Survey ID: 1964 Form A Corn Yield Survey

FORM A CORN YIELD SURVEY - 2022

OMB No.: 0535-0088
Approval Expires: xx/xx/20xx
Project Code: 104
Survey ID: 1964

United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

Please make corrections to name, address and ZIP Code, if necessary.

Date:

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 to this survey 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 0535-0088. The time required to complete this information collection is
estimated to average 20 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.

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

2
JUNE PLANTED
ACRES

Earlier this season, the number of corn acres you planted or intended to plant for all purposes on all the
land you operate in the tract was: ...................................................................................................................

.____
DO NOT CHANGE

1. Now I want to update this corn acreage information. What is the current number of corn acres
you planted for all purposes on all the land you operate in the tract?.................................................
ACRES

105

2. What are the total acres of corn to be harvested for grain or seed on all the land you operate in
the tract? (If total equals zero, end interview).....................................................................................
ACRES

102

.____
.____

Now, I need to identify one (or more) of your corn field(s) in the tract and get their acreage.
Notes:
· For the Sample Field(s) in the tract, complete Table A for the corn field(s) based off the cardinal directions indicated
on the label (e.g., northern most field)
· Select corn field regardless if the field is intended to be harvested for grain/seed or other use.
Table A
ACRES in USE or CROPS OTHER THAN CORN

to be HARVESTED for GRAIN or SEED

SAMPLE
NUMBER
and
DIRECTION

TOTAL
ACRES
IN FIELD

1

2

USE

ACRES

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

3

4

5

(For example: silage, ditches, fence rows, waterways,
roads, other crops, etc.)

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

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FORM A: CORN - Continued

All questions below apply to this SAMPLE.
3. For the Sample Field, subtract Column 4 from Column 2 for the total acres of corn to be
harvested for grain or seed. Report these acres here:........................................................................
ACRES

103

4. What was the planter row width setting?..........................................................................................
INCHES

107

5. On what date was planting completed in this corn field?..................................................................MM DD

109

._____

Kansas and Nebraska Only for Item 6
6. Has this field been (or will it be) irrigated?

1

Yes

3

No

2

Don't Know

104
CODE

7. With your permission I will go out to the field and mark off two small plots to be used in making stalk and ear
counts. I will return to the plots each month until harvest to make counts and measurements, and harvest and
weigh a few ears. Would that be all right?
Yes - Continue. (Inform respondent what day/approximate time you intend mark off two small plots to
be used in making stalk and ear counts)
No - Conclude interview, enter data in to CAPI, and return all forms.
8. Have you or will you apply pesticides with organophosphorus content to the sample field?
Yes

No

Don't know

If yes, enter latest application date ______________________ and name of pesticide _______________________.

9. Where should I leave the corn picked from the units? _______________________________________
(Copy to the sample kit envelope the location where the operator wishes you to leave the corn.)

10. Do you intend to harvest this field as high moisture corn?
(High moisture corn is defined as corn with moisture content of 30 percent or more.)
Yes

No

Don't know

NOTE: If this is a gleaning sample, tell the operator "After harvest, I will also lay out two small plots to determine harvest
loss."
11. Respondent Name: _____________________________
PLEASE CHECK THE FOLLOWING:
·
·
·

Review the form for completeness
Sign name
On the kit envelope, record operator's
Telephone number
Expected harvest date
Pesticide intentions (Item 8), and
Location to leave corn (Item 9)

12. Enumerator Name: _______________________________

190
Enumerator Number
191
Supervisor Number
193
Evaluation

STATUS CODE

180

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NOTES:

Survey Results: To receive the complete results of this survey on the release date, go to:
www.nass.usda.gov/results
To have a brief summary emailed to you, please enter your email address:
1095

Operation Email: (if different from above)

Operation Phone:

9937

check if
cell phone

9936
(

Respondent Name:

) - _____________________

☐

Respondent Phone (if different from above)

9912

9911

____________________________________________

(

check if 9910
cell phone
) - _____________________

This completes the survey. Thank you for your help.

☐

Date:

MM
__ __

DD

YY

__ __ __ __