QID 303011 Sheep and Goat Report - january 1, 2016 - MN

SHEEP AND GOAT REPORT - JANUARY 1, 2016
	OMB No. 0535-0213 Approval Expires: 6/30/2017 Project Code: 155 QID: 303011 SMetaKey: 1849 Version E: - MN, ND, SD
		United States Department of Agriculture
		NATIONAL AGRICULTURAL STATISTICS SERVICE
	USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828 Fax: 1-855-415-3687 E-mail: nass@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. 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 30 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.
	State	POID	Tract	Subtr.
	__ __	__ __ __ __ __ __ __ __ __	__ __	__ __

1. [Verify name and mailing address of this operation. Make any corrections necessary (including the correct operation name) on the label and continue.]

[Check if name label verified]

2. Did this operation own or custom feed any sheep or lambs, regardless of location: (Include Barbados and all hair breed sheep.) on January 1, 2016? at any time during 2015? or will there be any at any time during 2016?
Yes [Go to Item 3.]	No [Go to Item 2a.]
a. Did this operation own any goats or kids, regardless of location: - on January 1, 2016? - at any time during 2015? - or will there be any at any time during 2016?
Yes [Go to Item 3.]	No [Go to Item 2b.]
b. Were you (the individual named on the label) operating a farm or ranch on January 1, 2016?
Yes [Go to Section 4.]	No [Go to Section 3.]

3. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners? [Check one]
	One individual – [Go to Section 1.] A hired manager – [Go to Section 1.] Partners – How many partners make the day-to-day decisions?			Number of Partners
[Enter number of partners, including the partner named on the label. Identify the other person(s) in this partnership in the boxes on the next page, then continue with Section 1.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				     

Continue on Next Page
					Office Use
					9921	9930	9941

4.	Please identify the other person(s) in this partnership, then continue. [Verify partners’ names and make necessary corrections if names have already been entered.]
	[Check if verified]										Office Use
	Name:	__________________________________			Phone: (______) __________________						Stratum
		(First) (Middle) (Last)									9922
	Address:	__________________________________			___________________		____		_______		Ind. Op.
		(Rt or St.)			(City)		(State)		(Zip)		9924
	Did this partner operate land individually on June 1, 2015?								     
	Yes No

	[Check if verified]									Office Use
	Name:	__________________________________			Phone: (______) __________________					Stratum
		(First) (Middle) (Last)								9923
	Address:	__________________________________			___________________		____	_______		Ind. Op.
		(Rt or St.)			(City)		(State)	(Zip)		9924
	Did this partner operate land individually on June 1, 2015?							     
	Yes No

	[Check if verified]									Office Use
	Name:	__________________________________			Phone: (______) __________________					Stratum
		(First) (Middle) (Last)								9927
	Address:	__________________________________			___________________		____	_______		Ind. Op.
		(Rt or St.)			(City)		(State)	(Zip)		9924
	Did this partner operate land individually on June 1, 2015?							     
	Yes No

[Check if verified]

Office Use

Name:

__________________________________

Phone: (______) __________________

Stratum

(First) (Middle) (Last)

9928

Address:

__________________________________

___________________

____

_______

Ind. Op.

(Rt or St.)

(City)

(State)

(Zip)

9924

Did this partner operate land individually on June 1, 2015?

     

Yes No

Section 1 - Sheep and Lambs

1. On January 1, 2016 did this operation own or custom feed any sheep or lambs at any location?

(Include Barbados and all hair breed sheep.)

	Yes – [Go to Item 2.]	No – [Go to Item 1a.]
a. Will this operation own or custom feed sheep or lambs, regardless of location, during 2016?
	1 Yes = 1 2 Don’t Know = 2 3 No = 3		494
b. Did this operation own or custom feed any sheep or lambs, regardless of location, at any time, during 2015?
	Yes – [Go to Item 7.]	No – [Go to Section 2.]

Sheep and Lambs for Breeding
2. Of the sheep and lambs for breeding owned by this operation on January 1, how many were:
a. Ewes 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	281
b. Rams 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	282
c. Replacement lambs less than 1 year old (including unweaned lambs kept for breeding)?. . . . .	+	285

Sheep and Lambs Custom Fed By Others
3. On January 1, were any sheep and lambs for market being custom fed for you by someone else?
1 Yes – a. How many were being fed for you by someone else?. . . . . . . . . . . . . .		695
b. Who was the custom feeder?. . .	Name: ________________________
3 No – [Continue]	Address: _______________________

Sheep and Lambs for Market
4. Of the sheep and lambs for market owned or custom fed by this operation on January 1 (excluding the Item 3a. sheep and lambs custom fed by someone else), how many were:
a. Market lambs less than 1 year old and:
(i) Under 65 pounds (including unweaned market lambs)?. . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	836
(ii) 65 to 84 pounds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	837
(iii) 85 to 105 pounds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	838
(iv) Over 105 pounds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	839
b. Market sheep 1 year old and older (not used for breeding)?. . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	287

Total Sheep and Lambs
5. [Add Items 2a through 4b and verify total.] [Exclude sheep and lambs custom fed by someone else, reported in Item 3a.]
Then the total sheep and lambs owned or custom fed by this operation on January 1 was:. . . . . . .						=	280
6. Were any of the [Item 5] sheep and lambs in another State on January 1, 2016?
1 Yes – How many were in another State? [Record number of head by State.]
	State:	     	Number:	     
	State:	     	Number:	     			385
	State:	     	Number:	     
3 No – [Continue]

Section 1 - Sheep and Lambs - Continued

Lamb Crop for 2015 (Include lambs born on grazing land leased on a fee per head or animal unit month (AUM) basis.)
7. How many lambs were born on this operation during 2015? (Exclude lambs born dead.). . . . . . . . . . .	288
Deaths and Losses During 2015 (Include sheep and lambs that died or were lost on grazing land leased on a fee per head or animal unit month (AUM) basis.)
8. How many lambs died or were lost from all causes during 2015? (Exclude lambs born dead.). . . . . . .	270
9. How many sheep died or were lost from all causes during 2015?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .	271

Wool Production in 2015 (Report sheep and lambs only once if sheared both Spring and Fall.)
10. How many sheep and lambs (breeding & market) were shorn in 2015?. . . . . . . . . . . . . . . . . .			Head	215
a. How many pounds of wool were shorn from these sheep and lambs in 2015? (Include tags.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			Pounds	216
	Or – Average weight per fleece	217	.__

Wool Price in 2015
11. What was the average price received per pound for wool sold in 2015? (Include marketing charges for commisions, coring, and grading) . . . . . . . . . . .	Dollars and Cents	296 ___ ___

Inventory Values for Sheep & Lambs on Hand on January 1, 2016
12. What is the average value per head of the following: (Report to nearest dollar)
a. Breeding ewes 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$	680
b. Breeding rams 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$	681
c. Breeding replacement lambs less than 1 year old?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$	679
d. Market lambs less than 1 year old?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$	845
e. Market sheep 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$	846

Slaughter for Consumption by this Operation (regardless of ownership)

		Lambs	Sheep
13. During 2015, how many lambs and sheep were custom slaughtered at commercial establishments for consumption by this operation?. . . . . . . . . . .		1206	1205

14. During 2015, how many lambs and sheep were slaughtered on this operation for consumption by this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1201

1202

Include mobile slaughtering. Exclude custom slaughter at commercial establishments.

	Office Use
	1 – Incomplete, has sheep or lambs 2 – Incomplete, presence of sheep or lambs unknown	291
	3 – Valid Zero

Page intentionally left blank

Section 2 - Goats and Kids

1. On January 1, 2016 did this operation own any goats or kids at any location?
Yes – [Go to Item 2.]			No – [Go to Item 1a.]
a. Will this operation own goats or kids, regardless of location, during 2016?
	1 Yes = 1 2 Don’t Know = 2 3 No = 3			1171
b. Did this operation own any goats or kids, regardless of location, at any time during 2015?
		Yes – [Go to Item 5.]	No – [Go to Section 4.]

2. Goats & Kids for Breeding – Of the goats and kids for breeding owned by this operation on January 1, how many were:
(** Report based on utilization regardless of breed **)		Angora		Milk	Meat & Other
a. Does 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . . .	+	1172		1180	1186
b. Bucks 1 year old and older?. . . . . . . . . . . . . . . . . . . . . . . .	+	1175		1181	1187
c. Replacement kids less than 1 year old?. . . . . . . . . . . . . . .	+	1176		1182	1188
3. Goats & Kids for Market – Of the goats and kids for market owned by this operation on January 1, how many were:
a. Market kids less than 1 year old?. . . . . . . . . . . . . . . . . . . .	+	1177		1183	1189
b. Market goats 1 year old and older (not used for breeding)?	+	1178		1184	1190
4. Total Goats & Kids	=	1179		1185	1191
[Add Items 2a through 3b and verify.] Then the total goats and kids owned by this operation on January 1 was:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Kid Crop for 2015	Angora	Milk	Meat & Other
5. How many kids were born on this operation during 2015? (Exclude kids born dead.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	1101	1104	1107

Deaths and Losses During 2015	Angora	Milk	Meat & Other
6. How many kids died or were lost from all causes before being weaned during 2015: (Exclude kids born dead.). . . . . . . . . . . . .	xxx	xxx	xxx
7. How many kids died or were lost from all causes after being weaned during 2015? (Exclude kids born dead.). . . . . . . . . . . . .	xxx	xxx	xxx
8. How many goats died or were lost from all causes during 2015?.	1103	1106	1109

Inventory Values for Goats and Kids on Hand on January 1, 2016
9. What is the average value per head of the following: (Report to nearest dollar)
		Angora		Milk		Meat & Other
a. Breeding does 1 year old and older?. . . . . . . . . . . . . . .	$	1120	$	1125	$	1130
b. Breeding bucks 1 year old and older?. . . . . . . . . . . . . . .	$	1121	$	1126	$	1131
c. Breeding replacement kids less than 1 year old?. . . . . .	$	1122	$	1127	$	1132
d. Market kids less than 1 year old?. . . . . . . . . . . . . . . . . .	$	1123	$	1128	$	1133
e. Market goats 1 year old and older?. . . . . . . . . . . . . . . . .	$	1124	$	1129	$	1134

Section 2 - Goats and Kids - continued

Slaughter for Consumption by this Operation (regardless of ownership)

		Kids	Goats
10. During 2015, how many kids and goats were custom slaughtered at commercial establishments for consumption by this operation?. . . . . . . . . . . . . . . . . . . . .		1208	1207

11. During 2015, how many kids and goats were slaughtered on this operation for consumption by this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1203

1204

Include mobile slaughtering. Exclude custom slaughter at commercial establishments.

Mohair Production in 2015 (Report goats and kids only once if clipped both Spring and Fall.)
12. How many Angora goats and kids were clipped in 2015?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				Head	278
a. How many pounds of mohair were clipped from these Angora goats and kids in 2015? (Include tags.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			Pounds		279
	Or – Average weight per fleece	205	. __

Mohair Price in 2015
13. What was the average price received per pound for mohair sold in 2015? (Include marketing charges for commissions, coring, and grading.). . . . . . . . . . .	Dollars and cents	297	. __ __

	Office Use
	1 – Incomplete, has goats or kids 2 – Incomplete, presence of goats or kids unknown	1112
	3 – Valid Zero

Section 2 - Goats and Kids - continued

Deaths and Losses During 2015 (Include goats and kids that died or were lost on grazing land leased on a fee per head or animal unit month (AUM) basis.)		How many kids died or were lost from all causes before being weaned during 2015?	How many kids died or were lost from all causes after being weaned during 2015?	How many goats died or were lost from all causes during 2015?
14. Report the number of kids or goats that died or were lost from all causes for the following:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	=	xxx	xxx	xxx

[If the total in Item 14 was zero, go to Section 3; otherwise, continue. The total for Item 14 should equal the total

reported for Items 6, 7, and 8.]

15. Of the (item 14) kids or goats that died or were lost, how many were lost from the following causes in 2015?

Predator Causes		Kids before being weaned	Kids after being weaned	Goats
a. Bears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
b. Bobcats or Lynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
c. Coyotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
d. Dogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
e. Foxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
f. Mountain lions, cougars, or pumas . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
g. Wolves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
h. Vultures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
i. Ravens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
j. Feral pigs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
k. Eagles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
l. Other known predator causes (specify: ________________)	+	xxx	xxx	xxx
m. Other unknown predator causes . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx

		Kids before being weaned	Kids after being weaned	Goats
Non–Predator Causes	+	xxx	xxx	xxx
n. Enterotoxemia (overeating) . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
o. Internal parasites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
p. Other digestive problems (bloat, scours, acidosis, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
q. Respiratory problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
r. Metabolic problems (milk fever, etc.). . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
s. Other disease problems (mastitis, foot rot, etc.). . . . . . . . . . . . .	+	xxx	xxx	xxx
t. Weather related (chilling, drowning, lightning, etc.) . . . . . . . . . .	+	xxx	xxx	xxx
u. Starvation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
v. Kidding problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
w. Pregnancy toxemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
x. Poisoning (nitrate, noxious feeds, noxious weeds, etc.). . . . . . .	+	xxx	xxx	xxx
y. Theft (stolen). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
z. Other non-predator causes (lameness, etc.) (specify: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )	+	xxx	xxx	xxx
aa. Found dead (cause undetermined) . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx
bb. Unknown non-predator causes . . . . . . . . . . . . . . . . . . . . . . . . .	+	xxx	xxx	xxx

Section 2 - Goats and Kids - continued

	Head
16. During 2015, how many bred does were on this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	xxx

	Head
17. Of the (Item 16) bred does, how many aborted (stillborn, mummified, fetuses) during 2015?. . . . . . . .	xxx

		Kids before being weaned	Kids after being weaned	Goats
18. How many kids and goats were injured but not killed by predators during 2015?		xxx	xxx	xxx

19. Which of the following nonlethal methods did you use to prevent wildlife-caused losses on your

goat operation during 2015?

a. Guard dogs for goats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
b. Llamas for guarding goats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
c. Donkeys for guarding goats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
d. Fencing (predator exclusion fencing). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
e. Kid shed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
f. Herding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
g. Night penning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
h. Fright tactics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
i. Removing carrion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
j. Culling older goats to prevent death loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
k. Changing bedding grounds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
l. More frequent checks in high predation areas/seasons. . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
m. Altered breeding season so kids are not born when predators such as coyotes are feeding their young. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx	1 Yes 3 No
n. Other nonlethal (specify:		)	xxx	1 Yes 3 No

Section 2 - Goats and Kids - continued

20. Did you spend any money on nonlethal predator-control measures for goats and kids during 2015?
xxx 1 Yes – [Continue] 3 No – [Go to Item 21]

	Dollars
a. How much was spent on goats and kids for nonlethal predator-control measures by this operation during 2015? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	xxx

21. Did you spend any money on lethal predator-control measures for goats and kids during 2015?
xxx	1 Yes – [Continue] 3 No – [Go to Item 22]

	Dollars
a. How much was spent on goats and kids for lethal predator-control measures by this operation during 2015? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	xxx

22. Did you have the assistance of a State or Federal government trapper in controlling predators of goats and kids in 2015? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			xxx		1 Yes 3 No
23. Did you quit raising goats during 2015?
xxx
1 Yes – [Continue] 3 No – [Go to Section 3]
24. Which of the following was the main reason you quit raising goats during 2015? [Check one only.]
xxx
1 Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Predator loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Price of meat or milk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Retirement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Parasites or worms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Other reason (specify:		)

	1 – Incomplete, has goats or kids losses 2 – Incomplete, goats or kids losses unknown	116
	3 – Valid Zero

Section 3 – Change in Operator

● [Complete this section only if all questions in Item 2 on the front page are answered “No”.]
1. Has the operation named on the label been sold, rented, or turned over to someone else?
Yes - [Continue] No - [Go to Item 1a.]	1a. Will the land be used for any agricultural purpose by you (the operator), or anyone else in the next year? (Including growing crops or raising livestock.) Yes Don't Know No [Regardless of answer to above, write a note to explain the situation, then go to Section 4.] __________________________________ __________________________________ __________________________________
2. Was the operator (name on label) operating a farm or ranch on June 1, 2015?
Yes - [Continue] No - [Continue]
3. Please provide the following information for the operation that has taken over the land:
a. What is the name and address of the new operation? Operation Name: _____________________________ Operator Name: ______________________________ Address: ____________________________________ City: ___________________ State: _______ Zip: ___ Phone: _________________________

b. Was the [Item 3a] new operation in business before June 1, 2015?

Yes - [Go to Section 4.] No - [Continue]

c. Is the [Item 3a] new operation managed?

Yes - [Go to Section 4.] No - [Continue]

d. Were any individuals associated with the [Item 3a] operation operating land individually before June 1, 2015?

Yes - [Go to Section 4.] No - [Go to Section 4.]

Section 4 – Conclusion

1. Do you (the operator named on the label) make any day-to-day decisions for another farm or ranch? Yes – [Continue.] No – [Go to Item 2.]
a. What is the name of the other operation(s)? . . . . . .	Operation Name: ________________________________
b. Was this additional operation in business before June 1, 2015? Yes – [Continue.] No – [Continue.]	Address: ______________________________________
	City: __________________	State: __	ZIP: ______
	Phone: (______) __________________

2. Survey Results: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/ Would you rather have a brief summary mailed to you at a later date?
Yes – [Enter code 1.] No – [Enter code 3.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9990

Respondent Name:	9911	9910 MM DD YY
	Phone: ( )	Date: __ __ __ __ __ __
This completes the survey. Thank you for your help.

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

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

9998

9900

9985

9989 __ __ __ - __ __ __ - __ __ __

Optional Use

9907

9908

9906

9916

S/E Name