Survey ID: 1965 Form A - Soybean Yield Survey

FORM A SOYBEAN YIELD SURVEY - 2022

OMB No.: 0535-0088
Approval Expires: xx/xx/20xx
Project Code: 102
Survey ID: 1965

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 soybean acreage on your
farming operation. We are now collecting information to help determine soybean production in (Your State) and
the United States.

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JUNE PLANTED
ACRES

Earlier this season, the number of soybean 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 soybean acreage information. What is the current number of
soybean acres you planted for all purposes on all the land you operate in the tract?.....................
ACRES

112

2. What are the total acres of soybeans to be harvested for beans 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 soybean field(s) in the tract and get their acreage.
Notes:
· For the Sample Field(s) in the tract, complete Table A for the soybean field(s) based off the cardinal directions
indicated on the label (e.g., northern most field)
Table A
SAMPLE
NUMBER
AND
DIRECTION

TOTAL
ACRES
IN FIELD

1

2

ACRES in USE or CROPS OTHER THAN SOYBEANS
to be HARVESTED for BEANS
(For example: ditches, fence rows, waterways, roads,
other crops, etc.)
USE

ACRES

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

3

4

5

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

. ____

.____

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FORM A: SOYBEANS - Continued

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

103

4. What was the row width (planter setting) for the soybeans in the sample field?.............................INCHES

110

.______
.______

v

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

107

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

1

Yes

2=Group II
3=Group III
Arkansas Only for Item 7
4=Group IV
7. What Maturity Group are the soybeans in
5=Group V
the selected field?...............................................

No

3

Don't Know

2

6=Group VI
7=Group VII
8=Don't
Know

114
CODE

108

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

CODE

8. With your permission I will go out to the field and mark off two small plots to be used in making plant and fruit
counts. I will return to the plots each month until harvest to make counts and measurements, and harvest and
weigh a few beans. 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 plant and fruit counts.)
No - Conclude interview, enter data in to CAPI, and then go to Item 10.Return all forms after item 10.
a. The United Soybean Board (USB) has requested permission to use the soybean samples for
compositional traits and disease analysis. Do we have your permission to provide your soybean sample
to USB?
1

Yes

3

131

No

CODE

9. 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 _______________________.

NOTE: If this is a gleaning sample, tell the operator,
“After harvest, I will also lay out two small plots to determine harvest loss.”

10. 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 9).

190
Enumerator Number
191
Supervisor Number
193
Evaluation

180

11. Enumerator Name: _______________________________

STATUS CODE

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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

__ __ __ __