Survey ID: 1302 Form A Cotton Yield Survey

FORM A COTTON YIELD SURVEY - 2022

OMB No.: 0535-0088
Approval Expires: xx/xx/20xx
Project Code: 108
Survey ID: 1302

United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

Please make corrections to name, address and ZIP Code, if necessary.

Date:

The information you provide will be used for statistical purposes only. Your response 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 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 to this survey 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 0535-0088. The time required to complete this information collection is
estimated to average 20 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.

Earlier this season you gave a representative from our office information about the cotton acreage on your
farming operation. We are now collecting information to help determine cotton production in (Your State) and the
United States.

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JUNE PLANTED
ACRES

Earlier this season, the number of upland cotton acres you planted or intended to plant for all purposes on
all the land you operate in the tract was:..........................................................................................................

._____
DO NOT CHANGE

1. Now I want to update this upland cotton acreage information. What is the current
number of upland cotton acres you planted for all purposes on all the land you
operate in the tract?
2. What are the total acres of upland cotton for harvest on all the land you operate in the
tract?
(If total equals zero, end interview.)

114

._____

ACRES
102
ACRES

._____

Now, I need to identify one (or more) of your upland cotton field(s) and get their acreage.
Notes:
· For the Sample Field(s) in the tract, complete Table A for the cotton field(s) based off the cardinal
directions indicated on the label (e.g., northern most field)

Table A
SAMPLE
NUMBER
and
DIRECTION

TOTAL
ACRES
in FIELD

1

2

Acres in USE or CROPS OTHER THAN UPLAND
COTTON.
(For example: skip rows, ditches, roads, abandonment, etc.)

USE

ACRES

3

4

LOCATION DESCRIPTION/
INTERSECTION OF FIELD
(E.g., landmarks, features, street intersections)
5

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

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FORM A: UPLAND COTTON - Continued

All questions below apply to this SAMPLE.
3. For the Sample Field, subtract Column 4 from Column 2 for the total acres of upland
cotton for harvest. Report these acres here...........................................................................
ACRES

103

._____

4. What was the seeding rate used PER ACRE in planting this field?
(Include seed used for replanting this field)
Pounds per acre?
109

._____

Seeds per acre?

OR

108

1
2
3
4

5. What type of seed was planted? .................

6. Has this field been (or will it be) irrigated?

1

☐

Fuzzy (non-delinted)
Mechanical delinted
Acid delinted
Don't know

Yes

3

☐

No

110

2

........................

CODE

☐

CODE

Don't Know

105

7. With your permission I will go out to the field and mark off two small plots to be used in making plant and fruit
counts. I will return to the plots each month until harvest to make counts and measurements, and harvest and
weigh a few bolls. Would that be all right?
Yes - Continue (Inform respondent what day/approximate time you intend mark off two small plots to
be used in making plant and fruit counts)
No - Conclude interview, enter data in to CAPI, and return all Forms.

8. Have you or will you apply pesticides with organophosphorus content to the sample field?
Yes

No

Don't Know

If YES, enter latest application date __________________ and name of pesticide
_______________________
9. May the cotton I pick be removed from the field and not returned?
Yes
No - where should I leave the cotton picked from the plots? ________________________________
NOTE: If this is a gleanings sample, tell the operator,
"After harvest, I will also lay out two small plots to determine harvest loss"

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NOTES:

10. Respondent Name: _______________________________________
PLEASE CHECK THE FOLLOWING:
·
Review for completeness
·
Sign name.
·
On kit envelope, record operator's
Telephone number
Expected harvest date.
Pesticide intentions (Item 8), and
Location to leave cotton (Item 9) on your kit envelope.

190
Enumerator Number
191
Supervisor Number
193
Evaluation

11. Enumerator Name:___________________________________

STATUS CODE

180

Survey Results: To receive the complete results of this survey on the release date, go to:
www.nass.usda.gov/results
To have a brief summary emailed to you, please enter your email address:
1095

Operation Email: (if different from above)

Operation Phone:

9937

check if
cell phone

9936
(

Respondent Name:

) - _____________________

☐

Respondent Phone (if different from above)

9912

9911

____________________________________________

(

check if 9910
cell phone
) - _____________________

This completes the survey. Thank you for your help.

☐

Date:

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DD

YY

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