QID Agricultural Coverage Evaluation Survey (ACES) - HI

Agricultural Surveys Program

0213 - Agricultural Coverage Evaluation Survey (ACES) - HI

OMB: 0535-0213

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2022 AGRICULTURAL COVERAGE EVALUATION SURVEY
OMB No. 0535-0213
Approval Expires: 10/31/2022
Project Code: 124
Survey ID: 3339

United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS - Hawaii
Pacific Region
650 Capitol Mall, #6-100
Sacramento, CA 95814
Phone: 1-800-851-1127
Fax: 1-855-270-2722
Email: [email protected]

Please make corrections to name, address and ZIP Code, if necessary.

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 control number is 0535-0213. The time required to complete this information
collection is estimated to average 20 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.

Segment Number:___________________ Tract letter:_______ County:__________
State

Stratum

__ __

__ __ __ __

Segment

Tract

000__ __ __ __ __ __

__ __ 00

OFFICE USE – CHANGE BOX
Change = 1
No Change = 3

OFFICE USE
STATE FIPS

OFFICE USE
POID

9971

9970
___ ___

Name of
Farm, Ranch,
or Operation: ___________________________________________
Name of Operator:_______________________________________
(Middle)

(Last)

Mailing Address:________________________________________
(Route or street)

______________________________________________________
(City)

(State)

(ZIP Code)

Phone: (________)______________________________________
(Area Code)

___ ___ ___– ___ ___ ___– ___ ___ ___

□ [VERIFY LABEL IF PRESENT]

1. I need to make sure we have your (the operator's)
correct name, mailing address and phone number.

(First)

785

2

SECTION A - OPERATION DESCRIPTION
1. On June 1, were the day-to-day decisions for this tract of land made by an individual operator, by
partners, or by a hired manager? [Check one]
□ Individual
□ Partners
□ A hired manager

Code

- [Enter 1]
- [Enter number of partners, including operator.]
- [Enter 8]

9921

[If code is 1 or 8, go to Item 4]

[Landlord - tenant arrangements are not considered partnerships. If tract is operated by partners, continue.]
2. Do the partners share equally in day-to-day decisions?
□ Yes - (Consider the oldest partner the operator.)
□ No - (The partner who makes most of the day-to-day decisions is the operator.)
[Operator shown on Face Page must be the partner making the most day-to-day decisions, or the oldest partner.
Make corrections if necessary.]
3. Now I need to identify by name, mailing address and phone number for the other partner(s) in this operation.
[Verify partners' names and make necessary corrections if names have already been entered.]
Name _________________________________________________________
(First)

(Middle)

(Last)

Mailing Address_________________________________________________
(Route or Street)
________________________________ (_______)_____________________
(City)

(State)

(ZIP Code)

(Phone)

OFFICE USE
STATE

POID

9973
___ ___

9972
___ ___ ___ - ___ ___ ___ - ___ ___ ___

Name_________________________________________________________
(First)

(Middle)

(Last)

Mailing Address_________________________________________________
(Route or Street)
________________________________ (_______)_____________________
(City)

(State)

(ZIP Code)

(Phone)

OFFICE USE
STATE

POID

9975
___ ___

9974
___ ___ ___ - ___ ___ ___ - ___ ___ ___

Name_________________________________________________________
(First)

(Middle)

(Last)

Mailing Address_________________________________________________
(Route or Street)
________________________________ (_______)_____________________
(City)

(State)

(ZIP Code)

(Phone)

OFFICE USE
STATE

POID

9977
___ ___

9976
___ ___ ___ - ___ ___ ___ - ___ ___ ___

Name_________________________________________________________
(First)

(Middle)

(Last)

Mailing Address_________________________________________________
(Route or Street)
________________________________ (_______)_____________________
(City)

(State)

(ZIP Code)

(Phone)

OFFICE USE
STATE

POID

9979
___ ___

9978
___ ___ ___ - ___ ___ ___ - ___ ___ ___

3

SECTION A - OPERATION DESCRIPTION (continued)
4. During the past two years, has the operator received mail for this operation at any address other than the one shown on
the Face Page?
Code

□ Yes - [Enter code 1 and continue.]...........................................................................................................

991

Name: _______________________________________________
Address: _____________________________________________
City: ________________________ State: ______ ZIP: ________
a. Please provide the other address: .......................................
Phone: (_______) - ________________________
5. Excluding partners and landlords, were any other names associated with this operation in the past year?
(For example, other business names, spouse's name, etc.)
Code

□ Yes - [Enter code 1 and continue.]...........................................................................................................

992

Name: _______________________________________________
Address: _____________________________________________
City: ________________________ State: ______ ZIP: ________
b. Please provide the other name: .....................................
Phone: (_______) - ________________________

4

SECTION D- LAND USE IN TRACT
Acres
840

1. How many acres are inside this blue tract boundary drawn on the photo (map)?..........................................
2. Is there an occupied farmstead or dwelling inside the blue tract boundary?

□ Yes - How many acres does this farmstead occupy?..............................................................................

843

□ No - [Go to Section E]
SECTION E - TOTAL ACRES OPERATED AND LAND USE
1. Now I would like to ask about the total acres operated under this land arrangement. Include the farmstead, all
cropland, woodland, pastureland, wasteland, and government program land.
Acres
901

a. On June 1, how many acres did this operation own?............................................................................
+

.

902
b. Rent or Lease from Others, or use Rent Free? (Exclude Federal, State and other types of land
+
rented or leased on an AUM basis, BLM and Forest Service.)...............................................................

.

i.

Are any of these acres operated on a cash rent per acre basis?

□ Yes = 1

□ No = 3 ...............................................

Code
903
Acres
905

Rent or Lease to Others?......................................................................................................................

.

900
d. [Total of items 1a + 1b - 1c]
Then the total acres operated on June 1 was....................................................................................
=

.

c.

e. Does this include the farmstead, all cropland, woodland, pastureland, wasteland, and government
program land?

□ Yes - [Continue.]
1.

□ No - [Make corrections, then continue.]

On June 1, 2022, did this operation pay on a per-head or animal unit month
(AUM) basis for livestock to graze on any land (private, Federal, State, Indian Reservation, etc.)?
Code

□ Yes - [Enter code 1 and continue.]

□ No - [Enter code 3, then go to item 4.]........

906

Acres

2. How many acres did this operation use on a fee-per-head or animal unit month (AUM) basis? (Include 904
private, Federal, State, railroad, Public School District or Indian Reservation Land.).................................
3.

.

Enumerator Action - Compare total acres operated and total tract acres in Section D. If total acres operated are:

□ Less than Tract Acres?..............
□ Equal to Tract Acres?................
□ More than Tract Acres?.............

Make corrections to tract or total acres.
Verify tract and total acreage. Make corrections if needed.
Continue. No action needed.

4. Of the total acres operated, how many acres are considered cropland, including land in hay, summer
fallow, idle cropland, cropland used for pasture and cropland in government programs?
802
(Including land in the Conservation Reserve Program (CRP) and in the Wetland Reserve Program
(WRP))............................................................................................................................................................
911
5. Of the total acres operated, how many acres are in the Conservation Reserve Program (CRP) or in
the Wetland Reserve Program (WRP)?.........................................................................................................

Acres

.
.

5

SECTION N - ECONOMIC DATA ON ENTIRE OPERATION
1. Please classify the operation in terms of the gross value of sales and government agricultural payments in 2021.
[ENUMERATOR ACTION: Show respondent the Sales Card.]
INCLUDE
·

sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in 2021.

·

the value of hay, silage, and other crops harvested, but not sold.

·

the value of all crops, livestock, and poultry produced under contract in 2021.

·

landlord's share of government payments and crops sold in 2021.

EXCLUDE dollars received on land rented to others.
Total Value

Code

$

0 ----- $

999 …..

1

☐

$

1,000 ----- $

9,999 …..

2

☐

$

10,000 ----- $

49,999 …..

3

☐

$

50,000 ----- $

99,999 …..

4

☐

$

100,000 ----- $

249,999 …..

5

☐

$

250,000 ----- $

499,999 …..

6

☐

$

500,000 ----- $

999,999 …..

7

☐

$ 1,000,000 ----- $ 4,999,999 …..

8

☐

$ 5,000,000 and over ...................

9

☐

Code
860

[Enter Sales Code in Box 860]

2. [ENUMERATOR ACTION]
Is the 2021 gross value of sales and government agricultural payments for this operation less than $1,000?

☐
☐

Yes - [Go to Point Recording Sheet, on next page.]
No - [Go to item 3, page xx.]

6

SECTION N - ECONOMIC DATA ON ENTIRE OPERATION (continued)
POINT RECORDING SHEET
ENUMERATOR ACTION: Record all 2022 crops, land uses, and livestock or poultry now on the total acres
operated, then go to item 3.
Cropland

Acres
022

Cover Crop................................ 023

Abandoned Crops.....................
CRP/WRP..................................

Hay
.

Alfalfa...............................

.

Grain................................ 058

Section E

Other................................ 059

025

.

Summer Fallow......................... 026

.

Idle Cropland.............................
___________________ .........

Acres
057

027

.

Woodland Crops
Cut Christmas Trees....

060

Maple (Number of Taps)

076

Whole Dollars

_______________ ........

.

Cantaloupes...........................

.

.

Cucumbers............................. 297

.

.

Lima Beans............................ 298

.

Peas (green)...........................

299

.

Pumpkins................................ 301

.

302

.

.

Snap Beans............................

303

.

079

.

CRP/WRP Payments................ 028
Pasture/Rangeland

Sweet Corn.............................

Indoor Nursery
Acres

Mushrooms......................

.
304

.

............... 305

.

Tomatoes................................
_____________

Other Gov't Payments............... 029

Acres
296

Acres

078
Short Rotation Woody
Crops................................

Government Payments

Vegetables/Melons

Square Feet
134

Livestock

Number

030
Cropland used only for
Pasture......................................

135

306

.

Permanent Pasture................... 031

.

Bison...................................... 307

Woodland Pasture.................... 032

.

Cattle: Milk Cows.................... 468

_______________ ........

Honey Bees (colonies)...........

Outdoor Nursery

Cattle: All Other...................... 469

Acres
136

Field Crops Intended
for Harvest

Acres

310

_______________ ........

.

Chicken/Broilers.....................

Barley........................................ 033

.

Deer........................................ 311

Corn.......................................... 034

.

Ducks..................................... 312

035

.

Dry Beans................................. 036

Cotton.......................................

Fruits/Nuts

Elk.......................................... 313

Acres

.

Almonds........................... 137

.

Emus...................................... 314

037

.

Apples..............................

154

.

Geese..................................... 331

Flaxseed................................... 038

.

Cherries............................ 155

.

Goats......................................

Section J

Lentils.......................................

039

.

Grapefruit......................... 156

.

Hogs.......................................

Section G

Oats..........................................

040

.

Grapes.............................

157

.

Horses/Ponies........................

Section K

Peanuts..................................... 041

.

Olives............................... 158

.

Alpacas/Llamas...................... 335

Peas, Dry Edible....................... 042

.

Oranges........................... 200

.

Mink........................................ 748

Potatoes.................................... 043

.

Peaches........................... 201

.

Mules/Donkeys/Burros...........

Rice........................................... 044

.

Pears................................ 202

.

Ostriches................................ 750

045

.

Pecans.............................

203

.

Quail....................................... 751

Sorghum.................................... 046

.

_______________ ........ 204

.

Rabbits................................... 752

047

.

Sheep.....................................

Sugarbeets................................ 048

.

Turkeys................................... 754

Sugarcane................................. 049

.

052

.

Blueberries.......................

205

.

Sweet Potatoes/Yams............... 053

.

Cranberries...................... 206

.

Acres of ponds in use............. 756

054

.

Raspberries......................

210

.

Fish (number).........................

757

Wheat........................................ 055

.

Strawberries..................... 293

.

Fish (pounds)......................... 758

___________________ .......... 056

.

_______________ ........ 294

.

Trout Eggs.............................. 759

Dry Southern Peas (Cowpeas).

Rye............................................
Soybeans..................................

Sunflowers.................................
Tobacco.....................................

Berries

Section K

Section I

_________________ .......... 755

Acres

Aquaculture

_________________

Number

......... 760

.

7

SECTION N - ECONOMIC DATA ON ENTIRE OPERATION (continued)
TYPE OF FARM
3. [Refer to Sales Card] Of the farm or ranch income reported, which of these categories represents
the largest portion of the gross income from the operation?
[If no income reported in 2019, which category best describes the type of operation.]
1–

Code
Grains, Oilseeds, Dry Beans, and Dry Peas .................................................................... 1 □
(corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, straw, etc.)

3–

Tobacco .............................................................................................................................. 2 □
Cotton and Cottonseed ..................................................................................................... 3 □

4–

Vegetables, Melons, Potatoes and Sweet Potatoes ........................................................ 4 □

2–

(beets, cabbage, cantaloupes, pumpkins, sweet corn,
tomatoes, watermelons, vegetable seeds, etc.)

5–

Fruit, Tree Nuts and Berries .............................................................................................. 5 □
(almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,
oranges, pears, pecans, strawberries, walnuts, etc.)

6–

Nursery, Greenhouse, Floriculture and Sod .................................................................... 6 □
(bedding plants, bulbs, cut flowers, flower seeds, foliage plants,
mushrooms, nursery potted plants, shrubbery, sod, etc.)

7–

Cut Christmas Trees and Short Rotation Woody Crops ................................................. 7 □

8–

Other Crops and Hay, CRP and Pasture .......................................................................... 8 □
(grass seed, hay and grass silage, hops, maple syrup, mint,
peanuts, sugarcane, sugarbeets, CRP, etc.)

Hogs and Pigs .................................................................................................................... 9 □
10 – Milk and Other Dairy Products (from cows) ......................................................................10 □
9–

11 – Cattle and Calves ............................................................................................................... 11 □
(beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals,
stockers and feeders, veal calves, etc.)

12 – Sheep, Goats, and their Products .................................................................................... 12 □
(wool, mohair, milk and cheese)

13 – Horses, Ponies, and Mules ............................................................................................... 13 □
(burros and donkeys)

14 – Poultry and Eggs ............................................................................................................... 14 □
(broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings,
ostriches, pigeons, pheasants, quail, poultry products, etc.)

15 – Aquaculture ........................................................................................................................15 □
(catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.)

16 – Other Animals and Other Animal Products .....................................................................16 □
(honey bees, honey, rabbits, fur-bearing animals, semen, manure,
other animal specialties, etc.)

Code
862

8

SECTION P - PRODUCER CHARACTERISTICS
Men

Women

xxx

1. In 2021, how many men and women were involved in decisions for this operations?

xxx

INCLUDE family members and hired managers.
EXCLUDE hired workers unless they were a hired manager or family member.
2. Answer the following questions for up to four individuals who were involved in the decisions for this operation as of
December 31, 2021.
Person 1
xxx

Person 2

a.

Full name.............................................................................

b.

Is this person
xxx
xxx
completing this
1
3
1
Yes
No
□
□
□ Yes
form?...................................................................................

c.
d.

e.

f.

xxx
1

xxx
1

2

□ Male
□ Female □ Male
Sex......................................................................................

xxx
xxx
Is this person of
Hispanic, Latino, or
1
1
□ Yes 3□ No
□ Yes
Spanish origin?....................................................................

xxxx
xxxx
xxxx

2

□ Female

3. Is this person a Principal

xxx

Operator or Senior
1
Partner?................................ □ Yes

3

□ No

xxx
1

□ Male

2

□ Female

age
xxx
3

xxxx

□ Yes

S/E Name

1

□ No

□ Yes

□ White
□ Black or African

xxxx
xxxx

xxxx

□ American Indian

xxxx

3

□ No

American

□ American Indian

xxxx

or Alaska
Native.
Specify Tribe:

or Alaska
Native.
Specify Tribe:
xxxx

□ Asian
□ Native Hawaiian

xxxx
xxxx

□ Asian
□ Native Hawaiian

xxxx
xxxx

or Other Pacific
Islander

or Other Pacific
Islander
xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

□ Yes

□ Female

□ White
□ Black or African

xxxx

American

or Other Pacific
Islander

1

2

age

3

3

□ No

1

□ Yes

OFFICE USE
Mode
Enum.
3-Face-to-Face 9903
9998

□ Yes

3

MM

DD

YY

__ __

__ __

__ __

□ No

9910

Eval.
9900

1

3

Respondent Name: _____________________________ Phone: (_____) ___________ Date:
Respondent
1-Op/Mgr
9902
2-Spouse
3-Acct/Bkpr
4-Partner
9-Other

□ Male

xxx
1

□ No

□ Asian
□ Native Hawaiian

xxx
1

□ No

age

xxxx

xxxx

3

□ Yes

□ No

xxx

9911

Response
1-Comp
9901
5-R – Est
6-Inac – Est

1

3

□ Yes

xxx

In what year did this
person begin to
xxx
xxx
operate any part of
this operation?.....................................................................
In what year did this xxx
person begin to
operate any farm
operation?............................

1

□ No

xxxx

□ Asian
□ Native Hawaiian

xxx

or Alaska
Native.
Specify Tribe:

or Other Pacific
Islander

h.

3

□ American Indian

xxxx

or Alaska
Native.
Specify Tribe:

xxx

xxx

xxxx □ White
xxxx □ White
Race....................................................................................
xxxx □ Black or African xxxx □ Black or African
American
American

□ American Indian

Person 4

xxx

xxx
xxx
What was this
person's age on
December 31,
age
2021?...................................................................................

xxxx

g.

Person 3

xxx

9907

Optional Use
9908
9906

□ No

9916


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AuthorFayorsey, Quonda - NASS
File Modified2020-04-14
File Created2020-04-08

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