QID Farm Producer Study - Version 4

2022 Census of Agriculture - Substantive Change Request

0226 - 2021 Farm Producer Study (Version 4)

Pilot Study for SOGI and Disability

OMB: 0535-0226

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2021 FARM PRODUCER STUDY
OMB No. 0535-0226
Approval Expires: XX/XX/20XX
Project Code: 537
Survey ID: 9051 Version: 4

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 pers on 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 and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 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 0535-0226. 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.

Acreage in 2021
Include the farmstead, all cropland, ponds, woodland, pastureland, wasteland, and land that is in government programs.
1.

In 2021, how many acres are:

Mark “X”
if None

☐
a. Owned? ......................................................................................................................................

Acres
0043

b. Rented or leased from others, or used rent free?
0044
☐
(Exclude land used on an animal unit month (AUM) basis.) ........................................................
c.

☐
Rented or leased to others? .......................................................................................................

2. Total acres operated in 2021: [Items 1a + 1b – 1c]? .................................................................

0045

0046

-23. Please classify this operation in terms of the gross value of sales and government agricultural payments in 2021.
INCLUDE:
• sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in 2021
• value of hay, silage, and other crops harvested in 2021, but not sold
• 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.
0201
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

4. Which of these categories represents the largest portion of the total gross value of sales in 2021 for this operation?
0862
1

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

2

Tobacco

3

Cotton and Cottonseed

4

Vegetables, Melons, Potatoes, and Sweet Potatoes
(beets, cabbage, cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable seeds, etc.)

5

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

6

Nursery, Greenhouse, Floriculture, and Sod
(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

8

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

9

Hogs and Pigs

10

Milk and Other Dairy Products (from cows)

11

Cattle and Calves

12

Sheep, Goats, and their Products
(wool, mohair, milk, cheese, etc.)

13

Horses, Ponies, Mules, Burros, and Donkeys

14

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

15

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

16

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

-3Personal Characteristics
5.

In 2021, how many people were involved in decisions for this operation?
(Include family members and hired managers. Exclude hired workers unless they were
a hired manager or family member.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number
xxxx

6. The following questions should be answered by a person involved in decisions for this operation.
a. What was your age on December 31, 2021? ........................................................................................
b. Are you of Hispanic, Latino, or Spanish origin?
xxxx

1

Yes

3

No

c. What is your race? Select all that apply.
xxxx

White

xxxx

Black or African American

xxxx

American Indian or Alaska Native
xxxx

Specify tribe:
xxxx

Asian

xxxx

Native Hawaiian or Other Pacific Islander

d. How do you currently describe yourself?
xxxx

Male

xxxx

Female

xxxx

Transgender

xxxx

None of these, specify: xxxx

e. Was your sex recorded as male or female at birth?
xxxx

f.

1

Male

2

Female

Which of the following best represents how you think of yourself?
xxxx

Gay or lesbian

xxxx

Straight, that is, not gay or lesbian

xxxx

Bisexual

xxxx

None of these, specify: xxxx

xxxx

I am not sure yet

xxxx

I don’t know what this question means

xxxx

-4g. Have you ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard ? Select one.
xxxx

1

Never served in the military

2

Only on active duty for training in the Reserves or National Guard

3

Now on active duty

4

On active duty in the past, but not now

h. What is the highest level of formal education you have achieved? Select one.
xxxx

i.

Less than high school diploma

2

High school

3

Some college (Include associates degree)

4

Four-year college graduate or beyond

Do you have difficulty seeing, even if wearing glasses?
xxxx

j.

1

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all

3

A lot of difficulty

4

Cannot do at all

3

A lot of difficulty

4

Cannot do at all

3

A lot of difficulty

4

Cannot do at all

4

Cannot do at all

4

Cannot do at all

Do you have difficulty hearing, even if using a hearing aid?
xxxx

1

No difficulty

2

Some difficulty

k. Do you have difficulty walking or climbing steps?
xxxx

l.

1

No difficulty

2

Some difficulty

Do you have difficulty remembering or concentrating?
xxxx

1

No difficulty

2

Some difficulty

m. Do you have difficulty with self-care, for example, washing all over or dressing?
xxxx

1

No difficulty

2

Some difficulty

3

A lot of difficulty

n. Using your usual (customary) language, do you have difficulty communicating, for example,
understanding or being understood?
xxxx

1

No difficulty

2

Some difficulty

3

A lot of difficulty

Respondent Name:

Date:

9912

9910

Respondent Email:

Respondent Phone:

1095

9911

MM
__ __

( ____ ) _______________

DD
__ __

check if
cell phone

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


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