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OMB No. 0535-0218 Approval Expires: ??/??/???? Project Code: 722 QID: SMetaKey:
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(DRAFT)
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United States Department of Agriculture
NATIONAL AGRICULTURAL STATISTICS SERVICE |
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U.S Department of Agriculture USDA/NASS - Mississippi 10800
Financial Centre Parkway, #110 Phone: 1-800-327-2970 Fax: 1-855-270-2705 Email: [email protected] |
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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. Response to this survey is voluntary. For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality.
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 control number for this information collection is 0535-0218. The time required to complete this information collection is estimated to average 15 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. |
1. Please make any needed corrections to the name, including the correct operation name, and mailing address on the label. |
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2. Please check (X) each of the following statements that is true for the operation shown on the label: During 2018,
Will this operation grow any crops? (Include field crops, hay, fruits, vegetables, and other miscellaneous crops.) Will this operation raise any livestock or poultry? (Include both livestock and poultry owned, and any raised under contract.) Will this operation sell any agricultural products? (Include sales of all crops, poultry, livestock, and livestock products.) Will this operation sell any agricultural products? (Include sales of all crops, poultry, livestock, and livestock products.) Will this operation receive any government agricultural payments? (Exclude government payments received as a landlord.)
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If you checked any of the above for this operation, go to Section 1 – 2018 Acreage. If none of the above statements are true, complete Items 2A and 2B, then go to Section 2 - Conclusion.
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2a. Has the operation name on the label been sold, rented, or turned over to someone else? |
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YES |
NO |
Will the land be used for any agricultural purpose by you (the individual listed on the label), or anyone else in the next year? |
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YES NO DON’T KNOW |
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2b. What is the name and address of the new operator? |
Please explain, then go to CONCLUSION on back page. |
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Operation Name: ____________________________________ |
__________________________________________________ |
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Operator Name: ____________________________________ |
__________________________________________________ |
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Address: __________________________________________ |
__________________________________________________ |
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City: ________________ |
State: ________ |
Zip: ______ |
__________________________________________________ |
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Phone: ( ) ________________________ |
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__________________________________________________ |
SECTION 1 - 2018 ACREAGE |
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Acres |
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1. Including the farmstead, all cropland, wasteland, wetland, and government program land, how many total acres are in this operation – . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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0002 |
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2. Of the total [item 2] acres operated, how many acres are considered cropland? (Include hay land, summer fallow, idle cropland, cropland used for pasture, and cropland in government programs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
0003 |
THANK YOU FOR YOUR TIME AND COOPERATION. |
OFFICE USE |
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R. Unit |
Ptr 1 Str |
Ptr 2 Str |
Ptr 3 Str |
Ptr 4 Str |
OPS |
SSO 1 |
ADJ |
Optional Use |
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9921 |
9922 |
9923 |
9927 |
9928 |
923 |
9907 |
922 |
9906 |
9916 |
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Response |
Respondent |
Mode |
Enum. |
POID |
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1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est
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9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Other |
9902 |
1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-E-mail 7-Fax 8-CAPI 19-Other |
9903 |
9998 |
9989 ___ ___ ___ ___ ___ ___ ___ ___ ___ |
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Eval. |
Change |
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9900 |
9985 |
Reported by: __________________________________ |
9910 ____ ____ ____ ____ 17 M M D D |
9911
Telephone: ________________ |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | millbr |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |