Forms.
8. Have you or will you apply pesticides with organophosphorus content to the sample field?
YES NO DON’T KNOW
If YES, enter latest application date		and name of pesticide

9. Respondent Name:_________________________________________	Ending Time (Military Time)	172
IMPORTANT: Review for completeness. Record ending time and sign name. Record expected harvest date, pesticide intentions (item 8), and operator’s telephone number on your kit envelope.	Enumerator Number	190
	Supervisor Number	191
	Evaluation	193

	OFFICE USE
	R. UNIT
	921

10. Enumerator Name:		STATUS CODE	180

FORM A WHEAT TABLE B SUPPLEMENT
TABLE B
SELECTION OF SAMPLE FIELD(S) ON THIS FARM
Sample Number(s)	Selected Acre(s)	Selected Field Number(s)
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