Survey ID: 2826 Telephone Quality Control Form - List Surveys

Project Code: 115, 122, 123, 125, 126,127, 129, 133, 134, 137, 142, 150,
152, 153, 155, 157, 158, 161, 162, 163, 164, 175, 178, 191, 192, 193, 195

Survey ID: 2826

OMB No. 0535-0213

Approval Expires: ??/??/20??

TELEPHONE QUALITY CONTROL
WORKSHEET
Agricultural Surveys (List and NOL)

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

Month:_____________ Year: _________
State:

Farm, Ranch, or
Operation Name:

Segment:

Operator’s name:

Tract:

Address:

Enumerator:
Interview Date:

Telephone:

Survey Respondent:

Operator

Spouse Acct/Bkpr

Other

Current respondent:

Operator

Spouse Acct/Bkpr

Other

Good (Morning/Afternoon/Evening):
I am __________________________ with the USDA National Agricultural Statistics Service. Recently you
should have been contacted by one of our representatives, Mr./Ms. __________________, to obtain agricultural
information about your operation. This short call is part of our survey quality assurance measures to verify that
contact was actually made with you for that purpose. Your response is voluntary and not required by law, but
your cooperation will be appreciated. Will you help me by answering a few questions about the interview?
1. During the past few days, do you recall an interview with Mr./Ms. ___________________, for the purpose of
obtaining information about your operation:
Yes - [Go to item 3]
DK or Don't Remember - [Go to item 2]
No - [Go to item 2]
2. During the past few days, did any other person from the National Agricultural Statistics Service, or USDA,
interview you to obtain information about your operation?
Yes - [Go to item 3]
DK or Don't Remember - [Conclude interview]
No - [Conclude interview]
3. Did the person conducting the interview ask you to verify your name, address, and operation name?
Yes - [Continue]
DK or Don't Remember - [Conclude interview]
No - [Conclude interview]
(Continue on Back)

Now I would like to verify your type of operating arrangement.
1. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners?
Reported

Verified

□
□
□

□
□
□

One individual
A hired manager
Partners

2. (Ask the appropriate question to verify survey-specific items. Circle Yes or No.)
(Crop Surveys)
Did the interviewer ask how many of your total acres operated are considered
cropland?............................................................................................................................... Yes

No

(Potato, Fruit and Vegetable Surveys)
Did the interviewer ask how many of did you
have?..................................................................................................................................... Yes

No

(Livestock Surveys)
Did the interviewer ask whether you owned or raised any ?.............................................................................................................................Yes

No

(Bees)
Did the interviewer ask how many total bee colonies you own?.............................................Yes

No

(Stocks)
Did the interviewer ask your storage capacity of all structures normally used to
store Whole Grains or Oilseeds?........................................................................................... Yes

No

3. Approximately how long did the interview take?_________Minutes

4. Did Mr./Ms.__________________________________
conduct the interview in a knowledgeable and professional manner?
Yes
No - [Explain]_____________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
5. Do you have any additional comments you would like to make concerning our survey contact?
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

This concludes the interview. Thank you for your help.
Signature:_______________________________ Date:____________________________________