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ICR 202609-0535-002 · OMB 0535-0213 · Object 174461500.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | 2 |
| Author | Stock, Curt - REE-NASS |
| File Modified | 2026-11-03 |
| File Created | 2026-10-23 |
| Conversion State | complete |
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2027 JUNE AREA SURVEY SCREENING FORM - VERSION B 0MB No. 0535-0213 Approval Expires: x/xx/20xx Project Code: 124 Survey ID: 3838 USDA iiiii 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] Website: agcounts.usda.gov AL, AR, DE, FL, GA, IL, IN, IA, KY, LA, MD, Ml, MN, MS, MO, NH, NJ, NY, NC, OH, PA, SC, TN, VA, WV, WI State Stratum Segment 000______ Part --- of County________ INTRODUCTION [Introduce yourself and ask for the operator. Rephrase in your own words.] I am working on the June Agricultural Survey. This is a national survey where agricultural producers are asked to provide information on crops and livestock. 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 Ill 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. The area of land shown on this photo (map) has been selected for this survey. [Refer respondent to photo or map. Provide segment boundaries, houses and other identifying landmarks to help the respondent become familiar with the segment.] 1. On June 1, did you live or operate land inside these red lines? □ Yes - [Continue with item 2.] □ No - [Determine who the tract operators are inside the segment. Thank respondent and conclude interview.] 2. What were the boundaries of land operated inside these red lines? [Verify or draw tract boundaries in blue, then continue with page 2.] 2 5 10 11 On the total On the total acres operated on acres operated on June 1, have you June 1, have sold or will you there been or will sell agricultural there be products or any crops grown, receive government hay cut, livestock, poultry, honey payments bees or this aquaculture year? raised this year? On the total acres operated on June 1, are any crops now in storage or will there be any crops stored before June 1, 2028? Has this operation owned or raised any hogs or pigs in the past 12 months, or does ii expect to own or raise any this year? □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No 6 T R L A E Line 1 - Full Name (First, Middle, Last) C T T Line 2 - Mailing Address Line 3 - City, State, ZIP Code E Line 4 - Telephone Number R Name: Address: Phone: c ) - Name: Address: Phone: c ) - Name: Address: Phone: c ) - Name: Address: Phone: c ) - Name: Address: Phone: c ) - Name: Address: Phone: c ) - 8 9 3 13 On June 1, were there any horses, ponies, or other equine, regardless of ownership, on the total acres operated? □ Yes-Goto Questionnaire □ DK-Goto Questionnaire 14 15 On June 1, did this operation have any idle cropland or more than 99 acres of pasture? □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire 17 16 Excluding home Excluding home use, have there use, have there been or been or will there will there be be any any nursery, vegetables, greenhouse, melons, fruit, nuts floriculture, sod, or berries grown cut Christmas on this operation trees or other this year? woody crops grown on this operation this year? 0 F F C E □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ DK-Goto Questionnaire □ No □ No □ No □ No □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ Yes-Goto Questionnaire □ DK-Goto □ DK-Goto □ DK-Goto □ DK-Goto Questionnaire Questionnaire Questionnaire Questionnaire □ No □ No □ No □ No u s 18 20 How many acres are inside these red lines? Does this tract have potential for agriculture before June 1, 2028? What best describes this nonagricultural tract? Enter acres and land use, then continue Enter code Enter code 20a NON-AGRICULTURAL TRACTS E 846 -- . DYES= 1 D DK =2 D NO =3 846 . D DK =2 D NO =3 . D DK =2 D NO =3 . 818 783 LAND USE DYES= 1 00 D DK =2 D NO =3 846 . 818 783 DYES= 1 D DK =2 D NO =3 846 . AA-27 BB-28 CC-29 DD-30 EE-31 FF-32 GG-33 HH-34 II -35 JJ -36 KK-37 LL-38 MM-39 NN-40 00-41 PP-42 QQ-43 RR-44 SS-45 TT-46 UU-47 W-48 WW-49 XX-50 YY-51 ZZ-52 AAA-53 Etc... LAND USE 00 00 783 DYES= 1 846 -- 818 LAND USE 00 -- 783 DYES= 1 846 -- 818 LAND USE 00 -- 783 LAND USE 00 -- 818 A - 01 B - 02 C - 03 D - 04 E - 05 F - 06 G - 07 H - 08 I - 09 J - 10 K - 11 L - 12 M - 13 N - 14 0 - 15 P - 16 Q - 17 R - 18 S - 19 T - 20 U - 21 V - 22 W - 23 X - 24 Y - 25 Z - 26 818 LAND USE DYES= 1 D DK =2 D NO =3 783 4 [Complete these items when enumeration of segment is completed.] 1. Total tract letters listed in Column 5, page 2 (sum of all Screening Forms for this segment) ................ IL...-_ _ _ ___, 2. Number of tract letters listed on photo or map .......................................................................... lL...-_ _ _ ___, (Item 1 must equal item 2.) 3. Number of Area Version questionnaires completed.................................................................. IL------~ 4. Number of tracts with acreage listed in Column 18, page 3 ..................................................... +IL------~ 5. Total of items 3 + 4 .................................................................................................................... =_15_32_6_ _ __ (Item 5 must equal items 1 and 2.) Worksheet Ag Tract Acres Non-Ag Tract Acres [Comment on any enumerating problems caused by segment boundaries, split fields, aerial photo coverage, etc.] Codes to be used in Column 20a are: (1) Residential (2) Woods (3) Idle Open Land (Not Idle Cropland.) (4) Pasture (Not Hayed or Grazed.) (5) Water (6) Reported Non-Ag by Respondent (7) Vacant Houses (8) Obvious Non-Ag (9) Grassland (Not Hayed or Grazed.) (10) Hunting Preserve or Private Land Managed for Wildlife (11) Government Land (12) Other ENUMERATOR: --------------- DATE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Reported Acres (RA) OFFICE USE Digitized Acres RA/DA