QID Hazelnut Objective Yield Survey - OR

HAZELNUT OBJECTIVE YIELD SURVEY August 1, 20xx
							OMB No. 0535-0088 Approval Expires: xx/xx/20xx Project Code: 794 QID: SMetaKey: 3680
								United States Department of Agriculture
								NATIONAL AGRICULTURAL STATISTICS SERVICE
							Oregon Hazelnut Marketing Board USDA/NASS - Oregon Northwest Region PO Box 609 Olympia, WA 98507-0609 Phone: 1-800-435-5883 FAX: 1-855-270-2721 Email: [email protected]

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 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 3 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.

The Oregon Hazelnut Marketing Board funds this survey to obtain a yield forecast that will be released at the end of August, 20xx. Your response is very important in forecasting yields for the upcoming crop year. Individual reports are used in combination with other reports from other producers to determine the forecasted yield.

SECTION 1

OPERATOR INFORMATION

Sample No.

Name

Address

City

State

Zip

Phone

A block of trees in your hazelnut orchard(s) was randomly selected this year to be in the Hazelnut Objective Yield Survey by the Hazelnut Marketing Board and the Oregon Agricultural Statistics Service. Our records show that the selected block is in the _______.___ acre orchard planted in ________ (year), and located at ________________________________________ and owned by _________________________________.

1. Do you still operate this block of hazelnuts?

Yes - Skip to SECTION 2: PICKING

No - What is the name, address and phone number of the new operator?

Name

Address

City

State

Zip

Phone

2. Does this person still own the orchard?

Yes

No - What is the name, address and phone number of the new owner?

Name

Address

City

State

Zip

Phone

Now contact the new operator.

SECTION 2

PICKING SAMPLES

4. May we have your permission to enter this block and pick the nuts from the sampled terminal limbs on the 2 trees that we marked? We will send this sample to our Portland office to determine the number, size, weight and percent defective.

Yes - Go to item 5.

No - Conclude interview.

5. Can you tell us your plans for spraying in this block during the next week or so? This information will help us avoid unnecessary exposure to potentially harmful chemicals. (Obtain dates and chemicals being applied.)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Permission obtained from: (Name)

Date

/ /

Enumerator

Date

/ /

Comments:

	9911	9910 MM DD YY
Respondent Name:________________________________	Phone:	Date:

This completes the survey. Thank you for your help.

OFFICE USE ONLY
Response		Respondent		Mode		Enum.	Eval.	Change	Office Use for POID
1-Comp 2-R 3-Inac 4- Office Hold 5- R - EST 6-Inac-Est 7-Off Hold-Est	9901	1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth	9902	1-PASI (Mail) 2-PATI (Tel) 3-PAPI (Face-to-Face) 6-Email 7-Fax 19-Other	9903	9998	9900	9985	9989
							R. Unit
							9921		Optional Use
									9907	9908	9906	9916
S/E Name