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pdfCONSERVATION PRACTICE ADOPTION MOTIVATIONS SURVEY - VERSION 2
CONFINED LIVESTOCK PRACTICES
OMB No.0535-XXXX
Approval Expires: XX/XX/XXXX
Project Code: 943
Survey ID: 9025
Version 2
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]]
Please make corrections to name, address, and ZIP Code, if necessary.
The information you provide will be used for statistical purposes only. Your response will be kept confidential and any person who willfully discloses ANY
identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey is conducted in accordance with the Confidential
Information Protection and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 and other applicable Federal laws.
For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality. Response is voluntary.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB number is 0535-XXXX. The time required to complete this information collection
is estimated to average 60 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.
1. Did you, regardless of ownership, raise any swine, poultry, milk cows, veal calves, or feeder cattle (including
backgrounders) on your operation during 2021?
1101 1
Yes - Go to Section 1 - Land Use and Livestock,
page 2
3
No - Continue to Item 1a, then Go to Section 13 Conclusion, page 32
a. What is the current status of your livestock operation?
1102
1
Sold
2
Rented out
3
Idle for more than a year
After answering Item 1a above, Go to Section 13 - Conclusion, page 32.
2
Section 1 - Land Use and Livestock
Please report farm/ranch land owned, rented, or used in your operation.
INCLUDE all cropland, Conservation Reserve Program (CRP), pastureland, woodland, wasteland,
farmstead, acres used for crop/livestock production facilities, and all other building sites associated
with this operation, etc.
1. For 2021, how many acres did this operation:
Acres
901
+
a. Own?.........................................................................................................................................................
132
b. Rent or Lease from others or use Rent Free?
+
INCLUDE any short term leases or land used on an animal unit month (AUM) basis .............................
905
c. Rent to others? ........................................................................................................................................
=
2. Calculate Item 1a + 1b - 1c. Then the total acres operated in 2021 was: ...............................................
900
3. Of the total acres operated, how many acres are considered:
Acres
101
a. Cropland, including land in hay, summer fallow, cropland idle, and cropland in government
programs? ................................................................................................................................................
i.
xxxx
How many acres were under an easement against development for non-agricultural uses in
2021? .......................................................................................................................................................
b. Grazing land, including permanent pasture and rangeland, woodland pastured, and other
102
pasture and grazing land (including rotational pasture) that could have been used for crops
without additional improvements? ............................................................................................................
i.
xxxx
How many acres were under an easement against conversion to crop production or nonagricultural use in 2021? ..........................................................................................................................
103
c. Woodland, not pastured? .........................................................................................................................
104
d. Other land? ..............................................................................................................................................
107
4. Of the total acres operated, how many acres were under a permanent or long-term easement or
enrolled in a land retirement program in 2021? ........................................................................................
INCLUDE any other land enrolled in the Conservation Reserve Program (CRP), Wetland Reserve Program (WRP),
Farmable Wetlands Program (FWP), Conservation Reserve Enhancement Program (CREP), Agricultural Conservation
Easements Program (ACEP) and the Forest Stewardship Program or any other state, federal or local program
EXCLUDE land included in 3ai or 3bi
3
Section 1 - Land Use and Livestock (continued)
5. Report the total number of livestock and poultry, by type, on your operation on December 31, 2021.
Number
108
a. Beef cows .................................................................................................................................................
109
b. Milk cows, including any dry cows ............................................................................................................
110
c. Other cattle and calves ............................................................................................................................
INCLUDE fed cattle, beef and dairy cull animals, stockers and feeders, veal calves, etc.
111
d. All hogs and pigs ......................................................................................................................................
112
e. All Poultry .................................................................................................................................................
INCLUDE layers and pullets, including table and hatching, turkeys, broilers, other chickens, ducks, etc.
xxxx
f.
All other livestock, please specify
xxxx
___________________________________________
INCLUDE goats, sheep, etc.
6. During 2021, did this operation produce organic products according to USDA's National Organic Program (NOP)
standards or have acres transitioning into USDA NOP Production?
EXCLUDE processing and handling
106
1
Yes
3
No
7. During 2021, did this operation participate in a sustainable sourcing contract that requires specific farming practices?
xxxx
1
Yes
3
No
4
Section 2 - General Conservation
1. Report your agreement or disagreement with the following statements about conservation practices and technology.
Agree
xxxx
I seek out information about conservation practices and their implementation. .....
I generally adopt new technologies or conservation practices before other
farmers in my local area. .......................................................................................
Neither Agree
nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
xxxx
xxxx
I experiment with new conservation practices on my farm. ....................................
I do not implement new conservation practices unless I know that they will
increase my profits or reduce my workload. ..........................................................
xxxx
I am willing to adopt conservation practices that improve environmental quality,
even if they do not increase my profit or reduce my workload. ..............................
xxxx
I am willing to adopt conservation practices that protect my investment in the
land, even if they do not increase my profit or reduce my workload. .....................
xxxx
I am willing to adopt conservation practices that preserve my land for the next
generation, even if they do not increase my profit or reduce my workload. ..........
xxxx
2. Thinking in general about the practices in use on your farming operation, what are your objectives when deciding to use
manure management or conservation? Check all that apply.
xxxx
xxxx
xxxx
xxxx
xxxx
Improving water quality (e.g., avoid polluting streams, rivers, and lakes)
Enhancing soil health or soil quality
Reducing erosion
Ensuring compliance with regulations
Reducing the cost of manure handling and management
xxxx
Facilitating (a) better use of nutrients on my farm or (b) export to other farms
xxxx
Improving animal health
xxxx
Reducing the need for repetitive maintenance
xxxx
Managing dust, odors, or other air quality issues
xxxx
Other, please specify:
xxxx
5
Section 3 - Technical Assistance
1. Have you ever received technical assistance (expertise or information) for manure management or conservation
practices associated with your livestock operation from any federal, state, local university, or other source?
In this survey, conservation refers to actions taken to improve and preserve natural resources such as soil, water, and
wildlife habitat on your operation.
Report on technical assistance you received regardless of whether you received financial assistance to help defray the
cost of installing or implementing conservation practices.
INCLUDE
· Expertise or information provided for planning or implementing a conservation practice or designing, laying out
or installing conservation structures
· Expertise or information from private technical service providers (TSPs) that is reimbursed by federal, state, or
local governments
· Expertise or information from your CCA, seed dealer, agronomist, co-op, nutritionist, integrator, technical service
provider, or nutrient management specialist that may be free or a paid service
1201
1
Yes - Continue
3
No - Go to Item 1b
a. Have you received technical assistance for conservation from any of these sources? Check all that apply.
1202
1203
1204
Federal agencies (typically free)
State or local agencies (typically free)
Private sources (free or paid)
b. Report your agreement or disagreement with the following statements about technical assistance on your cropland
from a government, university, or other source.
NA
1205
1215
I am comfortable using free technical assistance from non-federal
government sources. ...........................................................................
1213
4
2
3
4
2
3
4
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1208
xxxx
I tried to get free technical assistance from a non-federal government
source but could not. ............................................................................
xxxx
1207
I have received technical assistance at some time. .............................
1208
I received technical assistance and it was beneficial. ..........................
xxxx
I received technical assistance but it took too long. .............................
xxxx
I received technical assistance but it did not meet my needs. .............
Disagree
3
I have never sought any form of technical assistance. .........................
I tried to get free technical assistance from the federal government
but could not. .......................................................................................
Neither Agree
nor Disagree
2
Technical assistance is available to me. ..............................................
I am comfortable using free technical assistance from federal
government sources. ...........................................................................
Agree
6
Section 4 - Waste (Manure) Storage Facilities
1. Are the following waste (manure) storage facilities currently in use on your livestock operation?
EXCLUDE facilities designed to treat manure (e.g., water treatment lagoons and vegetated treatment areas)
Complete the table below and follow the instructions at the bottom of the table below.
Of facilities in
use, how
many were
Of facilities in
Are any of these waste taken over
use, how many Number of facilities
storage facilities in use from another were installed by
in use
on your operation?
operation?
you?
(Col 5 = Col 3 + Col 4)
1
2
1301 1
Buildings for solid waste ....................................
3
1305 1
Impoundments, compacted soil lining ...............
3
1309 1
Impoundments, concrete lining .........................
3
Impoundments, geomembrane or geosynthetic
clay lining ..........................................................
1313 1
3
1317 1
Tank, steel lined ................................................
3
3
4
5
Yes
No
1302
1303
1304
Yes
No
1306
1307
1308
Yes
No
1310
1311
1312
Yes
No
1314
1315
1316
Yes
No
1318
1319
1320
If you answered "No" to all facility types in Item 1, Column 2, above, continue.
If you answered "Yes" for any facility type in Item 1, Column 2, above, Go to Item 3, page 7.
2. Please report your agreement or disagreement with the following statements regarding waste storage facilities.
Complete the table and Item 2a below, then go to Section 5 - Animal Mortality Facilities, page 9.
I chose not to install waste storage facilities, at least in part, because:
Agree
1321
They are not needed on my operation. ...........................................................
1322
Anticipated costs greater than benefits. .........................................................
1323
It would take too much time or effort. .............................................................
1324
I tried to get but did not receive technical assistance. ....................................
1325
I applied for but did not receive financial assistance. .....................................
1326
Financial assistance would not cover enough of the cost. ..............................
Cost of meeting government standards for financial assistance is
too high ...........................................................................................................
Neither Agree
nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1327
a. Please specify any additional reason why you have not installed waste storage facilities.
Other reason, specify:
1328
___________________________________________________________________
After completing Item 2 and 2a above, Go to Section 5 - Animal Mortality Facilities, page 9.
7
Section 4 - Waste (Manure) Storage Facilities (continued)
3. Are the waste storage facilities on your operation required by regulation?
INCLUDE regulation from Federal, State or local governments
1329
1
Yes
No
3
4. At any point during the calendar year are your waste storage facilities completely full?
1330
1
Yes - Complete Item 4a, 4ai and 4aii below, then go to Item 5
3
No - Go to Item 4b
a. What do you do with the manure that cannot be stored on your operation?
1331
i.
Do you sell or give away excess manure to other operations? ......................................................
Yes
1
3
No
3
No
1332
ii. Do you spread excess manure on your own fields? ......................................................................
Yes
1
After completing Item 4a, 4ai and 4aii above, Go to Item 5
1333
b. Are you required, by regulation, to maintain more storage than needed? .....................................1
Yes
3
No
1334
c. Did you build more storage than you need to meet requirements for receiving financial
assistance? ................................................................................................................................... 1
Yes
3
No
Yes
3
No
Increased precipitation ..................................................................................................................
Yes
1
3
No
3
No
3
No
xxxx
d.
Other reasons? .............................................................................................................................1
5. Have changes in weather affected your management of waste storage?
1335
1
Yes - Continue
3
No - Go to Item 6
a. Have any of the following changes affected your management of waste storage?
1336
i.
1337
ii. Decreased precipitation .................................................................................................................
Yes
1
1338
iii. Seasonal change in precipitation ...................................................................................................
Yes
1
6. Did you install any of the waste storage facilities on your operation (as opposed to taking them over from another
operation by purchase or lease)?
1339
1
Yes - Continue
3
No - Go to Section 5 - Animal Mortality Facilities, page 9
a. Were the waste storage facilities you installed:
i.
1340
New (no prior facility on the same location)? .................................................................................
Yes
1
3
No
3
No
3
No
1341
ii. Renovation of existing facilities? ....................................................................................................
Yes
1
1342
b. Did the facilities you installed result in an overall increase in waste storage capacity? .................1
Yes
8
Section 4 - Waste (Manure) Storage Facilities (continued)
c. Did you receive technical assistance or financial assistance?
What percentage of your
costs were covered by
Did you receive Did you receive
financial assistance?
technical
financial
If you did not receive
assistance?
assistance?
financial assistance, enter 0
1343 1
Buildings for solid waste .........................
3
1348 1
Impoundment, compacted soil lining ......
3
1353 1
Impoundment, concrete lining ................
Impoundment, geomembrane or
geosynthetic clay lining ...........................
3
1358 1
3
1363 1
Tank, concrete or steel lined ...................
i.
3
Yes
No
1344 1
Yes
No
1349 1
Yes
No
1354 1
Yes
No
1359 1
Yes
No
1364 1
3
3
3
3
3
Yes
No
1345
Yes
No
1350
Yes
No
1355
Yes
No
1360
Yes
No
1365
1368
What portion of financial assistance to begin this practice was from federal sources?
Enter 0 if no financial assistance was received.) ...............................................................................................
%
d. I decided to install waste storage facilities, at least in part, because:
Agree
More storage was required to expand my operation. ........
Changing weather required a change in storage. .............
An upgrade was required to be eligible for financial
assistance for other facilities. ............................................
I received technical assistance. ........................................
I received financial assistance. .........................................
1369
1370
Neither Agree
Nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1371
1372
1373
1374
Anticipated off-farm environmental benefits. .....................
e. Did you select the type of storage based on? Check all that apply.
1375
1376
1377
f.
Cost
Management time or effort
Other criteria, specify:
1378
____________________________________________________________
Please specify any additional reason why you have installed waste storage facilities.
Other reason, specify:
1380
________________________________________________________________
9
Section 5 - Animal Mortality Facilties
1. Do you have animal mortality facilities on your operation?
Complete the table below and follow the instructions at the bottom of the table below.
Are animal
mortality facilities
in use on your
operation?
Of facilities in use,
how many were
taken over from
another operation?
Of facilities in use,
how many were
installed by you?
2
3
4
1
1409
Animal mortality facilities
INCLUDE structures for the treatment or disposal
of carcasses from day-to-day operations
1
3
Yes
No
1410
Number of
facilities in use
(Col 5 = Col 3 +
Col 4)
5
1411
1412
EXCLUDE emergency mortality events
If you answered "Yes" in Column 2, above, Go to Item 3, page 10.
If you answered "No" in Column 2, above, continue.
2. Please report your agreement or disagreement with the following statements regarding animal mortality facilities.
Complete the table and Item 2a below, then go to Section 6 - Waste (manure) Separation Facilities, page 12.
I chose not to install animal mortality facilities because:
Agree
1417
They are not needed on my operation. .............................................................
1418
I anticipated costs greater than benefits. ..........................................................
1419
It would take too much time or effort. ................................................................
1420
I tried to get but did not receive technical assistance. .......................................
1421
I applied for but did not receive financial assistance. ........................................
1422
Financial assistance would not cover enough of the cost. ................................
1423
Cost of meeting government standards for financial assistance is too high. .....
Neither Agree
nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
a. Please specify any additional reason why you have not installed animal mortality facilities.
Other reason, specify:
1424
_____________________________________________________________________
After completing Items 2 and 2a above, Go to Section 6 - Waste (manure) Separation Facilities, page 12.
10
Section 5 - Animal Mortality Facilities (continued)
3. Are the animal mortality facilities on your operation required by regulation?
INCLUDE regulation from Federal, State, or local governments.
1425
1
Yes
3
No
4. What type of day-to-day animal mortality management do you implement on your operation? Check all that apply.
1441
Rendering
1442
Composting
1443
Burial
1444
Freezer
1445
Incineration
1446
Gasification
5. Did you install the animal mortality facilities on your operation (as opposed to taking them over from another operation
through purchase or lease)?
1451
1
Yes - Continue
3
No - Go to Section 6 - Waste (manure) Separation Facilities, page 12
a. Were the animal mortality facilities you installed:
i.
1452
New (no prior facility on the same location)? .................................................................................
Yes
1
3
No
3
No
3
No
1453
ii. Renovation of existing facilities? ....................................................................................................
Yes
1
1454
b. Did the facilities you installed result in an overall increase in capacity? ........................................1
Yes
c. Did you receive technical assistance or financial assistance?
Did you receive
technical
assistance?
1465 1
Animal mortality facility ........
i.
3
Yes
No
Did you receive
financial
assistance?
1466 1
3
Yes
No
What percentage of your
costs were covered by
financial assistance?
If you did not receive financial
assistance, enter 0
1467
1470
What portion of financial assistance to begin this practice was from federal sources?
Enter 0 if no financial assistance was received. ................................................................................................
%
11
Section 5 - Animal Mortality Facilities (continued)
d. I decided to install animal mortality facilities, at least in part, because:
Agree
An upgrade was required to be eligible for financial
assistance for other facilities. ..........................................
I anticipated benefits greater than cost. ..........................
I anticipated saving time or effort. ...................................
I received technical assistance. ......................................
I received financial assistance. .......................................
1473
1474
1475
1476
1477
1478
I anticipated off-farm environmental benefits. .................
Neither Agree
Nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
e. Please specify any additional reason why you have installed animal mortality facilities.
1479
Other reason, specify:
_____________________________________________________________________
12
Section 6 - Waste (Manure) Separation Facilities
1. Do you have waste (manure) separation facilities on your operation?
INCLUDE
· filters or screens
· settling tanks
· settling basins
· settling channels used to separate manure solids from liquids
Complete the table below and follow the instructions at the end of the table.
Are waste
Of facilities in use, Of facilities in
separation
how many were
use, how many Number of facilities
facilities in use on
taken over from
were installed
in use
your operation? another operation?
by you?
(Col 5 = Col 3 + Col 4)
1
2
Waste (Manure) Separation Facilities ...............
1501 1
3
3
Yes
No
4
1502
1503
5
1504
If you answered "Yes" in Column 2, above, Go to Item 3, page 13.
If you answered "No" in Column 2, above, continue.
2. Please report your agreement or disagreement with the following statements regarding waste separation facilities.
Complete the table and 2a below, then go to Section 7 - Comprehensive Nutrient Management, page 15.
I chose not to install waste (manure) separation facilities because:
Agree
1509
They are not needed on my operation. ...............................................................
1510
I anticipated costs greater than benefits. .............................................................
1550
It would take too much time or effort. ..................................................................
1512
I tried to get but did not receive technical assistance. .........................................
1513
I applied for but did not receive financial assistance. ..........................................
1514
Financial assistance would not cover enough of the cost. ..................................
Cost of meeting government standards for financial assistance is
too high. ...........................................................................................................
Neither Agree
nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1515
a. Please specify any additional reason why you have not installed waste separation facilities.
Other reason, specify:
1516
_____________________________________________________________________
After completing Items 2 and 2a above, Go to Section 7 - Comprehensive Nutrient Management, page 15.
13
Section 6 - Waste (Manure) Separation Facilities (continued)
3. What types of waste separators have you implemented? Check all that apply.
1431
Inclined screen
1432
Screw press
1433
Roller press
1434
Belt press
1435
Settling basin
1436
Weeping wall
1437
Vibratory screen
1438
Rotating screen
1439
Centrifuge
1440
Geotextile container
4. Have changes in weather affected your management of waste separation facilities?
1447
1
Yes - Continue
3
No - Go to Item 5, page 14
a. Have any of the following changes affected your management of waste separation facilities?
i.
1448
Increased precipitation ..................................................................................................................
Yes
1
3
No
3
No
3
No
1449
ii. Decreased precipitation .................................................................................................................
Yes
1
1450
iii. Seasonal change in precipitation ...................................................................................................
Yes
1
14
Section 6 - Waste (Manure) Separation Facilities (continued)
5. Did you install any of the waste separation facilities on your operation (as opposed to taking them over from another
operation through purchase or lease)?
1520 1
Yes - Continue
3
No - Go to Section 7 - Comprehensive Nutrient
Management, page 15
a. Were the waste separation facilities you installed:
i.
1521
New (no prior facility on the same location)? .................................................................................
Yes
1
3
No
3
No
3
No
1522
ii. Renovation of existing facilities? ....................................................................................................
Yes
1
1523
b. Did the facilities you installed result in an overall increase in waste separation capacity? ............1
Yes
c. Did you receive technical assistance or financial assistance?
Did you receive
technical
assistance?
1524
Waste separation facility .....
i.
1
3
Yes
No
Did you receive
financial
assistance?
1525
1
3
Yes
No
What percentage of your
costs were covered by
financial assistance?
If you did not receive financial
assistance, enter 0.
1526
1534
What portion of financial assistance to begin this practice was from federal sources?
Enter 0 if no financial assistance was received. ................................................................................................
%
d. I decided to install waste separation facilities, at least in part, because:
Agree
They addressed a waste management or storage problem. .........
The facilitate better use of nutrients or export to other farms. ......
An upgrade was required to be eligible for financial assistance
for other facilities. .........................................................................
I anticipated benefits greater than cost. ........................................
I anticipated saving time or effort. .................................................
I received technical assistance. ....................................................
I received financial assistance. .....................................................
I anticipated off-farm environmental benefits. ...............................
1535
1536
Neither Agree
Nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1537
1538
1539
1540
1541
1542
e. Please specify any additional reason why you have installed waste separation facilities.
Other reason, specify:
1543
_____________________________________________________________________
15
Section 7 - Comprehensive Nutrient Management
A Comprehensive Nutrient Management Plan (CNMP) is a management plan to utilize nutrients and to manage the
collection, handling, storage, application, and utilization of animal waste (manure).
1. Do you have a written comprehensive nutrient management plan (CNMP), developed with assistance from a
government agency, private consultant, or other technical expert, to manage manure and other nutrients?
1601
1
Yes - Go to Item 2
3
No - Complete Items 1a and 1b below, then go to Section 8 - Waste
Utilization, page 18
a. Please report your agreement or disagreement with the following statements regarding a written comprehensive
nutrient management plan.
I chose not to develop and implement a written comprehensive nutrient management plan, at least in part, because:
Agree
It would require changing crops. ...........................................
It would require export of waste to other farms. ...................
I anticipated costs greater than benefits. ..............................
It would take too much time or effort. ...................................
I need more information to make a good decision about
whether to use a CNMP. .......................................................
I tried to get but did not receive technical assistance. ..........
I applied for but did not receive financial assistance. ...........
Financial assistance would not cover enough of the cost. ....
1602
1603
xxxx
1604
Neither Agree
nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
xxxx
1605
1606
1607
b. Please specify any additional reason why you have not implemented a written comprehensive nutrient management
plan.
Other reason, specify:
1608
____________________________________________________________________
After completing Items 1a and 1b above, Go to Section 8 - Waste Utilization, page 18.
1609
2. Have you had to modify your CNMP? .............................................................................................
1
Yes
3
No
1
Yes
3
No
1610
3. Is a CNMP for your operation required by regulation? ....................................................................
16
Section 7 - Comprehensive Nutrient Management (continued)
1611
4. Is spreading of waste on frozen ground limited or prohibited by your CNMP? ................................
Yes
1
3
No
3
No
3
No
3
No
3
No
5. Have changes in weather affected your CNMP or how you implement it?
1612
1
Yes - Continue
3
No - Go to Item 6
a. Have any of the following changes affected your CNMP or how you implement it?
i.
1613
Increased precipitation ..................................................................................................................
Yes
1
1614
ii. Decreased precipitation .................................................................................................................
Yes
1
1615
iii. Seasonal change in precipitation ...................................................................................................
Yes
1
1645
6. Did you manage in accordance with your comprehensive nutrient management plan in
2021? ............................................................................................................................................
Yes
1
7. What year did you first manage in accordance with your comprehensive nutrient management
plan? ........................................................................................................................................................
year
1616
a. Did you receive technical assistance or financial assistance?
Did you receive
technical
assistance?
Developing or writing a Comprehensive
Nutrient Management Plan (CNMP) .......
1617
3
1620
Implementing CNMP ...............................
i.
1
1
3
Did you receive
financial
assistance?
Yes
No
1618
Yes
No
1621 1
1
3
3
What percentage of the
cost was covered by
financial assistance?
Yes
No
1619
Yes
No
1622
%
%
1623
What portion of financial assistance to begin this practice was from federal sources?
(Enter 0 if no financial assistance was received.) .............................................................................................
%
17
Section 7 - Comprehensive Nutrient Management (continued)
b. I chose to develop and implement a written CNMP, at least in part, because:
Agree
It was required to be eligible for financial assistance on other
facilities. .....................................................................................
1624
It facilitates better use of livestock waste nutrients in crop
production. .................................................................................
1625
1626
I anticipated benefits greater than costs. ...................................
1627
I anticipated saving time or effort. ..............................................
1628
I received technical assistance. .................................................
1629
I received financial assistance. ..................................................
1630
I anticipated off-farm environmental benefits. ............................
Neither Agree
Nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
c. Please specify any additional reason why you have implemented a CNMP.
Other reason, specify:
1631
_____________________________________________________________________
8. Have you stopped managing in accordance with your CNMP?
xxxx
1
Yes - Continue
3
No - Go to Section 8 - Waste Utilization, page 18
xxxx
a. What year did you last manage in accordance with your CNMP? ............................................................
year
b. If you did not manage in accordance with your CNMP in 2021, do you plan to do so again within 3 years?
1633
1
Yes - Go to Section 8 - Waste Utilization, page 18
3
No - Continue
c. I decided to stop managing in accordance with my CNMP, at least in part, because:
Agree
1634
It required changing crops. ........................................................
1635
It required export of waste to other farms. .................................
1636
Costs were greater than benefits. ..............................................
1637
It took too much time or effort. ...................................................
1638
Technical assistance ended. ......................................................
1639
Financial assistance ended. ......................................................
1640
Financial assistance did not cover enough of the cost. ..............
Neither Agree
Nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
18
Section 8 - Waste Utilization
1. Does your livestock operation produce liquid waste?
xxxx
1
Yes - Continue
3
No - Go to Item 6, page 20
a. What type of equipment do you use for in-field application of liquid manure? Check all that apply.
If you use a contractor to apply manure, please note the types of equipment used by the contractor.
xxxx
Tractor-pulled spreader with tank (places manure on surface)
xxxx
Tractor-pulled injector with tank (places manure under the surface)
xxxx
Tractor-pulled injector with hose (places manure under the surface)
xxxx
Truck-mounted spreader with tank (places manure on surface)
xxxx
Irrigation equipment
xxxx
b. Do you use a contractor to apply liquid manure? ..........................................................................1
Yes
3
No
Yes
3
No
c. How is liquid manure incorporated into the soil?
xxxx
1
Manure spreading and incorporation are done in a single field operation
2
Tillage within 24 hours of manure application
3
Tillage, but not necessarily within 24 hours
xxxx
d. Do you export liquid manure to other farms? .................................................................................1
2. Do you use pipelines, pumping plants, or irrigation equipment to facilitate land application of manure?
Complete the table below and follow the instructions at the end of the table.
Are any of these Of facilities in use, Of facilities in
waste utilization
how many were
use, how many Number of facilities
facilities in use on
taken over from
were installed
in use
your operation? another operation?
by you?
(Col 5 = Col 3 + Col 4)
1
2
1701 1
Pipeline
A pipeline (and other parts necessary for a
functioning pipeline) installed to convey liquid
manure for land application.
3
1705 1
Pumping plant
A pump used to apply waste to the field.
3
3
4
5
Yes
No
1702
1703
1704
Yes
No
1706
1707
1708
Yes
No
1710
1711
1712
INCLUDE pump(s), power unit(s), and all other parts
necessary to the pumping plant that conveys liquid
manure for land application
Sprinkler Irrigation
A distribution system that applies liquid waste
through nozzles under pressure.
1709 1
3
If you answered "No" to all facility types in Column 2, above, Go to Item 3, page 19.
If you answered "Yes" for any facility type in Column 2, above, Go to Item 4, page 19.
19
Section 8 - Waste Utilization (continued)
3. Please report your agreement or disagreement with the following statements regarding waste utilization facilities.
Complete the table below, then go to Item 7, page 21.
I chose not to install waste utilization facilities, at least in part, because:
Neither Agree
nor Disagree
Agree
They are not needed on my operation. ............................................................
I anticipated costs greater than benefits. .........................................................
It would take too much time or effort. ...............................................................
I tried to get but did not receive technical assistance. ......................................
I applied for but did not receive financial assistance. .......................................
Financial assistance would not cover enough of the cost. ...............................
Cost of meeting government standards for financial assistance is
too high. ...........................................................................................................
1713
1714
1715
1716
1717
1718
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1719
a. Please specify any additional reason why you have not installed waste utilization facilities.
Other reason, specify:
1720
_____________________________________________________________________
After completing Item 2 and 2a above, Go to Item 7, page 21.
4. Are the waste utilization facilities on your operation required by regulation?
INCLUDE regulation from Federal, State, or local governments
1721
1
Yes
3
No
5. Have changes in weather affected your waste utilization?
1722
1
Yes - Continue
3
No - Go to Item 6, page 20
a. Have any of the following changes affected your waste utilization?
1723
i.
Increased precipitation ..................................................................................................................
Yes
1
3
No
3
No
3
No
1724
ii. Decreased precipitation .................................................................................................................
Yes
1
1725
iii. Seasonal change in precipitation ...................................................................................................
Yes
1
20
Section 8 - Waste Utilization (continued)
6. Did you install any of the waste utilization facilities on your operation (as opposed to taking them over from another
operation through purchase or lease)?
1726
1
Yes - Continue
3
No - Go to Item 7, page 21
a. Did you receive technical assistance or financial assistance?
Did you receive
technical
assistance?
1727
Pipeline ..........................
3
1732
Pumping plant ................
1
3
1737
Sprinkler Irrigation ..........
i.
1
1
3
Did you receive
financial
assistance?
Yes
No
1728
Yes
No
1733
Yes
No
1738
1
3
1
3
1
3
What percentage of your
costs were covered by
financial assistance?
If you did not receive financial
assistance, enter 0
Yes
No
1729
Yes
No
1734
Yes
No
1739
1760
What portion of financial assistance to begin this practice was from federal sources?
Enter 0 if no financial assistance was received. ................................................................................................
%
b. I chose to develop and implement waste utilization facilities, at least in part, because:
Agree
It addressed a waste management problem. ..............................................
It facilitated better use of manure nutrients. ................................................
An upgrade was required to be eligible for financial assistance on other
facilities. ......................................................................................................
I anticipated benefits greater than cost. .......................................................
I anticipated saving time or effort. ................................................................
I received technical assistance. ...................................................................
I received financial assistance. ....................................................................
I anticipated off-farm environmental benefits. ..............................................
1742
1743
Neither Agree
Nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1744
1745
1746
1747
1748
1749
c. Please specify any additional reason why you have installed waste utilization facilities.
Other reason, specify:
1750
_____________________________________________________________________
21
Section 8 - Waste Utilization (continued)
7. Does your livestock operation produce solid waste?
xxxx
1
Yes - Continue
3
No - Go to Section 9 - Diversion of Runoff, page 22
a. What type of equipment do you use to handle solid waste? Check all that apply.
If you use a contractor to apply manure, please note the types of equipment used by the contractor(s).
xxxx
Tractor equipped with manure loader
xxxx
High loader
xxxx
Tractor-pulled litter housekeeper
xxxx
Low profile loader
xxxx
Other equipment for collecting manure
xxxx
Tractor-pulled manure or litter spreader
xxxx
Truck-mounted manure or litter spreader
xxxx
b. Do you use a contractor to apply solid manure? ...........................................................................1
Yes
3
No
Yes
3
No
c. How is solid manure incorporated into the soil?
xxxx
1
Manure spreading and incorporation are done in a single field operation
2
Tillage within 24 hours of manure application
3
Tillage, but not necessarily within 24 hours
xxxx
d. Do you export solid manure to other farms? ..................................................................................1
22
Section 9 - Diversion of Runoff
1. What type of runoff control and diversion structures (designed to "keep the clean water clean") are currently in use on
your livestock operation?
Complete the table below and follow the instructions at the end of the table.
Are any of these Of facilities in use, Of facilities in
diversion facilities
how many were
use, how many Number of facilities
in use on your
taken over from
were installed
in use
operation?
another operation?
by you?
(Col 5 = Col 3 + Col 4)
1
2
1801 1
Roofs and covers
INCLUDE roofs or covers over waste storage
facilities, lagoons, animal mortality facilities or waste
separation facilities
Roof runoff structure
INCLUDE gutters, downspout pipes and drains that
collect, control or transport rainfall from roofs and
covers
3
1805 1
3
1809 1
Diversion
INCLUDE channels constructed on a slope to divert
water away from agricultural waste systems
3
3
4
5
Yes
No
1802
1803
1804
Yes
No
1806
1807
1808
Yes
No
1810
1811
1812
If you answered "No" to all practices in Column 2, above, Go to Item 2, page 23.
If you answered "Yes" for any practice in Column 2, above, Go to Item 3, page 23.
23
Section 9 - Diversion of Runoff (continued)
2. Please report your agreement or disagreement with the following statements regarding runoff control and diversion
structures. Complete the table below, then go to Section 10 - Stabilization or Protection of Heavily Used Areas, page
26.
I chose not to install runoff control and diversion structures, at least in part, because:
Agree
They are not needed on my operation. ...............................................................
I anticipated costs greater than benefits. ............................................................
It would take too much time or effort. ..................................................................
I tried to get but did not receive technical assistance. .........................................
I applied for but did not receive financial assistance. ..........................................
Financial assistance would not cover enough of the cost. ..................................
Cost of meeting government standards for financial assistance is too high. .......
1817
1818
1819
1820
1821
1822
1823
Neither Agree
nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
After completing Item 2 above, Go to Section 10 - Stabilization or Protection of Heavily Used Areas, page 26.
3. Are the runoff control and diversion structures on your operation required by regulation?
INCLUDE regulation from Federal, State, or local governments
1825
1
Yes
3
No
4. Have changes in weather affected your use of runoff control and diversion structures?
This would include more than just diversions, which is only one structure listed.
1826
1
Yes - Continue
3
No - Go to Item 5, page 24
a. Have any of the following changes affected your use of runoff control and diversion structures?
i.
1827
Increased precipitation ..................................................................................................................
Yes
1
3
No
3
No
3
No
1828
ii. Decreased precipitation .................................................................................................................
Yes
1
1829
iii. Seasonal change in precipitation ...................................................................................................
Yes
1
24
Section 9 - Diversion of Runoff (continued)
5. Did you install any of the runoff control and diversion facilities on your operation (as opposed to taking them over from
another operation through purchase or lease)?
1830
1
Yes - Continue
3
No - Go to Section 10 - Stabilization or Protection of Heavily Used Areas, page 26
a. Did the runoff diversion facilities you installed:
i.
1831
Replace existing runoff management structures? ...........................................................................
Yes
1
3
No
3
No
3
No
3
No
1832
ii. Expand existing runoff diversion capacity? .....................................................................................
Yes
1
1833
iii. Divert runoff to waste storage facilities? ..........................................................................................
Yes
1
1834
iv. Divert runoff away from your waste storage facilities? .....................................................................
Yes
1
b. Did you receive technical assistance or financial assistance?
Did you receive
technical
assistance?
1835
Roofs and covers ...................
3
1840
Roof runoff structures .............
i.
1
3
1845
Diversion ................................
1
1
3
Did you receive
financial
assistance?
Yes
No
1836 1
Yes
No
1841 1
Yes
No
1846 1
3
3
3
What percentage of your
costs were covered by
financial assistance?
If you did not receive
financial assistance, enter 0
Yes
No
1837
Yes
No
1842
Yes
No
1847
1855
What portion of financial assistance to begin this practice was from federal sources?
Enter 0 if no financial assistance was received. ................................................................................................
%
25
Section 9 - Diversion of Runoff (continued)
c. I chose to implement runoff control and diversion practices, at least in part, because:
Agree
I anticipated benefits greater than cost. ......................................................
I anticipated saving time or effort. ...............................................................
An upgrade was required to be eligible for financial assistance for other
facilities. ......................................................................................................
I received technical assistance. ...................................................................
I received financial assistance. ....................................................................
I anticipated off-farm environmental benefits. ..............................................
1857
1857
Neither Agree
Nor Disagree Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1858
1859
1860
1861
d. Please specify any additional reason why you have installed runoff control and diversion structures.
1862
Other reason, specify:
_____________________________________________________________________
26
Section 10 - Stabilization or Protection of Heavily Used Areas
1. Do you have vegetative cover, surfacing, or structures to stabilize or protect areas that are frequently and intensively
used by people, animals or vehicles?
1901
1
Yes - Complete Items 1a, 1b, and 1c below, then go to Item 3, page 27
No - Go to Item 2
3
1902
a. Number taken over from another operation ........................................................................................................
1903
b. Number installed by you .....................................................................................................................................
xxxx
c. Total number in use (Item 1c = Item 1a + 1b) .....................................................................................................
After completing Item 1a, 1b, and 1c above, Go to Item 3, page 27.
2. Please report your agreement or disagreement with the following statements about vegetative cover, surfacing or
structures to stabilize or protect areas that are frequently and intensively used. Complete the table below and Item 2a,
then go to Section 11 - Demographics, page 28.
I chose not to install vegetative cover, surfacing or structures to protect heavily used areas, at least in part, because:
Agree
1904
They are not needed on my operation. ............................................................
1905
I anticipated costs greater than benefits. .........................................................
1906
It takes too much time or effort. .......................................................................
1907
I tried to get but did not receive technical assistance. ......................................
1908
I applied for but did not receive financial assistance. .......................................
1909
Financial assistance would not cover enough of the cost. ...............................
Cost of meeting government standards for financial assistance is
too high. ...........................................................................................................
Neither Agree
Nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1910
a. Please specify any additional reason why you have not installed vegetative cover, surfacing or structures to protect
heavy use areas.
1911
Other reason, specify:
_____________________________________________________________________
After completing Item 2 and 2a above, Go to Section 11 - Demographics, page 28.
27
Section 10 - Stabilization or Protection of Heavily Used Areas (continued)
3. Are the heavy use protection areas on your operation required by regulation?
INCLUDE regulation from Federal, State, or local governments
1912
1
Yes
No
3
4. For areas of heavy use that were stabilized on your operation, did your operation do the stabilization for at least some of
these areas?
1913
1
Yes - Continue
No - Go to Section 11 - Demographics, page 28
3
a. Did you receive technical assistance or financial assistance?
What percentage of your
costs were covered by
financial assistance?
If you did not receive financial
assistance, enter 0
1914 1
Technical assistance ..............
3
1915 1
Financial assistance ..............
i.
3
Yes
No
Yes
No
1916
1919
What portion of financial assistance to begin this practice was from federal sources?
Enter 0 if no financial assistance was received. ................................................................................................
%
b. I chose to install vegetative cover, surfacing or structures to protect heavily used areas, at least in part, because:
Agree
They reduce animal health problems. .........................................................
They reduce repetitive maintenance activities. ............................................
They make waste collection easier. .............................................................
An upgrade was required to be eligible for financial assistance for other
facilities. ......................................................................................................
I anticipated benefits greater than costs. .....................................................
I anticipated saving time or effort. ...............................................................
I received technical assistance. ...................................................................
I received financial assistance. ....................................................................
1820
1921
1922
Neither Agree
nor Disagree
Disagree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1923
1924
1925
1926
1927
1928
I anticipated off-farm environmental benefits. ..............................................
c. Please specify any additional reason why you decided to stabilize heavy use areas.
Other reason, specify:
1929
_____________________________________________________________________
28
Section 11 - Demographics
1. Please answer the following for the operator:
a. What is the operator's sex?
910
1
Male
2
Female
911
b. What was the operator's age on January 1, 2021? .................................................................................................
912
c. Is the operator of Hispanic, Latino or Spanish origin? ..........................................................1
Yes
3
No
d. What is the operator's race? Check all that apply.
913
White
914
Black or African American
915
American Indian or Alaska Native
916
Asian
917
Native Hawaiian or Other Pacific Islander
e. Has the operator ever served on active duty in the U.S. Armed Forces, Reserves or National Guard?
918
1
Never served in the military
2
Only on active duty for training in the Reserves or National Guard
3
Now on active duty
4
On active duty in the past, but not now
919
2. How many years have you been continuously managing a forest, farm or ranch operation? ..................
years
3. At which occupation did the operator spend the majority (50 percent or more) of his/her time in 2021?
920
1
Forestry, farm or ranch work
2
Work other than forestry, farming or ranching
1212
4. Is the operator retired from forestry, farming or ranching? ...................................................
1
Yes
3
No
29
Section 11 - Demographics (continued)
5. What is the highest level of formal education the operator has achieved?
922
1
Less than high school diploma
2
High school
3
Some college (include associates degree)
4
Four-year college graduate and beyond
6. In 2021, what was this operation's legal status for tax purposes? Check one answer only.
923
1
2
Family or individual operation - EXCLUDE partnerships and corporations
Partnership operation - INCLUDE family partnerships - If option 2 is selected:
924
Is this partnership registered under state law? .................................................
3
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
Incorporated under state law - If option 3 is selected:
925
Is this a family held corporation? ......................................................................
926
Are there more than 10 stockholders? .............................................................
4
Other - If option 4 is selected:
927
Estate or trust ...................................................................................................
928
Grazing association, government facility or American Indian reservation .........
Other, specify
type:
929
930
__________________________________________
30
Section 12 - Value of Sales
Farm Producer Value Codes
Dollar Range
Code
Dollar Range
Code
Dollar Range
Code
0 - $999 ......................
1
$30,000 - $39,999 .........
8
$180,000 - $249,999 ..........
15
$1,000 - $2,499 ..........
2
$40,000 - $49,999 .........
9
$250,000 - $499,999 ..........
16
$2,500 - $4,999 ..........
3
$50,000 - $59,999 .........
10
$500,000 - $999,999 ..........
17
$5,000 - $9,999 ..........
4
$60,000 - $69,999 .........
11
$1,000,000 - $4,999,999 ....
18
$10,000 - $14,999 ......
5
$70,000 - $79,999 .........
12
$5,000,000 and over ..........
19
$15,000 - $19,999 ......
6
$80,000 - $99,999 .........
13
$20,000 - $29,999 ......
7
$100,000 - $179,999 .....
14
2020
1. Which value code represents this operation in terms of the gross value of sales and xxxx
government agricultural payments? ..................................................................................
2021
xxxx
INCLUDE
· Sales of all the crops, livestock, poultry, and livestock products (milk, eggs, etc.)
· The value of hay, silage, and other crops harvested, but not sold
· The value of all crops, livestock and poultry produced under contract
· Landlord's share of government payments and crops sold
EXCLUDE
· Dollars received on land rented to others
2020
xxxx
2021
xxxx
2. Which value code represents the net operating income for this operation? ......................
(Cash income from all farm sourced sources minus production costs and depreciation; if negative, please indicate with a
negative sign before the value code.)
2020
xxxx
2021
xxxx
3. Which value code represents your total off-farm income? ................................................
(wages, salaries, tips, interest, dividends, other public sources, etc., before taxes, income from operating another farm,
income from operating any other business; if negative, please indicate with a negative sign before the value code.)
2020
xxxx
4. How many people lived in your household? ......................................................................
2021
xxxx
31
Section 12 - Value of Sales (continued)
5. Of the farm or ranch income reported, which of these categories represents the largest portion of the gross income from
the operation?
Code
1 – Grains, Oilseeds, Dry Beans, and Dry Peas ........................................................................
1☐
(corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, straw, etc.)
2 – Tobacco ...............................................................................................................................
2☐
3 – Cotton and Cottonseed ........................................................................................................
4 – Vegetables, Melons, Potatoes and Sweet Potatoes ............................................................
(beets, cabbage, cantaloupes, pumpkins, sweet corn,
tomatoes, watermelons, vegetable seeds, etc.)
5 – Fruit, Tree Nuts and Berries .................................................................................................
(almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit,
oranges, pears, pecans, strawberries, walnuts, etc.)
6 – Nursery, Greenhouse, Floriculture and Sod .........................................................................
(bedding plants, bulbs, cut flowers, flower seeds, foliage plants,
mushrooms, nursery potted plants, shrubbery, sod, etc.)
3☐
4☐
5☐
6☐
7 – Cut Christmas Trees and Short Rotation Woody Crops ....................................................... 7 ☐
8 – Other Crops and Hay, CRP and Pasture .............................................................................
(grass seed, hay and grass silage, hops, maple syrup, mint,
peanuts, sugarcane, sugarbeets, CRP, etc.)
9 – Hogs and Pigs .....................................................................................................................
8☐
9☐
10 – Milk and Other Dairy Products from Cows ........................................................................... 10 ☐
11 – Cattle and Calves ................................................................................................................
11 ☐
(beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals,
stockers and feeders, veal calves, etc.)
12 – Sheep, Goats, and their Products ........................................................................................ 12 ☐
(wool, mohair, milk and cheese)
13 – Horses, Ponies, and Mules .................................................................................................. 13 ☐
(burros and donkeys)
14 – Poultry and Eggs ................................................................................................................. 14 ☐
(broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings,
ostriches, pigeons, pheasants, quail, poultry products, etc.)
15 – Aquaculture .......................................................................................................................... 15 ☐
(catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.)
16 – Other Animals and Other Animal Products .......................................................................... 16 ☐
(honey bees, honey, rabbits, fur-bearing animals, semen, manure,
other animal specialties, etc.)
Farm Type
Code
862
32
Section 13 - Conclusion
1. Has this operation (name on label) been sold, or turned over to someone else?
1086
1
1088
1089
1090
1091
1095
Yes - Identify the new operator(s) below
3
No - Go to Item 2
Operation Name: _____________________________________________________________________________________
Operator Name: _____________________________________________________________________________________
Address: ___________________________________________________________________________________
City: ________________________________
Phone: (______) ________________________
1092
9955
State: _____
☐
1094
1007
Zip: _____
Check if cell phone
1010
Yes
a. Did this person operate land individually on June 1, 2021? ............................................... 1
2. Comments related to the information you reported:
County: ____________
No
1511
Contact Information:
Operation Email:
Operation Phone:
9937
9936
(
check if
cell phone
Respondent Name:
Respondent Phone (if different from above)
9912
9911
(
check if cell 9910
phone
) - _____________________
☐
) - _____________________
☐
Date:
MM
DD
YY
__ __
__ __
__ __
This completes the survey. Thank you for your help.
OFFICE USE ONLY
Response
1-Comp
9901
2-R
3-Inac
4-Office Hold
5-R – Est
6-Inac – Est
7-Off Hold – Est
S/E Name
Respondent
1-Op/Mgr
2-Spouse
3-Acct/Bkpr
4-Partner
9-Other
9902
Mode
1-PASI (Mail)
2-PATI (Tel)
3-PAPI (Face-toFace)
6-Email
7-Fax
19-Other
Enum.
9903
9998
Eval.
9900
R. Unit Change
t
9985
9989
Office Use for POID
9921
__ __ __ - __ __ __ - __ __ __
Optional Use
9907
9908
9906
9916
File Type | application/pdf |
Author | Williams, Clare - NASS |
File Modified | 2021-10-21 |
File Created | 2021-10-20 |