SurveyId 3838 2023 June Area Frame Screening Form - Version B

2023 JUNE AREA SURVEY SCREENING FORM - VERSION B
OMB No. 0535-0213
Approval Expires: 5/31/2023
Project Code: 124
Survey ID: 3838

United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS
National Operations Division
9700 Page Avenue, Suite 400
St. Louis, MO 63132-1547
Phone: 1-888-424-7828
Fax: 1-855-415-3687
Email: [email protected]
Website: agcounts.usda.gov
AL, AR, DE, FL, GA, IL, IN, IA, KY, LA,
MD, MI, MN, MS, MO, NH, NJ, NY, NC,
OH, PA, SC, TN, VA, WV, WI

State

Stratum

Segment

___ ___

___ ___ ___ ___

000___ ___ ___ ___ ___ ___

Part _____ of _____
County___________________

INTRODUCTION
[Introduce yourself and ask for the operator. Rephrase in your own words.]
I am working on the June Agricultural Survey. This is a national survey where agricultural producers are asked to provide information on
crops and livestock.
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 and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in
44 U.S.C. Ch. 35 and other applicable Federal laws. For more information on how we protect your information please visit:
https://www.nass.usda.gov/confidentiality. Response is voluntary.
The area of land shown on this photo (map) has been selected for this survey.
[Refer respondent to photo or map. Provide segment boundaries, houses and other identifying landmarks to help the respondent become
familiar with the segment.]
1. On June 1, did you live or operate land inside these red lines?

□ Yes - [Continue with item 2.]
□ No - [Determine who the tract operators are inside the segment. Thank respondent and conclude interview.]
2. What were the boundaries of land operated inside these red lines?
[Verify or draw tract boundaries in blue, then continue with page 2.]

2

5
T
R
A
C
T

L
E
T
T
E
R

6

Line 1 – Full Name (First, Middle, Last)
Line 2 – Mailing Address
Line 3 – City, State, ZIP Code
Line 4 – Telephone Number

8

9

On the total
On the total
acres
acres operated on
operated on June June 1, have you
1, have there been
sold or will you
or will there be
sell agricultural
any crops grown,
products or
hay cut, livestock,
receive
poultry, honey
government
bees or
payments
aquaculture raised
this
this year?

year?

10

11

On the total
acres
operated on
June 1, are any
crops now
in storage
or will there
be any crops
stored
before
June 1, 2024?

Has this
operation owned
or raised any
hogs or pigs
in the past
12 months, or
does it expect
to own or raise
any this
year?

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

Phone: (_______) ________-____________________________

□ No

□ No

□ No

□ No

Name:

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

Phone: (_______) ________-____________________________

□ No

□ No

□ No

□ No

Name:

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

Phone: (_______) ________-____________________________

□ No

□ No

□ No

□ No

Name:

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

Phone: (_______) ________-____________________________

□ No

□ No

□ No

□ No

Name:

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

Phone: (_______) ________-____________________________

□ No

□ No

□ No

□ No

Name:

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

Name:
_____________________________________________________

Address:
_____________________________________________________
_____________________________________________________

_____________________________________________________

Address:
_____________________________________________________
_____________________________________________________

_____________________________________________________

Address:
_____________________________________________________
_____________________________________________________

_____________________________________________________

Address:
_____________________________________________________
_____________________________________________________

_____________________________________________________

Address:
_____________________________________________________
_____________________________________________________

_____________________________________________________

Address:
_____________________________________________________
_____________________________________________________

Phone: (_______) ________-____________________________

3

13

14

15

16

Excluding home Excluding home
use, have there
use, have there
been or
been or will there
will there be
be any
any nursery,
vegetables,
greenhouse,
melons, fruit, nuts
floriculture, sod,
or berries grown
cut Christmas
on this operation
trees or other
this year?
woody crops
grown on this
operation this
year?

On June 1, did this
operation have any
idle cropland or
more than 99 acres
of pasture?

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

On June 1,
were there any
horses, ponies,
or other equine,
regardless of
ownership, on
the total acres
operated?

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

17

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

O
F
U
F
S
I
E
C
E

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

□ Yes – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

__ __

□ DK – Go to

□ DK – Go to

□ DK – Go to

Questionnaire

Questionnaire

Questionnaire

Questionnaire

□ No

□ No

□ No

□ No

What best
describes this
nonagricultural
tract?

Enter acres and
land use, then
continue

Enter code

Enter code

818

783

LAND USE

□ YES = 1
□ DK = 2
□ NO = 3

00

846

818

783

•
__ __

LAND USE

□ YES = 1
□ DK = 2
□ NO = 3

00

846

818

783

•
LAND USE

□ YES = 1
□ DK = 2
□ NO = 3

00
846

818

783

•
LAND USE

□ YES = 1
□ DK = 2
□ NO = 3

00
846

818

783

•

□ YES = 1
□ DK = 2
□ NO = 3
846

818
•

00

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z

-

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

AA - 27
BB - 28
CC - 29
DD - 30
EE - 31
FF - 32
GG - 33
HH - 34
II - 35
JJ - 36
KK - 37
LL - 38
MM - 39
NN - 40
OO - 41
PP - 42
QQ - 43
RR - 44
SS - 45
TT - 46
UU - 47
VV - 48
WW- 49
XX - 50
YY - 51
ZZ - 52
AAA - 53
Etc...

LAND USE

00

__ __

□ DK – Go to

Does this tract
have potential for
agriculture before
June 1, 2024?

•

__ __

□ DK – Go to

20a

How many acres
are inside
these
red lines?

846

__ __

□ DK – Go to

20

NON-AGRICULTURAL TRACTS

__ __

□ DK – Go to

18

LAND USE

□ YES = 1
□ DK = 2
□ NO = 3

783

4
[Complete these items when enumeration of segment is completed.]

1. Total tract letters listed in Column 5, page 2 (sum of all Screening Forms for this segment)......................
2. Number of tract letters listed on photo or map..............................................................................
(Item 1 must equal item 2.)
3. Number of Area Version questionnaires completed.....................................................................
4. Number of tracts with acreage listed in Column 18, page 3........................................................+
5. Total of items 3 + 4 .......................................................................................................................=

5326

(Item 5 must equal items 1 and 2.)
Worksheet
Ag Tract Acres

[Comment on any enumerating problems caused by
segment boundaries, split fields, aerial photo coverage,
etc.]

Non-Ag Tract Acres

Codes to be used in Column 20a are:
(1) Residential

________________________________________________________ (2) Woods
________________________________________________________ (3) Idle Open Land (Not Idle Cropland.)
________________________________________________________ (4) Pasture (Not Hayed or Grazed.)
________________________________________________________ (5) Water
________________________________________________________ (6) Reported Non-Ag by Respondent
________________________________________________________ (7) Vacant Houses
________________________________________________________ (8) Obvious Non-Ag
________________________________________________________ (9) Grassland (Not Hayed or Grazed.)
________________________________________________________ (10) Hunting Preserve or Private Land Managed for Wildlife
________________________________________________________ (11) Government Land
________________________________________________________ (12) Other

ENUMERATOR:________________________________
DATE:________________________________________

Reported Acres
(RA)

OFFICE USE
Digitized
Acres

RA / DA