Smeta 4040 Agricultural Activity Survey

_AGRICULTURAL ACTIVITY SURVEY

OMB No. 0535-0140

Approval Expires: 1/31/2019 Project Code: 649

SMetaKey: 4040

United States Department of Agriculture

NATIONAL AGRICULTURAL STATISTICS SERVICE

USDA/NASS

National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828

Fax: 1-855-415-3687

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 0535-0140. The time required to complete this information collection is estimated to average 10 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. Complete this form even if you are not involved in agricultural activity.

2. During the past 12 months, did you…

1. Grow crops, including field crops, vegetables, fruits, nuts, nursery, or other specialty crops?.............................

2. Own or raise any type of livestock, including cattle, hogs, sheep, goats, equine, poultry, honey bees, or aquaculture?......................................................................

3. Receive any Federal or State agricultural payments?

   • ^{Include Federal Farm Program, CRP, WRP,} FWP, and CREP payments...................................

4. Have any idle cropland or more than 99 acres of pasture?............................................................................

1. During the past 12 months, did you grow any of the following?

0104 _☐

If answered no to all items in questions 2, skip to question 8 on page 2, otherwise continue.

1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No

0247

1036

1016 _☐

1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No
1	Yes	3	No

a. Hay or forage crops.................................................................................................... ¹¹⁵²

b. Field crops such as corn, soybeans, wheat, etc......................................................... ¹⁰¹¹

c. Fruit, berries, or nuts.................................................................................................. ¹⁰³⁹

d. Vegetables, potatoes, or melons................................................................................ ¹¹⁰¹

5. Nursery, greenhouse, floriculture, sod, mushrooms, propagative materials, or aquatic plants.............................................................................................................

1032 _☐

5. Cultivated Christmas trees, short rotation woody crops, or maple syrup.................... ¹¹⁵³

6. Any other Crops ¹¹⁵⁴

4. During the past 12 months, did you have any grain storage capacity? ¹⁰²⁸

5. During the past 12 months, did you own or raise any of the following livestock?

   1. Cattle and calves ¹²⁰¹

   2. Hogs and pigs ¹²¹¹

c. Sheep, lambs, goats, or kids...................................................................................... ¹¹⁰²

4. Horses, ponies, mules, donkeys, or burros ¹²⁴⁷

5. Chickens, turkeys, or other fowl ¹²¹⁷

f. Aquaculture................................................................................................................ ¹¹⁵⁷

g. Honey bees................................................................................................................ ¹¹⁰⁴

h. Other livestock (Alpacas, Llamas, Bison, Mink, Rabbits, etc.) ¹²³⁹

6. During the past 12 months:

   1. On how many acres did you grow crops, raise livestock, or have idle cropland?

      • ^{Include cropland, pastureland, woodland, ponds, and land that is in government} programs

      • ^{Include all structures (residences on the farm, livestock and storage facilities,} greenhouses, etc.)

      • ^{Exclude land rented to others........................................................................................}

0046

.

Acres

2. Were any of the acres reported in question 6a rented from others?........................... ⁰⁰⁸³ _{1 ☐ Yes 3 ☐ No}

1. Please indicate below which code best describes the expected total gross value of sales in 2018, including landlord's share, Federal Farm Payments, and value of products for all crops, livestock, and poultry produced under contract. (Exclude cash rent received or share of crops received for land rented to others.)

1980	2	'None'	9	$50,000 - $99,999
	3	$1 - $999	10	$100,000 - $149,999
	4	$1,000 - $2,499	11	$150,000 - $249,999
	5	$2,500 - $4,999	12	$250,000 - $349,999
	6	$5,000 - $9,999	13	$350,000 - $499,999
	7	$10,000 - $24,999	14	$500,000 - $999,999
	8	$25,000 - $49,999	15	$1,000,000 - over

8. Do you intend to grow crops, raise livestock, or have other agricultural activity in the next 12 months?........................................................................................

3045

1 _☐ ^Yes

3 _☐ ^No

9. In the next 12 months:

   1. On how many acres do you intend to grow crops or raise livestock?

      • ^{Include cropland, pastureland, woodland, ponds, and land that is in government} programs

      • ^{Include all structures (residences on the farm, livestock and storage facilities,} greenhouses, etc.)

      • ^{Exclude land rented to others.......................................................................................}

3046

.

Acres

2. Will any of the acres reported in question 9a be rented from others?........................ ³⁰⁸³ _{1 ☐ Yes 3 ☐ No}

	Largest Number of Workers
During the last 12 months, what was the largest number of hired workers on the payroll on any one day? Include paid family members and hired managers. Exclude contract labor and custom workers………………………………………………………………………………

11. Please provide the physical address where the largest value of your agricultural products are raised or produced. ⁹⁹⁴⁵ Street Address ⁹⁹⁴⁹ Street Address Line 2

⁹⁹⁴⁶ City

⁹⁹⁴⁷ State

⁹⁹⁴⁸ Zip Code

12. Please provide the name and phone number of the person completing this form.

9912 Name:

9911 Phone: ( )

9910 MM DD YY Date:

13. Please return this form in the postage-paid envelope provided. Thank you for your cooperation!

OFFICE USE ONLY
Response		Respondent		Mode		Enum.	Eval.	Change	Office Use for POID
1-Comp 2-R Inac Office Hold 5-R – Est Inac – Est Off Hold – Est	9901	1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth	9902	PASI (Mail) PATI (Tel) PAPI (Face-to- Face) 6-Email 7-Fax 19-Other	9903	9998	9900	9985	9989 - -
								R. Unit	Optional Use
								9921	9907	9908	9906	9916
S/E Name