QID Form A-1 - Winter Wheat - Yield Survey

Project Code 101

OMB No. 0535-0088: Approval Expires 3/31/2023

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

FORM A 1
WINTER WHEAT YIELD SURVEY
INITIAL INTERVIEW
2022

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

Date:

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 30 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.

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FORM A - 1: WINTER WHEAT

1. Earlier this season, the number of winter wheat acres you intended to harvest on all the land
you operate was.................................................................................................................................
ACRES
2. What are the total acres of winter wheat for harvest on the land you operate?
(If total equals zero, end interview)....................................................................................................
ACRES

102
.____

Now, I need to identify one (or more) of your winter wheat field(s) and get their acreage.
Notes:
·

Complete Table A for the winter wheat fields based off the cardinal directions indicated in column 1 below.
TABLE A

SAMPLE
Number
and
Direction

TOTAL
ACRES
IN FIELD

1

2

Acres in USE or CROPS OTHER THAN WINTER WHEAT to
be HARVESTED for GRAIN or SEED
(For example: not seeded, bare spots, winter kill,
waterways, roads, other crops, etc.)
USE

ACRES

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

3

4

5

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

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FORM A - 1: WINTER WHEAT - Continued

The remaining questions on this page apply to this SAMPLE.
3. For the Sample Field, subtract Column 4 from Column 2 for the total acres of winter wheat to
be harvested for grain or seed. Report these acres here:

103

.____

ACRES

4. What class of wheat was seeded in the Sample Field? ________________________
104
1

HARD RED Winter

2

SOFT RED Winter

3

WHITE Winter

CODE

5. Has this field been (or will it be) irrigated?
1

Yes

3

105

No

CODE

6. 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 clip a few heads to determine their size and weight. Would that be all right?
Yes - Continue.

No - Conclude interview and return all forms.

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

No

If YES, enter latest application date

Don't Know

and name of pesticide

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:

8. Respondent Name:
190

IMPORTANT: Review for completeness. Sign name.
Record expected harvest date, pesticide intentions, (item 7), and operator's
telephone number on your kit envelope.

Enumerator Number
191
Supervisor Number
193
Evaluation
180

9. Enumerator Name:

STATUS CODE

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:

MM
__ __

DD

YY

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