QID Telephone Quality Control Form

Project Code 124 QC – 0089a

Survey ID: 2824

OMB No. 0535-0213 Approval Expires 10/31/2022

TELEPHONE QUALITY CONTROL WORKSHEET For June Agricultural Survey (Area Frame Samples)

NATIONAL AGRICULTURAL STATISTICS SERVICE

Year: ______

State: ________________________________		Farm, Ranch, or Operation Name: ____________________________________
Segment: ____________________________		Operator’s name: ____________________________________
Tract: ________________________________		Address: __________________________________________
Enumerator: __________________________		____________________________________________
Interview Date: ________________________		Telephone: ________________________________________
Survey Respondent: ______________________________				Operator Spouse Acct/Bkpr Other
Current Respondent: ______________________________				Operator Spouse Acct/Bkpr Other
Good (Morning/Afternoon/Evening):
I am __________________________ with the USDA National Agricultural Statistics Service. Recently you should have been contacted by one of our representatives, Mr./Ms. __________________, to obtain agricultural information about your operation. This short call is part of our quality control measures to verify that contact was actually made with you for that purpose. Your response is voluntary and not required by law, but your cooperation is appreciated. Will you help me by answering a few brief questions about the recent 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 National Agricultural Statistics Service, or USDA, interview you to obtain information about your operation?

Yes - [Go to item 3]

DK or Don't Remember - [Conclude interview]

No - [Conclude interview]

(Continue on Back)

3.
a. Did the enumerator ask you to identify or verify land you operate on a map and account for the current land usage(s)?
Yes - [Continue] DK or Don't Remember - [Go to item 4] No - [Go to item 4]
b. Was the land area identified on the map operated by one individual, a hired manager, or a partnership?
Reported	Verified
□	□	One individual
□	□	A hired manager
□	□	Partners
4. Approximately how long did the interview take?_______________Minutes

5. Did Mr./Ms.	______________________	conduct the interview in a knowledgeable and professional manner?
Yes No – [Explain]______________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
6. 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:________________________________