QID 030050 Ag Yield Survey - June - IL

AG YIELD SURVEY - JUNE 20XX
			OMB No. 0535-0213 Approval Expires: 3/31/2014 Project Code: 128 QID: 030050 SMetaKey: 3507
				NATIONAL AGRICULTURAL STATISTICS SERVICE

						Illinois Field Office P.O. Box 19283 Springfield, IL 62794-9283 Phone: 1-800-622-9865 Fax: 1-800-811-3913 E-mail: nass-il@nass.usda.gov

The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107–347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents. By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or your operation. Response is voluntary.. If you have any questions about the survey, please feel free to call 1-800-622-9865. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB number is 0535-0213. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Please make corrections to name, address and ZIP Code, if necessary.
	State	POID	Tract	Subtr.
	__ __	__ __ __ __ __ __ __ __ __	__ __	__ __

If you no longer operate this farm or ranch go to Section 2.

SECTION 1 - CROP ACREAGE and YIELD

Please report the acres for harvest and yield per acre you expect to harvest from the total acres you operate for the following crop. If harvest is not complete, make your best estimate of the final yield for all acres harvested and to be harvested. (Exclude information for land rented to others.)

						TOTAL CROP
WINTER WHEAT Harvested and to be harvested (grain and seed only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .					Acres	541
Expected yield for grain and seed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				Bu. Per Acre		151
Has harvest been completed? . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes=1	No=3	. . . . .	980

SECTION 2 – CONCLUSION If you no longer operate this farm or ranch, please provide the name and address of the new operator.
NAME:	     
ADDRESS:	     
CITY:	     	ZIP CODE:	     
COUNTY:	     	PHONE:	     
COMMENTS:	     

Survey Results: To receive the complete results of this survey on the release date, go to http://www.nass.usda.gov/results.
Would you rather have a brief summary mailed to you at a later date?. . . . . . . . . . . .	Yes = 1 No = 3 . . .	099

Respondent Name:

9911 Phone: (______) -- ______________

9910 MM DD YY Date: __ __ __ __ __ __

Response

Respondent

Mode

Enum.

Eval.

Change

Office Use for POID

1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est 8-Known Zero

9901

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

9902

1-Mail 2-Tel 3-Face-to-Face 4-CATI 5-Web 6-E-mail 7-Fax 8-CAPI 19-Other

9903

098

100

785

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

R. Unit

Optional Use

921

407

408

9906

9916

S/E Name