QID 209887 2018 Maryland Pesticide Usage Survey

1

2018 MARYLAND PESTICIDE USAGE SURVEY
			OMB No. 0535-0218 Approval Expires: ??/??/??? Project Code: 970 QID: 209887 SMetaKey: 3785
(DRAFT)
				United States Department of Agriculture NATIONAL AGRICULTURAL STATISTICS SERVICE Maryland Department of Agriculture

Please make any necessary corrections to the name, address and zip code.	USDA/NASS – Maryland 50 Harry S. Truman Parkway Suite 210 Annapolis, MD 21401 (410) 841-5740 Fax (800) 474-4168 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 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 0535-0218. 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.
Please return in the enclosed envelope no later than July 15, 2019 Please refer to the “Instruction Sheet” on Page 2 to aid in the completion of this survey. 1. Did you or your business or your agency apply pesticides in 2018 ?
0001	1Yes – Go to Question 2. 3No – Go to Page 8, Question 5.
2. Are you a commercial business?
0002	1Yes – Go to Page 2 and complete the table for all pesticides that your business applied in 2018 for your customers. 3No – Go to Question 3.
3. Are you a public agency?
0003	1Yes – Go to Page 2 and complete the table for all pesticides applied in 2018 by you or a designated applicator within your agency. 3No – Go to Question 4.
4. Are you a farmer?
0004	1Yes – Go to Page 2 and complete the table for all pesticides you personally applied in 2018 on property that you own or lease. 3No – Go to Page 8, Question 5.

Maryland Pesticides Instructions
Pesticide: An herbicide, insecticide, fungicide, growth regulator, nematicide, fumigant, rodenticide, repellent, wood preservative, or any other material used to manage pests.
	Please report the pesticides you, your business, or your agency applied in 2018 in the tables. Record the EPA number or chemical product name. Record the county and zip code where each pesticide was applied. Include only the pesticide portions of a tank mix. Report each chemical on a separate line, even if two chemicals were applied in combination. Specify the unit of measurement with the total quantity. PLEASE DO NOT INCLUDE ANY PESTICIDES APPLIED BY A CONTRACTOR.

Column 3 - - County Code			Column 12 - - Target Crop or Site Code
1	Allegany		1	Field Crops
3	Anne Arundel		2	Fruit
5	Baltimore		3	Vegetables
6	Baltimore City		4	Nursery/greenhouse - commercial
9	Calvert		5	Animal - livestock and poultry
11	Caroline		6	Stored grain
13	Carroll		7	Forest
15	Cecil		8	Ornamental & lawns - interior and exterior landscapes
17	Charles		9	Turf - production
19	Dorchester		10	Seed treatment
21	Frederick		11	Aquatic
23	Garrett		12	Rights of way
25	Harford		13	Industrial/Structural - incl. structural household pests, birds, rodents, industrial weed
27	Howard		14	Fumigation - commodities, structures, grains
29	Kent		15	Public Health
31	Montgomery		16	Regulatory - PUBLIC AGENCIES ONLY
33	Prince George’s		17	Demonstration/Research
35	Queen Anne’s		18	Other - wood preservatives, sewer root control
37	St. Mary’s
39	Somerset
41	Talbot
43	Washington
45	Wicomico
47	Worcester

	Office Use Lines in Table	Table	0399	2018 Maryland Pesticide Usage Survey Pesticide Use
1	2	3	4		5	6	7	8	9	10	11	12
L I N E	County Name	County Code (see instructions for codes)	Pesticide Applied EPA registration number or chemical product name		Product Code	Was this part of a tank mix? (If tank mix, enter line number of first product in mix.)	Total Quantity of Product Used	Units: 1 = pound 12 = gallons 13 = quarts 14 = pints 15 = liquid oz 28 = dry oz 30 = grams	Total Quantity of Product Used To how many acres, linear feet, or cubic feet was this product applied?	Units: 1 = acres 2 = linear ft. 3 = cubic ft.	When was this product applied? 1. Spring 2. Summer 3. Fall 4. Winter	What was the target crop or site? (see instructions for codes)
01		60			61	63	73	74	68	69	64	71
02		60			61	63	73	74	68	69	64	71
03		60			61	63	73	74	68	69	64	71
04		60			61	63	73	74	68	69	64	71
05		60			61	63	73	74	68	69	64	71
06		60			61	63	73	74	68	69	64	71
07		60			61	63	73	74	68	69	64	71
08		60			61	63	73	74	68	69	64	71
09		60			61	63	73	74	68	69	64	71
10		60			61	63	73	74	68	69	64	71
11		60			61	63	73	74	68	69	64	71
12		60			61	63	73	74	68	69	64	71
13		60			61	63	73	74	68	69	64	71
14		60			61	63	73	74	68	69	64	71
15		60			61	63	73	74	68	69	64	71
16		60			61	63	73	74	68	69	64	71
17		60			61	63	73	74	68	69	64	71
18		60			61	63	73	74	68	69	64	71
19		60			61	63	73	74	68	69	64	71
20		60			61	63	73	74	68	69	64	71
21		60			61	63	73	74	68	69	64	71
22		60			61	63	73	74	68	69	64	71

	Office Use Lines in Table	Table	0399	2018 Maryland Pesticide Usage Survey Pesticide Use
1	2	3	4		5	6	7	8	9	10	11	12
L I N E	County Name	County Code (see instructions for codes)	Pesticide Applied EPA registration number or chemical product name		Product Code	Was this part of a tank mix? (If tank mix, enter line number of first product in mix.)	Total Quantity of Product Used	Units: 1 = pound 12 = gallons 13 = quarts 14 = pints 15 = liquid oz 28 = dry oz 30 = grams	Total Quantity of Product Used To how many acres, linear feet, or cubic feet was this product applied?	Units: 1 = acres 2 = linear ft. 3 = cubic ft.	When was this product applied? 1. Spring 2. Summer 3. Fall 4. Winter	What was the target crop or site? (see instructions for codes)
01		60			61	63	73	74	68	69	64	71
02		60			61	63	73	74	68	69	64	71
03		60			61	63	73	74	68	69	64	71
04		60			61	63	73	74	68	69	64	71
05		60			61	63	73	74	68	69	64	71
06		60			61	63	73	74	68	69	64	71
07		60			61	63	73	74	68	69	64	71
08		60			61	63	73	74	68	69	64	71
09		60			61	63	73	74	68	69	64	71
10		60			61	63	73	74	68	69	64	71
11		60			61	63	73	74	68	69	64	71
12		60			61	63	73	74	68	69	64	71
13		60			61	63	73	74	68	69	64	71
14		60			61	63	73	74	68	69	64	71
15		60			61	63	73	74	68	69	64	71
16		60			61	63	73	74	68	69	64	71
17		60			61	63	73	74	68	69	64	71
18		60			61	63	73	74	68	69	64	71
19		60			61	63	73	74	68	69	64	71
20		60			61	63	73	74	68	69	64	71
21		60			61	63	73	74	68	69	64	71
22		60			61	63	73	74	68	69	64	71

	Office Use Lines in Table	Table	0399	2018 Maryland Pesticide Usage Survey Pesticide Use
1	2	3	4		5	6	7	8	9	10	11	12
L I N E	County Name	County Code (see instructions for codes)	Pesticide Applied EPA registration number or chemical product name		Product Code	Was this part of a tank mix? (If tank mix, enter line number of first product in mix.)	Total Quantity of Product Used	Units: 1 = pound 12 = gallons 13 = quarts 14 = pints 15 = liquid oz 28 = dry oz 30 = grams	Total Quantity of Product Used To how many acres, linear feet, or cubic feet was this product applied?	Units: 1 = acres 2 = linear ft. 3 = cubic ft.	When was this product applied? 1. Spring 2. Summer 3. Fall 4. Winter	What was the target crop or site? (see instructions for codes)
01		60			61	63	73	74	68	69	64	71
02		60			61	63	73	74	68	69	64	71
03		60			61	63	73	74	68	69	64	71
04		60			61	63	73	74	68	69	64	71
05		60			61	63	73	74	68	69	64	71
06		60			61	63	73	74	68	69	64	71
07		60			61	63	73	74	68	69	64	71
08		60			61	63	73	74	68	69	64	71
09		60			61	63	73	74	68	69	64	71
10		60			61	63	73	74	68	69	64	71
11		60			61	63	73	74	68	69	64	71
12		60			61	63	73	74	68	69	64	71
13		60			61	63	73	74	68	69	64	71
14		60			61	63	73	74	68	69	64	71
15		60			61	63	73	74	68	69	64	71
16		60			61	63	73	74	68	69	64	71
17		60			61	63	73	74	68	69	64	71
18		60			61	63	73	74	68	69	64	71
19		60			61	63	73	74	68	69	64	71
20		60			61	63	73	74	68	69	64	71
21		60			61	63	73	74	68	69	64	71
22		60			61	63	73	74	68	69	64	71

	Office Use Lines in Table	Table	0399	2018 Maryland Pesticide Usage Survey Pesticide Use
1	2	3	4		5	6	7	8	9	10	11	12
L I N E	County Name	County Code (see instructions for codes)	Pesticide Applied EPA registration number or chemical product name		Product Code	Was this part of a tank mix? (If tank mix, enter line number of first product in mix.)	Total Quantity of Product Used	Units: 1 = pound 12 = gallons 13 = quarts 14 = pints 15 = liquid oz 28 = dry oz 30 = grams	Total Quantity of Product Used To how many acres, linear feet, or cubic feet was this product applied?	Units: 1 = acres 2 = linear ft. 3 = cubic ft.	When was this product applied? 1. Spring 2. Summer 3. Fall 4. Winter	What was the target crop or site? (see instructions for codes)
01		60			61	63	73	74	68	69	64	71
02		60			61	63	73	74	68	69	64	71
03		60			61	63	73	74	68	69	64	71
04		60			61	63	73	74	68	69	64	71
05		60			61	63	73	74	68	69	64	71
06		60			61	63	73	74	68	69	64	71
07		60			61	63	73	74	68	69	64	71
08		60			61	63	73	74	68	69	64	71
09		60			61	63	73	74	68	69	64	71
10		60			61	63	73	74	68	69	64	71
11		60			61	63	73	74	68	69	64	71
12		60			61	63	73	74	68	69	64	71
13		60			61	63	73	74	68	69	64	71
14		60			61	63	73	74	68	69	64	71
15		60			61	63	73	74	68	69	64	71
16		60			61	63	73	74	68	69	64	71
17		60			61	63	73	74	68	69	64	71
18		60			61	63	73	74	68	69	64	71
19		60			61	63	73	74	68	69	64	71
20		60			61	63	73	74	68	69	64	71
21		60			61	63	73	74	68	69	64	71
22		60			61	63	73	74	68	69	64	71

	Office Use Lines in Table	Table	0399	2018 Maryland Pesticide Usage Survey Pesticide Use
1	2	3	4		5	6	7	8	9	10	11	12
L I N E	County Name	County Code (see instructions for codes)	Pesticide Applied EPA registration number or chemical product name		Product Code	Was this part of a tank mix? (If tank mix, enter line number of first product in mix.)	Total Quantity of Product Used	Units: 1 = pound 12 = gallons 13 = quarts 14 = pints 15 = liquid oz 28 = dry oz 30 = grams	Total Quantity of Product Used To how many acres, linear feet, or cubic feet was this product applied?	Units: 1 = acres 2 = linear ft. 3 = cubic ft.	When was this product applied? 1. Spring 2. Summer 3. Fall 4. Winter	What was the target crop or site? (see instructions for codes)
01		60			61	63	73	74	68	69	64	71
02		60			61	63	73	74	68	69	64	71
03		60			61	63	73	74	68	69	64	71
04		60			61	63	73	74	68	69	64	71
05		60			61	63	73	74	68	69	64	71
06		60			61	63	73	74	68	69	64	71
07		60			61	63	73	74	68	69	64	71
08		60			61	63	73	74	68	69	64	71
09		60			61	63	73	74	68	69	64	71
10		60			61	63	73	74	68	69	64	71
11		60			61	63	73	74	68	69	64	71
12		60			61	63	73	74	68	69	64	71
13		60			61	63	73	74	68	69	64	71
14		60			61	63	73	74	68	69	64	71
15		60			61	63	73	74	68	69	64	71
16		60			61	63	73	74	68	69	64	71
17		60			61	63	73	74	68	69	64	71
18		60			61	63	73	74	68	69	64	71
19		60			61	63	73	74	68	69	64	71
20		60			61	63	73	74	68	69	64	71
21		60			61	63	73	74	68	69	64	71
22		60			61	63	73	74	68	69	64	71

5. Were any pesticides applied for you by a contractor in 2018?

0005	1Yes 3No
FARMERS: Please complete the following. Integrated Pest Management (IPM) is a long-standing science-based, decisions making process that identifies and reduces risks from pests and pest management related strategies. It coordinates the use of pest biology, environmental information, and available technology to prevent unacceptable levels of pest damage by the most economical means, while posing the least possible risk to people, property, resources, and the environment. IPM provides an effective strategy for managing pests in all arenas from developed residential and public areas to wild lands. IPM serves as an umbrella to provide an effective, all encompassing, low-risk approach to protect resources and people from pests.
Please refer to the definition of Integrated Pest Management (above) when answering questions 6 to 9.

					Never	Sometimes	Almost Always	Not Applicable
	Check the appropriate box
	for each question.
				0006	1	2	3	4
6. Do you use resources before making pest control decisions? (i.e. Scouting, Soil testing, Field mapping, Predictive models, Pest thresholds, etc.)
7. Do you use preventive measures to avoid pest outbreaks? (i.e. Crop rotation, ground covers/mulches, physical barriers, adjustment of plant/harvest dates, adjustment of plant density, resistance varieties, companion cropping, trapping, etc.)				0007	1	2	3	4
8. Do you use physical practices for pest control? (i.e. Mowing, burning, chopping, tillage, etc.)				0008	1	2	3	4
9. Do you use products, such as the ones listed below, for pest control? *Biological pesticide *Mating Disruptors *Beneficial Organisms (insects, nematodes, pathogens) *Genetically modified products (Glyphosphate – resistant soybeans, Bt corn)				0009	1	2	3	4

Thank you for your survey response!
OFFICE USE 1. Did you have pesticides applied? 2. Applied by a contractor, not by respondent.						9800
	Respondent Name: ____						9911 Phone: (_____) _____-- __________								9910 MM DD YY Date: __ __ __ __ __ __
	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		__ __ __ - __ __ __ - __ __ __
														Optional Use
														9907			9908		9906			9916
	S/E Name