Form A Wheat Objective Yield Survey

Project Code 101

OMB No. 0535-0088: Approval Expires 5/31/2021

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

FORM A 1
WINTER WHEAT YIELD SURVEY
INITIAL INTERVIEW
2020

Earlier this season you gave 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:

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.

2

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

2. Next, what are the total acres of winter wheat for harvest on the land you operate?
[If total equals zero, end interview].........................................................................................Acres

102
.____

Now, I need to identify one (or more) of your winter wheat field(s) and get their acreage.
[Enumerator Notes:
• For Sample Field 1, complete Table A for the winter wheat field closest to the respondent's residence.
• For Sample Field(s) 2-8, complete Table A for the winter wheat field(s) based off the cardinal directions
indicated on the label (e.g., northern most field).]
TABLE A

SAMPLE
FIELD

TOTAL
ACRES
IN FIELD

1

2

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.)
USE

ACRES

LOCATION DESCRIPITION /
INTERSECTION OF FIELD
(E.g., landmarks, features,
street intersections)

3

4

5

1

. ____

. ____

2

. ____

. ____

3

. ____

. ____

4

. ____

. ____

5

. ____

. ____

6

. ____

. ____

7

. ____

. ____

8

. ____

. ____

3
FORM A-1: WINTER WHEAT, TABLE A – Continued

The remaining questions on this page apply to the SAMPLE FIELD ONLY.

3. For the Sample Field, subtract Column 4 from Column 2 for the total acres
of winter wheat to be harvested for grain or seed. Report these acres here:

103

.____

ACRES

4. What class of wheat was seeded in this Sample
Field?_________________________
HARD RED Winter

1

SOFT RED Winter

2

3

WHITE Winter

104

CODE

5. Has this Sample Field been (or will it be) irrigated?
1

Yes

3

No

CODE

105

6. 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

No - Conclude interview and return all forms

7. Have you or will you apply pesticides with organophosphorus content to the Sample Field?
Yes
If YES, enter latest application date

No

Don't Know
and name of pesticide

NOTE: If this is a gleanings sample, tell the operator,
"After harvest, I will also lay out two small plots to determine harvest loss."

8. Respondent Name:
IMPORTANT: Review for completeness. Sign name.
Record expected harvest date, pesticide intentions, (item 7), and operator's
telephone number on your kit envelope.

Enumerator Number
Supervisor Number
Evaluation

190
191
193

OFFICE USE
R. UNIT
921

9. Enumerator Name:

STATUS CODE

180