Crop or Livestock Loss Survey |
||||
|
OMB No. 0535-0213 Approval Expires: ??/??/20?? Project Code: xxx QID: xxxxxx SMetaKey: xxxx |
|||
|
|
|
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: 1–855–515–1328 E-mail: [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 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 0535-0213. The time required to complete this information collection is estimated to average 10 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. |
PLEASE REPORT FOR THE TOTAL ACRES YOU OPERATE
Crops
Acres |
xxx
|
disasters (earthquakes, landslides, etc.), environmental accidents (pipeline rupture, oil tanker
leakage, chemical spill, etc.) or political unrest (act of war or terrorism, etc.), how many of your
____________ (corn, soybean, wheat, small grains, etc.) acres were damaged or destroyed? . . . . .
Acres |
xxx
|
2. How many of these (item 1) acres were or will be replanted for harvest this year? . . . . . . . . . . . . . . .
Crop |
xxx
|
3. What crop was or will be used to replant these (item 2) acres? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Livestock
4. Were any livestock or poultry lost due to recent disease outbreaks (brucellosis, Avian flu, etc.),
natural disasters, environmental accidents or political unrest?
Animal Species |
Number of Head Lost |
xxx
|
xxx |
xxx |
xxx |
5. Please report the type and number of livestock or poultry lost.
Stocks
6. Were any of your on-farm storage facilities damaged due to natural disasters, environmental
accidents, or political unrest?
Bushels |
xxx
|
7. How many bushels of your on-farm storage capacity were lost? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Commodity |
Bushels Lost |
xxx
|
xxx |
xxx |
xxx |
8. Please report the type and amount of grain and oil seed stocks
that were destroyed.
Please comment on the back of this page, the effects this disaster had on your operation over the last few months.
Respondent Name: |
9911
Phone: |
9910 MM DD YY
Date: |
OFFICE USE ONLY |
|
|||||||||||||||
|
Response |
Respondent |
Mode |
Enum. |
Eval. |
Change
785
|
Office Use for POID |
|||||||||
|
1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est 8-Known Zero |
9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth
|
9902 |
1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-E-mail 7-Fax 8-CAPI 19-Other |
9903 |
098 |
100 |
785 |
789
__ __ __ - __ __ __ - __ __ __ |
||||||
|
|
|||||||||||||||
|
R. Unit |
Optional Use |
||||||||||||||
|
921 |
407 |
408 |
9906 |
9916 |
|||||||||||
|
S/E Name |
|
|
|
|
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | wallbi |
File Modified | 0000-00-00 |
File Created | 2024-07-20 |