QID 002363 Nursery and Floriculture Chemical Use Survey - CA Versio

NURSERY AND FLORICULTURE CHEMICAL USE SURVEY
						OMB No. 0535-0244 Approval Expires: 6/30/2013 Project Code: 159 QID 002363
									NATIONAL AGRICULTURAL STATISTICS SERVICE
		California Enterprise					National Agricultural Statistics Service U.S Department of Agriculture NOC Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-800-727-9540 Fax: 314-595-9990 E-mail: nass@nass.usda.gov

VERSION 01

POID ___ ___ ___ ___ ___ ___ ___ ___ ___

SUBTRACT ___ ___

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.]

We are collecting information on chemical applications for floriculture and nursery production and need your help to make the information as accurate as possible. Authority for collection of information is Title 7, Section 2204 of the U.S. Code. This information will be used to compile and publish estimates on chemical use in floriculture and nursery production. Under Title 7 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 is voluntary.

We encourage you to refer to your farm records during the interview.

[Name, address and partners verified and updated if necessary]
POID __ __ __ __ __ __ __ __ __				POID __ __ __ __ __ __ __ __ __
PARTNER NAME				PARTNER NAME
ADDRESS				ADDRESS
CITY	STATE	ZIP	PHONE NUMBER	CITY	STATE	ZIP	PHONE NUMBER
POID __ __ __ __ __ __ __ __ __				POID __ __ __ __ __ __ __ __ __
PARTNER NAME				PARTNER NAME
ADDRESS				ADDRESS
CITY	STATE	ZIP	PHONE NUMBER	CITY	STATE	ZIP	PHONE NUMBER

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 0535-0244. The time required to complete this information collection is estimated to average 60 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.

CALIFORNIA SCREENING

1. What ID (pesticide permit number) does this operation use for reporting pesticide applications on the target nursery and floriculture acres to the County Agricultural Commissioners?. . . . . . . . . . . . . . . . . . . .

COUNTY

NUMBER

2. Is this ID used to report pesticide applications for any other operations?

YES - [Continue.]

NO - [Go to item 3.]

a. What other operation(s) is this ID used to report for?

Name_____________________________________________________

Name______________________________________________________

Address___________________________________________________

Address____________________________________________________

Phone ( ) ____________________________________________

Phone ( ) _____________________________________________

3. Does this operation use any OTHER ID’s to report pesticide applications on the target nursery and floriculture acres to the County Agricultural Commissioners?

YES - [Continue.]

NO - [Go to CHEMICAL APPLICATIONS, page 4.]

COUNTY

NUMBER

a. What are these other ID numbers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Do you use any of these ID’s to report pesticide applications for any other operation(s)?

YES - [Continue.]

NO - [Go to CHEMICAL APPLICATIONS, page 4.]

(i) What other operation(s) use this ID for reporting? [Identify operation and ID.]

Name_____________________________________________________

Name______________________________________________________

Reporting ID_______________________________________________

Reporting ID_______________________________________________

Address___________________________________________________

Address____________________________________________________

Phone ( ) _____________________________________________

Phone ( ) ______________________________________________

CALIFORNIA – EPA SITE LOCATIONS

CAL – EPA SITE LOCATION NUMBERS (if required)

CHEMICAL APPLICATIONS

These questions are about pesticide and chemical (excluding fertilizer) applications.
1. In 20XX, for your floriculture and/or nursery operation, were any insecticides, herbicides, fungicides, nematicides, miticides, growth regulators, rooting compounds, soil fumigants or other chemicals applied?
YES – [Complete table below.]	NO – [Go to item 1 on page 6.]

	OFFICE USE EDIT TABLE	1 Incomplete 3 Valid Zero		314	OFFICE USE LINES IN TABLE		T-TYPE 4	TABLE 001	LINE 99	101
PRODUCTION CATEGORY CODES FOR COLUMN 1							LOCATION CODES FOR COLUMN 2
NURSERY 1 Transplants for commercial vegetable and strawberry production 2 Propagative nursery material or lining-out stock 3 Broadleaf evergreens 4 Coniferous evergreens 5 Deciduous shade trees 6 Deciduous flowering trees 7 Deciduous shrubs 8 Fruit and nut plants 9 Christmas trees 10 Palms 11 Ornamental grasses 12 Other woody ornamentals and vines 20 Non-production area			FLORICULTURE 13 Cut flowers 14 Flowering plants (potted) 15 Bedding plants (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area				1 Greenhouse (enclosed) 2 Shade Structure (frames, slat, saran, cloth, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

		1	2	3	4
PRODUCTION CATEGORY	L I N E	To what production category were chemicals applied? [Enter production code from above.]	Where were chemical products applied? [Enter appropriate location codes from above.]	How were chemical products applied? [Enter appropriate method codes from next page.]	Who made the chemical application(s)? [Enter appropriate applicator codes from next page.]
	01	303	304	312	313
	02	303	304	312	313
	03	303	304	312	313
	04	303	304	312	313
	05	303	304	312	313
	06	303	304	312	313
	07	303	304	312	313
	08	303	304	312	313
	09	303	304	312	313
	10	303	304	312	313
	11	303	304	312	313
	12	303	304	312	313
	13	303	304	312	313
	14	303	304	312	313
	15	303	304	312	313

CHEMICAL APPLICATIONS

METHOD CODES FOR COLUMN 3					APPLICATOR CODES FOR COLUMN 4
1 2 3 4 5 6 7 8	Hand held back pack sprayer Hand held wand/gun/boom from power hydraulic sprayers Hand held granular shakers Hand held granular rotary applicator (whirly bird, belly grinder) Hand held foggers Dusting Overhead rail sprayers (track sprayers) Root ball/container/cutting/flower dip	9 a b c d e f g	Drench Stationary fogger, aerosols, misters, electrostatic sprayers, smokers Tractor powered boom sprayer Tractor powered air blast or mister Aerial application Chemigation Machine injection, branded, broadcast, knifed in Other (Specify: ____________________ )		1 2 3 4	Licensed operator/employee pesticide applicator Unlicensed operator/employee under the direction of licensed applicator Hired custom applicator (Not an employee of operation) Other (Specify: _____________________ )

		1	2	3	4
PRODUCTION CATEGORY	L I N E	To what production category were chemicals applied? [Enter production code from previous page.]	Where were chemical products applied? [Enter appropriate location codes from previous page.]	How were chemical products applied? [Enter appropriate method codes from above.]	Who made the chemical application(s)? [Enter appropriate applicator codes from above.]
	16	303	304	312	313
	17	303	304	312	313
	18	303	304	312	313
	19	303	304	312	313
	20	303	304	312	313
	21	303	304	312	313
	22	303	304	312	313
	23	303	304	312	313
	24	303	304	312	313
	25	303	304	312	313
	26	303	304	312	313
	27	303	304	312	313
	28	303	304	312	313
	29	303	304	312	313
	30	303	304	312	313

PEST MANAGEMENT PRACTICES

			T-TYPE 0			TABLE 000			LINE 00
1. In 20XX, did your operation scout or monitor for pests---
a. By conducting general observations while performing routine tasks?								CODE
YES – [Enter code 1 then go to item 2.]		NO – [Continue with item 1b.]. . . . . . . . . . . . . . . .						320
b. By deliberately going to the growing areas specifically for scouting activities?								CODE
YES – [Enter code 1 then go to item 2.]	NO – [Continue with item 2c.]. . . . . . . . . . . . . . . . . .							321
2. In 20XX, did your operation---								CODE
a. keep electronic or written records on weed, insect or disease levels?. . . . . . . . . . . . . . . . . . .							YES = 1	323
b. use pheromones to monitor insects by trapping?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	328
c. detect the presence of weeds, insects, diseases or pathogens by---								CODE
(i) soil analysis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	324
(ii) plant tissue analysis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	325
(iii) using trap indicator plants?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES =1	326
(iv) inspecting incoming stock?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	327
(v) use of insect traps?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	355
d. use insect or disease resistant plant varieties?. . . . . . . . . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	329
e. control weeds, insects or disease by---								CODE
(i) using beneficial organisms (insects, nematodes or fungi)?. . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	330
(ii) using biological pesticides (BotaniGard, Conserve, Gnatrol, Nemasys, etc.)?. . . . . . . . . . . . .							YES = 1	331
(iii) using trap vegetation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	332
(iv) using pheromones to disrupt insect mating?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	333
(v) using water management practices such as controlled drainage or treatment of retention water? (Exclude chemigation.). . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	334
(vi) pruning out or removing infected plants or plant parts?. . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	335
(vii) tilling, mowing, or burning of field or greenhouse borders, lanes, etc.?. . . . . . . . . . . . . . .							YES = 1	336
(viii) adjusting row spacing or direction?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	337
(ix) elevating plant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	338
(x) adjusting plant density?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .							YES = 1	339
(xi) use sterilized growing media?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				NA = 4	. . . . .		YES = 1	340

PEST MANAGEMENT PRACTICES

2. In 20XX, did your operation---(continued)
e. control weeds, insect or diseases by---							CODE
(xii) sanitizing benches or other platform devices between uses?. . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	341
(xiii) sanitizing ground covers between uses?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	342
(xiv) sanitizing containers between uses?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	343
(xv) modifying temperature?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	344
(xvi) modifying hothouse/greenhouse relative humidity?. . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	345
(xvii) using greenhouse ventilation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	346
(xviii) using greenhouse screening?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	347
(xix) using plant tissue dryness management such as minimizing overhead irrigation to reduce leaf wetness time?. . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	348
(xx) utilizing ground covers, mulches or other physical barriers such as gravel, weed mats, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	349
(xxi) use of insect traps?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	356
f. rotate or tank mix pesticides (use pesticides with different mechanisms of action) for the primary purpose of keeping pests from becoming resistant to pesticides?. . . . . . . . .						YES = 1	350
g. monitor weather data to assist in determining when to make pesticide application decisions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1	351
h. apply pesticides based mostly on--- [Enter one code.]. . . . . . . . .	1 2 3 4	PREVENTIVE SCHEDULE? SCOUTING DATA COMPARED TO UNIVERSITY OR EXTENSION INFESTATION GUIDELINES? SCOUTING DATA AND YOUR ESTABLISHED THRESHOLDS? OTHER? (Specify:_______________________________________ )			. . . . . . . . . .		CODE
							352

3. In 20XX, where did your operation---
		1 2 3		CHEMICAL DEALER? CHEMICAL MANUFACTURER? OTHER? (Specify: ________________________ )						CODE
a. obtain most of its pesticides--- [Enter one code.]. . . . . . . . . . . . . . . . . . . .							. . . . . . . . . . .			353
b. mostly get recommendations for pest control or pesticide use--- [Enter one code.]. . . . . . . . . . . . . . . . . .	1 2 3 4 5 6 7 8		FARM SUPPLY DEALER/CHEMICAL DEALER? UNIVERSITY/EXTENSION PERSONNEL/MATERIALS? COMMERCIAL SCOUTING SERVICE/CROP CONSULTANT/ PEST CONTROL ADVISOR? OTHER GROWERS/PRODUCERS? PRODUCER ASSOCIATION/NEWSLETTER/ TRADE MAGAZINE? EMPLOYEE PEST ADVISOR? CUSTOM APPLICATOR? OTHER? (Specify: __________________________________ )					. . . .		CODE
										354
					COMPLETION CODE for PEST MANAGEMENT
					1 3	Incomp/R Valid zero			300

CONCLUSION

1. SURVEY RESULTS: The information from USDA-NASS surveys is available at http://www.nass.usda.gov/results. The results will be available under the title "Nursery and Floriculture Chemical Use Survey." If you do not have Internet access please call 1-800-727-9540.
[Thank the respondent then review this questionnaire.]
			TOTAL ENUMERATION TIME				TOTAL TIME SPENT WITH OPERATOR or RESPONDENT
2. Time spent collecting data----. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			019	.___			012		.___
3. SUPPLEMENTS USED							NUMBER
(Record the total number of chemical supplements used to complete this interview.). . . . . . . . . . . . . .							014
4. ENUMERATOR NOTE: Please list names, title and contact information if other people were contacted for assistance in completing this questionnaire. Please record their name, address and phone number below.]
NAME/TITLE:	__________________________________________________________________________________________
PHONE:	__________________________________________________________________________________________
ADDRESS:	__________________________________________________________________________________________
Respondent’s Name:_______________________________		Telephone Number:__________________________				Date:_____________

OFFICE USE

Response

Respondent

Mode

Enum.

Eval.

R. UNIT

Date MM DD YY

Office Use for POID

1-Comp 2-R 3-Inac 4-Office Hold

9901

1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth

9902

2-Tel 3-Face- to-Face

9903

098

100

921

9910 __ __ __ __ __ __

789 __ __ __ - __ __ __ - __ __ __

Dup Adj.

Optional

922

002

.___ ___ ___

S/E Name