QID National Agricultural Classification Survey - Version 2

List Sampling Frame Survey

0140 - NACS - American Indian Version_121820

List Sampling Frame Survey

OMB: 0535-0140

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NATIONAL AGRICULTURAL CLASSIFICATION SURVEY
OMB No. 0535-0140
Approval Expires: 5/31/2022
Project Code: 649
Survey ID: 2994 Version: 2

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 0535-0140. 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.

In the past 12 months…
·

·

Did you raise or sell any livestock (including cattle,
hogs, sheep, goats, equine, poultry, bees, aquaculture,
etc.)?................................................................................
Did you operate cropland, pastureland, or other land
with agricultural activity? (Exclude personal or home
use gardens.)...................................................................

·

Do you have any land with potential for agricultural
activity?............................................................................

·

Did you receive any Federal or state agricultural
payments? (Include Federal Farm Program, CRP,
WRP, FWP, and CREP payments.)..................................

003

198

199

004

1

☐

Yes

3

☐

No

1

☐

Yes

3

☐

No

1

☐

Yes

3

☐

No

1

☐

Yes

3

☐

No

If you
answered
No to ALL
questions,
complete the
Conclusion
section on the
back page
and return
this form.

If you answered Yes to ANY question above, continue on next page.
To avoid further contacts, please complete and return this form
by mail or via the internet at www.agcounts.usda.gov by May 3, 2021.

-2Acres Operated and Land Usage
Include land under permits, the farmstead, and all cropland.
1. How many acres are:
a. Operated under a PERMIT on federal trust lands or tribal lands on an American Indian
Reservation. (Include grazing permits and land use or farm permits, homesite leases,
+
and other permit arrangements.)...................................................................................................
+
b. Owned?........................................................................................................................................
c. Rented or leased from others, or used rent free?
+
(Exclude land used on an animal unit month (AUM) basis.).........................................................
d. Rented or leased to others?.........................................................................................................

2. Total acres operated: [Items 1a + 1b + 1c – 1d]?.......................................................................

Acres
xxx

111

112

113

900

=

3. Of the total acres operated [Item 2], 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.)..............................................................................
4. Of the total cropland acres [Item 3], how many are used to produce:
xxx

a. Traditional or Indian corn?.......................................................................................................................
345
b. Any hay or forage crops?
(Count each acre only once, regardless of the number of cuttings or different uses.)............................
400
c. Any fruit, berry, or nut crops?
(Exclude home garden, personal or home use crops.)............................................................................
689
d. Any vegetable or melon crops?
(Exclude potatoes, home garden, personal or home use crops.)............................................................
202

e. All other crops or idle cropland?..............................................................................................................
939

f.

1

Any nursery, greenhouse, floriculture crops, or aquatic plants?...................................................

☐

Yes

3

☐

Livestock, Poultry, and Bees
5. During the past 12 months, what was the largest number of the following livestock on hand at
any one time? (Include animals of any age, including newborns.)

Number
610

a. All cattle and calves, regardless of ownership?............................................................................................
630

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

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

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

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

No

-36. Chickens: Report any chickens on the total acres operated during the past 12 months, regardless of ownership.
Number

a. What was the total number of broilers, fryers, capons, roasters,

767

b. What was the largest number of layers, pullets, and roosters for laying flock at any one time?

892

and other chickens being raised for meat production during the past 12 months?...............................................
(Exclude chickens reported in Item 6a.)................................................................................................................

i.

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

3

☐

Table Egg

1

☐

Egg Type Hatchery

2

☐

Broiler Type Hatchery

4

☐

Pullets for Laying Flock
Number

7. Turkeys: During the past 12 months, how many total turkeys were raised on the total acres
770
operated, regardless of ownership?............................................................................................................
Number

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

9. 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 and retail workers.)............
Sales and Federal Farm Program Payments
10. Please indicate below which code best describes the total gross value of sales for 2020, 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 and over

12

☐ $250,000 - $349,999

13

☐ $350,000 - $499,999

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

State
0060

Operator
12. In the past 12 months, how many men and women were involved in decisions
1571
for this operation? (Include family members and hired managers. Exclude hired
workers unless they were a hired manager or family member.)....................................

Men

Women
1574

-413. Answer the following for up to four individuals who were involved in the decisions for this operation as of December 31, 2020.
Person 1

Person 2

1836

a.

Full Name

b.

Sex

c.

Age on Dec 31,
2020

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?

1926

1852
1 ☐ Male 2 ☐ Female

1586

Race
(Mark one or more)

1597

1 ☐ Male 2 ☐ Female

1596

1584

Hispanic, Latino
or Spanish origin
1587

1 ☐ Male 2 ☐ Female

1615

1595

1 ☐ Yes

1614

years

Hispanic, Latino
or Spanish origin

3 ☐ No

1873

years

Mark one or more

f.

1 ☐ Male 2 ☐ Female

1585

1 ☐ Yes

Person 4

1872

years

1927

Person 3

years
1627

Hispanic, Latino
or Spanish origin

3 ☐ No

1598

Mark one or more

1 ☐ Yes

Hispanic, Latino
or Spanish origin

3 ☐ No

1 ☐ Yes

1622

Mark one or more

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

1803

☐ American Indian

1903

☐ American Indian

1618

☐ American Indian

African American
or Alaska Native,
Specify tribe:

African American
or Alaska Native,
Specify tribe:

2733 __________________ 1833 __________________

African American
or Alaska Native,
Specify tribe:

1933 __________________

African American
or Alaska Native,
Specify tribe:

1619 __________________

If Navajo, specify chapter:

If Navajo, specify chapter:

If Navajo, specify chapter:

If Navajo, specify chapter:

xxxx __________________

xxxx __________________

xxxx __________________

xxxx __________________

2705
2704

☐ Asian
☐ Native Hawaiian
or Other Pacific
Islander

1805
1804

☐ Asian
☐ Native Hawaiian

1905
1904

or Other Pacific
Islander

☐ Asian
☐ Native Hawaiian

1620
1621

or Other Pacific
Islander

☐ Asian
☐ Native Hawaiian
or Other Pacific
Islander

Conclusion
14. Has the operator named on the label sold, rented, or turned over this operation to someone else?
1086 1

Yes - Please provide information for the operation that has taken over the land

Operation Name

3

No - Go to Item 15

Operator Name

Address
City

State

Phone ( ____ ) _______________

Zip Code

check if
cell phone

15. 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 information for the other operation or name

Operation Name

3

No

Operator Name

Address
City

State

Phone ( ____ ) _______________

Zip Code

check if
cell phone

Respondent Name:

Date:

9912

9910

MM
__ __

DD
__ __

Respondent Email:

Respondent Phone:

1095

9911

Operation Email (if different from above):

Operation Phone (if different from above):

9937

9936

( ____ ) _______________

( ____ ) _______________

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

YY
__ __

check if
cell phone

check if
cell phone


File Typeapplication/pdf
AuthorPinto, Carol - NASS
File Modified2020-12-18
File Created2020-12-18

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