Form Version 1 Version 1 Conservation Effects Assessment Project (CEAP)

41

Project 912

OMB No.0535-0245 Approval Expires xx/xx/xxxx

Conservation Effects Assessment Project (CEAP) 2011

NATIONAL AGRICULTURAL STATISTICS SERVICE

DRAFT 07/19/2011

U.S. Department of Agriculture, Rm 5030, South Building 1400 Independence Ave., S.W. Washington, DC 20250-2000 Phone: 1-800-727-9540 Fax: 202-690-2090 Email: nass@nass.usda.gov

VERSION 1

CEAP ID __ __ __ __ __ __ __ __ __

TRACT 01

SUBTRACT 01

T-TYPE 0

TABLE 000

LINE 00

				CONTACT RECORD
	DATE		TIME	NOTES

INTRODUCTION

[Introduce yourself, and ask for the operator. Rephrase in your own words.]

The National Agricultural Statistics Service is collecting information on land management and conservation practices. The information collected will be used by the Natural Resources Conservation Service (NRCS) to assess the environmental benefits associated with the implementation and installation of conservation practices.

We need your help to make the information as accurate as possible. All conservation practices that are in place should be reported – whether they were installed as part of a Federal or State Cost-Share program, an industry or non-profit program, or by you (the operator) with no outside support. We encourage you to refer to your farm records during the interview.

Authority for collection of information on the Conservation Effects Assessment Project Report is Title 7, Section 2204 of the U.S. Code. Under Title 7 Section 2276 of the U.S. Code and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes. Response to this survey is voluntary.

0001 1

				H H M M
			BEGINNING TIME	0004
			[MILITARY]		____ ____ ____ ____

		OFFICE	0008	0012
		USE		__ __ __ __ __ __ __ __ __

OFFICE USE: LSF CHANGE

			0009
			____ ____ _____ ____ ____ ____ ____ ___ ___
[Name and address verified and updated if necessary.]

SCREENING

	[The following Screening questions should be collected ONLY if a signal is not available for use by the iPad device.]
[Show the aerial photography to respondent and locate the sample point. Identify the field associated with the point.]
1. Did you make any of the day-to-day farming/ranching decisions for the field containing this point in 2011?
YES NO
[If YES, continue. If NO, conclude the interview and ask for the respondent’s assistance in locating the correct operator.]
	[With the respondent, draw off the entire area that can be identified as the selected field ]
2 During 2011, was the entire field enrolled in the General or Continuous Conservation Reserve Program (CRP), the Conservation Reserve Enhancement Program (CREP), or any other type of continuous cover conservation program offered by State, local or non-profit organizations?
		CODE
YES – [Enter 1] NO – [Enter 3]
3. In 2011, was any of the field planted or cropped; idle cropland; summer fallow; pasture in rotation with crops; or hayland in rotation with crops?
		CODE
YES – [Enter 1] NO – [Enter 3]
If Question 2 = YES or Question 3 = NO, end interview, point ineligible. If Question 2 = NO and Question 3 = YES, continue, complete interview.
SCREENING COMPLETED – BEGIN HERE
To focus the respondent on the area of interest, the location must be identified as follows. For purposes of this survey, the actual field where the sample point is located must be identified. This location is referred to as the selected field. The survey collects information about conservation practices, cropping history and management practices being undertaken in the selected field. [With the respondent, draw off the entire area that can be identified as the selected field.] Sometimes conservation practices are not actually located in the selected field but are adjacent to or adjoining the field (such as a wind break or filter strip). These practices should be captured during the survey also. [With the respondent, draw off any conservation practices that are adjacent to or adjoin the selected field. Include the selected field.] For CEAP purposes, this area is referred to as the conservation area of interest.
During this interview, the questions will be about this SELECTED FIELD and/or the surrounding areas in conservation practices. We will call this the CONSERVATION AREA OF INTEREST.

A

FIELD CHARACTERISTICS---SELECTED FIELD

A

1. In 2011, how many acres in the conservation area of interest containing the sample point were --
		ACRES
a. planted or cropped (including hay acres in rotation with crops) (selected field)?. . . . . . . . . . . . . . . . . . .	+	0017
		.____
b. in field borders, grassed waterways, buffers, and other uses associated with conservation practices but not cropped?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	0018
		.____
c. idle cropland, summer fallow, pasture in rotation with crops (selected field)?. . . . . . . . . . . . . . . . . . . .	+	0019
		.____
d. fruit, citrus, nursery, or floriculture crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	0020
		.____
e. permanent pasture?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	0021
		.____
f. non-ag (such as dwellings, buildings, structures, roads, and woodland and wasteland not in a conservation practice)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	0022
		.____
		ACRES
2. So the TOTAL acres in the conservation area (1a + 1b + 1c + 1d + 1e + 1f) are. . . . . .	=	0023
		.____
[ENUMERATOR NOTE: If any acres are reported in 1a (cropped) or 1c (idle cropland, summer fallow, or rotational pasture) continue, else, go to Conclusion.]

3. During 2011, was any portion of the conservation area of interest enrolled in the continuous Conservation Reserve Program (CRP), the Farmable Wetland Program (FWP), or in the Conservation Reserve Enhancement Program (CREP)?

	CODE
YES [Enter 1.]	0732
NO [Enter 3.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

	Owned by this operation? Rented for fixed CASH payment? Rented for a flexible CASH payment? Rented for a SHARE of the crop? Rented for some combination of CASH and a SHARE of the crop? Used RENT-FREE? Not operated?
			2011	2010		2009
4. Were the acres in this field (reported in 1a or 1c) --. . . . . . . . . .		. . .	0504	0503		0502

		2010	2009
5. Did you make the day-to-day farming/ranching decisions for this field in [year]?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0010	0011

6. Are the day-to-day decisions for this operation made by one individual, partners, or a hired manager?
Individual -[Enter 1]		CODE
Partners -[Enter number of partners (2-5), involved in the day-to-day decisions, including the operator.]		0921
A hired manager -[Enter 8]

B

CONSERVATION PLAN---SELECTED FIELD/CONSERVATION AREA

B

1. Do you have a written Conservation Plan(s) for the selected field and/or conservation area? [A “written plan” is a plan prepared in accordance with Federal, State, or Conservation District standards.]
This includes a: Conservation Plan, Conservation Compliance (HEL) Plan, or Conservation Plan written as a result of participating in a conservation program, such as:
Conservation Reserve Program (CRP) Environmental Quality Incentive Program (EQIP) Plan Wetland Reserve Program (WRP) Plan Wildlife Habitat Incentive Program (WHIP) Plan Grazing Land Reserve Program (GRP) Plan Nutrient Management Plan or Comprehensive Nutrient Management Plan Other written plan
YES [Enter 1 and continue with Item 1a.]		CODE
DON’T KNOW – [Enter 2 and go to Item 2.]		0701
NO – [Enter 3 and go to Item 2.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[Encourage the respondent to get his Conservation Plan to answer the following questions.]
a. Does the written plan for the selected field include any of the following?		CODE
(1) Practices to reduce soil erosion?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0702
(2) Nutrient management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0703
(3) Pest management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0704
(4) Irrigation water management plan practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0705
(5) Wildlife habitat enhancement practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0706
(6) Manure management and handling practices?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES=1	0771

2. Did you receive cost share or incentive payments in 2011, 2010, or 2009 for any conservation practices implemented on this field and/or conservation area? [Be sure to include payments for establishing grassed waterways and filter strips or riparian buffers on or adjoining the field.]
			CODE
YES – [Enter 1 and continue.]			0707
NO – [Enter 3 and go to Item 3.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. If YES, for what program?		YES=1 (Mark all that apply)
Conservation Security Program (CSP). . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0772
CRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0708
WRP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0709
EQIP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0710
State Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0711
Other (specify) ______________________________	. . . . . . . . . . . . . . . . . . .	0712
Don’t Know. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0713

3. Did you receive any assistance for the development of:

• a Conservation Plan for this field/conservation area? [Ask only if there is a written conservation plan for the field, Item 1 = 1, YES.]

YES – [Check box and go to 3a below.]

NO – [Check box and continue.]

• conservation practices currently in place on this field/conservation area?

YES – [Check box and continue.]

NO – [Check box and go to Section C.]

1. If YES, please identify who provided the assistance for the development of the Conservation Plan and/or conservation practice(s) on this field/conservation area.

• Include assistance for planning, installing, maintaining, or using conservation practices

or systems on this field.

• Include grassed waterways and filter strips or riparian buffers on or adjoining this field.

• Include assistance from any source whether paid for or free.

Source	YES=1 [Mark all that apply.]	Were you charged for the service? YES=1		Which of these was your PRIMARY source of assistance? [Select ONLY 1.] YES=1
NRCS (formerly SCS). . . . . . . . . . . . . . . . . . . . . . . .	0714	0720		0726
Conservation District. . . . . . . . . . . . . . . . . . . . . . . . .	0715	0721		0727
Technical Service Providers (Private Sector). . . . . . .	0716	0722		0728
University Extension. . . . . . . . . . . . . . . . . . . . . . . . . .	0717	0723		0729
State Agencies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0718	0724		0730
Other (specify:_______________________)	0719	0725		0731
			Completion Code for Conservation Plan
			1 – Incomplete/Refusal		0700

C

CROPPING HISTORY & CONSERVATION PRACTICES---SELECTED FIELD

C

CODE REFERENCE FOR SECTION C, TILLAGE TABLE

	Section C, Item 1, Line 2			Section C, Item 1, Line 5a
	Intended Use			Unit Codes for Seeding Rate
	1 2 3 4 5 6 7 8 9 10	Dual (grain/grazing) Grain Grazing Only Cover Crop Other (specify)_____________________________ Hay Human Consumption Silage/Haylage Seed Only Nurse Crop		1 2 3 4 5 23 25 38 41	Pounds Cwt (hundredweight) Tons Bushels Other (specify)______________________ 50-lb bag Kernels/Seeds Seeds per foot Plants/transplants

	Section C, Item 1, Line 7a & 10a			Section C, Item 1, Line 14
	Unit Codes for Yield			Livestock
	1 2 3 4 5 6 23	Pounds Cwt (hundredweight) Tons Bushels Other (specify)_____________________________ Barrels 50-lb bag		1 2 3 4 5	Cattle Sheep Goats Horses Other (specify)__________________

SCHEDULING CODES

Section C, Item 1, Line 19. . . . . .

1 Condition of crop (observation) 2 Soil moisture by feel 3 Use of soil moisture sensing devices (such as moisture blocks or tensiometers) 4 Use of plant moisture sensing devices (such as pressure (chamber) bomb or infrared (IR) thermometer) 5 Use of irrigation scheduling service (including commercial and government) 6 Reports on daily crop-weather evapo-transpiration (ET) use (Internet, newspapers, radio, TV, fax, or email) 7 Water delivered by irrigation organization in turn (no choice by water user) 8 Personal calendar schedule 9 Computer simulation models (not from a commercial service) 10 When neighbors begin to irrigate 11 Other (specify)_________________________________________________________________

1. Now I’d like to ask you about the field where the point is located and obtain the cropping and land use history for the past 3 years. (Please include all crops planted for double cropping, multiple cropping, replanting of same crop and if strip cropped, all crops in the strip crop scheme. [Use a separate column for each use of the field in each year.])

Let’s begin with the 2011 crop year. What was the:		2011			2011			2011
Crop(s) planted or Land Use ________________?	Crop
1. Crop(s) code or Land Use Code. See Respondent Booklet for codes.	Code	1005			1037			1069
2. Intended use of Crop(s)? [See page 6]	Code	1006			1038			1070
3. Acres planted? [Include previous planted crops.]	Acres	1007 .____	.___		1039 .____	.___		1071 .____	.___
4. Date planted? (mmddyy)	Date	1008 _ _ _ _ _ _			1040 _ _ _ _ _ _			1072 _ _ _ _ _ _
6. Row Width (for row crops)?	Inches	1011 .____	.___		1043 .____	.___		1075 .____	.___
7. Expected yield/acre at planting (yield goal)?	Number	1012 .____	.___		1044 .____	.___		1076 .____	.___
a. Unit: [See page 6]	Code	1013			1045			1077
8. Type of tillage used? 1 = no till, strip till (direct seed) 2 = ridge till (Select from list.) 3 = mulch till 4 = conventional till	Code	1014			1046			1078
9. Acres harvested?	Acres	1015 .____	.___		1047 .____	.___		1079 .____	.___
a. Date harvested? (mmddyy)	Date	1016 _ _ _ _ _ _			1048 _ _ _ _ _ _			1080 _ _ _ _ _ _
10. Actual yield at harvest/acre?	Number	1017 .____	.___		1049 .____	.___		1081 .____	.___
a. Unit: [See page 6]	Code	1018			1050			1082
11. Acres abandoned?	Acres	1019 .____	.___		1051 .____	.___		1083 .____	.___
12. Was straw or stubble harvested? If YES enter 1 and continue. If NO, enter 3 and go to 13.	YES=1	1020			1052			1084
a. How many acres were harvested for straw or stubble?	Acres	1021 .____	.___		1053 .____	.___		1085 .____	.___
b. What was the remaining stubble height after harvest?	Inches	1022 .____	.___		1054 .____	.___		1086 .____	.___
13. Was the field grazed? If YES enter 1 and continue. If NO, enter 3 and go to 17.	YES=1	1023			1055			1087
14. What type of livestock grazed the field (primarily)? [See page 6]	Code	1024			1056			1088
15. Regardless of ownership, how many head of _________ grazed this field BEFORE harvest?	#/Head	1025			1057			1089
a. How many total days was the field grazed BEFORE harvest?	#/Days	1026			1058			1090
b. Was supplemental feed supplied to livestock?	YES=1	****			****			****
16. Regardless of ownership, how many head of _________ grazed this field AFTER harvest?	#/Head	1027			1059			1091
a. How many total days was the field grazed AFTER harvest?	#/Days	1028			1060			1092
b. Was supplemental feed supplied to livestock?	YES=1	****			****			****
17. Was this crop irrigated? If YES enter 1 and continue. If NO, enter 3 and go to page 8, 2010 crops.	YES=1	1029			1061			1093
				2011 EDIT CROPPING TABLE			1004

Let’s continue with the 2010 crop year. What was the:		2010		2010		2010
Crop(s) planted or Land Use ________________?	Crop
1. Crop(s) code or Land Use Code. See Respondent Booklet for codes.	Code	1101		1133		1165
2. Intended use of Crop(s)? [See page 6]	Code	1102		1134		1166
3. Acres planted? [Include previous planted crops.]	Acres	1103 .____	.___	1135 .____	.___	1167 .____	.___
4. Date planted? (mmddyy)	Date	1104 _ _ _ _ _ _		1136 _ _ _ _ _ _		1168 _ _ _ _ _ _
6. Row Width (for row crops)?	Inches	1107 .____	.___	1139 .____	.___	1171 .____	.___
7. Expected yield/acre at planting (yield goal)?	Number	1108 .____	.___	1140 .____	.___	1172 .____	.___
a. Unit: [See page 6]	Code	1109		1141		1173
8. Type of tillage used? 1 = no till, strip till (direct seed) 2 = ridge till (Select from list.) 3 = mulch till 4 = conventional till	Code	1110		1142		1174
9. Acres harvested?	Acres	1111 .____	.___	1143 .____	.___	1175 .____	.___
a. Date harvested? (mmddyy)	Date	1112 _ _ _ _ _ _		1144 _ _ _ _ _ _		1176 _ _ _ _ _ _
10. Actual yield at harvest/acre?	Number	1113 .____	.___	1145 .____	.___	1177 .____	.___
a. Unit: [See page 6]	Code	1114		1146		1178
11. Acres abandoned?	Acres	1115 .____	.___	1147 .____	.___	1179 .____	.___
12. Was straw or stubble harvested? If YES enter 1 and continue. If NO, enter 3 and go to 13.	YES=1	1116		1148		1180
a. How many acres were harvested for straw or stubble?	Acres	1117 .____	.___	1149 .____	.___	1181 .____	.___
b. What was the remaining stubble height after harvest?	Inches	1118 .____	.___	1150 .____	.___	1182 .____	.___
13. Was the field grazed? If YES enter 1 and continue. If NO, enter 3 and go to 17.	YES=1	1119		1151		1183
14. What type of livestock grazed the field (primarily)? [See page 6]	Code	1120		1152		1184
15. Regardless of ownership, how many head of _________ grazed this field BEFORE harvest?	#/Head	1121		1153		1185
a. How many total days was the field grazed BEFORE harvest?	#/Days	1122		1154		1186
b. Was supplemental feed supplied to livestock?	YES=1	****		****		****
16. Regardless of ownership, how many head of _________ grazed this field AFTER harvest?	#/Head	1123		1155		1187
a. How many total days was the field grazed AFTER harvest?	#/Days	1124		1156		1188
b. Was supplemental feed supplied to livestock?	YES=1	****		****		****

17. Was this crop irrigated? If YES enter 1 and continue. If NO, enter 3 and go to page 9, 2009 crops.	YES=1	1029		1061		1093
			2010 EDIT CROPPING TABLE		1003

Let’s finish up with the 2009 crop year. What was the:		2009		2009		2009
Crop(s) planted or Land Use ________________?	Crop
1. Crop(s) code or Land Use Code. See Respondent Booklet for codes.	Code	1197		1229		1261
2. Intended use of Crop(s)? [See page 6]	Code	1198		1230		1262
3. Acres planted? [Include previous planted crops.]	Acres	1199 .____	.___	1231 .____	.___	1263 .____	.___
4. Date planted? (mmddyy)	Date	1200 _ _ _ _ _ _		1232 _ _ _ _ _ _		1264 _ _ _ _ _ _
6. Row Width (for row crops)?	Inches	1203 .____	.___	1235 .____	.___	1267 .____	.___
7. Expected yield/acre at planting (yield goal)?	Number	1204 .____	.___	1236 .____	.___	1268 .____	.___
a. Unit: [See page 6]	Code	1205		1237		1269
8. Type of tillage used? 1 = no till, strip till (direct seed) 2 = ridge till (Select from list.) 3 = mulch till 4 = conventional till	Code	1206		1238		1270
9. Acres harvested?	Acres	1207 .____	.___	1239 .____	.___	1271 .____	.___
a. Date harvested? (mmddyy)	Date	1208 _ _ _ _ _ _		1240 _ _ _ _ _ _		1272 _ _ _ _ _ _
10. Actual yield at harvest/acre?	Number	1209 .____	.___	1241 .____	.___	1273 .____	.___
a. Unit: [See page 6]	Code	1210		1242		1274
11. Acres abandoned?	Acres	1211 .____	.___	1243 .____	.___	1275 .____	.___
12. Was straw or stubble harvested? If YES enter 1 and continue. If NO, enter 3 and go to 13.	YES=1	1212		1244		1276
a. How many acres were harvested for straw or stubble?	Acres	1213 .____	.___	1245 .____	.___	1277 .____	.___
b. What was the remaining stubble height after harvest?	Inches	1214 .____	.___	1246 .____	.___	1278 .____	.___
13. Was the field grazed? If YES enter 1 and continue. If NO, enter 3 and go to 17.	YES=1	1215		1247		1279
14. What type of livestock grazed the field (primarily)? [See page 6]	Code	1216		1248		1280
15. Regardless of ownership, how many head of _________ grazed this field BEFORE harvest?	#/Head	1217		1249		1281
a. How many total days was the field grazed BEFORE harvest?	#/Days	1218		1250		1282
b. Was supplemental feed supplied to livestock?	YES=1	****		****		****
16. Regardless of ownership, how many head of _________ grazed this field AFTER harvest?	#/Head	1219		1251		1283
a. How many total days was the field grazed AFTER harvest?	#/Days	1220		1252		1284
b. Was supplemental feed supplied to livestock?	YES=1	****		****		****
17. Was this crop irrigated? If YES enter 1 and continue. If NO, enter 3 and go to page10, Item 2.	YES=1	1029		1061		1093

	2009 EDIT CROPPING TABLE	1002

2. Do you have a crop rotation plan for this field?

YES – [Enter 1 and continue.]

CODE

NO – [Enter 3 and go to Item 3.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1343

a. Let’s record your crop rotation plan. [Use the crop codes from the Respondent Booklet. Use multiple codes to capture strip cropping, double cropping, cover crops in a planned rotation.]

Enter the crop name and crop code for the crops in rotation [only use as many years as are in the rotation scheme].

CROPS

CROP CODE

CROP CODE

CROP CODE

1st year of rotation

1344

1351

1358

2nd year of rotation

1345

1352

1359

3rd year of rotation

1346

1353

1360

4th year of rotation

1347

1354

1361

5th year of rotation

1348

1355

1362

6th year of rotation

1349

1356

1363

3. Was a cover crop planted on this field for the 2009, 2010, or 2011 crop years?

YES – [Enter 1 and continue.]

CODE

NO – [Enter 3 and go to Item 4.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1343

Let’s record your cover crop history.

2009

2010

2011

When was the Cover Crop planted ?

MMDDYY

****

****

****

What species was planted?

Wheat Rye Other small grain/winter annual Legume (clover, cowpeas, etc) Other

****

****

****

When was the Cover Crop terminated ?

MMDDYY

****

****

****

How was the Cover Crop terminated?

Mowed Burned Hayed Plowed or disked in Herbicide Roller/Crimper Harvested for grain

****

****

****

4. Is the field adjacent to a water body, including a stream, intermittent stream, wetland, or drainage channel?. . . . . . . . . . . . . . . . . . . .

YES=1

1327

5. Does this field have subsurface (tile) drainage?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES=1

1341

6. Does this field have surface drainage structures?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES=1

1342

7. In 2011, did this field have any of the following conservation practices? [May or may not be included in the conservation plan.]

a. Terraces?

YES=1

1328

f. Grassed waterways?

YES=1

1330

(1) Were these terraces—

1=primarily grassed?

2=primarily cropped?

CODE

1329

g. Vegetative buffers (in-field)?

YES=1

1332

b. Stream side forest buffer?.

YES=1

1333

h Hedgerow plantings?

YES=1

1335

(1) Width of buffer—

FT

(2) Species

1 evergreen

2 deciduous

3 mixed

CODE

i.. Windbreak or herbaceous wind barrier?

YES=1

1336

c. c. Stream side herbaceous buffer?

YES=1

1334

j. Contour buffers (in-field)?

YES=1

1339

(1) Width of buffer —

FT

(2) Is the buffer maintained, for example, by fertilizing, mowing, or repairing any gullies?

YES=1

k. Critical area planting?

YES=1

1340

(3) Buffer designed to capture

YES=1

a. sediment

YES=1

l. Grade stabilization structure?

YES=1

****

b. nutrients

YES=1

c. pesticide residue

YES=1

d. Field borders?.

YES=1

1337

m. Drainage water management?

YES=1

****

(1) Width of buffer —

FT

(2) Is the buffer maintained, for example, by

fertilizing, mowing, or repairing any gullies?

YES=1

n. Contour farming?

YES=1

****

(3) Buffer designed to capture

YES=1

a. sediment

YES=1

o. Strip cropping?

YES=1

2450

b. nutrients

YES=1

c. pesticide residue

YES=1

p. Other (specify) ______________

YES=1

e. Filter strips?.

YES=1

1338

(1) Width of buffer —

FT

(2) Is the buffer maintained, for example, by

fertilizing, mowing, or repairing any gullies?

YES=1

(3) Buffer designed to capture

YES=1

a. sediment

YES=1

b. nutrients

YES=1

c. pesticide residue

YES=1

8. Have you modified or added any conservation practices for the selected field SPECIFICALLY to improve the quality of fish or wildlife habitat?

YES =1 NO =2 NOT APPLICABLE = 3

****

9. Do you manage the vegetative cover for wildlife purposes?

YES =1 NO =2 NOT APPLICABLE = 3

****

D

COMMERCIAL FERTILIZER APPLICATIONS---SELECTED FIELD

D

1. Were commercial FERTILIZERS applied to this field for:

		Code	Edit Table
a. the 2011 crop? [If YES, enter 1 and continue. If NO, enter 3 and go to 1c.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1 NO = 3	0221	0234
b. Did you use any product to slow the breakdown of nitrogen on this field in 2011? (For example a nitrification inhibitor, a urease inhibitor, or slow release polymer.). . . . . . .	YES = 1 NO = 3	0222

		Code	Edit Table
c. the 2010 crop? [If YES, enter 1 and continue. If NO, enter 3 and go to1e.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1 NO = 3	0235	0233
d. Did you use any product to slow the breakdown of nitrogen on this field in 2010? (For example a nitrification inhibitor a urease inhibitor, or slow release polymer.).. . . . . .	YES = 1 NO = 3	0236

		Code	Edit Table
e. the 2009 crop? [If YES, enter 1 and continue. If NO, enter 3 and go to question 2.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1 NO = 3	0237	0232
f. Did you use any product to slow the breakdown of nitrogen on this field in 2009? (For example a nitrification inhibitor a urease inhibitor, or slow release polymer.).. . . . . .	YES = 1 NO = 3	0238

2. Was commercial phosphorus fertilizer or manure containing phosphorus applied prior to 2009 in order to supply phosphate nutrients for the duration or part of the remainder of the rotation (phosphorus nutrient banking)?
					CODE
YES – [Enter 1 and continue.] NO – [Enter 3 and go to Item 3.]
					MMYY
When were the phosphorus nutrients applied?					**** _ _ _ _
What rate was applied?	Units for fertilizer 1 lbs/acre P2O5	Units for manure 1 Pounds 2 Tons 3 Gallons 4 Acre-Inch manure/acre				CODE
						****

3. Was a soil test performed on this field within the last 5 years to determine crop nutrient application needs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CODE

YES – [Enter 1 and continue.] NO – [Enter 3 and go to Item 4.]

CODE

a. How often is the soil test performed?

annually every 2-3 years once during the rotation

b Please provide the following information for the last soil test performed on this field. If available, take information from the soil sample test report.

1 Year of Test

2 Crop

3 Crop Code

4 Soil Test Nitrogen

5 Soil Test Phosphorus

6 Soil Test Potassium

7 Soil pH

Test Value

Unit 1 lbs/acre 2 ppm

Test Value

Unit 1 lbs/acre 2 ppm

Test Value

Unit 1 lbs/acre 2 ppm

4. Were any of the following types of soil or tissue tests performed to determine nutrient needs on this field?

Pre-plant or pre-sidedress nitrate-nitrogen test

YES =1

****

Deep soil profile nitrate-nitrogen test (greater than one foot deep)

YES =1

****

Leaf petiole or leaf tissue tests

YES =1

****

Post-harvest stalk test

YES =1

****

Chlorophyll analysis (for example, leaf color charts, chlorophyll meters, optical sensors, or remote aerial sensing)

YES =1

****

5. During crop years 2011, 2010, or 2009--

2011

2010

2009

Was a GPS (Global Positioning System) device used to georeference and/or produce a map of the soil properties of this field (such as soil nitrate levels, pH, etc.)?. . . . . . . . . . . . .			YES=1	1299	1310	1321
	[If YES, continue; if NO go to Item 6a.]
Was the map based on random sampling?. . . .		YES=1		1301	1312	1323
Was the map based on grid sampling?. . . .		YES=1
Was the map based on a machine that measured electrical conductivity of the soi?. . . .		YES=1

6a. Was fertilizer applied in 2011? [If YES continue. If NO go to Item 6b.]
Now I need to record information for each fertilizer application for the 2011 crop. [Probe for applications made in the fall of 2010 (and those made earlier if this field was fallow) for the 2011 crop year.]
CHECKLIST
INCLUDE	EXCLUDE
Custom applied fertilizers	Micronutrients		T-TYPE 2	TABLE 100
Sulfur	Commercially prepared manure
	Unprocessed manure	Line 99	Office use Lines in table	0220
	Lime and gypsum

	1	2	3	4				5	6
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code [Enter crop code from Respondent Booklet.]	MATERIALS USED Enter actual pounds of plant nutrients applied per acre. If only fertilizer analysis is known, enter percent analyses in this column and quantity of plant nutrients applied per acre in Column 5. [Show Common Fertilizers in Respondent Booklet.]				What quantity was applied per acre? [Leave this column blank if actual nutrients were reported.]	[Enter material code.]
									1 3 12	Pounds Tons Gallons
				Nitrogen N	Phosphorus P2O5	Potassium K2O	Sulfur S

01	11		0204	0205	0206	0207	0239	0208	0209
02	11		0204	0205	0206	0207	0239	0208	0209
03	11		0204	0205	0206	0207	0239	0208	0209
04	11		0204	0205	0206	0207	0239	0208	0209
05	11		0204	0205	0206	0207	0239	0208	0209
06	11		0204	0205	0206	0207	0239	0208	0209
07	11		0204	0205	0206	0207	0239	0208	0209
08	11		0204	0205	0206	0207	0239	0208	0209
09	11		0204	0205	0206	0207	0239	0208	0209
10	11		0204	0205	0206	0207	0239	0208	0209
11	11		0204	0205	0206	0207	0239	0208	0209
12	11		0204	0205	0206	0207	0239	0208	0209
13	11		0204	0205	0206	0207	0239	0208	0209
14	11		0204	0205	0206	0207	0239	0208	0209

	APPLICATION CODES FOR COLUMN 8
	1 Broadcast, ground without incorporation 2 Broadcast, ground with incorporation 3 Broadcast, by air 4 In seed furrow 5 In irrigation water (fertigation) 6 Chiseled/injected or knifed in 7 Banded/side-dressed on the soil surface 8 Foliar or directed spray

	7	8	9	10	NOTES
LINE	When was this applied?	How was this applied? [Enter code from box above.]	How many acres were treated in this application?	Was variable rate technology (VRT) used? [Include “on-the-go” sensing.]
	MMDDYY		ACRES	YES=1

01	0210 __ __ __ __ __ __	0211	0212 .___	0215
02	0210 __ __ __ __ __ __	0211	0212 .___	0215
03	0210 __ __ __ __ __ __	0211	0212 .___	0215
04	0210 __ __ __ __ __ __	0211	0212 .___	0215
05	0210 __ __ __ __ __ __	0211	0212 .___	0215
06	0210 __ __ __ __ __ __	0211	0212 .___	0215
07	0210 __ __ __ __ __ __	0211	0212 .___	0215
08	0210 __ __ __ __ __ __	0211	0212 .___	0215
09	0210 __ __ __ __ __ __	0211	0212 .___	0215
10	0210 __ __ __ __ __ __	0211	0212 .___	0215
11	0210 __ __ __ __ __ __	0211	0212 .___	0215
12	0210 __ __ __ __ __ __	0211	0212 .___	0215
13	0210 __ __ __ __ __ __	0211	0212 .___	0215
14	0210 __ __ __ __ __ __	0211	0212 .___	0215

6b. Was fertilizer applied in 2010? [If YES continue. If NO go to Item 6c.]
Now I need to record information for each fertilizer application for the 2010 crop. [Probe for applications made in the fall of 2009 (and those made earlier if this field was fallow) for the 2010 crop year.]
CHECKLIST
INCLUDE	EXCLUDE
Custom applied fertilizers	Micronutrients		T-TYPE 2	TABLE 200
Sulfur	Commercially prepared manure
	Unprocessed manure	Line 99	Office use Lines in table	0220
	Lime and gypsum

	1	2	3	4				5	6
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code [Enter crop code from Respondent Booklet.]	MATERIALS USED Enter actual pounds of plant nutrients applied per acre. If only fertilizer analysis is known, enter percent analyses in this column and quantity of plant nutrients applied per acre in Column 5. [Show Common Fertilizers in Respondent Booklet.]				What quantity was applied per acre? [Leave this column blank if actual nutrients were reported.]	[Enter material code.]
									1 3 12	Pounds Tons Gallons
				Nitrogen N	Phosphorus P2O5	Potassium K2O	Sulfur S

01	10		0204	0205	0206	0207	0239	0208	0209
02	10		0204	0205	0206	0207	0239	0208	0209
03	10		0204	0205	0206	0207	0239	0208	0209
04	10		0204	0205	0206	0207	0239	0208	0209
05	10		0204	0205	0206	0207	0239	0208	0209
06	10		0204	0205	0206	0207	0239	0208	0209
07	10		0204	0205	0206	0207	0239	0208	0209
08	10		0204	0205	0206	0207	0239	0208	0209
09	10		0204	0205	0206	0207	0239	0208	0209
10	10		0204	0205	0206	0207	0239	0208	0209
11	10		0204	0205	0206	0207	0239	0208	0209
12	10		0204	0205	0206	0207	0239	0208	0209
13	10		0204	0205	0206	0207	0239	0208	0209
14	10		0204	0205	0206	0207	0239	0208	0209

	APPLICATION CODES FOR COLUMN 8
	1 Broadcast, ground without incorporation 2 Broadcast, ground with incorporation 3 Broadcast, by air 4 In seed furrow 5 In irrigation water (fertigation) 6 Chiseled/injected or knifed in 7 Banded/side-dressed on the soil surface 8 Foliar or directed spray

	7	8	9	10	NOTES
LINE	When was this applied?	How was this applied? [Enter code from box above.]	How many acres were treated in this application?	Was variable rate technology (VRT) used? [Include “on-the-go” sensing.]
	MMDDYY		ACRES	YES=1

01	0210 __ __ __ __ __ __	0211	0212 .___	0215
02	0210 __ __ __ __ __ __	0211	0212 .___	0215
03	0210 __ __ __ __ __ __	0211	0212 .___	0215
04	0210 __ __ __ __ __ __	0211	0212 .___	0215
05	0210 __ __ __ __ __ __	0211	0212 .___	0215
06	0210 __ __ __ __ __ __	0211	0212 .___	0215
07	0210 __ __ __ __ __ __	0211	0212 .___	0215
08	0210 __ __ __ __ __ __	0211	0212 .___	0215
09	0210 __ __ __ __ __ __	0211	0212 .___	0215
10	0210 __ __ __ __ __ __	0211	0212 .___	0215
11	0210 __ __ __ __ __ __	0211	0212 .___	0215
12	0210 __ __ __ __ __ __	0211	0212 .___	0215
13	0210 __ __ __ __ __ __	0211	0212 .___	0215
14	0210 __ __ __ __ __ __	0211	0212 .___	0215

6c. Was fertilizer applied in 2009? [If YES continue. If NO go to Section E.]
Now I need to record information for each fertilizer application for the 2009 crop. [Probe for applications made in the fall of 2008 (and those made earlier if this field was fallow) for the 2009 crop year.]
CHECKLIST
INCLUDE	EXCLUDE
Custom applied fertilizers	Micronutrients		T-TYPE 2	TABLE 300
Sulfur	Commercially prepared manure
	Unprocessed manure	Line 99	Office use Lines in table	0220
	Lime and gypsum

	1	2	3	4				5	6
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code [Enter crop code from Respondent Booklet.]	MATERIALS USED Enter actual pounds of plant nutrients applied per acre. If only fertilizer analysis is known, enter percent analyses in this column and quantity of plant nutrients applied per acre in Column 5. [Show Common Fertilizers in Respondent Booklet.]				What quantity was applied per acre? [Leave this column blank if actual nutrients were reported.]	[Enter material code.]
									1 3 12	Pounds Tons Gallons
				Nitrogen N	Phosphorus P2O5	Potassium K2O	Sulfur S

01	09		0204	0205	0206	0207	0239	0208	0209
02	09		0204	0205	0206	0207	0239	0208	0209
03	09		0204	0205	0206	0207	0239	0208	0209
04	09		0204	0205	0206	0207	0239	0208	0209
05	09		0204	0205	0206	0207	0239	0208	0209
06	09		0204	0205	0206	0207	0239	0208	0209
07	09		0204	0205	0206	0207	0239	0208	0209
08	09		0204	0205	0206	0207	0239	0208	0209
09	09		0204	0205	0206	0207	0239	0208	0209
10	09		0204	0205	0206	0207	0239	0208	0209
11	09		0204	0205	0206	0207	0239	0208	0209
12	09		0204	0205	0206	0207	0239	0208	0209
13	09		0204	0205	0206	0207	0239	0208	0209
14	09		0204	0205	0206	0207	0239	0208	0209

	APPLICATION CODES FOR COLUMN 8
	1 Broadcast, ground without incorporation 2 Broadcast, ground with incorporation 3 Broadcast, by air 4 In seed furrow 5 In irrigation water (fertigation) 6 Chiseled/injected or knifed in 7 Banded/side-dressed on the soil surface 8 Foliar or directed spray

	7	8	9	10	NOTES
LINE	When was this applied?	How was this applied? [Enter code from box above.]	How many acres were treated in this application?	Was variable rate technology (VRT) used? [Include “on-the-go” sensing.]
	MMDDYY		ACRES	YES=1

01	0210 __ __ __ __ __ __	0211	0212 .___	0215
02	0210 __ __ __ __ __ __	0211	0212 .___	0215
03	0210 __ __ __ __ __ __	0211	0212 .___	0215
04	0210 __ __ __ __ __ __	0211	0212 .___	0215
05	0210 __ __ __ __ __ __	0211	0212 .___	0215
06	0210 __ __ __ __ __ __	0211	0212 .___	0215
07	0210 __ __ __ __ __ __	0211	0212 .___	0215
08	0210 __ __ __ __ __ __	0211	0212 .___	0215
09	0210 __ __ __ __ __ __	0211	0212 .___	0215
10	0210 __ __ __ __ __ __	0211	0212 .___	0215
11	0210 __ __ __ __ __ __	0211	0212 .___	0215
12	0210 __ __ __ __ __ __	0211	0212 .___	0215
13	0210 __ __ __ __ __ __	0211	0212 .___	0215
14	0210 __ __ __ __ __ __	0211	0212 .___	0215

E

MANURE APPLICATIONS---SELECTED FIELD

E

1. Was manure applied to this field for the 2011, 2010, or 2009 crop year? Manure applications include effluents from waste lagoons, waste holding ponds, and waste runoff storage ponds. (Include commercially prepared manure.)
		T-TYPE		TABLE			LINE
		0		000			00
[Probe for applications made in the fall of 2008, 2009 and 2010 (and those made earlier if this field was fallow) for the 2009, 2010, and 2011 crop years respectively.]
					CODE
YES – [Enter 1 and continue.] NO – [Enter 3 and go to Section F.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					0418
			T-TYPE			TABLE
			4			001
2. Now I need to record information for each manure application.	LINE 99		OFFICE USE LINES IN TABLE			0417

	1	2	3	4	5	6		7	8
LINE	Crop Year	Primary crop for which nutrients were intended	Crop Code	What quantity of manure was applied per acre?	Unit (column 4 only) 1 Pounds 3 Tons 4 Bushels 12 Gallons x Acre-Inch	Where was the manure produced?		How was the manure handled? 1 Solid 2 Liquid 3 Slurry	Was a manure test done? 1 YES 2 DON’T KNOW 3 NO
						1 2 3 4 5	On this operation Purchased Obtained at no cost off this operation Obtained with compensation Commercially prepared manure
			CODE			CODE		CODE	CODE

	0403		0404	0408		0409	0407	0416	0455
01	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
02	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
03	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
04	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
05	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
06	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
07	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
08	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
09	___ ___				.___
	0403		0404	0408		0409	0407	0416	0455
10	___ ___				.___

`

CODES FOR MANURE SOURCE COLUMN 11

CODES FOR APPLICATION COLUMN 15

1 Beef cattle 2 Dairy cattle 3 Hogs 4 Sheep 5 Poultry 6 Equine 7 Biosolids 8 Other (specify)________________________ 9 Don’t Know

1 Dry broadcast, without incorporation 2 Dry broadcast, with incorporation 3 Liquid broadcast, without incorporation 4 Liquid broadcast, with incorporation 5 Chiseled/injected or knifed in 6 Furrow or basin irrigated 7 Sprinkler irrigated

9

10

11

12

13

14

15

16

LINE

Results from manure analysis test OR [N, P2O5,K2O] applied.

Unit (column 9 only)

Major source of manure [Enter code from box above.]

Was manure composted before application? 1 YES 2 DON’T KNOW 3 NO

Composting Method 1 Windrow 2 Static Pile 3 In-Vessel 4 Other

When was this applied?

How was this applied? [Enter code from box above.]

How many acres were treated in this application?

Nitrogen N

Phosphorus P2O5

Potassium K2O

31 lbs/ton 121 lbs/1000gals 19 actual nutrients Xx lbs/acre-inch

MMDDYY

ACRES

	0405	0406		0456	0413	0415		0410	0411	0412
01								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
02								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
03								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
04								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
05								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
06								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
07								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
08								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
09								__ __ __ __ __ __		._____
	0405	0406		0456	0413	0415		0410	0411	0412
10								__ __ __ __ __ __		._____

			T-TYPE	TABLE	LINE	EDIT MANURE TABLE
			0	000	00	2011	2010	2009
						0454	0453	0452

3. Were the manure application rates to this field influenced by State or local restrictions, by your conservation plan, nutrient management plan (NMP) or your comprehensive nutrient management plan (CNMP)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [If YES, enter 1 and continue; if NO, enter 3 and go to Item 4.]

TYPE 0

TABLE 000

LINE 00

0419

1 Nitrogen 2 Phosphorus

.

CODE

a. What nutrient requirement basis was used to determine these manure applications?

0420

P2O2 TEST VALUE

CODE

b. What was the soil test phosphorus level in the field before manure application occurred?

. ____

UNIT CODES 1 mg/kg P 2 ppm P 3 lbs/ac

4. Was the use of commercial fertilizers adjusted on this field in years when manure was applied? [If YES, enter 1 and continue; if NO, enter 3 and go to Item 5.] . . . . . . . . . . . . . . . . . . . . . . . . . . .

0421

a. Was commercial nitrogen reduced?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

0422

b. Was commercial phosphorus reduced?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

0422

1 No plans to apply manure again 2 At least once per year 3 Once every 2 years 4 Once every 3 years 5 Once every 4 years 6 Once every 5 or more years

CODE

5. How often do you plan to apply manure to this field in future years?

0424

6. Was the manure applied to the selected field produced on this operation?

YES – [Enter 1 and continue.] NO – [Enter 3 and go to Section F.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CODE

0425

7. What type of manure storage and/or treatment system is used for the bulk of manure that is produced on this operation?.

Solid

Slurry

Liquid

CODE

1 2 3 4 5 6

stacking slab (open storage) covered slab manure pack barn, shed or house other (specify) _______________ none

7 8 9

concrete or steel tank, basin or pit earthen storage facility other (specify) _______________

10 11 12 13

single stage lagoon or holding pond two stage lagoon system with the second stage being either a lagoon or a holding pond run off storage pond used only for collection of open-lot run off other (specify)________

0426

8. Was an amendment added to manure prior to application, or to the field, in order to enhance nutrient efficiency or reduce environmental impacts? [For example, aluminum or iron compounds, strong acids, nitrapyrin, or NBPT]

YES = 1

CODE

F

PESTICIDE APPLICATIONS---SELECTED FIELD

F

1. Were any herbicides, insecticides, fungicides or other chemicals applied to this field for the 2011, 2010, or 2009 crops?		2011	2010	2009
For each year enter:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..	YES = 1 NO = 3	0315	0345	0346

[ENUMERATOR ACTION: If pesticides applied in any year, continue. Complete table only for year(s) specified, else go to Section G.]

Edit Table

0344

0343

0342

2. Did you use a pesticide product for the purpose of improving plant health as opposed to controlling a pest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1
3. Did you alter any of your pesticide applications specifically to protect honey bees and/or native pollinators? [For example, utilize an IPM program that specifically protects pollinators, only apply insecticides outside of the bloom period, only apply insecticides at night, etc.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1
4. Were pesticides with different mechanisms of action rotated or tank mixed for the PRIMARY PURPOSE of keeping pests from becoming resistant to pesticides?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .	YES = 1	0318
5. Did you select and plant crop seeds that had been commercially treated with fungicides or insecticides?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1	0316
6. Did you select and plant crop cultivars with genetically engineered tolerances to specific herbicides such as glyphosate or glufosinate?. . . . . . . . . . . .	YES = 1

	PESTICIDE RISK DECISION CODE LIST
	(SELECT TWO)		PRIMARY CODE
7. Other than cost and product effectiveness, identify the 2 most important factors that determined which pesticide to use in 2011	1 Potential health risk to humans 2 Risk to populations of beneficial organisms (earthworms, bees, ladybugs, etc.) 3 Risk to natural resources (wildlife, fish, etc.) 4 Pest resistance management 5 Crop safety 7 Other (specify)__________________________		0320
			SECONDARY CODE
			0321

12a. Were chemicals applied in 2011? [If YES continue. If NO go to Item 12b.]
Including both custom applications and applications made by this operation, let’s list all the chemicals used on this field for the 2011 crop(s).
[Probe for applications made in the fall of 2010 (and those made earlier if this field was fallow) for the 2011 crop year.]
Include herbicides, insecticides, fungicides, defoliants, growth regulators, microbial agents, miticides, nematicides, rodenticides, soil fumigants, and seed treatments.	Exclude fertilizers, adjuvants (e.g. wetting agents, stickers, spreaders, etc.).
			T-TYPE	TABLE
			3	100
Include biological and botanical pesticides.		Line 99	Office use Lines in table	0314

		1	2	3	4	5	6
CHEMICAL PRODUCT NAME	LINE	Crop Year	Primary crop for which pesticides were intended	Crop Code [Enter crop code from Respondent Booklet.]	What products were applied to this field? [Show product codes from Respondent Booklet.]	Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]

	01	11		0304	0305		0306
	02	11		0304	0305		0306
	03	11		0304	0305		0306
	04	11		0304	0305		0306
	05	11		0304	0305		0306
	06	11		0304	0305		0306
	07	11		0304	0305		0306
	08	11		0304	0305		0306
	09	11		0304	0305		0306
	10	11		0304	0305		0306
	11	11		0304	0305		0306
	12	11		0304	0305		0306
	13	11		0304	0305		0306
	14	11		0304	0305		0306
	15	11		0304	0305		0306

[For pesticides not listed in Respondent Booklet, specify --]
Line		Pesticide Type (Herbicide, Insecticide, Fungicide, etc.)		EPA No. or Tradename and Formulation	Form Purchased (Liquid or Dry)	Where Purchased [Ask only if EPA No. cannot be reported.]
____________		__________________________		__________________________	____________________	_____________________
____________		__________________________		__________________________	____________________	_____________________
____________		__________________________		__________________________	____________________	_____________________

			APPLICATION CODES FOR COLUMN 11
			4 Seed Furrow 5 Chemigation (in irrigation water) 6 Chisel/injected or knifed in 8 Direct spray, foliar 10 Seed Treatment by producer prior to planting 11 Broadcast, ground, not incorporated 13 Broadcast, ground, foliar 21 Broadcast, ground, incorporated 31 Broadcast, aerial 32 Broadcast, aerial, foliar	71 Banded/side-dressed 73 Banded/side-dressed, foliar 76 T-Banded (Combo of banded and injected) SPOT TREATMENTS: 91 Spot Treatment 93 Spot treatment foliar

	7	8 OR 9		10	xx	11	12
LINE	When was it applied? MMDDYY	How much was applied per acre per application?	What was the total amount applied per application in this field?	[Enter unit code.] 1 Pounds 12 Gallons 13 Quarts 14 Pints 15 Liquid Ounces 28 Dry Ounces 30 Grams	How was this Product Applied? [Enter code from above.]	Was the product applied to the entire field, to only a portion of the field, or as a spot treatment? 1 Entire Field 2 Part of Field 3 Spot Treatment	How many acres in this field were treated with this product? ACRES
01	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
02	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
03	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
04	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
05	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
06	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
07	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
08	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
09	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
10	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
11	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
12	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
13	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
14	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____
15	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310	0311		0312 ._____

12b. Were chemicals applied in 2010? [If YES continue. If NO go to Item 12c.]
Including both custom applications and applications made by this operation, let’s list all the chemicals used on this field for the 2010 crop(s).
[Probe for applications made in the fall of 2009 (and those made earlier if this field was fallow) for the 2010 crop year.]
Include herbicides, insecticides, fungicides, defoliants, growth regulators, microbial agents, miticides, nematicides, rodenticides, soil fumigants, and seed treatments.	Exclude fertilizers, adjuvants (e.g. wetting agents, stickers, spreaders, etc.).
			T-TYPE	TABLE
			3	200
Include biological and botanical pesticides.		Line 99	Office use Lines in table	0314

		1	2	3	4	5	6
CHEMICAL PRODUCT NAME	LINE	Crop Year	Primary crop for which pesticides were intended	Crop Code [Enter crop code from Respondent Booklet.]	What products were applied to this field? [Show product codes from Respondent Booklet.]	Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]

			01	10				0304	0305				0306
			02	10				0304	0305				0306
			03	10				0304	0305				0306
			04	10				0304	0305				0306
			05	10				0304	0305				0306
			06	10				0304	0305				0306
			07	10				0304	0305				0306
			08	10				0304	0305				0306
			09	10				0304	0305				0306
			10	10				0304	0305				0306
			11	10				0304	0305				0306
			12	10				0304	0305				0306
			13	10				0304	0305				0306
			14	10				0304	0305				0306
			15	10				0304	0305				0306
[For pesticides not listed in Respondent Booklet, specify --]
Line		Pesticide Type (Herbicide, Insecticide, Fungicide, etc.)					EPA No. or Tradename and Formulation			Form Purchased (Liquid or Dry)		Where Purchased [Ask only if EPA No. cannot be reported.]
____________		__________________________					__________________________			____________________		_____________________
____________		__________________________					__________________________			____________________		_____________________
____________		__________________________					__________________________			____________________		_____________________

			APPLICATION CODES FOR COLUMN 11
			4 Seed Furrow 5 Chemigation (in irrigation water) 6 Chisel/injected or knifed in 8 Direct spray, foliar 10 Seed Treatment by producer prior to planting 11 Broadcast, ground, not incorporated 13 Broadcast, ground, foliar 21 Broadcast, ground, incorporated 31 Broadcast, aerial 32 Broadcast, aerial, foliar	71 Banded/side-dressed 73 Banded/side-dressed, foliar 76 T-Banded (Combo of banded and injected) SPOT TREATMENTS: 91 Spot Treatment 93 Spot treatment foliar

	7	8 OR 9		10	xx	11	12
LINE	When was it applied? MMDDYY	How much was applied per acre per application?	What was the total amount applied per application in this field?	[Enter unit code.] 1 Pounds 12 Gallons 13 Quarts 14 Pints 15 Liquid Ounces 28 Dry Ounces 30 Grams	Was the product applied to the entire field, to only a portion of the field, or as a spot treatment? 1 Entire Field 2 Part of Field 3 Spot Treatment	How was this Product Applied? [Enter code from above.]	How many acres in this field were treated with this product? ACRES
01	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
02	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
03	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
04	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
05	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
06	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
07	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
08	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
09	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
10	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
11	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
12	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
13	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
14	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____
15	0307 __ __ __ __ __ __	0308 .___ ___	0309 .___ ___	0310		0311	0312 ._____

12c. Were chemicals applied in 2009? [If YES continue. If NO go to Section G.]
Including both custom applications and applications made by this operation, let’s list all the chemicals used on this field for the 2009 crop(s).
[Probe for applications made in the fall of 2008 (and those made earlier if this field was fallow) for the 2009 crop year.]
Include herbicides, insecticides, fungicides, defoliants, growth regulators, microbial agents, miticides, nematicides, rodenticides, soil fumigants, and seed treatments.	Exclude fertilizers, adjuvants (e.g. wetting agents, stickers, spreaders, etc.).
			T-TYPE	TABLE
			3	300
Include biological and botanical pesticides.		Line 99	Office use Lines in table	0314

		1	2	3	4	5	6
CHEMICAL PRODUCT NAME	LINE	Crop Year	Primary crop for which pesticides were intended	Crop Code [Enter crop code from Respondent Booklet.]	What products were applied to this field? [Show product codes from Respondent Booklet.]	Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]

			01	09				0304	0305				0306
			02	09				0304	0305				0306
			03	09				0304	0305				0306
			04	09				0304	0305				0306
			05	09				0304	0305				0306
			06	09				0304	0305				0306
			07	09				0304	0305				0306
			08	09				0304	0305				0306
			09	09				0304	0305				0306
			10	09				0304	0305				0306
			11	09				0304	0305				0306
			12	09				0304	0305				0306
			13	09				0304	0305				0306
			14	09				0304	0305				0306
			15	09				0304	0305				0306
[For pesticides not listed in Respondent Booklet, specify --]
Line		Pesticide Type (Herbicide, Insecticide, Fungicide, etc.)					EPA No. or Tradename and Formulation			Form Purchased (Liquid or Dry)		Where Purchased [Ask only if EPA No. cannot be reported.]
____________		__________________________					__________________________			____________________		_____________________
____________		__________________________					__________________________			____________________		_____________________
____________		__________________________					__________________________			____________________		_____________________

			APPLICATION CODES FOR COLUMN 11
			4 Seed Furrow 5 Chemigation (in irrigation water) 6 Chisel/injected or knifed in 8 Direct spray, foliar 10 Seed Treatment by producer prior to planting 11 Broadcast, ground, not incorporated 13 Broadcast, ground, foliar 21 Broadcast, ground, incorporated 31 Broadcast, aerial 32 Broadcast, aerial, foliar	71 Banded/side-dressed 73 Banded/side-dressed, foliar 76 T-Banded (Combo of banded and injected) SPOT TREATMENTS: 91 Spot Treatment 93 Spot treatment foliar

	7		8 OR 9			10	xx	11		12
LINE	When was it applied? MMDDYY		How much was applied per acre per application?	What was the total amount applied per application in this field?		[Enter unit code.] 1 Pounds 12 Gallons 13 Quarts 14 Pints 15 Liquid Ounces 28 Dry Ounces 30 Grams	Was the product applied to the entire field, to only a portion of the field, or as a spot treatment? 1 Entire Field 2 Part of Field 3 Spot Treatment	How was this Product Applied? [Enter code from above.]		How many acres in this field were treated with this product? ACRES
01	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
02	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
03	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
04	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
05	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
06	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
07	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
08	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
09	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
10	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
11	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
12	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
13	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
14	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____
15	0307 __ __ __ __ __ __		0308 .___ ___	0309 .___ ___		0310		0311		0312 ._____

G

PEST MANAGEMENT PRACTICES---SELECTED FIELD

G

	T-Type	Table	Line
	0	000	00

Now I have some questions about the pest management decisions and practices used on this field during the 2011 crop year. By pests, we mean INSECTS, WEEDS, and PLANT DISEASES.

1. During 2011, how was this field primarily scouted for pests and/or beneficial organisms?. . . . . . . . . . . . . . . . .

1 By conducting general observations while performing routine tasks. [Enter 1 and go to Item 3.] 2 By deliberately going to the field specifically for scouting activities. [Enter 2 and go to Item 2.] 3 This field was not scouted for pests. [Enter 3 and go to Item 7.]

CODE

1701

2. Was an established scouting process used (systematic sampling, recording counts, etc.) or were insect traps used in this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1702

3. Was scouting for pests done in this field due to --

a. a pest development model?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1703

b. a pest advisory warning?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .

YES = 1

1704

4. Was this field scouted for --

1

2 [If 1=YES, ASK--] Who did the majority of the scouting for [column 1]— 1 Operator, partner or family member 2 An employee 3 Farm supply or chemical dealer 4 Independent crop consultant or commercial scout

3 [If 1=YES, ASK--] Based on the scouting report and compared to published information on threshold levels, rate the pest pressure as 1 Low 2 Medium 3 High

YES = 1

CODE

a. weeds?

1705

1709

b. insects or mites?

1706

1710

c. diseases?

1707

1711

d. other? (specify) ________

1708

1712

5 Was scouting for pests done in the field after a pesticide application to evaluate degree of control?.

YES = 1

6. Were written or electronic records kept for this field to track the activity or numbers of weeds, insects, or diseases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

1713

7. Were scouting data compared to published information on thresholds to determine when to take measures to manage pests in this field?. . . . . . . . .

YES = 1

1714

8. Were field mapping data used for making weed management decisions on this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1				1715
9. Were the services of a diagnostic laboratory used for pest identification or soil or plant tissue pest analysis for this field?. . . . . . . . . . . . . . . . . . . . . . . . .	YES = 1				1716
10. Did you conduct any of the following activities for the crops grown in 2011 SPECIFICALLY for the purpose of managing pests or reducing the spread of pests?
					YES = 1
a Remove, plow down, or burn any crop or crop residue.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1717
b. Alter crop rotation.					1718
c. Maintain ground covers, mulches, or other physical barriers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1719
d. Use no-till or minimum till. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1720
e. Adjust row spacing or plant density.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1721
f. Release beneficial organisms (insects, nematodes, fungi) in the field. . . . . . . . . . . . . . . . . . . . . . . . . .					1722
g. Chop, spray, mow, plow, or burn field edges, lanes, ditches, roadways or fence lines. . . . . . . . . . . . .					1723
h. Grow a trap crop. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1724
i. Clean equipment and field implements after completing field work. . . . . . . . . . . . . . . . . . . . . . . . . . . .					1725
k. Cultivate for weed control during the growing season. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					1727
11. Did you choose any crop variety to be planted in this field because it had resistance to a specific pest?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1			1728
12. Did you choose not to plant a crop in certain areas of the field in order to avoid a specific pest infestation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1
13. Were planting or harvesting dates adjusted for this field to manage pests?. .		YES = 1			1730
14. Were weather data used to assist in determining either the ‘need for’ or ‘when to’ apply a pest management practice?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1			1731
15. Other than pesticide applicator training, have you (the operator) attended any training sessions on pest identification and management in the past 3 years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			YES = 1		1746
16. Were floral lures, attractants, repellants, pheromone traps or other biological pest controls used on this field?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .				YES = 1	1756

PESTICIDE APPLICATION DECISION CODE LIST

17. In 2011, were the herbicides applied to this field based MOSTLY on—

[Identify the 2 most important sources]. . . . . .

1 Preventive schedule – Routine treatments?

2 Scouting data compared to published threshold guidelines?

3 Scouting data and your established thresholds?

4 Field mapping or GPS data on pests?

5 Recommendations from a chemical dealer?

6 Recommendations from an independent crop consultant?

7 Recommendations from University extension?

8 Recommendations from a neighbor?

X Information from the ipmPIPE (Pest Information Platform for Extension & Education)?

10 Other (specify)__________________________

PRIMARY CODE

SECONDARY CODE

PESTICIDE APPLICATION DECISION CODE LIST

18. In 2011, were the insecticides applied to this field based MOSTLY on—

[Identify the 2 most important sources]. . . .

1 Preventive schedule – Routine treatments?

2 Scouting data compared to published threshold guidelines?

3 Scouting data and your established thresholds?

4 Field mapping or GPS data on pests?

5 Recommendations from a chemical dealer?

6 Recommendations from an independent crop consultant?

7 Recommendations from University extension?

8 Recommendations from a neighbor?

X Information from the ipmPIPE (Pest Information Platform for Extension & Education)?

10 Other (specify)__________________________

PRIMARY CODE

SECONDARY CODE

PESTICIDE APPLICATION DECISION CODE LIST

19. In 2011, were the fungicides applied to this field based MOSTLY on—

[Identify the 2 most important sources]

1 Preventive schedule – Routine treatments?

2 Scouting data compared to published threshold guidelines?

3 Scouting data and your established thresholds?

4 Field mapping or GPS data on pests?

5 Recommendations from a chemical dealer?

6 Recommendations from an independent crop consultant?

7 Recommendations from University extension?

8 Recommendations from a neighbor?

X Information from the ipmPIPE (Pest Information Platform for Extension & Education)?

10 Other (specify)__________________________

PRIMARY CODE

SECONDARY CODE

	Completion Code for Pest Management Data
	1 – Incomplete/Refusal	1700

H

IRRIGATION---SELECTED FIELD

H

Enumerator Note:		Ask ONLY if irrigation was reported in Section C. Cropping History and Conservation Practices, line 17 = YES. If no irrigation was reported for any crop years in Section C, go to Section I.
1. Now, I have some questions about the irrigation of this field for the 2011, 2010 and 2009 crops.
a. What type of irrigation system(s) were used to irrigate this field?						2011 SYSTEM TYPE CODE	2010 SYSTEM TYPE CODE				2009 SYSTEM TYPE CODE
[Show System Type Codes in Respondent Booklet. If more than 1 system was used, enter System Type Code covering the most field acres.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						1505	1506				1507
b. Were any major changes made to the way the field was irrigated during the period 2009-2011?									YES = 1
[If an irrigation system reported in 1a is a gravity system (code 10-19) then continue, else, go to Item 5.]
						2011		2010					2009
2. Do you use any water management practices to reduce irrigation water use or improve efficiency?. . . .					YES = 1	1520		1521					1522
	[If YES, continue, if NO, go to Item 5.]
						2011		2010					2009
a. Did you apply PAM (poly-acrylamide) to your water delivery system?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1523		1524					1525
						2011		2010					2009
b. Has the slope of this field been adjusted to a specific grade, including zero slope?. . . . . . . . . . . . . . . . . . . . . .					YES = 1	1526		1527					1528
	[If YES, continue, if NO, go to Item 4c.]
						2011		2010					2009
(1) Was laser leveling used?. . . . . . . . . . . . . . . . . . . . .					YES = 1	1529		1530					1531
(2) Was the slope adjusted as part of a conservation plan?. . . . . . . . . . . . . . . . . . . . . . . . .										YES = 1			1532

c. Were other practices used to improve water use efficiency?. . . . . . . . . . . . . . . . . . . . . . . . .					YES = 1	1533
[If YES, please list practices. See Respondent Booklet.]
1565		1566		1567

Enumerator Note: If irrigation system reported in 1a is a pressure system (codes= 1-9), continue, else go to Item 7.
									YEAR
3. What year was your pressure system installed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .									1534
									___ ___ ___ ___
4. What year was your pressure system last refurbished?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .									1535
									___ ___ ___ ___
5. Is the runoff from the field primarily --
	retained at the end of the field with no re-use? retained at the end of the field and re-used to irrigate on the farm? collected in evaporation ponds on the farm? drained from the farm? there is no runoff.		. . . .	2011		2010			2009
				1536		1537			1538
6. Do you manage irrigation to address salinity problems in this field?. . . . . . . . . . . .								YES=1		1539
		COMPLETION CODE FOR IRRIGATION			2011		2010				2009
					1504		1503				1502

I

FIELD OPERATIONS---SELECTED FIELD

I

1. Including custom operations, I need to list field work performed by machines on this field for the 2011, 2010 and 2009 crop years

• Begin with the first field operation for the 2011 crop (after harvesting of 2010 crop.)

• List the operations in order by crop year, through harvest.

• Maintain the order of tandem hook-ups.

a. Let’s start with the 2011 crops.

CHECK LIST
Include all field work using machines for--		Exclude all field work using machines for--
Land Forming	Planting		Lime & Gypsum applications
Tillage	Harvesting		Fertilizers, Manure & Pesticides applications
Preparing for Irrigation before seeding	Hauling within field		Hauling from field edge to storage
Custom Operations	Residue Management

1	2		3	4	5	6	7
Crop Year	Sequence Number	Crop Name	What crop was associated with this operation?	What operation or equipment was used on this field?	Machine Code [Record from Respondent Booklet.]	What was the timing of the field operation?	What was the depth of tillage for tillage/planting operations?
YEAR	NUMBER		CODE		CODE	MMDDYY	INCHES
2011	3005		3006		3007	3008 __ __ __ __ __ __	3009 .__
2011	3015		3016		3017	3018 __ __ __ __ __ __	3019 .__
2011	3025		3026		3027	3028 __ __ __ __ __ __	3029 .__
2011	3035		3036		3037	3038 __ __ __ __ __ __	3039 .__
2011	3045		3046		3047	3048 __ __ __ __ __ __	3049 .__
2011	3055		3056		3057	3058 __ __ __ __ __ __	3059 .__
2011	3065		3066		3067	3068 __ __ __ __ __ __	3069 .__
2011	3075		3076		3077	3078 __ __ __ __ __ __	3079 .__
2011	3085		3086		3087	3088 __ __ __ __ __ __	3089 .__
2011	3095		3096		3097	3098 __ __ __ __ __ __	3099 .__
2011	3105		3106		3107	3108 __ __ __ __ __ __	3109 .__
2011	3115		3116		3117	3118 __ __ __ __ __ __	3119 .__
2011	3125		3126		3127	3128 __ __ __ __ __ __	3129 .__
2011	3135		3136		3137	3138 __ __ __ __ __ __	3139 .__
2011	3145		3146		3147	3148 __ __ __ __ __ __	3149 .__
2011	3155		3156		3157	3158 __ __ __ __ __ __	3159 .__
2011	3165		3166		3167	3168 __ __ __ __ __ __	3169 .__
2011	3175		3176		3177	3178 __ __ __ __ __ __	3179 .__

	2011 EDIT FIELD OPERATIONS TABLE
	3004

b. Now let’s continue with 2010 crop year.

• Begin with the first field operation for the 2010 crop (after harvesting of 2009 crop.)

CHECK LIST
Include all field work using machines for--		Exclude all field work using machines for--
Land Forming	Planting		Lime & Gypsum applications
Tillage	Harvesting		Fertilizers, Manure & Pesticides applications
Preparing for Irrigation before seeding	Hauling within field		Hauling from field edge to storage
Custom Operations	Residue Management

1	2		3	4	5	6	7
Crop Year	Sequence Number	Crop Name	What crop was associated with this operation?	What operation or equipment was used on this field?	Machine Code [Record from Respondent Booklet.]	What was the timing of the field operation?	What was the depth of tillage for tillage/planting operations?
YEAR	NUMBER		CODE		CODE	MMDDYY	INCHES
2010	3305		3306		3307	3308 __ __ __ __ __ __	3309 .__
2010	3315		3316		3317	3318 __ __ __ __ __ __	3319 .__
2010	3325		3326		3327	3328 __ __ __ __ __ __	3329 .__
2010	3335		3336		3337	3338 __ __ __ __ __ __	3339 .__
2010	3345		3346		3347	3348 __ __ __ __ __ __	3349 .__
2010	3355		3356		3357	3358 __ __ __ __ __ __	3359 .__
2010	3365		3366		3367	3368 __ __ __ __ __ __	3369 .__
2010	3375		3376		3377	3378 __ __ __ __ __ __	3379 .__
2010	3385		3386		3387	3388 __ __ __ __ __ __	3389 .__
2010	3395		3396		3397	3398 __ __ __ __ __ __	3399 .__
2010	3405		3406		3407	3408 __ __ __ __ __ __	3409 .__
2010	3415		3416		3417	3418 __ __ __ __ __ __	3419 .__
2010	3425		3426		3427	3428 __ __ __ __ __ __	3429 .__
2010	3435		3436		3437	3438 __ __ __ __ __ __	3439 .__
2010	3445		3446		3447	3448 __ __ __ __ __ __	3449 .__
2010	3455		3456		3457	3458 __ __ __ __ __ __	3459 .__
2010	3465		3466		3467	3468 __ __ __ __ __ __	3469 .__
2010	3475		3476		3477	3478 __ __ __ __ __ __	3479 .__

	2010 EDIT FIELD OPERATIONS TABLE
	3003

c. Please answer the following for 2009 crop year.

• Begin with the first field operation for the 2009 crop (after harvesting of 2003 crop.)

CHECK LIST
Include all field work using machines for--		Exclude all field work using machines for--
Land Forming	Planting		Lime & Gypsum applications
Tillage	Harvesting		Fertilizers, Manure & Pesticides applications
Preparing for Irrigation before seeding	Hauling within field		Hauling from field edge to storage
Custom Operations	Residue Management

1	2		3	4	5	6	7
Crop Year	Sequence Number	Crop Name	What crop was associated with this operation?	What operation or equipment was used on this field?	Machine Code [Record from Respondent Booklet.]	What was the timing of the field operation?	What was the depth of tillage for tillage/planting operations?
YEAR	NUMBER		CODE		CODE	MMDDYY	INCHES
2009	3605		3606		3607	3608 __ __ __ __ __ __	3609 .__
2009	3615		3616		3617	3618 __ __ __ __ __ __	3619 .__
2009	3625		3626		3627	3628 __ __ __ __ __ __	3629 .__
2009	3635		3636		3637	3638 __ __ __ __ __ __	3639 .__
2009	3645		3646		3647	3648 __ __ __ __ __ __	3649 .__
2009	3655		3656		3657	3658 __ __ __ __ __ __	3659 .__
2009	3665		3666		3667	3668 __ __ __ __ __ __	3669 .__
2009	3675		3676		3677	3678 __ __ __ __ __ __	3679 .__
2009	3685		3686		3687	3688 __ __ __ __ __ __	3689 .__
2009	3695		3696		3697	3698 __ __ __ __ __ __	3699 .__
2009	3705		3706		3707	3708 __ __ __ __ __ __	3709 .__
2009	3715		3716		3717	3718 __ __ __ __ __ __	3719 .__
2009	3725		3726		3727	3728 __ __ __ __ __ __	3729 .__
2009	3735		3736		3737	3738 __ __ __ __ __ __	3739 .__
2009	3745		3746		3747	3748 __ __ __ __ __ __	3749 .__
2009	3755		3756		3757	3758 __ __ __ __ __ __	3759 .__
2009	3765		3766		3767	3768 __ __ __ __ __ __	3769 .__
2009	3775		3776		3777	3778 __ __ __ __ __ __	3779 .__

	2009 EDIT FIELD OPERATIONS TABLE
	3002

K

WHOLE FARM

K

TOTAL ACRES IN THIS OPERATING ARRANGEMENT
Now I’m going to ask you a few general questions about your entire operation. (Include the farmstead, all cropland, pastureland, wasteland, wetland, woodland and government program land. Include land in other states.)
1. During the 2011 crop year, how many total acres did this operation --			ACRES
a. own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	1901	.____
b. rent FROM others? (Exclude land used on an AUM basis.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	1902	.____
c. rent TO others? (Include privately owned/rented land administered by a public agency through exchange-of-use.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	-	1903	.____
2. Then the TOTAL acres in this operation including the farmstead, all cropland, pastureland, wasteland, wetland, woodland and government program land is – [total of 1a + 1b – 1c]?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	=
		1904	.____
a. Have I accounted for the farmstead, all cropland, pastureland, wasteland, wetland, woodland and government program land in this operation?
YES – [Continue.]
NO – [Make corrections, then continue.]
3. Of the total (Item 2) acres operated, how many acres are considered cropland, including land in hay and cropland in government programs?. . . . . . . . . . . . . . . . . . . . .
		1905	.____

L

OPERATOR AND OPERATION CHARACTERISTICS

L

1. In 2011, was this operation’s LEGAL STATUS . . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Individual (Sole/family Proprietorship)? 2 A legal Partnership? 3 A Family-held Corporation? 4 A Non-family Corporation? 5 Other, (including estates, trusts and cooperatives)? Describe___________________________________				. . . . .		CODE
								1912
								CODE
2. In 2011, what was your (the operator’s) major occupation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1 Farm or ranch work 3 Something else			2 Hired farm manager 4 Retired	. . . . .		1913
3. What is the highest level of formal education you (the operator) have completed?. . . . . . . . .		1 Less than a high school diploma 2 High school diploma or equivalency (GED) 3 Some college 4 Completed a 4 year degree (BA or BS) 5 Graduate school				. . . . .		CODE
								1914
								YEAR
								1915
4. In what year did you (the operator) begin making day-to-day decisions for any farm/ranch?. . . . .								___ ___ ___ ___
5. Now I would like to classify the total acres operated in terms of total gross value of sales.
Considering--  all crops sold,  all livestock, poultry (including commercial broilers) and products (milk, eggs, etc.) sold,  all sales of crops, livestock or poultry, produced under contract,  all sales of any miscellaneous agricultural products,  all government payments received,  landlord’s share of government payments and crops sold in 2010;
What code represents the total gross value of sales for this operation in 2010?
99 None during 2010
1 $1 $999
2 $1,000 $2,499
3 $2,500 $4,999							CODE
4 $5,000 $9,999								1916
5 $10,000 $24,999			. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 $25,000 $49,999
7 $50,000 $99,999
8 $100,000 $249,999
9 $250,000 $499,999
10 $500,000 $999,999
11 $1,000,000 $2,499,999
12 $2,500,000 $4,999,999
13 $5,000,000 and over
								CODE
6. Of the farm income reported, which of these categories represents the largest portion of the gross income from the operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .								1917
FARM TYPE CODES
1 GRAINS, OILSEEDS and DRY BEANS				9 HOGS and PIGS
2 TOBACCO				10 MILK and OTHER DAIRY PRODUCTS FROM COWS
3 COTTON and COTTONSEED				11 CATTLE and CALVES
4 VEGETABLES, MELONS and POTATOES				12 SHEEP, GOATS, and THEIR PRODUCTS
5 FRUIT TREES, NUTS and BERRIES				13 HORSES, PONIES and MULES
6 NURSERY, GREENHOUSE, FLORICULTURE and SOD				14 POULTRY and EGGS
7 CUT CHRISTMAS TREES and SHORT WOODY CROPS				15 AQUACULTURE
8 OTHER CROPS and HAY, CRP and PASTURE				16 OTHER ANIMALS and OTHER ANIMAL PRODUCTS
CONCLUDE INTERVIEW and THANK the RESPONDENT

CONCLUSION

RECORDS USE
1. [Did respondent use farm/ranch records to report---]			CODE
a. [fertilizer data?]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1	0026
b. [pesticide data?]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1	0027
c. [manure data?]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		YES = 1	0028
			CODE
2. [Did the respondent use a Conservation Plan to complete Section B?]. . . . . . . . . . . . . . . . . . . . . .	YES = 1		0029

SUPPLEMENTS USED		NUMBER
3. [Record the total number of each type of supplement used to complete this interview.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	FERTILIZER APPLICATIONS	0030
	PESTICIDE APPLICATIONS	0031
	FIELD OPERATIONS	0032
	MANURE APPLICATIONS	0033

	MILITARY TIME H H M M
ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	0005 __ __ __ __

	TOTAL HOURS
	0006 .____

Reported by:________________________________________________	Telephone: (______)____________________________________

Response		Respondent		Mode		Enum	Eval.	Date MM DD YY	Optional	Optional
1-Comp 2-R 3 - I	9901	1- Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner	9902	3-Face-to-Face	9903	0098	0100	0007 ___ ___ ___ ___11	0002	0003
S/E Name