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0218 - Quality Control - ARMS III

ICR 202204-0535-003 · OMB 0535-0218 · Object 120686101.

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0218 - Quality Control - ARMS III
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2018-05-07
2026-09-04
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NATIONAL AGRICULTURAL STATISTICS
SERVICE
QUALITY CONTROL WORKSHEET
ARMS III
Form Approved
OMB Number 0535-0218
Approval Expires xx/xx/xxxx
Project code 904

U.S. Department of Agriculture
Rm 5829, South Building
1400 Independence Avenue, S.W.
Washington, D.C.  20250-2000
1-800-727-9540
Fax:  202-690-2090
E-mail: [email protected]



State:  _________________________________________________

Farm, Ranch, or
Operation Name:  __________________________________________
Version:

Operator’s name:  _________________________________________
ID/POID:  ______________________________________________

Address:  __________________________________________________
Enumerator:  ___________________________________________

		   __________________________________________________



Interview Date & Time:  ________________________________

Telephone:  _______________________________________________
Survey Respondent:  ___________________________________

 Operation Mgr/    Spouse    Accountant/    Other
	Partner							Bookkeeper
Current Respondent:  __________________________________

 Operation Mgr/    Spouse    Accountant/    Other
	Partner							Bookkeeper





















INTRODUCTION:
[Introduce yourself, and ask for the survey respondent.  Rephrase in your own words.]

Recently you should have been contacted by one of our interviewers, Mr./Ms.						,
for the Agricultural Resource Management Survey.  This telephone call is part of our survey quality assurance measures to verify that personal contact was actually made with you for that purpose.  Your response is voluntary and not required by law, but your cooperation will be appreciated.  Facts about your farm/ranch will be kept confidential.





















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.]
   NO - [Go to item 2.]
   DON'T REMEMBER - [Go to item 2.]
2.	During the past few days, did any other person from the 						 Agricultural Statistics Service, NASS, or USDA, interview you to obtain information about your farm or ranch?
   YES - [Go to item 3.]
   NO - [Conclude interview.]
   DON'T REMEMBER - [Conclude interview.]
3.	Did the person conducting the interview ask you to verify the spelling of your name, address
	and the operation name?
   YES
   NO
   DON'T REMEMBER
[Continue on back.]



4. 	Now I need to verify farm operation items that are critical to our survey procedures.

Reported
Verified

a. 	Total Land Operated (Section 1, item 4)

_______________________


_______________________


b. 	Did this operation have marketing contracts for any commodities delivered in 20XX?
	(A marketing contract is a verbal or written agreement reached before harvest of a crop or before completion of a livestock
	production stage, setting a price or pricing formula and market for the commodity.)
	 YES
	 NO
c. 	Did this operation have production contracts for any commodities it produced in 20XX?
	(A production contract is a verbal or written agreement setting terms, conditions, and fees to be paid by the contractor to the operation
	for the production of crops, livestock, or poultry.  The contractor usually owns the commodity and often provides inputs.)
	 YES
	 NO
d. 	Was debt used in funding the operation of this farm/ranch in 20XX, including any loans obtained in earlier years?  (Include seasonal production and other loans taken and repaid during 20XX.)
	 YES
	 NO
e. 	Did you use hired labor (either for wages, contract, or custom) in 20XX?
	 YES
	 NO




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:____________________________________________________