QID Telephone Quality Control Form

Project Code: 115, 122, 123, 126,127, 129, 150, 152, 155, 157, 161, 162,
163, 164

Survey ID: 2826

OMB No. 0535-0213

TELEPHONE QUALITY CONTROL
WORKSHEET
Agricultural Surveys (List and NOL)

Approval Expires: 10/31/2022

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

Month:_____________ Year: _________
Farm, Ranch, or
State:__________________________________________ Operation Name:____________________________________
Segment:______________________________________ Operator’s name:____________________________________
Tract:__________________________________________ Address:___________________________________________
Enumerator:____________________________________ ___________________________________________________
Interview Date:__________________________________ Telephone:_________________________________________
Survey Respondent:_____________________________

☐

Operator

☐

Spouse

☐

Acct/Bkp
r

☐

Other

Current respondent:_____________________________

☐

Operator

☐

Spouse

☐

Acct/Bkp
r

☐

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 verify the spelling of your name, address, and operation name?

☐
☐
☐

Yes - [Continue]
DK or Don't Remember - [Conclude interview]
No - [Continue]
(Continue on Back)

Now I would like to verify your type of operating arrangement.
1. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners?
Reported

Verified

□
□
□

□
□
□

One individual
A hired manager
Partners

2. Now I would like to verify crop and livestock items that are critical to our survey quality.
(Circle correct answer)
Survey Item:

Reported:

Grain Storage Capacity

None, Positive

Verified:

Field Crops:
Planted Acreage

None, Positive

None, Positive

Harvested Acreage

None, Positive

None, Positive

Seeded Acreage

None, Positive

None, Positive

Harvested Acreage

None, Positive

None, Positive

Cattle

None, Positive, Intentions

None, Positive, Intentions

Hogs

None, Positive, Intentions

None, Positive, Intentions

Sheep

None, Positive, Intentions

None, Positive, Intentions

Small Grains:

3. Did Mr./Ms.__________________________________
conduct the interview in a knowledgeable and professional manner?

☐
☐

Yes
No – [Explain]_________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

4. 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:____________________________________