Version 3 National Agricultural Classification Survey

List Sampling Frame Survey

0140 - National Agricultural Classification Survey - Version 3

List Sampling Frame Survey

OMB: 0535-0140

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NATIONAL AGRICULTURAL CLASSIFICATION SURVEY
OMB No. 0535-0140
Approval Expires: 1/31/2020
Project Code: 649
Survey ID: 4043
Version: 3

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
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 number is . 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.

Your responses to the following items will help us determine your involvement in agriculture. We need your completed form even if you are not involved
in agricultural activity. Please complete your report by mail or via the internet at www.agcounts.usda.gov by May 6, 2019.

Acres Operated
Report land owned, rented, or used by you , your spouse, or by the partnership, corporation, or organization named on the
front of this form. Include all land, regardless of location or use - cropland, Conservation Reserve Program (CRP) and
Wetlands Reserve Program (WRP) land, pastureland, rangeland, woodland, idle land, farmsteads, etc.
Acres

1. Number of acres owned............................................................................................................... +

111

2. Number of acres rented or leased FROM others..........................................................................+

112

INCLUDE
· land worked by you on shares
· land used rent free in exchange for service, payment of taxes, etc.
· Federal, State, and railroad land leased on a per acre basis
· land rented or leased by you for cash

EXCLUDE
· land used on a per-head or animal
unit month (AUM) basis

3. Number of acres rented or leased TO others............................................................................... INCLUDE land
· worked on shares by others
· subleased
· rented or leased to others for cash
· used rent free in exchange for services, payment of taxes, etc.

EXCLUDE acres enrolled in:
· Conservation Reserve Program (CRP)
· Wetlands Reserve Program (WRP)
· Farmable Wetlands Program (FWP)
· Conservation Reserve Enhancement Program (CREP)
or acres rented or leased to others part of the year

4. Total acres operated: [Items 1 + 2 – 3]?....................................................................................=
If your total acres operated equals 0,
or you have NO agricultural activity:

113

900

1. Write a description of the land use above.
2. Complete the conclusion on the back page.
3. RETURN this form so that we can update our records.

-2Acres
220
5. Of the total acres operated (Item 4), how many acres are in permanent pasture, woodland
pasture, or rangeland?............................................................................................................................

Cropland
Acres

6. Of the total acres operated [Item 4], how many acres are in the Conservation Reserve
Program (CRP), Wetlands Reserve Program (WRP), Farmable Wetlands Program (FWP), or
200
Conservation Reserve Enhancement Program (CREP)?........................................................................
7. Of the total acres operated [Item 4], how many acres are considered cropland?
(Include planted cropland, land in hay, summer fallow, idle cropland, cropland used
300
for pasture, and cropland in government programs.)..............................................................................
8. Of the total cropland acres [Item 7], how many are used to produce:
a. Any hay or forage crops on this operation?
345
(Count each acre only once, regardless of the number of cuttings or different uses.)............................
b. Any fruit, berry, or nut crops on this operation?
400
(Exclude home garden, personal or home use crops.)............................................................................
c. Any vegetable or melon crops on this operation?
689
(Exclude potatoes, home garden, personal or home use crops.).............................................................
202

d. All other crops or idle cropland on this operation?..................................................................................
939

e. Any nursery, greenhouse, floriculture crops, or aquatic plants on this operation?.................... ☐

Yes

1

3

☐

No

Grain Storage
Bushels

9. What is the total storage capacity of all structures normally used to store
305
whole grains or oilseeds on the total acres operated?..........................................................................

Livestock, Poultry, Aquaculture and Bees
Report the largest number of the following livestock on hand at any one time, during the last 12 months.
(Include animals of any age, including newborns.)

Number

610

10. All cattle and calves, regardless of ownership?............................................................................................
615

a. Milk cows, including dry cows, regardless of ownership?.............................................................................
630

11. All hogs and pigs owned by this operation, regardless of location?.............................................................
640

12. All sheep and lambs owned by this operation, regardless of location?.........................................................
645

13. All goats and kids, regardless of ownership?...............................................................................................
675

14. All horses, ponies, mules, donkeys, or burros, regardless of ownership?....................................................

-315. Chickens: Report any chickens on the total acres operated during the past 12 months, regardless of ownership.
a. What was the total number of broilers, fryers, capons, roasters,
767
and other chickens being raised for meat production during the past 12 months?.......................................

Number

b. What was the largest number of layers, pullets, and roosters for laying flock at any one
892
time? (Exclude chickens reported in Item 15a.)............................................................................................
i.

If there were any layers, pullets, or roosters, what was the primary type of layer/pullet operation?
756

3
2

☐
☐

☐
4☐

Table Egg

1

Broiler Type Hatchery

Egg Type Hatchery
Pullets for Laying Flock
Number

16. Turkeys: During the past 12 months, how many total turkeys were raised on the total acres
770
operated, regardless of ownership?............................................................................................................
679
17. Aquaculture: During the past 12 months, did you or anyone else have any
aquaculture on this operation? (Exclude aquatic plants reported in Item 8e.).....................

1

☐

Yes

3

18. Bees: During the past 12 months, what was the largest number of colonies of bees
839
owned by this operation regardless of location?...........................................................................................

☐

No

Number

Production Contracts
19. Did this operation have a contract to raise or custom feed any livestock or poultry that it did not own,

with the contractor providing at least some inputs (such as feed) within the past 12 months?
1301

1

☐

Yes - Continue

3

☐

No - Go to Item 22

20. What livestock or poultry was raised under a production contract?

Specify:______________________________________________________________________

Number
1313

21. What quantity was removed from the operation under this contract in the past 12 months?...................
Labor

22. During the past 12 months, what was the largest number of hired agricultural workers, including
885
paid family members, on the payroll on any one day? (Exclude contract labor.).........................................

Number

Sales and Federal Farm Program Payments
23. Please indicate below which code best describes the total gross value of sales for 2018, including landlord’s share,
Federal Farm Program Payments, and value of product for all crops, livestock, and poultry produced under contract.
(Exclude cash rent received or share of crops received for land rented to others.)
(Include value from: field crops, hay, silage and forage crops, Christmas trees, short rotation woody crops, seed crops,
nursery, greenhouse, floriculture, sod, mushrooms, seeds, bulbs, vegetables, melons, fruits, nuts, berries, other crops,
maple syrup, hogs and pigs, cattle and calves, sheep and lambs, goats, poultry, horses, bees and honey, eggs, dairy
products, other animals, livestock and animal products, fish, and other aquaculture.)
201

2

☐ 'None' this year

3

☐ $1 - $999

4

☐ $1,000 - $2,499

5

☐ $2,500 - $4,999

6

☐ $5,000 - $9,999

7

☐ $10,000 - $24,999

8

☐ $25,000 - $49,999

9

☐ $50,000 - $99,999

10

☐ $100,000 - $149,999

11

☐ $150,000 - $249,999

14

☐ $500,000 - $999,999

15

☐ $1,000,000 - over

12

☐ $250,000 - $349,999

13

☐ $350,000 - $499,999

Location of Agricultural Activity for this Operation
24. In what county and state was the largest value of your agricultural products raised or produced?
Principal County Name
0055

State
0060

Operator
25. In the past 12 months, how many men and women were involved in decisions

for this operation? (Include family members and hired managers. Exclude
1571
hired workers unless they were a hired manager or family member.)...........................

Men

Women
1574

-426. Answer the following for up to four individuals who were involved in the decisions for this operation as of December 31, 2018.
Person 1

a. Full Name

1836

Sex

c.

What was the
person’s age on
December 31,
2018?

1925

d.

In what year did
the person begin
to operate any
part of THIS
operation?

1930

e.

Is this person of
Hispanic, Latino
or Spanish
origin?

1

☐ Male

2

☐ Female

1586

1

☐ Male

2

☐ Female

☐ Yes

3

2

☐ Male

1587

Mark one or more

1614

☐ Female

☐ Yes

3

2

☐ Female

years
1627

Hispanic, Latino
or Spanish origin

1598

☐ No

☐ Male

years
1595

1

1

1615

years

Hispanic, Latino
or Spanish origin

☐ No

1

1596

1584

1

1873

1597

1585

Hispanic, Latino
or Spanish origin

1927

Person 4

1872

years

Race
(Mark one or more)

Person 3

1852

1926

b.

f.

Person 2

Mark one or more

1

☐ Yes

3

Hispanic, Latino
or Spanish origin

☐ No

1622

Mark one or more

1

☐ Yes

3

☐ No

Mark one or more

2701

☐ White

1801

☐ White

1901

☐ White

1616

☐ White

2702

☐ Black or

1802

☐ Black or

1902

☐ Black or

1617

☐ Black or

2703

☐ American Indian
or Alaska Native

1803

☐ American Indian
or Alaska Native

1903

☐ American Indian
or Alaska Native

1618

☐ American Indian

1905

☐ Asian

1620

☐ Asian

1904

☐ or Other Pacific

1621

☐ or Other Pacific

African American

2705

☐ Asian

2704

☐ or Other Pacific

1805

☐ Asian

1804

☐ or Other Pacific

Native Hawaiian
Islander

African American

Native Hawaiian

African American

Native Hawaiian

Islander

African American
or Alaska Native

Native Hawaiian

Islander

Islander

Change of Operator
27. Has the operator named on the label sold, rented, or turned over this operation to someone else?
1086

1

☐

Yes - Continue

3

☐

No - Go to Item 29

28. Please provide the following information for the operation that has taken over the land.
1088

Operation Name

1090

Address

1091

City

1095

Phone

1089

Operator Name

State

1092

1094

Zip Code

Possible Duplication or Other Names
29. It is important that we do not have duplication on our list of farms and ranches. Is it possible the information on this
form would be reported by another operation or under another name?
1080

1

☐

Yes - please provide the name and address below

1081

Operation Name

1082

Address

1083

City

3

☐

1087

1084

State

No

Operator Name
1085

Zip Code

9912

9911

9910

MM

DD

YY

Completed by: _____________________________

Phone:(____)________________

Date:

__ __

__ __

__ __

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


File Typeapplication/pdf
AuthorPinto, Carol - NASS
File Modified2018-11-09
File Created2018-11-09

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