SurveyID: 2604 Agricultural Resource Management Survey - Cotton Product

Agricultural Resource Management Phase 1 & 2 and Chemical Use Surveys

0218 - 2025 ARMS2 - Cotton PPCR

OMB: 0535-0218

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AGRICULTURAL RESOURCE MANAGEMENT SURVEY
OMB No. 0535-0218
Approval Expires: ??/??/20??
Project Code: 906
SurveyID: 2604 Phase 2

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
U.S. Department of Agriculture
National Operations Division
9700 Page Avenue, Suite 400
St. Louis, MO 63132-1547
Phone: 1-888-424-7828
Fax: 855-415-3687
E-mail: [email protected]

COTTON PRODUCTION PRACTICES AND COSTS REPORT FOR 2025
VERSION
11

ID
___ ___ ___ ___ ___ ___ ___ ___ ___

TRACT
01

SUBTRACT
___ ___

C-TYPE
103

CONTACT RECORD
DATE

TIME

NOTES

INTRODUCTION:
[Introduced yourself, and ask for the operator. Rephrase in your own words.]
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 control number is 0535-0218. The time required to
complete this information collection is estimated to average 65 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.
We encourage you to refer to your farm records during the interview.
H H M M
BEGINNING TIME 0004
[MILITARY] ___ ___ ___ ___

SCREENING BOX
0006

☐ [Name, address and partners verified and updated if necessary.]
POID ___ ___ ___ ___ ___ ___ ___ ___ ___

POID ___ ___ ___ ___ ___ ___ ___ ___ ___

PARTNER NAME

PARTNER NAME

ADDRESS

ADDRESS

CITY

STATE

ZIP

PHONE NUMBER

CITY

STATE

ZIP

POID ___ ___ ___ ___ ___ ___ ___ ___ ___

POID ___ ___ ___ ___ ___ ___ ___ ___ ___

PARTNER NAME

PARTNER NAME

ADDRESS

ADDRESS

CITY

STATE

ZIP

PHONE NUMBER

CITY

STATE

ZIP

PHONE NUMBER

PHONE NUMBER

2

A

COTTON FIELD SELECTION

A
Total Planted Acres
0050

1. How many acres of cotton did this operation plant for the 2025 crop year?...................................................

.___

[If no acres planted, review Screening Survey Information Form, make notes, then go to Conclusion on back page.]
[If skip row cotton was planted, exclude the acreage in the skips.]
I will follow a simple procedure to make a random selection from the cotton fields planted
for the 2025 crop.
Total Number of
Fields Planted
0020

2. What is the total number of cotton fields that were planted on this operation?...............................................
[If only one field enter "1" and go to item 4.]
3. Please list these field(s) according to identifying name/number or describe each field. Then I will
tell you which field has been selected.
[If there are more than 18 fields, make sure item 2 is total fields planted and list only the 18 fields closest to the operator's
permanent residence. If respondent is unable to identify or describe the fields, use the Field Selection Grid Supplement.]
FIELD NAME, NUMBER OR DESCRIPTION

FIELD NAME, NUMBER OR DESCRIPTION

1

10

2

11

3

12

4

13

5

14

6

15

7

16

8

17

9

18

3

APPLY "RANDOM NUMBER" LABEL HERE

[Enumerator Action: Circle the pair of numbers on the above label associated with the last numbered field
in item 3. Select the field according to the number you circled on the label, and record the selected
number. If only one field, enter "1".]...............................................................................................................

Selected Field
Number
0021

4. The field selected is _______________ (field name/number/description).
During this interview, the cotton questions will be about this selected cotton field.
[Be sure the operator can identify the selected field.]
5. For the randomly selected field above, please provide the Farm Service Agency (FSA):
[If the physical field in this survey spans multiple FSA administrative fields, please include the farm,
tract, and field number for the largest administrative field. These numbers are field identifiers that
USDA uses to administer farm programs like crop insurance, commodity programs, and
conservation programs. Having this information helps USDA make better use of other data you
have provided to USDA and will improve the types of statistical analysis that can be done with the
responses from this survey.]

Number
1070

a. Farm Number (up to 8 digits)..............................................................................................................
1071

b. Tract Number (up to 7 digits)...............................................................................................................
1072

c. Field Number (up to 4 digits, exclude subfield letters).........................................................................

OFFICE USE
OY Field Substituted
0022

4

B

FIELD CHARACTERISTICS--SELECTED FIELD

B
Acres
1301

1. How many acres of cotton did this operation plant in the selected field for the 2025 crop?............................
[If skip row cotton was planted, exclude acreage in the skips.]
a. Are the acres in the selected field Certified

.___
Code

Yes=1 1300
Organic?..........................................................................
No=3

[If item 1a = 1, go to item 2.]

Code

Ye s=1
b. Was the selected field transitioning into organic cotton production in 2025?.......................................
N o=3

1399

1 owned by this operation?
2 rented for cash with the payment being a fixed cash amount?
1302
2. Were the acres in the selected
3 rented for cash with the payment being a flexible cash amount?
..........
4 rented or a share of the crop?
field--...................................................
5 rented for some combination of cash and share of the crop?
6 used rent free?

Code

Dollars & Cents
per Acre

[If field is cash rented (item 2 = 2, 3, or 5), ask item 3, otherwise go to item 4.]

1303

. ___ ___

3. What was the cash rent paid per acre for the selected 2025 cotton field?......................................................
[If field is share rented (item 2 = 4 or 5), ask--]

Percent
1304

4. What was the landlord's share of the crop from the selected field?................................................................
[If field is rented (item 2 = 2, 3, 4, 5, or 6) ask--]
5. What was the total cost for all inputs provided by any landlord for the 2025 crop
on the selected field? INCLUDE the costs for all inputs, such as seed,
Dollars & Cents
per Acre
fertilizer, chemicals, technical services, custom operations, drying, and
OR
irrigation. EXCLUDE real estate tax expenses and lime costs paid by the
1305
. ___ ___
landowner.......................................................................................................................

Total Dollars
1306

Year
1312

6. In what year did you (the operator listed on the label) start operating the selected field?...............................

___ ___ ___ ___

M M D D
1308

7. On what date was the selected field planted?................................................................................................___ ___ ___ ___

2025

Pounds per Acre

a. Excluding pounds of seed cotton, what was your yield goal for cotton lint at planting for the
3316
selected field?.................................................................................................................................................
Code

1 Upland
8. What type of cotton was planted on the
2 Pima - extra long stable or ELS
selected field?.....................................................

3317

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

5
For the next question, INCLUDE operator, landlord, and contractor costs, cost of seed treatment, and technology fee.
EXCLUDE any Bt seed payment received for participating in the Pink Bollworm Program.
1
22
23
40

Dollars & Cents
per Unit

9. What was the source and cost of--

Unit Code
Pounds
Acre
Approx 50 Lb. Bag
250,000 Seed Bag

Percent of Seed
Planted

1214
a. Genetically modified organism/genetically engineered
(GMO/GE) purchased seed?........................................................................__ __

1215

1216

1217
b. Non genetically modified organism/genetically engineered
(Non-GMO/GE) purchased seed?......................................................

1218

1219

.__ __
1318

c. Homegrown seed?..........................................................................................................................................
100%
Cents per
Pound

[If homegrown, ask--]
i.

3321

What was the cost for cleaning and treating this seed?...................................................................................__ __
1
23
25
38
40
Units per Acre

10. What was the seeding rate per acre the first time the selected field was
1313
planted?.......................................................................................................................

.___

Unit Code
Pound/Acre
50 Pound Bags/Acre
Seeds/Acre
Seeds/Foot
250,000 Seed
Bags/Acre

3314

Code

1 Drilled?
a. What method of seeding did you use
2 Planted in conventional rows?
1316
on the selected field?..........................................
3 Broadcast on the selected field? .........................................
[If 10a = 2, ask--]

Inches
1322

b. What was the average cotton row width?.......................................................................................................
Code
Yes=1 1323

11. Did the selected field have skip-row cotton?........................................................................................No=3
[If no skip-row, go to item 12]

Rows of Cotton
1324

a. What was the common skip pattern?..........................................................................

BY

Rows of Skip
1325
Inches
1326

b. What was the average width of the skip?.......................................................................................................
Acres
1315

.__

12. How many acres in the selected field had to be replanted to cotton?.............................................................
(Acres replanted = Number of acres x Number of times replanted)
13. Was a hybrid cotton seed planted in the selected

Yes=1 1327
field?......................................................................No=3

Code

6
1 Treated with a pesticide prior to purchase?
14. For the 2025 cotton crop, was the
2 Treated with a pesticide after purchase?
cotton seed--...................................................................
3 Not treated with a pesticide?

[If item 14 = 1 or 2, ask --]

Code
................................... 3062

Seed Treatment Name
1289

a. What was the name of the seed treatment?
Write seed treatment name in the box
provided............................................................................................
Code
b. What was the seed treatment code? Enter the appropriate seed treatment code from the
Respondent Booklet. Enter "999" if a seed treatment was applied but is not listed. Enter "-1" if
2325
the seed treatment is not known.....................................................................................................................
2025
1 Yes
4 N/A no cotton in
field
Code

2024
1 Yes
4 N/A no cotton in
field
Code

2300

2301

2025
1 Yes
4 N/A no cotton in
field
Code

2024
1 Yes
4 N/A no cotton in
field
Code

2302

2303

2304

2305

2306

2307

2308

2309

2310

2311

2312

2313

2025
1 Yes
4 N/A no cotton in
field
Code

2024
1 Yes
4 N/A no cotton in
field
Code

2348

2349

2350

2351

2352

2353

2354

2355

15. Did you plant GMO/GE seeds for the 2025 or 2024 crop years?......................................
[If item 15 = 1 for either, continue, otherwise, go to item 17.]
16.

Did the cotton planted on the selected field have any of the following genetically
modified organism/genetically engineered (GMO/GE) traits in 2025 or 2024?
[Leave the second column blank if field was not planted with cotton in 2024.]

a. Insect resistance (Bt).........................................................................................................
b. With multiple (pyramided) modes of action........................................................................
c. Herbicide Tolerance (HT) to Glyphosate such as Roundup Ready®.................................
d. Herbicide Tolerance (HT) to 2, 4-D such as Enlist®..........................................................
e. Herbicide Tolerance (HT) to Dicamba such as Extend®...................................................
f.

Herbicide Tolerance (HT) to Glufosinate such as Liberty Link®........................................

17. Did the cotton planted on the selected field have any of the following nongenetically modified/genetically engineered (non-GMO/non-GE) traits in 2024 or
2025? [Leave the second column blank if field was not planted with cotton in
2024.]

a. Bacterial blight resistance..................................................................................................
b. Root-Knot nematode (RKN) resistance.............................................................................
c. Verticillium wilt tolerance...................................................................................................
d. Fusarium wilt tolerance such Race 4 FOV........................................................................

Code
Yes=1
18. For the 2025 cotton crop, did you plant a commercial seed product on the selected field?..................

2340

No=3

[If item 18 = 1, ask--]

Commercial Seed Product Name

2342
a. What was the name of the seed product?
Write the seed product name in the box
provided (e.g. DP1820B3XF, PHY250
W3FE, ST4550GLTP)................................................
2343
b. What was the seed product code? Enter the appropriate product code from the Respondent
Booklet. Enter "999" if a seed product was purchased but the product is not listed. Enter "-1" if
the product is not known.................................................................................................................................

Code

7
Code
Yes=1
19. Did you use a genetically engineered, insect resistant seed variety for the 2025 crop?.....................No=3

2326

[If item 19 = 1, ask--]
1 Increase yields through improved pest (weed or insect) control?

a. Did you choose the resistant
2 Decrease pesticide input costs?
3 Save management time or labor or improve ease of management?
seed variety used on the
4 Reduce refuge requirements?
selected field primarily to--........................

5 For some other reason(s)? Specify:_________________________

Code
2327
.........
Code
Yes=1 2371

20. Was a refuge for insect pests planted on the selected field?..............................................................No=3
[If item 20 = 1 continue, otherwise go to item 23.]

Percent
2328
21. What percent of the selected field was used as refuge in order to comply with Bt cotton insect
resistant management guidelines?................................................................................................................
Acres
2372
22. What is the size in acres of the refuge? Refuge may be adjacent to the field or a separate block
within 1/2 mile of the field..............................................................................................................................

.___
Code

23. Has harvest of the selected field been

Yes=1 1328
completed?.............................................................................
No=3

Now I need information about the acres harvested or to be harvested and the yields from the selected field.

24. How many acres in the selected cotton field were or will be-Acres

2347

.___

1351

b. abandoned?.........................................................................................

2
Unit code
1 Pounds
2 CWT
3 Tons

Units per Acre

2346

a. harvested for lint?................................................................................

1
What yield per acre
did you or do you
expect to get for
cotton lint--

.___

Code
1348

.___

8
Crop Code List for item 25 - Previously Planted Crops
190 Barley

311 Grasses including clover

6 Corn for grain

240 Sorghum, all

1 Hay, alfalfa

5 Corn for silage

292 Other crop

26 Soybeans

312 Cover crop mix

11 Hay, all other

263 Wheat, durum or spring

282 Cotton, pima

15 Oats

165 Wheat, winter

281 Cotton, upland

22 Rye

318 No crop planted

302 CRP

34 Ryegrass

291 Other field crop

16 Peanuts

25. Please report the history of crops on the majority of the selected field, including cover crops.
1

2

What crops were planted on the selected field in-[For perennial crops (1, 11, 34, 292, 302, and 311),
report the crop code in all seasons when the crop
is growing.]

Season and Year

a.

Crop Name

Spring/Summer of
Cotton
2025?...............................................

b.

Fall of 2024?....................................

c.

Spring/Summer of
2024?...............................................

d.

Fall of 2023?....................................

e.

Spring/Summer of
2023?...............................................

f.

Fall of 2022?....................................

g.

Spring/Summer of
2022?...............................................

h.

Fall of 2021?....................................

Crop Code

283

What type of crop
was grown on the
selected field?
1 GMO/GE Herbicide
Tolerant (HT)
2 GMO/GE Insect
Resistant (Bt)
3 Stacked (HT and
Bt)
4 Not GMO/GE
Code

3

4

If a cover crop was
Was this
planted, how did
a cover
you terminate this
crop?
cover crop?

Yes=1
No=3

1 Tilled-in
2 Herbicide
3 Rolled
4 Grazed
5 Harvested for forage
6 Harvested for grain
Code

1486

5

6

Was the
selected
field
irrigated?

Was the
selected field
no-till or striptilled?1/

Yes=1
No=3

Yes=1
No=3

2345

1344

1343

1487

1470

1471

2344

1345

1369

1488

1472

1473

2370

1371

1372

1489

1474

1475

2373

1374

1375

1490

1476

1477

2376

1377

1378

1491

1478

1479

2379

1380

1381

1492

1480

1481

2382

1383

1366

1493

1482

1483

2367

1368

1340
1494
1484
1485
2341
1342
Spring/Summer of
2021?...............................................
1/No-till means leaving soil and previous crop residue undisturbed from harvest to planting. Strip-till means tilling a narrow strip over the
row, leaving soil and previous crop residue between the rows undisturbed.

i.

[If a cover crop was planted in Spring/Summer/Fall 2024, ask--]

Dollars & Cents
per Acre
1468

j.

What was the seed cost per acre for the cover crop?.....................................................................................
1495

k. What was the per-acre cost-share or financial assistance payments received for the cover crop?................

.___

___

.___

___

[Enter zero if no program payment was received.]
26. Has any part of the selected field been classified as "Highly Erodible Land"? Cropland
identified as highly erodible is subject to highly erodible land conservation (HELC)
requirements. Producers who receive farm program payments are required to have and
apply a written soil conservation plan. A "written plan" is a plan prepared in accordance with
Yes=1
Federal, State, or district standards......................................................................................................
No=3

Code
1404

9
Code
Yes=1

27. Do you have a written conservation plan that specifies practices to control soil erosion?.....................
No=3

28. Does the selected field contain a wetland? Wetlands are subject to Wetland Conservation
(WC) or "swampbuster" requirements. Producers who receive farm program payments must
Yes=1
refrain from draining wetlands to make them ready for crop production...............................................
No=3

Code
1405

1 Nearly level 0 - 2%
2 Even, moderate grade 3 - 9%
2400
3 Variable, moderate grade
29. What is the slope of the selected field?............................
............................
4 Even, steep grade over 10%
5 Variable, steep grade

Code

1 Loam
2 Clay
3 Sandy
30. What is the primary soil texture of the selected field?...................
4 Mixed
5 Silty

Code

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

2401

31. Next we will ask about soil and water concerns that you have on the selected field.
Have you received technical assistance from any of the following
sources to evaluate this resource concern? Report up to 2 sources
that you received assistance from:

In the selected field, are you concerned about any
of the following?

1
2
3
4

Code

Yes=1
No=3

USDA - NRCS
Cooperative Extension Service
Other USDA staff, including Forest Service
Other (e.g. Soil and Water Conservation District, State
agency)
Source 1

Source 2

2407

2417

2427

2408

2418

2428

2409

2419

2429

2410

2420

2430

2411

2421

2431

2412

2422

2432

2413

2423

2433

2414

2424

2434

a.

Water-driven erosion.......................................................

b.

Wind-driven erosion........................................................

c.

Soil compaction...............................................................

d.

Poor drainage.................................................................

e.

Low organic matter.........................................................

f.

Water quality...................................................................

g.

Other concerns...............................................................

h.

*No significant concerns.................................................

*Enumerator Note: Enter Yes=1 for item h, No significant concerns, only if the respondent replies No=3 to all other
concerns (items a - g).
Code
Yes=1 2402

32. Did the land use practices for this field include subsurface drainage?.................................................No=3

10
33. Has the selected field been in any conservation program contracts for which you or your landlord
received or expected to receive cost-sharing payments, stewardship payments, or incentive
payments?......................................................................................................................................................

Unit Code
1 Current
2 Past
3 Never

2611

a. Environmental Quality Incentives Program (EQIP).........................................................................................
2612

b. Conservation Stewardship Program (CSP)....................................................................................................
2613

c. Conservation Reserve Program (CRP)...........................................................................................................
2614

d. Other Federal, State, Local, or non-Government source................................................................................

NOTES:

11
34. Now I need information on soil, crop, and land management practices or activities used on the selected field and any
financial or technical assistance you may have received in conjunction with those practices.
a. From this list, please check any practices or activities that you used on the selected field this year or at any time
in the past.
On-field Soil and Crop Management
1
2

No-till/strip-till

12

Conservation tillage except
no-till/strip-till

20

3

Cover crop - single species

26

4

Cover crop mix

21

5

Contour farming

23

6

Conservation crop rotation

24

Terraces

22

10

30

Grass waterway
Implement a nutrient management
plan - written plan.
Split nitrogen application with at
least 50% applied after planting

31
32

Precision nutrient application

Implement an integrated pest
management plan - written plan
Drift reducing spray nozzles
Targeted sprayer - electrical
control

Adjacent to Field

No fertilizer application more than
30 days before planting

33

Filter strip

Controlled release fertilizer

34

Field border

Subsurface phosphorous
application

35

Riparian buffer - grass or forest

b. For each practice or activity checked in 34a, please complete one line of this table.
1

2

3

4

On the selected field for this practice, have you
ever received at any time-Technical or planning
assistance?
Practice or Activity on
the Selected Field

Practice
Code
(see item
34a)

1 USDA NRCS field staff,
cooperative extension,
or technical service
providers
2 Other sources of
assistance
3 No assistance needed

Does this practice or activity
help satisfy--

Financial Assistance?
1 Environmental Quality
Incentive Program
(EQIP)
2 Conservation
Stewardship Program
(CSP)
3 Conservation Reserve
Program (CRP)
4 Other Federal, State,
and Local Programs
5 No assistance needed

5

Was this
practice or plan
used on the
selected field in
2025?

1 A federal regulatory
requirement
2 Highly erodible land
conservation compliance
3 Does not relate to any
regulation or compliance
requirement
Yes=1
No=3

1610

1611

1612

1613

1614

1615

1616

1617

1618

1619

1620

1621

1622

1623

1624

1625

1626

1627

1628

1629

1630

1631

1632

1633

1634

1635

1636

1637

1638

1639

1640

1641

1642

1643

1644

1645

1646

1647

1648

1649

12
Code

35. In 2025, was the cotton in the selected field covered by a single or named peril crop
Yes=1
insurance policy (e.g. hail, replant, wind, freeze)?................................................................................
No=3

2520

[If item 35 = 1 ask, otherwise go to item 36.]

Code

a. In 2025, was the cotton in the selected field covered by more than one single or named
Yes=1
peril crop insurance policies (e.g. hail, replant, wind, freeze)?.............................................................
No=3

2517
Dollar & Cents
per Acre

2521
b. What was the dollar amount of coverage per acre for the single peril policy covering the
selected field?.................................................................................................................................................

.___ ___

Percent
2522
c. What was the percent deductible for the single peril policy covering the selected field?
[Record no deductible as "0".].........................................................................................................................
Dollar & Cents
per Acre
2523

.___ ___

d. What premium cost per acre did you pay for the single peril policy covering the selected field?....................

Code
1394
e. Did you or will you collect an indemnity payment for the selected field from the single peril
Yes=1
policy during 2025?................................................................................................................ .........................
No=3
Code

36. In 2025, was the cotton in the selected field covered by a multi-peril crop insurance policy?..............Yes=1

1385

No=3

[If item 36 = 1 continue, otherwise go to Section C]
1 Federal CAT - basic catastrophic insurance

Code

a. Which coverage did you
2 Yield Protection (YP)
3 Revenue Protection (RP)
obtain?.......................................................

4 Other multi-peril crop insurance

1386
.........................................

[If item 36a = 2, ask--]

Percent
1387

i.

What percent of yield coverage did you select for the selected field?.............................................................
Percent
1388

ii. What percent of price coverage did you select for the selected field?............................................................
[If item 36a = 3, ask--

Percent
1389

iii. What percent of revenue coverage did you select for the selected field?.......................................................
Code

b. What type of unit coverage did you purchase
1 Basic
for the selected field?..........................................................
2 Optional

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

2524

3 Enterprise

Year

2525
c. In what year did you, the operator listed on the label, first purchase multi-peril crop insurance on
the selected field?...........................................................................................................................................__

__ __ __

Pounds per Acre
2526

d. What is the 2025 Approved APH (actual production history) yield for the selected field?...............................
Dollars & Cents
per Acre
2527
e. What was the premium paid for multi-peril crop insurance for the selected field in 2025?
EXCLUDE any sign-up fee..............................................................................................................................

.___ ___

Code

f.

Did you or will you collect an indemnity payment for the selected field from multi-peril crop
Yes=1
insurance during 2025?.......................................................................................................... ..............
No=3

2528

13

C

NUTRIENT or FERTILIZER APPLICATIONS--SELECTED FIELD

C
Office Use
Edit Table

Code

1. Were commercial nutrients or fertilizers applied to the selected field for the
2025 cotton crop? INCLUDE those from operators, landlords, and
Yes=1
contractors...............................................................................................................No=3

0202

0200

[If item 1 = 1 continue, otherwise go to item 6]

Number

0203
2. How many commercial nutrient or fertilizer applications were made to the selected field for the 2025
crop? INCLUDE applications made by airplanes and custom applicators.....................................................

3. Now I need to record information for each application.

CHECKLIST
INCLUDE

EXCLUDE

Custom applied nutrients or fertilizers

Micronutrients
Unprocessed manure

Nutrients or fertilizers applied in the fall of
2024 and those applied earlier if the
selected field was fallow in 2024.

Nutrients or fertilizers applied to previous
crops in the selected field
Lime and gypsum/landplaster

Commercially prepared manure or
compost

Office Use
Lines in Table

Table
001

0299

Application Codes for Column 6
1 Broadcast, ground without incorporation
2 Broadcast, ground with incorporation
3 Broadcast, by aircraft
4 In seed furrow
2

3

Materials Used
L

I
N
E

[Enter percentage analysis or actual pounds of
plant nutrients applied per acre.]
[Show Common Nutrients or Fertilizers in
Respondent Booklet]
N
Nitrogen

01
02
03
04
05
06
07
08

P2O5
Phosphate

K2 O
Potash

S
Sulfur

4

5 In irrigation water
6 Chisel/injected or knifed in
7 Banded in or over row
8 Foliar or directed spray

5

6

What quantity [Enter material code]
When was this
How was
was applied per
applied?
this applied?
acre?
1 In the fall
[Refer to
1 Pounds
[Leave this
before seeding
code list
12 Gallons
column blank if
2 In the spring
above]
19 Pounds of
actual nutrients
before seeding
actual
were reported]
3 At seeding
nutrients
4 After seeding

7

How many acres in
the selected field
were treated in this
application?

Acres

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

31

32

33

34

36

37

38

39

40

.___

14
Code
Yes=1 0214

4. Were any nutrients or fertilizers applied by custom applicators?..........................................................
No=3
[If item 4=1 continue, otherwise go to item 5.]

0216
a. Are you able to report the cost of nutrient or fertilizer materials and custom application
Yes=1
separately?...........................................................................................................................................
No=3

[If item 4a = 1 continue, otherwise go to item 5.]

Office Use
0215

b. Excluding the cost of the nutrient or fertilizer materials, how much was
Dollars & Cents
spent for custom application of nutrients or fertilizers on the selected
OR
per Acre
field? INCLUDE operator, landlord, and contractor costs. INCLUDE
0219
costs for sulfur and micronutrients. EXCLUDE custom application of
lime, gypsum, purchased manure and purchased compost. ...................................... .___ ___

Total Dollars
0220

[If material and application costs can't be separated, exclude them here and record the total in item 5.]
5. What was the total cost of all nutrient or fertilizer products applied to the
Dollars & Cents
selected field? INCLUDE operator, landlord, and contractor costs as well as
OR
per Acre
the costs for sulfur and micronutrients. INCLUDE materials applied to the
0221
selected field if it was fallow in 2024. EXCLUDE lime, gypsum, purchased
.___ ___
manure, and purchased compost...............................................................................

Total Dollars
0222

[If custom applied and the cost of materials can be separated from application costs, include the cost of
materials only, otherwise, include both the material and application costs.]
Code
Yes=1 0218

6. Was gypsum applied to the selected field for the 2025 cotton crop?........................................... .........oN=3

7. Was a soil test for soil organic matter performed on this cotton field at some point in the last
Yes=1
10 years?..............................................................................................................................................
No=3

3225

[If item 7 = 1, ask--]

Percent
3226

a. What was the percentage of soil organic matter on the selected field for the most recent test?.....................
Number
3227

b. How many times have you tested the selected field for soil organic matter in the last 10 years?...................
[If item 7b is more than 1, ask--]
1 Increasing
c. Based on these tests, is your soil organic
2 Decreasing
matter content?.................................................................
3 Staying roughly the same

Code
....................................

3228
Code

8. Was a soil or plant tissue test performed on the selected cotton field in 2024 or 2025 for the
Yes=1
2025 crop?................................................................................................................................... .........
No=3

0224

[If item 8 = 1, continue, otherwise go to item 13.]

Code

9. Was a soil test for phosphorus performed on the selected cotton field in 2024 or 2025 for
Yes=1
No=3
the 2025 crop?................................................................................................................................... .........
[If item 9 = 1 ask--]

0225

Pounds per Acre
0226

a. How many pounds of phosphorus per acre were recommended by the phosphorus test?.............................
Code
Yes=1 0227

10. Was a soil test for nitrogen performed on this cotton field in 2024 or 2025 for the 2025 crop?.............No=3
[If item 10 = 1, ask--]

Pounds per Acre
0228

a. How many pounds of nitrogen per acre were recommended by the nitrogen test?........................................

15
Code

11. Was a plant tissue test or leaf analysis for nutrient deficiency performed on the selected field
Yes=1
in 2024 or 2025 for the 2025 crop?.............................................................................................. .........
=3
No
Dollars & Cents
per Acre
0230
12. How much was spent for these soil and plant tissue tests on the selected
field? INCLUDE operator, landlord, and contractor costs......................................

OR

0229

Total Dollars
0231

.__ __

[If tests were done at no cost, continue, otherwise go to item 12b.]
Code

1 Soil/plant tissue test provided free of charge by
dealer, crop consultant, or extension service

0232

a. What is the reason why tests were
2 Soil/plant tissue test costs were included in the
done at no cost?...............................................
total fertilizer costs reported in item 5

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

3 Some other reason
Code
3231
b. Did you receive a payment from the Conservation Stewardship Program for performing a
Yes=1
stalk or leaf tissue test for nitrogen application?...................................................................................
No=3

[Enumerator Action: Refer to the Fertilizer Table, column 2. If nitrogen (N) was applied, complete
item 13. If no nitrogen applied, go to item 14.]
13. Was the amount of nitrogen you decided to apply to the selected field based on-a. Results of a soil or plant tissue

Code

Yes=1 0233
test?....................................................................................................
No=3
Yes=1 0234

b. Crop consultant recommendation?.......................................................................................................
No=3

Yes=1 0235

c. Fertilizer dealer recommendation?.......................................................................................................
No=3

Yes=1 0236

d. Extension Service recommendation?...................................................................................................
No=3

Yes=1 0237

e. Cost of nitrogen and/or expected commodity price?.............................................................................
No=3
f.

Yes=1 0238

Contractor recommendation?...............................................................................................................
No=3

g. Routine practice - operator's own determination based on past experience, yield goal, etc.?
[If nitrogen inhibitors were used, continue, otherwise go to item 14.]

None

h. How much nitrogen inhibitor did you mix with the nitrogen
☐
applied to the selected field?.......................................................................

Pounds per Acre

Yes=1 0239
No=3

OR

2561

Gallons per Acre
2562

.___

.___
Code
Yes=1 0242

14. Is lime ever applied to the selected field?.............................................................................................
No=3
[If item 14 = 1 continue, otherwise go to item 15.]

Years
0243

a. On average, how many years are there between applications of lime to the selected field?..........................
Tons per Acre
0244

.___

b. How many tons of lime were applied per acre the last time it was applied to the selected field?...................
Code
Yes=1 0240

c. Was lime applied to the selected field in 2024 or 2025 for the 2025 crop?...........................................
No=3

16
15. Was non-commercial (unprocessed) manure from own farm, from a neighbor's farm, etc., or
other organic material, including compost, applied to the selected field for the 2025 cotton
Yes=1
crop? EXCLUDE commercially prepared manure...............................................................................No=3

Code
0246

[If item 15 = 1 continue, otherwise go to Section D.]

Acres
0247

a. To how many acres in the selected field was manure or compost applied?....................................................
1 Tons
b. What was the amount of
2 Gallons
manure or compost applied
3 Bushels
to the selected field?...........................
4 Cubic yards

Code

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

0248

Units per Acre

AND

0249

.___

Total Units

.___ ___ OR

0250

c. Of the total manure or compost applied to the selected field for the 2025 cotton crop, what
was the percent of manure or compost applied--

.___

Percent
0254

i.

+
in the Fall before planting?.....................................................................................................................
0255

+
ii. in the Spring before planting?................................................................................................................
0256

+
iii. after planting?........................................................................................................................................
100%
1 Lagoon liquid?
2 Slurry liquid?
d. Was the manure or compost--.................................
3 Semi-dry or dry?

Code
0257
...................................................................

1 Broadcast or sprayed without incorporation?
2 Broadcast or sprayed with incorporation?
e. Was the manure or compost--..................
3 Injected/knifed in?
4 Sprayed using irrigation systems?

f.

1 Beef cattle?
2 Dairy cattle?
3 Hogs?
Was the major source of
4 Sheep?
manure or compost--................................
5 Poultry?
6 Equine?
7 Biosolids - municipal sludge?
8 Food waste?
9 Other? Specify:________________________

1 Produced on this operation?
2 Purchased?
3 Obtained at no cost off this operation?
g. Was the manure or compost--..................
4 Obtained with compensation - operator
received payment for accepting the manure?

Code
....................................

0258

Code
0259
....................................

Code
....................................

0260

[If item 15g = 2, continue, otherwise go to item 15h.]
i.

Dollars & Cents

OR
per Acre
What was the total cost of the purchased manure or compost applied
to the selected field? INCLUDE operator, landlord, and contractor
0284
costs. INCLUDE any payment made for transportation costs......................................__ __

Total Dollars
0285
Code

Yes=1 0286

ii. Did you hire someone to custom apply the manure or compost?.........................................................
No=3
[If item 15gii = 1, ask--]
Dollars & Cents

OR
per Acre
iii. What was the total cost paid to have manure or compost custom
applied to the selected field? INCLUDE operator, landlord, and
0287
contractor costs............................................................................................................__ __
[Do not report custom application cost if it was included with the purchased manure cost.]

Total Dollars
0288

17
Miles
0291
h. What is the distance in miles between the manure or compost storage/production location and
the selected field?...........................................................................................................................................
Code

i.

0261
Of the manure or compost applied to the selected field, was any tested for nutrient
Yes=1
content prior to application?..................................................................................................................
No=3
Code

16. Were the manure application rates to the selected field influenced by Federal, State, or local
Yes=1
restrictions?.........................................................................................................................................No=3

0264

[If item 16 = 1, ask--]
a. What basis was used to determine these manure application rate restrictions--

Code
Yes=1 0265

i. Nitrogen requirement of the crop?.......................................................................................................
No=3

Yes=1 0266

ii. Phosphorus requirement of the crop?..................................................................................................
No=3

.___

18

D

BIOCONTROL or PESTICIDE APPLICATIONS--SELECTED FIELD

D

Now I have some questions about all the biocontrols or pesticides used on the selected field for the 2025 cotton crop,
including both custom applications and applications made by this operation.
Office Use
Edit Table

Code

1. Were any herbicides, insecticides, fungicides or other biocontrols or
Yes=1
pesticides used on this cotton field for the 2025 crop?................................... .........No=3

0302

0300

[Probe for applications made in the fall of 2024 and those made earlier if the selected field was fallow.]
If no biocontrols or pesticides applied, go to Section E.
INCLUDE defoliants, fungicides, herbicides,
insecticides, and other pesticides.
INCLUDE biological and botanical pesticides.
2

EXCLUDE adjuvants, nutrients or fertilizers
reported earlier and seed
treatments.
3

4

Office Use
Line in Table

Table
001

6

7

5

0399

8

OR

Chemical Product
Name

L
I
N
E

01
02
03
04
05
06
07
08
09
10
11
12
13
14

What products
Was this
If this was
were applied to
product part of a tank
the selected field? bought in
mix, enter
[Show product
liquid or line number
codes from
dry form?
of first
Respondent
product in
Booklet.]
[Enter L
mix.
or D]

When was this
applied?
1
3
4
5

Before planting
At planting
After planting
Defoliation
prior to harvest

How much
was applied
per acre per
application?

What was the
total amount
applied per
application in the
selected field?

1
12
13
14
15
28
30

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

61

63

64

65

.__ __

73

.__ __

74

[Enter unit code]
Pounds
Gallons
Quarts
Pints
Liquid Ounces
Dry Ounces
Grams

2. For biocontrols or pesticides not listed in Respondent Booklet, specify-Line

Pesticide Type
(Herbicide, Insecticide,
Fungicide, etc.)

EPA No. or Trade Name
and Formulation

Form Purchased
(Liquid or Dry)

Where Purchased
(Ask only if EPA No.
cannot be reported)

19

Applications Codes for Column 9
1
2
3
4
5

Broadcast, ground without incorporation
Broadcast, ground with incorporation
Broadcast, by aircraft
In seed furrow
In irrigation water

6
7
8
9

Chiseled/injected or knifed in
Banded in or over row
Foliar or directed spray
Spot treatments
ENUMERATOR NOTE:
Use the Optional Item 4
columns shown below only
if Total Cost, item 4 on next
page cannot be provided.

L
I
N
E

01
02
03
04
05
06
07
08
09
10
11
12
13
14

9

10

11

How was this
product applied?

How many acres in
the selected field were
treated with this
product?

How many times
was it applied?

[Enter code from
above.]

1 Operator, partner, or
family member?
2 Custom applicator?
3 Employee/Other?

Acres
76

77

76

12

Optional Item 4

Were these
applications made by--

Number

What was the cost per unit of the product?
Unit Code
1
12
Dollars & Cents 13
per Unit
14

.___

79

80

81

.__ __

82

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

76

77

.___

79

80

81

.__ __

82

Pounds
Gallons
Quarts
Pints

15 Liquid Ounces
28 Dry Ounces
30 Grams

20
Code
Yes=1 0323

3. Were any chemicals, biocontrols, or pesticides applied by custom applicators?.................................No=3
[If item 3 = 1 ask, otherwise go to item 4.]

Code

0324
a. Are you able to report the cost of chemical, biocontrol, and pesticide products and
Yes=1
custom application separately?............................................................................................................
No=3

[If item 3a = 1, ask--]
Dollars & Cents
per Acre

b. Excluding the cost of the chemical, biocontrol, and pesticide products,
0331
how much was spent for custom application of such materials on the
selected field? INCLUDE operator, landlord, and contractor costs...........................

OR

0332

.__ __

4. What was the total cost of all chemical, biocontrol, or pesticide products
Dollars & Cents
applied to the selected field? INCLUDE operator, landlord, and contractor
OR
per Acre
costs, defoliants, herbicides, insecticides, fungicides, surfactants, wetting
0334
agents, growth regulators, and materials applied before planting and during
.__ __
2024 fallow period. EXCLUDE seed treatments.....................................................
Dollars & Cents
per Acre
3034
a. How much was spent for herbicide products applied to the selected
field? INCLUDE operator, landlord, and contractor costs........................................

OR

Total Dollars
0335

Total Dollars
3035

.__ __

Dollars & Cents
per Acre
3036
b. How much was spent for insecticide products applied to the selected
field? INCLUDE operator, landlord, and contractor costs........................................

Total Dollars

OR

Total Dollars
3037

.__ __

Note 1: If respondent cannot report total cost, itemize cost for each product in optional columns in Biocontrol or Pesticide Table.
Note 2: If custom applied and the costs for materials can be separated from application costs, include the cost for materials only.
Otherwise, report both the material and application costs in item 4.

Code

5. Was the cotton that was grown in the selected field in 2025 covered by the boll weevil
Yes=1
eradication program (BWEP)?........................................................................................................... No=3

0325

[If item 5 = 1, ask--]
1 Active eradication phase
a. What phase has the eradication program
2 Post-eradication phase?
reached in the selected field?...........................................

Code
0336

.................................
Dollars & Cents per
Acre

0337
b. For 2025, what was your assessment on the selected field to participate in
the BWEP? INCLUDE operator, landlord and contractor charges for 2025................

c. How did the level of secondary cotton pests in 2025
1 Increased
compare with the level prior to participating in the
2 Decreased
BWEP? (e.g., beet armyworm, budworms, plant bugs,
3 No change
or aphids).........................................................................................

OR

Dollars & Cents
per Bale
0338

.__ __

.__ __
Code
0339

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

21

Ask for California and Texas only

Code

6. Was the cotton in the selected field covered by an area-wide pink bollworm eradication
Yes=1
or suppression program (PBWP)?.....................................................................................................
No=3

0341

[If item 6 = 1, ask--]
Dollars & Cents per
Acre
0342
a. For the current crop year, what was the costs on the selected field to
participate in the PBWP?.............................................................................................

OR

Dollars & Cents
per Bale
0343

.__ __

.__ __

[INCLUDE operator, landlord, and contractor costs per acre and/or per bale charges for this year's cotton. If you receive a
credit on your PBWP assessment for planting Bt cotton to control pink bollworm, report only the amount of the assessment
you, your landlord, or your contractor paid.]

22

E

PEST MANAGEMENT PRACTICES--SELECTED FIELD

E

Now I have some questions about your pest management decisions and practices used on the selected field for the 2025
cotton crop. By pests, we mean weeds, insects, and diseases.
[Enumerator Action: Were pesticide applications reported in Section D?]
☐ Yes - Continue
☐ No - Go to item 6

Code

1. Were weather data used to assist in determining either the need or when to make pesticide
Yes=1
applications?........................................................................................................................................No=3
2. Were any biological pesticides such as Bt (Bacillus thuringiensis), insect growth regulators,
neem or other natural/biological based products sprayed or applied to manage pests in the
Yes=1
selected field?......................................................................................................................................No=3
3. Were pesticides with different mechanisms of action rotated or tank mixed for the primary
Yes=1
purpose of keeping pests from becoming resistant to pesticides?.......................................................No=3

0800
Code
0801
0802

[Enumerator Action: Were herbicide (pesticide product codes 10000-99000) applications reported
in Section D, item 1, column 2?]
☐ Yes - Continue
☐ No - Go to item 6
4. Were herbicides applied to this cotton field before weeds

Code

Yes=1 0803
emerged?..................................................No=3
Yes=1 0805

5. Were herbicides applied to this cotton field after weeds emerged?.....................................................No=3
6. Were records kept for the selected field to track the activity or numbers of weeds, insects, or
Yes=1
diseases?.............................................................................................................................................
No=3

0823

7. Did you use published information on infestation thresholds to determine when to take
Yes=1
measures to manage pests in the selected field?................................................................................No=3

0824

1 By deliberately going to the field specifically for
scouting activities [Enter code 1 and go to item 9.]

8. In 2025, how was the selected field primarily
2
scouted for insects, weeds, diseases, and/or
beneficial organisms?...............................................

Code

By conducting general observations while performing ............
routine tasks [Enter code 2 and go to item 11.]

0808

The selected field was not scouted. [Enter code 3
3 and go to item 13.]

9. Was an established scouting process such as systematic sampling, recording counts, etc.
used or were insect traps used in the selected field? EXCLUDE traps checked as part of
Yes=1
either BWEP or PBWP........................................................................................................................No=3

Code
0809

Yes=1 2450

a. Did you measure the damage of budworm or bollworm infestations on the selected field?................
No=3
[If item 9a = 1, ask--]

Count
2451

b. If traps were used, what was the average insect count per acre?..................................................................
i.

1 Damage in 1 locule

If boll damage scores were recorded (1 to 4),
2 Damage in 2 locules
3 Damage in 3 locules
what was the average boll damage score per
4 Damage in all locules
acre?.....................................................................................
5 Not applicable

Code
2452
..................................

10. Was scouting for pests done in the selected field due to--

Code
Yes=1 0810

a. a pest advisory warning?.....................................................................................................................
No=3

Yes=1 0811

b. a pest development model?................................................................................................................
No=3

23
1

2

3

4

[If Yes, ask--]
What was the infestation
level for [column 1]?

[If column 1 is Yes, ask--]
Who did the majority of the scouting
for [column 1]?

1 Higher than normal
2 Normal
3 Lower than normal

11. Was this cotton field scouted for-Yes=1
No=3

1
2
3
4

Operator, partner or family member
An employee
Farm supply or chemical dealer
Independent crop consultant or commercial scout

Code

Code

0812

0813

0814

0815

0816

0817

0818

0819

0820

a. weeds?.......................................................
b. insects or mites?.........................................
c. diseases?...................................................

[If scouted by crop consultant or commercial scout, ask item 12, otherwise go to item 13.]
Dollars & Cents
per Acre
0821
12. How much was charged for the scouting services for the selected field?
INCLUDE operator, landlord, and contractor costs.....................................................

OR

Total Dollars
0822

.__ __
Office Use

a.

0333

If scouting performed at no cost, explain: ________________________________________

Code

13. Did you use field mapping of previous weed problems to assist you in making weed
Yes=1
management decisions?........................................................................................................................
No=3

0825

14. Did you do any of the following other types of pest management for the specific purpose of
managing or reducing the spread of pests in the selected field?

Code

a. Use the services of a diagnostic laboratory for pest identification or soil plant tissue pest
Yes=1
analysis for the selected field?.............................................................................................................
No=3

0841

Yes=1 0842

b. Plow down crop residue using conventional tillage?............................................................................
No=3

Yes=1 0843

c. Remove/burn down crop residue?.......................................................................................................
No=3

Yes=1 0844

d. Rotate crops in the selected field during the past three years?............................................................
No=3

Yes=1 0845

e. Maintain ground covers, mulches, or other physical barriers?.............................................................
No=3
f.

Yes=1 0846

Choose crop variety because of specific resistance to a certain pest?................................................
No=3

Yes=1 0847

g. Use no-till or minimum till?...................................................................................................................
No=3

Yes=1 0848

h. Plan planting locations to avoid cross infestation of pests?..................................................................
No=3

Yes=1 0849

i.

Adjust planting or harvesting dates?....................................................................................................
No=3

j.

Chop, spray, mow, plow, or burn field edges, lanes, ditches, roadways, or fence lines?......................
No=3

Yes=1 0850

0851
k. Clean equipment and field implements after completing field work to reduce the spread
Yes=1
of pests?...............................................................................................................................................
No=3

l.

Yes=1 0852

Adjust row spacing, plant density, or row directions?...........................................................................
No=3

m. Have the seed treated for insect or disease control after you purchased the seed for the
Yes=1
selected field?......................................................................................................................................
No=3

0854

Yes=1 0855

n. Maintain a beneficial insect or vertebrate habitat?...............................................................................
No=3

24
Code

o. Maintain buffer strips or border rows to isolate organic cotton from non-organic crops or
Yes=1
land, or did you take a buffer harvest?.................................................................................................
No=3

0856

Yes=1 0857

p. Use a flamer to kill weeds?..................................................................................................................
No=3

Yes=1 0865

q. Plant earlier or later to avoid weeds?...................................................................................................
No=3

Code

15. Were any beneficial organisms, such as insects, nematodes, or fungi, applied or released in
Yes=1
the selected field to manage pests?.....................................................................................................No=3

0853

16. Were floral lures, attractants, repellants, pheromone traps, or other biological pest controls
Yes=1
used on the selected field?..................................................................................................................No=3

0858

[If item 15 or item 16 = 1, ask--]
Dollars & Cents
a. What were the total materials and application costs for all biological pest
OR
per Acre
controls for the selected field? INCLUDE operator, landlord, and
contractor costs. INCLUDE cost for beneficial organisms, insects,
0859
nematodes, and fungi. EXCLUDE biological pesticides previously
reported........................................................................................................................ .__ __

Total Dollars
0860

Code
Yes=1 0863

17. Was a trap crop, excluding fallow, grown to help manage insects in the selected field?......................No=3

Yes=1 0864

18. Was the selected field left in fallow in 2024 to help manage insects on the selected field?........ ......... oN=3
19. Were water management practices such as irrigation scheduling, controlled drainage, or
treatment of retention water used on the selected field to manage pests or toxin-producing
Yes=1
fungi and bacteria?..............................................................................................................................No=3

Unit Code
1 Pounds
2 Bales

Units per Acre

20. What was the difference in yields in the Bt crop with the yields in the non-Bt
1810
refuge crop?...................................................................................................................

Code
0861

.___

1811
Code

21. Did you use a soil-insecticide or insecticidal seed treatment in the refuge in

Yes=1 1812
2025?............................No=3

22. Did pests such as weeds, insects, pathogens, or animals, cause any yield loss on the
Yes=1
selected field in spite of your pest control efforts?................................................................................No=3

0827

[If item 22 = 1, ask--]
a. How much yield loss do you think was caused by
Units
all pests on the selected field in spite of the
1 Bales
management practices you used to reduce those
2 Pounds
losses?....................................................................................
...

Code
0828

Unit per Acre
AND 0829

Total Units
OR 0830

Number of Years
0831
23. If you used Bt seeds on the selected field in 2025, indicate the number of consecutive years you
have planted Bt seeds....................................................................................................................................

[Note: A producer who used Bt cotton in 2025 and 2024, but conventional in 2023, has used Bt cotton for
"2" consecutive years.]
[If item 23 is greater than 1, ask--]

Year

0832
a. If you have ever switched from a Bt seed with a single mode of action to a Bt seed with multiple
___ ___ ___ ___
(pyramided) modes of action, indicate the year that this change was made...................................................

25
Number of Years
1813
24. If you used Ht seeds on the selected field in 2025, indicate the number of consecutive years you
have planted Ht seeds....................................................................................................................................

[Note: A producer who used Ht cotton in 2025 and 2024, but conventional cotton in 2023, has used Ht
cotton for "2" consecutive years.]
Year

1814

a. What year did you first plant any Ht seeds on the selected field?...................................................................__

__ __ __

Number of Years
25. If you used GMO/GE glyphosate-resistant seeds on the selected field in 2025, indicate the number
1970
of consecutive years you have planted GMO/GE glyphosate-tolerant corn, soybeans, cotton, or any
other GMO/GE glyphosate tolerant crop.........................................................................................................

[If item 25 = 1 continue, otherwise go to Section F.]

Year
1971

a. What year did you plant any GMO/GE glyphosate-tolerant seeds on the selected field?...............................__

__ __ __

26. Have any of the following herbicides been used on the selected field in the specified years since?
1

2
2025
Yes=1
No=3

Active Ingredients

3
2024
Yes=1
No=3

4
2023
Yes=1
No=3

5
2022
Yes=1
No=3

6
2021
Yes=1
No=3

a. Glyphosate (e.g.
Roundup®)

2001

2002

2003

2004

2005

b. Glufosinate (e.g.
Liberty®)

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

c. Dicamba (e.g. Xtend®,
Xtendimax®, Engenia®)
d. 2, 4-D (e.g. Enlist®)

Code
s=1 2021

e
27. Have herbicide tolerant seeds been planted on the selected field any time since 2021?............ .........Yo=3
N

[If item 27 = 1 continue, otherwise go to item 28.]
If column 2 = 1, ask questions in columns 3 - 6
1

For herbicide tolerant seeds that are tolerant of--

2

3

Have you noticed a
decline in the
effectiveness of herbicides
in controlling weeds in the
selected field?

What was the first
year you noticed a
decline in the
effectiveness of
herbicides in
controlling weeds in
the selected field?
Year

Yes=1
No=3

4

5

Stop planting Change tillage
herbicide
practices?
resistant crops
with this trait?
Yes=1
No=3

6
Switch to an
alternative
herbicide?

Yes=1
No=3

Yes=1
No=3

a. Glyphosate (e.g. Roundup®)

2022

2023

2024

2025

2026

b. Glufosinate (e.g. Liberty®)

2027

2028

2029

2030

2031

c. Dicamba (e.g. Xtend®,
Xtendimax®, Engenia®)

2032

2033

2034

2035

2036

d. 2, 4-D (e.g. Enlist®)

2037

2038

2039

2040

2041

26
28. If untreated either with insecticides or Bt seeds, how much yield
loss (e.g. bales per acre) do you think each of the following
would most likely cause on the selected field?

Unit Code
1 Pounds
2 CWT
3 Tons
4 Bales
Code

AND

Units per Acre

OR

Total Units

2042
a. bollworms...............................................................................................

2043

2044

2045
b. cutworms................................................................................................

2046

2047

2048
c. insect pests other than bollworms or cutworms.....................................

2049

2050

29. If untreated either with herbicides, tillage, or
Unit Code
cultivation, how much yield loss (e.g. bales per acre)
1 Pounds
do you think weeds would most likely cause on the
2 Bales
selected field?........................................................................................
.......

Code
2051

Unit per Acre
AND 2052

Total Units
OR

2053

Completion Code for
Pest Management Data
1 Incomplete/Refusal

0500

27

F

FIELD OPERATIONS--SELECTED FIELD

1. Including custom operations, I need to list field work performed by
machines on the selected field for the 2025 cotton crop. Please...
· begin with the first field operation after harvest of previous crop, including
·
·

1

2

L
I
N
E

S
E
Q
U
E
N
C
E

3

Codes for Column 5
You (the Operator)
Partner
Unpaid Worker
Paid Part-time or Seasonal Worker
Paid Full-time Worker
Custom Applicator

4

Office Use
Lines in Table
0499

What
[Record
Who was
operation or
machine
the
equipment
code from
machine
was used? Respondent operator?
Booklet.]
[Enter
code from
above.]

Code

EXCLUDE

☐ Lime & Gypsum/land plaster applications
☐ Compost & Non-commercial manure

[If Column 5 = code 6, skip columns 6 thru 11]
7

What was
[Record size
the size or
unit code.]
swath of the
1 Feet
[machine] 2 Row
used?
3 Moldboard
bottoms
Hauling
4 Pounds
5 Bales

No.

☐ Land forming/Levee Building
☐ Tillage
☐ Preparing for Irrigation
☐ Planting
☐ Fertilizer & Pesticide applications
☐ Harvesting
☐ Module building
☐ Hauling from field to gin

applications

5
6

No.

Check List
INCLUDE all field work using machines for--

operations for a cover crop established since the previous crop harvested. If
fallow during 2024, list operations starting with fall 2023.
list the operations in order through harvest and hauling of this crop to storage
or first point of sale; and
maintain the order of tandem hook-ups.

1
2
3
4
5
6

F

Code

8

OR

How many
acres were
covered?

9

[EXCLUDE
land forming
and hauling
operations.]

[Example:
backhoes, disk
border maker,
ditcher, rear
mounted blade,
trucks, wagons,
forklift etc.]

Acres

Hours

Code

10

How many total
What power
hours were spent source was used?
on land forming
Tractors
1 <40 HP
and hauling?
2 40-99 HP
3 100-149 HP
4 150-199 HP
5 >=200 HP
OR
66 Animal Drawn
77 Pick up1/
99 Self-Propelled

11

What was the
fuel type of the
tractor?
[Record fuel
type only if
Power code
equals 1-5]
1 diesel
2 gasoline
3 LP gas
4 other
Code

Code

01

87

88

89

90

91

92

.___

93

94

95

02

87

88

89

90

91

92

.___

93

94

95

03

87

88

89

90

91

92

.___

93

94

95

04

87

88

89

90

91

92

.___

93

94

95

05

87

88

89

90

91

92

.___

93

94

95

06

87

88

89

90

91

92

.___

93

94

95

07

87

88

89

90

91

92

.___

93

94

95

08

87

88

89

90

91

92

.___

93

94

95

09

87

88

89

90

91

92

.___

93

94

95

10

87

88

89

90

91

92

.___

93

94

95

11

87

88

89

90

91

92

.___

93

94

95

12

87

88

89

90

91

92

.___

93

94

95

13

87

88

89

90

91

92

.___

93

94

95

14

87

88

89

90

91

92

.___

93

94

95

15

87

88

89

90

91

92

.___

93

94

95

16

87

88

89

90

91

92

.___

93

94

95

17

87

88

89

90

91

92

.___

93

94

95

18

87

88

89

90

91

92

.___

93

94

95

1/

If trucks other than pick-ups are used as the power source, use truck codes in Respondent Booklet

Office Use
0400

28
2. Now I need some additional information about your labor.
Please report the paid and unpaid labor that worked on the selected field to produce the 2025 cotton crop.
EXCLUDE labor that was reported for field work performed by machines.
How many hours did (type of worker) spend on the selected field-1

2

3

scouting for weeds, insects and
diseases?

irrigating?

performing other work by
hand?

Hours

Hours

Hours

Type of Workers

You (the operator)

1101

1102

1103

Partner(s)

1104

1105

1106

Unpaid workers

1107

1108

1109

Paid part-time or seasonal workers
EXCLUDE custom and contract labor

1110

1111

1112

Paid full-time workers
EXCLUDE custom and contract labor

1113

1114

1115

3. What was the average hourly wage rate paid to parttime or seasonal hired workers on the selected field?
Part-time workers are defined as those who worked for
Dollars & Cents
OR
Per Hour
wages or salaries for less than 30 hours a week on
average. EXCLUDE custom and contract workers,
1119
.___ ___
payroll taxes and benefits.........................................................
4. What was the average hourly wage rate paid to fullDollars & Cents
OR
Per Hour
time hired workers on the selected field? EXCLUDE
custom and contract workers, payroll taxes and
1118
.___ ___
benefits.....................................................................................

Total Dollars per
Week

AND

2119
Total Dollars per
Week
2118

Number of Hours
Worked Each Week
3119

AND

Number of Hours
Worked Each Week
3118
Code

5. Was any contract labor used on the selected
[If item 5 = 1, ask--]

Yes=1 1116
field?.............................................................................No=3
Dollars & Cents
Per Acre

1117
a. What was the average cost per acre for this contract labor?
INCLUDE operator, landlord, and contractor costs.........................................................................................

6. What percent of the total number of unpaid hours worked on the selected field was performed by
workers under 16 years of age? Estimates of labor costs for unpaid workers are based on off-farm
1120
wage rates, which are different for workers under 16 relative to those 16 and older......................................

.___ ___

Percent

29
7. Now I need some information on how much was spent or will be spent for custom services used on the selected field
for the 2025 cotton crop.
1

2

Custom Service

Including operator,
landlord, and
contractor costs, how
much was spent for
[column1] on the
selected field for the
2025 cotton crop?

Which of the following services were performed
for the 2025 cotton crop on the selected field?

Dollars & Cents
per Acre

[Check box for each service performed; refer to item 1 if necessary.]

☐

a. Custom land preparation, shaping and/or leveling?........................................................................

☐

b. Custom cultivating?.........................................................................................................................

☐

c. Custom planting and/or reseeding?................................................................................................

☐

d. Custom harvesting?........................................................................................................................

☐

e. Custom module building?
__ __.__ __
_____________ ÷ ____________
X

1121

.___ ___

1122

.___ ___

1123

.___ ___

1124

.___ ___

1125

=

__ __.__ __

=

__ __.__ __

.___ ___

(Dollars & cents per unit x Total units hauled from field ÷ Acres harvested in field = Dollars & cents per acre)

f.

☐

Custom hauling from field to gin?
__ __.__ __
_____________ ÷ ____________
X

1126

.___ ___

(Dollars & cents per unit x Total units hauled from field ÷ Acres harvested in field = Dollars & cents per acre)

[If custom harvesting, module building, and hauling from field to gin cannot be separated, ask--]
g. Custom harvesting, module building, and hauling from field to gin?
__ __.__ __
_____________ ÷ ____________ = __ __.__ __
X

☐

2127

.___ ___

(Dollars & cents per unit x Total units hauled from field ÷ Acres harvested in field = Dollars & cents per acre)

[Note: Do not report cotton ginning costs. If harvesting, module building, and/or hauling costs cannot be separated
from ginning costs, report the nonresponse code (-1) for those costs that cannot be separated.]
8. Did you hire any technical or consultant services to make recommendations such as for
Yes=1
nutrient, pest control, irrigation, or precision farming for the selected field?.......................................No=3

1196

[If item 8 = 1 continue, otherwise go to item 11.]
9. Which of the following technical or consultant services did you obtain to make
recommendations for the selected field?
a. Nutrient recommendations/management

Code

Yes=1 1129
service?..............................................................................
No=3
Yes=1 1130

b. Soil or tissue sample collection?.........................................................................................................
No=3

Yes=1 1131

c. Pest control recommendations/management service?.......................................................................
No=3

Yes=1 1132

d. Pest scouting, excluding any activity for the BWEP or PBWP?..........................................................
No=3

Yes=1 1133

e. Irrigation management service such as irrigation scheduling?............................................................
No=3
f.

Yes=1 1134

Yield map or remote sensing map development/interpretation?.........................................................
No=3

Yes=1 1135

g. Other custom or technical service? [Specify:_____________________________]............................
No=3
10. If Yes to any of these services in item 9a-g, what was the cost for all of
Dollars & Cents
these services? INCLUDE operator, landlord, and contractor costs.
OR
per Acre
EXCLUDE cost of soil/tissue tests or scouting cost reported earlier. Do not
report costs for any of these services if they were previously reported as
1136
.__ __
part of the cost of materials and/or application..........................................................

Total Dollars
1137

30
11. Please report how any data from the selected field in 2025 will be stored and accessed.
a. Did you access the data collected from the selected field on a -i.

Code
Yes=1 2485

Paper hard copy?.................................................................................................................................
No=3

Yes=1 2486

ii. Personal computer?..............................................................................................................................
No=3

Yes=1 2487

iii. Mobile device?......................................................................................................................................
No=3

2488
b. Did you access the data collected from the selected field through an agricultural
Yes=1
technology provider website?...............................................................................................................
No=3

[If item 11b = 1 continue, otherwise go to item 12.

Code

2489
c. Did you opt-out of allowing your agricultural technology provider website to share data
Yes=1
collected from the selected field with any third party?...........................................................................
No=3
2490
d. Did you share any of the data collected from the selected field with a third party through
Yes=1
an agricultural technology provider website?........................................................................................
No=3

12. Were there or will there be any data collection tools such as yield monitors, GPS mapping,
Yes=1
etc. used during field operations on this cotton field?...........................................................................
No=3

2460

[If item 12 = 1, continue, otherwise go to item 13.]
Please report the data collection technologies you used on the selected field in 2025 to produce this crop. In the fifth
column, report how much it would cost you to replace the data collection tool. In the sixth column, report the annual costs of
using the data collection tool. INCLUDE custom service fees, data subscriptions, and online tool subscriptions. If the
replacement cost or annual fee does not apply to a particular data collection tool, leave the cell in that column blank.
1

Data Collection Tool

2

3

4

5

6

Tool Used

Collected GPS
coordinates

Data was/will be
used to create a
map

Replacement
Cost

Annual Fee

Yes = 1
No = 3

Yes = 1
No = 3

Yes = 1
No = 3

Total Dollars

Total dollars

2461

2462

2463

2570

2571

2464
b. Soil tests on core sample performed onfarm or sent out to a laboratory...........................

2465

2466

2572

2573

2467

2468

2469

2574

2575

2470

2471

2472

2576

2577

2473

2474

2475

2578

2579

2476

2477

2478

2580

2581

2479
g. Custom service applications - data from
completed work on your field...............................

2480

2481

2582

2583

2482
h. Public data downloaded from online
sources......................................................................

2483

2484

a. Yield monitor..................................

c. Soil sensor tests..................................................
d. Hard-wired crop condition sensors......................

e. Wireless crop condition sensors..........................
f.

Drones, aircraft or satellites.................................

[If item 12a column 2 = 1, continue, otherwise go to item 15.]
13. Did you use the yield monitor information to-a. add/improve tile

Code

Yes=1 1141
drainage?...................................................................................................................
No=3
Yes=1 1144

b. negotiate new crop leases?..................................................................................................................
No=3

Yes=1 1143

c. help determine chemical input use?.....................................................................................................
No=3
[If any of item 12 column 2 = 1, continue, otherwise go to item 15]

31
14. Using data collected from the previous tools table in item 12, did you obtain crop
management recommendations, such as data interpretation, in 2025 for the selected field
from any of the following--

Code
Yes=1 2491

a. input dealers without other fee-for-services?........................................................................................
No=3

Yes=1 2492

b. input dealers with other fee-for-services?.............................................................................................
No=3

Yes=1 2493

c. custom service providers?....................................................................................................................
No=3

Yes=1 2494

d. USDA/university extension services?...................................................................................................
No=3
[If crop management recommendations were obtained, ask--]
Dollars & Cents
e. What was the cost for all of these services? INCLUDE operator, landlord
OR
per Acre
and contractor costs. Do not report costs for any of these services if
3150
they were previously reported as part of the costs of materials and/or
.__ __
application..................................................................................................................

Total Dollars
3151

15. Was any of the following GPS-enabled (Global Positioning System) equipment used to
produce cotton the selected field in 2025?

Code
Yes=1 2155

a. Mounted in-cab heads-up displays?.....................................................................................................
No=3

Yes=1 2156

b. Smart phones or computer tablets?......................................................................................................
No=3

2165
c. Automatic section control, such as auto sprayer boom controls or automatic section shut
Yes=1
offs?......................................................................................................................................................
No=3

16. If any GPS-enabled equipment was used, what was the cost to purchase
and install all GPS-enabled equipment, not including guidance auto-steering
Dollars & Cents
equipment? INCLUDE cost for GPS receiver and annual GPS subscription
OR
per Acre
fee, and operator, landlord, and contractor costs. Do not report costs for any
2166
of this equipment if they were previously reported as part of the costs of
.__ __
materials and/or application........................................................................................

Total Dollars
2167
Code

Yes=1 2148

17. Was any guidance auto-steering equipment, excluding Light Bar, used on the selected field?............
No=3
[If item 17 = 1 continue, otherwise go to item 18.]
1 New, owned
a. Was the guidance auto-steering
2 Used, owned
equipment...............................................................
3 Leased

Code
...........................................................

2158
Year

b. What year was guidance auto-steering equipment first

2159
purchased?...............................................................
___ ___ ___ ___
Dollars & Cents
per Acre
2160

c. What is the replacement cost for guidance auto-steering equipment?.......................

.__ __

OR

Total Dollars
2161

32
Code
Yes=1 2164

18. Was a variable rate applicator used on this field?................................................................................No=3
[If item 18 = 1 continue, otherwise go to Section G]

Please report the variable rate applicator types you used on the selected field to produce the cotton in 2025.
1

2

3

4

5

6

Was this applicator

What year was
the applicator
first used?

Premium paid for
the applicator

Year

Total Dollars

Was this applicator

Was a variable rate applicator used on the
selected field for:

Tool Used

1 Sensor-based
2 GPS-based
3 Both
4 Neither

Yes = 1
No = 3

1 New, owned
2 Used, owned
3 Leased

Code

Code

1158

2170

2171

2172

2173

1152

2174

2175

2176

2177

1159

2178

2179

2180

2181

a. seeding......................................................
b. fertilizer/lime applications...........................
c. pesticide applications.................................

33

G

IRRIGATION

G
Acres
1160

.___

1. How many acres in the selected field were irrigated for the 2025 cotton crop?..................................... .........
[If none, go to Conclusion]
2. Now I have some questions about the irrigation system and water used on the selected field for the
2025 cotton crop.
Unit

a. What type of irrigation system was used to irrigate the selected field?
System Type Code
[Show System Type Codes in the Respondent Booklet. Enter System Type Code for
system that applied the most water.].............................................................................................
Inches per Acre

b. What was the total quantity of water applied to the selected field during the entire
OR
growing season? INCLUDE all water used from both on-farm and off-farm sources
Total Acre Feet
and applied by any irrigation system.............................................................................................

System
1161

1162
1163

[If operator cannot provide item 2b, ask (i) and (ii), otherwise go to 2c]
What is the total number of hours this system was used to apply water to the
Total Hours
selected field during the cotton growing season?..........................................................................

1164

Gallons per Minute
ii. How many gallons per minute were applied?................................................................................

1165

i.

c. What percent of the water used to irrigate the selected field through this system
Percent
came from surface water sources?...............................................................................................

1166

d. What was the number of times the selected field was irrigated during the cotton
Number of
Irrigations
growing season using this system? INCLUDE any pre-plant irrigation.........................................

1167

1 Turbine
e. What was the pump type? [If more
2 Submersible
than one pump in the system, enter
3 Centrifugal
type for pump closest to water
4 Booster
source.]............................................................
5 Siphon
99 No Pump

f.

[If code 99, go to item j.].........

Code

Gallons per Minute
What was the average pumping rate?...........................................................................................

1168

1169

[If item 2a = code 1-9 (Pressure System), ask--]
Pounds per

1170

Code

1171

g. What was the system operating pressure?....................................................................................
Square Inch

h. What was the primary motor type used to
pump the water?
i.

1 Diesel
2 Gasoline
3 LP Gas
4 Natural Gas
5 Electricity
6 Solar Power

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

Horsepower
What was the average motor size?...............................................................................................

1172

[If item 2e = 99, ask--]
j.

Gallons per Minute
What was the average flow rate?..................................................................................................

k. How many other acres on this operation were irrigated using the selected field's
A cres
irrigation system during the 2025 growing season? EXCLUDE the selected field........................

1173
1174

.___

34
Dollars & Cents
per Acre

3. What was the cost of the fuel or electricity used to irrigate the selected field?
1189
INCLUDE operator, landlord, and contractor costs.....................................................

OR

Total Dollars
1190

.__ __

Code

4. Was any water purchased to irrigate the selected field? INCLUDE landlord's share and
Yes=1
purchases from all sources..................................................................................................................No=3

1191

[If item 4 = 1 continue, otherwise go to item 5.]
Dollars & Cents

OR
per Acre
a. What was the total cost for the water purchased for the selected field
during the 2025 growing season? INCLUDE operator, landlord, and
1193
.__ __
contractor costs and ditch maintenance costs for the selected field...........................

Total Dollars
1194

[If siphon tubes were used, item 2a = 10 or 11, ask--]

Total Dollars
1201

5. What would be the total cost to replace all the siphon tubes used on the selected field?...............................
[If poly pipe system was used, item 2a = 14, ask--]

Total Dollars

1202
6. What was the total amount spent for poly pipe used on the selected field during the 2025 growing
season? INCLUDE operator, landlord, and contractor costs.........................................................................

[If gated pipe system was used, item 2a = 15 or 16, ask--]

Inches
1203

7. What was the average diameter of gated pipe used to irrigate the selected field?.........................................

Feet
1204

a. What was the total length of gated pipe used?...............................................................................................
Code
Yes=1 1205

8. Were wells used to supply irrigation water for the selected field?........................................................No=3
[If item 8 = 1 continue, otherwise go to item 9.]

Number
1206

a. How many wells were used to irrigate the selected field?...............................................................................
Inches

b. What was the average diameter of the outer well casing?...................................................................

1207
Feet

c. What was the average pumping depth of these wells during the irrigation season? Pumping
depth is the depth to water at the start of the irrigation season, plus an average decline in the
1208
water level caused by pumping during the irrigation season..........................................................................

Code

d. Were other fields irrigated using water pumped from wells that supplied water to the
Yes=1
selected field?......................................................................................................................................
No=3

1210

[If item 8d = 1 continue, otherwise go to item 9.]

Acres

1211
e. Excluding the selected field, how many other acres on this operation were irrigated using the
same wells during the 2025 growing season?................................................................................. ...............

9. Was any additional mainline or lateral pipe used to carry water from the source to the system
in the selected field? INCLUDE underground pipe. EXCLUDE any system pipe within the
Yes=1
selected field........................................................................................................................................No=3

.___
Code

2211

[If item 9 = 1 continue, otherwise go to Conclusion.]

Inches

1212
a. What was the average diameter in inches of the most common type of this additional pipe
used?..............................................................................................................................................................
Feet
1213

b. How many feet of this additional pipe were used to bring water to the selected field?...................................

35

NOTES:

36

CONCLUSION
Location of Selected Field
I need to locate the selected field of cotton on this map.

Office Use
State County FIPS Code

County Name

0010

1. What county is the selected cotton field in?...........................................

__ __ __ __ __

a. Field description.....................................................................................
LATITUDE

LONGITUDE

0054

b. Field location..........................................................
N

___ ___. ___ ___. ___ ___
d

d

m

m

s

W

0055
___ ___ ___. ___ ___. ___ ___

s

d

d

d

m

m

s

s

OR
LATITUDE
0051

LONGITUDE

___ ___ . ___ ___ ___ ___ ___

0052

___ ___ ___. ___ ___ ___ ___ ___

decimal

[Enumerator Action:

decimal

Mark map to indicate where the selected cotton field is located.
Be sure the "X" marked on map is in the county identified above.]

We will need additional information to complete this study. We will contact you in February or March 2026 to collect it. I'll
call you then to set up a time that is good for you.
To receive the complete results of this survey on the release date, to
http://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/
1095
2. To have a summary emailed to you at a later date,
please enter your email address.
H

3. Ending time

H

M

M

0005
[Military].........................................................................................................................................
___ ___ ___ ___

Record Use
4. [Did respondent use farm/ranch records to report--]
Code

[fertilizer data]........

Code

Yes=1 0011
No=3

[pesticide data]............

Code

Yes=1 0012
No=3

[majority of this
Yes=1 0013
expense data?]........... No=3

Supplements Used
5. [Record the total number of each type of supplement used to complete this interview.]
Number

Fertilizer Supplement.........

Number

0041

Pesticide Supplement............

Number

0042

Field Operations....................

9910

9911

___ ___ ___ ___

Reported by:__________________________________

0043

M

M

D

19

Telephone: (______)____________

D

OFFICE USE
R. Unit
9921

Ptr 1 Str
9922

Response
1-Comp
9901
2-R
3-Inac
4-Office Hold

Ptr 2 Str
9923

Ptr 3 Str
9927

Respondent
1-Op/Mgr
9902
2-Spouse
3-Acct/Bkpr
4-Partner
9-Other

Ptr 4 Str
9928

OPS
923

Mode
2-PATI (tel)
9903
3-PAPI (Face-toFace)

SSO 1
9907
Enum.
9998

ADJ
922

Optional Use
9906

9916

POID
9989
___ ___ ___ ___ ___ ___ ___ ___ ___
Eval.
9900

Change
9985

37


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AuthorNT AUTHORITY\NETWORK SERVICE
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