Download:
pdf |
pdfOMB No. 0535-0259: Approval Expires 03/31/2019
2015 LOCAL FOOD MARKETING PRACTICES SURVEY
Form: 15-A650L
(03-14-2016)
Project Code: 683 QID: 153835
SMetaKey: 3835
United States
Department of
Agriculture
National Agricultural
Statistics Service
USDA/NASS
National Operations Division
9700 Page Ave., STE 400
St. Louis, MO 63132-9982
Phone: 1-888-424-7828
Fax: 855-415-3687
E-mail: nass@nass.usda.gov
Please make corrections to name, address, and ZIP code, if necessary.
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 to this inquiry 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 0535-0259. 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.
1.
In 2015, did this operation (name on label):
• grow any crops, including field crops, fruits, vegetables, nursery/greenhouse, or other specialty crops; or
• cut any hay; or
• have any livestock, aquaculture, poultry, or honey bees; or
• sell any agricultural products?
0300 1
2.
Yes – Continue
3
No – Go to Section 9 on page 16
In 2015, did this operation produce and sell any crops, livestock, poultry, or agricultural product directly to a(n):
• CONSUMER: Farmers markets, on-farm stores or farm stands, roadside stands or stores, CSA (Community
Supported Agriculture), online marketplaces; or
• RETAIL MARKET: Supermarkets, supercenters, restaurants, caterers, independently owned grocery stores, food
cooperatives; or
• INSTITUTION: K-12 schools, colleges or universities, hospitals, workplace cafeterias, prisons, foodbanks; or
• INTERMEDIATE MARKET: Businesses or organizations in the middle of the supply chain marketing locally- and/or
regionally-branded products, such as distributers, food hubs, brokers, auction houses, wholesale and terminal markets,
and food processors?
0301 1
3.
Yes – Continue
3
No – Go to Section 9 on page 16
Were any of the products that this operation produced and sold directly to a consumer, a retail market, an institution,
or an intermediate market in 2015 food for humans to eat or drink?
INCLUDE
• Edible agricultural products for
human consumption
0302 1
Yes – Continue
EXCLUDE
• Hay
• Cut flowers
3
• Christmas trees
• Nursery products
No – Go to Section 9 on page 16
2
SECTION 1
1.
DIRECT-TO-CONSUMER SALES
In 2015, did this operation produce and sell any crops, livestock, poultry, or agricultural product DIRECTLY TO
CONSUMERS?
INCLUDE
• Farmers markets
• On-farm store or farm stand located on this operation
• Roadside stand or store located off of this operation
• CSA (Community Supported Agriculture)
• Online marketplace
• Other direct-to-consumer market (pick-your-own, mobile market, etc.)
1150 1
2.
Yes – Continue
3
EXCLUDE
• Products purchased and resold
• Products produced and sold directly to a
retail market (Section 2), institution (Section 3),
or intermediate market (Section 4).
No – Go to Section 2 on page 5
Were any of the products that this operation produced and sold directly to consumers in 2015 food for humans to eat
or drink?
INCLUDE
• Edible agricultural products for
human consumption
1151 1
Yes – Continue
EXCLUDE
• Hay
• Cut flowers
3
• Christmas trees
• Nursery products
No – Go to Section 2 on page 5
The rest of the questions in this section are only about the food produced and sold directly to consumers in 2015.
3.
Was any of the food that this operation produced and sold directly to consumers in 2015 sold through a farmers
market?
1152 1
Yes – Continue
3
No – Go to Item 6
Number
4.
At how many separate farmers market locations did this operation sell food that it produced
in 2015? Report for each location only once . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1153
Miles
5.
6.
Approximately how many miles (one way) was this operation located from the farmers
market that it received the largest gross value of food sales from in 2015? . . . . . . . . . . . . . . .
Was any of the food that this operation produced and sold directly to consumers in 2015 sold through an on-farm store
or farm stand located on this operation? Exclude roadside stands or stores located off of this operation.
1156 1
7.
3
No – Go to Item 9
Yes – Continue
3
No – Go to Item 9
How many other operations produced food that was sold at this on-farm store or farm stand in 2015?
1158 1
9.
Yes – Continue
In 2015, was there food sold at this on-farm store or farm stand that was produced by another operation?
1157 1
8.
1154
1-4 operations
2
5 or more operations
3
Don’t Know
Was any of the food that this operation produced and sold directly to consumers in 2015 sold through a roadside stand
or store located off of this operation? Exclude on-farm stores or farm stands, and farmers market stands.
1159 1
Yes – Continue
3
No – Go to Item 15 on page 3
Number
10. At how many total roadside stands or stores located off of this operation did this
operation sell food that it produced in 2015?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1160
11. In 2015, was there food sold at this roadside stand or store that was produced by another operation?
1163 1
Yes – Continue
3
No – Go to Item 13 on page 3
12. How many other operations produced food that was sold at this roadside stand or store in 2015?
1162 1
1-4 operations
2
5 or more operations
3
Don’t Know
3
13. Approximately how many miles (one way) was this operation located from the roadside
stand or store located off of this operation that it received the largest gross value of food
sales from in 2015? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Miles
1161
14. Did this operation own this roadside stand or store?
1250 1
3
Yes
No
15. Was any of the food that this operation produced and sold directly to consumers in 2015 sold through a CSA
(Community Supported Agriculture)?
1165 1
3
Yes – Continue
No – Go to Item 21
16. In 2015, was there food sold in this CSA that was produced by another operation?
1164 1
3
Yes – Continue
No – Go to Item 18
17. How many other operations produced food that was sold in this CSA in 2015?
1167 1
1-4 operations
2
5 or more operations
3
Don’t know
18. Was the CSA pick-up site that this operation received the largest gross value of food sales from in 2015 located on
this operation?
1168 1
Yes – Go to Item 20
3
No – Continue
4
CSA does not use pick-up sites – Go to Item 20
Miles
19. Approximately how many miles (one way) was this operation located from the CSA
pick-up site that it received the largest gross value of food sales from in 2015? . . . . . . . . . . . .
1169
20. Did this operation own this CSA?
1166 1
Yes
3
No
21. An online marketplace is a web-based platform designed for the selling of goods.
Was any of the food that this operation produced and sold directly to consumers in 2015 sold through an
online marketplace?
1172 1
Yes – Continue
3
No – Go to Item 24
22. What percent of this operation’s online sales of food in 2015 were sold directly to
consumers living either within the same state as this operation or a 400-mile radius
of this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Percent
1173
23. Did this operation own this online marketplace?
1174 1
Yes
3
No
24. In 2015, did this operation accept Supplemental Nutrition Assistance Program (SNAP) benefits either with electronic
benefit transfer (EBT) technology owned by this operation or at a direct-to-consumer market at which the market
administers SNAP payments with EBT technology?
1175 1
Yes – Continue
3
No – Go to Item 26 on page 4
25. From which of the following direct-to-consumer markets did this operation accept SNAP benefits with EBT technology
for the food it produced and sold directly to consumers in 2015? (Mark all that apply)
1310
Farmers market
1311
On-farm store or farm stand located on this operation
1312
Roadside stand or store located off of this operation
1313
CSA
1314
Online marketplace
1315
Other direct-to-consumer market (pick-your-own, mobile market, etc.)
4
Year (YYYY)
26. In what year did this operation first produce and sell food directly to consumers? . . . . . . . . . .
1177
27. Report the total gross value of sales this operation received for the unprocessed food it produced and sold
directly to consumers in 2015. Report by the market through which the product was sold. Report processed or
value-added products in Item 29.
EXCLUDE
• Sales of processed or value-added products (eggs in small cartons, bottled milk, cheese, meat, wine)
• Non-edible agricultural products (hay, cut flowers, nursery products, Christmas trees, etc.)
• Products purchased and resold
Crop Sales
Mark
"X" if
none
Direct-to-Consumer Market
(Dollars)
Livestock and Poultry Sales
Mark
"X" if
none
(Dollars)
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1189
1190
a. Farmers markets
b. On-farm store or farm stand located on this operation
c. Roadside stand or store located off of this operation
d. CSA
e. Online marketplaces
f. Other direct-to-consumer markets (pick-your-own, mobile
market, etc.) Specify: 1188
28. In 2015, did this operation produce and sell any processed or value-added products directly to consumers that was
food for humans to eat or drink?
INCLUDE
• Bottled milk, Cheese
• Eggs in small cartons
1200 1
EXCLUDE
• Sales reported in previous items
• Non-edible agricultural products
• Meat
• Wine, Jam, etc.
Yes – Continue
3
No – Go to Section 2 on page 5
29. Report the processed or value-added food product(s) and gross value of sales of the food product(s) produced and
sold by this operation in 2015. Report by the market through which the food product was sold.
Direct-to-Consumer Market
Processed or Value-Added
Food Product(s)
Mark
"X" if
none
1201
a. Farmers markets
Specify:
b. On-farm store or farm stand located on this
operation
1203
c. Roadside stand or store located off of this
operation
1205
1202
1204
Specify:
1206
Specify:
1207
d. CSA
Processed or
Value-Added Food
Product(s) Sales
(Dollars)
1208
Specify:
1209
e. Online marketplaces
Specify:
f. Other direct-to-consumer markets
(pick-your-own, mobile market, etc.)
Specify: 1211
1212
Specify:
1210
1213
5
SECTION 2
1.
DIRECT-TO-RETAIL MARKET SALES
In 2015, did this operation produce and sell any crops, livestock, poultry, or agricultural product DIRECTLY TO A
RETAIL MARKET?
INCLUDE
• Supermarkets or supercenters
• Restaurants or caterers
• Other direct-to-retail market (independently owned grocery stores,
food cooperatives, small food stores, corner stores)
2000 1
2.
3
Yes – Continue
EXCLUDE
• Products purchased and resold
• Products produced and sold directly to a
consumer (Section 1), institution (Section 3),
or intermediate market (Section 4).
No – Go to Section 3 on page 6
Were any of the products that this operation produced and sold directly to a retail market in 2015 food for humans to
eat or drink?
INCLUDE
• Edible agricultural products for
human consumption
2001 1
EXCLUDE
• Hay
• Cut flowers
Yes – Continue
3
• Christmas trees
• Nursery Products
No – Go to Section 3 on page 6
The rest of the questions in this section are only about the food produced and sold directly to a retail market in
2015.
3.
Was any of the food that this operation produced and sold directly to a retail market in 2015 sold to a supermarket or
supercenter?
2002 1
Yes – Continue
3
No – Go to Item 5
Miles
4.
5.
Approximately how many miles (one way) was this operation located from the supermarket
or supercenter that it received the largest gross value of food sales from in 2015?. . . . . . . . . .
2003
Was any of the food that this operation produced and sold directly to a retail market in 2015 sold to a restaurant or
caterer?
2005 1
Yes – Continue
3
No – Go to Item 7
Miles
6.
Approximately how many miles (one way) was this operation located from the restaurant
or caterer that it received the largest gross value of food sales from in 2015? . . . . . . . . . . . . .
2006
Year (YYYY)
7.
In what year did this operation first produce and sell food directly to a retail market? . . . . . . .
8.
Report the total gross value of sales this operation received for the unprocessed food it produced and sold directly
to a retail market in 2015. Report by the market through which the product was sold. Report processed or value-added
products in Item 10.
6009
EXCLUDE
• Sales of processed or value-added products (eggs in small cartons, bottled milk, cheese, meat, wine)
• Non-edible agricultural products (hay, cut flowers, nursery products, Christmas trees, etc.)
• Products purchased and resold
Crop Sales
Direct-to-Retail Market
Mark
"X" if
none
(Dollars)
Livestock and Poultry Sales
Mark
"X" if
none
(Dollars)
6010
6011
6012
6013
6015
6016
a. Supermarkets or supercenters
b. Restaurants or caterers
c. Other direct-to-retail market (independently owned grocery
stores, food cooperatives, small food stores, corner stores)
Specify: 6014
6
9.
In 2015, did this operation produce and sell any processed or value-added product directly to a retail market that was
food for humans to eat or drink?
INCLUDE
• Bottled milk, Cheese
• Eggs in small cartons
5100 1
EXCLUDE
• Sales reported in previous items
• Non-edible agricultural products
• Meat
• Wine, Jam, etc.
Yes – Continue
3
No – Go to Section 3
10. Report the processed or value-added food product(s) and gross value of sales of the food product(s) produced and
sold by this operation in 2015.
Retail Market (supermarkets or supercenters,
restaurants or caterers, other direct-to-retail market)
SECTION 3
1.
5005
5006
Specify:
DIRECT-TO-INSTITUTION SALES
In 2015, did this operation produce and sell any crops, livestock, poultry, or agricultural product DIRECTLY TO AN
INSTITUTION?
INCLUDE
• K-12 schools
• Colleges and universities
• Hospitals
• Other direct-to-institution market (workplace cafeterias, prisons,
preschools, food banks, gleaners, senior care facilities)
3000 1
2.
Processed or
Value-Added Food
Product(s) Sales
(Dollars)
Processed or Value-Added
Food Product(s)
Direct-to-Retail Market
Yes – Continue
3
EXCLUDE
• Products purchased and resold
• Products produced and sold directly to a
consumer (Section 1), retail maket (Section 2),
or intermediate market (Section 4).
No – Go to Section 4 on page 8
Were any of the products that this operation produced and sold directly to an institution in 2015 food for humans to
eat or drink?
INCLUDE
• Edible agricultural products for
human consumption
3001 1
Yes – Continue
EXCLUDE
• Hay
• Cut flowers
3
• Christmas trees
• Nursery products
No – Go to Section 4 on page 8
The rest of the questions in this section are only about the food produced and sold directly to an institution in 2015.
3.
Was any of the food that this operation produced and sold directly to an institution in 2015 sold to a K-12 school?
3002 1
Yes – Continue
3
No – Go to item 5
Miles
4.
5.
Approximately how many miles (one way) was this operation located from the K-12
school that it received the largest gross value of food sales from in 2015? . . . . . . . . . . . . . . .
3003
Was any of the food that this operation produced and sold directly to an institution in 2015 sold to a college or
university?
3005 1
Yes – Continue
3
No – Go to item 7
Miles
6.
7.
Approximately how many miles (one way) was this operation located from the college
or university that it received the largest gross value of food sales from in 2015? . . . . . . . . . . .
3006
Was any of the food that this operation produced and sold directly to an institution in 2015 sold to a hospital?
3008 1
Yes – Continue
3
No – Go to Item 9 on page 7
Miles
8.
Approximately how many miles (one way) was this operation located from the hospital
that it received the largest gross value of food sales from in 2015?. . . . . . . . . . . . . . . . . . . . .
3009
7
Year (YYYY)
9.
In what year did this operation first produce and sell food directly to an institution? . . . . . . . .
3011
10. Report the total gross value of sales this operation received for the unprocessed food it produced and sold directly
to an institution in 2015. Report by the market through which the product was sold. Report processed or value-added
products in Item 12.
EXCLUDE
• Sales of processed or value-added products (eggs in small cartons, bottled milk, cheese, meat, wine)
• Non-edible agricultural products (hay, cut flowers, nursery products, Christmas trees, etc.)
• Products purchased and resold
Crop Sales
Mark
"X" if
none
Direct-to-Institution Market
(Dollars)
Livestock and Poultry Sales
Mark
"X" if
none
(Dollars)
3012
3013
3014
3015
3016
3017
3019
3020
a. K-12 schools
b. Colleges and universities
c. Hospitals
d. Other direct-to-institution market (workplace cafeterias, prisons,
preschools, food banks, gleaners, senior care facilities)
Specify: 3018
11. In 2015, did this operation produce and sell any processed or value-added product directly to an institution that was
food for humans to eat or drink?
INCLUDE
• Bottled milk, Cheese
• Eggs in small cartons
5110 1
EXCLUDE
• Sales reported in previous items
• Non-edible agricultural products
• Meat
• Wine, Jam, etc.
Yes – Continue
3
No – Go to Section 4 on page 8
12. Report the processed or value-added food product(s) and gross value of sales of the food product(s) produced and
sold by this operation in 2015.
Processed or Value-Added
Food Product(s)
Direct-to-Institution Market
Institution (K-12 schools, colleges and universities,
hospitals, other direct-to-institution market)
5007
Specify:
Processed or
Value-Added Food
Product(s) Sales
(Dollars)
5008
8
SECTION 4
1.
DIRECT-TO-INTERMEDIATE MARKET SALES
An Intermediate Market is a business or organization in the middle of the supply chain marketing locally- and/or
regionally-branded products.
In 2015, did this operation produce and sell any crops, livestock, poultry, or agricultural product DIRECTLY TO AN
INTERMEDIATE MARKET which sold it as a locally- or regionally-branded product?
INCLUDE
• Businesses or organizations in the middle of the
supply chain marketing locally- and/or regionallybranded products, such as distributers, food hubs,
brokers, auction houses, wholesale and terminal
markets, and food processors.
4000 1
2.
3
Yes – Continue
EXCLUDE
• Products purchased and resold
• Products produced and sold directly to a consumer
(Section 1), retail market (Section 2), or institution (Section 3).
• Intermediate markets that do not market locallyand/or regionally-branded products
No – Go to Section 5 on page 9
Were any of the products that this operation produced and sold directly to an intermediate market in 2015 food for
humans to eat or drink?
INCLUDE
• Edible agricultural products for
human consumption
4001 1
EXCLUDE
• Hay
• Cut flowers
Yes – Continue
3
• Christmas trees
• Nursery products
No – Go to Section 5 on page 9
The rest of the questions in this section are only about the food produced and sold directly to an intermediate
market in 2015.
Miles
3.
Approximately how many miles (one way) was this operation located from the intermediate
market that it received the largest gross value of food sales from in 2015? . . . . . . . . . . . . . . .
4003
Year (YYYY)
4.
In what year did this operation first produce and sell food directly to an intermediate market?
5.
Report the total gross value of sales this operation received for the unprocessed food it produced and sold directly
to an intermediate market in 2015. Report processed or value-added products in Item 7.
4014
EXCLUDE
• Sales of processed or value-added products (eggs in small cartons, bottled milk, cheese, meat, wine)
• Non-edible agricultural products (hay, cut flowers, nursery products, Christmas trees, etc.)
• Products purchased and resold
Crop Sales
Mark
"X" if
none
Direct-to-Intermediate Market
Intermediate Market (business or organization in the middle
of the supply chain marketing locally- and/or regionally-branded
products)
6.
4015
Mark
"X" if
none
(Dollars)
4016
In 2015, did this operation produce and sell any processed or value-added product directly to an intermediate market
that was food for humans to eat or drink?
INCLUDE
• Bottled milk, Cheese
• Eggs in small cartons
5120 1
7.
(Dollars)
Livestock and Poultry Sales
EXCLUDE
• Sales reported in previous items
• Non-edible agricultural products
• Meat
• Wine, Jam, etc.
Yes – Continue
3
No – Go to Section 5 on page 9
Report the processed or value-added food product(s) and gross value of sales of the food product(s) produced and
sold by this operation in 2015.
Processed or Value-Added
Food Product(s)
Direct-to-Intermediate Market
Intermediate Market (business or organization in
the middle of the supply chain marketing locallyand/or regionally-branded products)
5009
Specify:
Processed or
Value-Added Food
Product(s) Sales
(Dollars)
5010
9
SECTION 5
1.
In 2015, what was this operation’s total gross value of food sales for the food it produced and sold directly to
consumers, a retail market, an institution, or an intermediate market? (Mark one)
5000 1
$1 - 999
5
$1,000 - 2,499
6
3
$2,500 - 4,999
7
4
$5,000 - 9,999
2
2.
OTHER INFORMATION
$10,000 - 24,999
8
$100,000 - 249,999
11
$1,000,000 - 2,499,999
$25,000 - 49,999
9
$250,000 - 499,999
12
$2,500,000 - 4,999,999
$50,000 - 99,999
10
$500,000 - 999,999
13
$5,000,000 and over
In 2015, approximately what percent of this operation’s food sales sold directly to consumers, a retail market, an
institution, or an intermediate market were sold:
Percent
a. Within 100 miles or less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5001
%
b. More than 100 miles but less than 400 miles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5002
%
c. 400 miles or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5003
%
TOTAL (Sum of Items 2a + 2b + 2c)
3.
100%
Were any of the crops, livestock, or agricultural products that this operation produced and sold directly to consumers, a
retail market, an institution, or an intermediate market in 2015 NOT food for humans to eat or drink?
INCLUDE
• Hay
• Cut flowers
5011 1
• Christmas trees
• Nursery products
• Live animals
• Wool
3
Yes – Continue
EXCLUDE
• Edible agricultural products for
human consumption
No – Go to Item 5
Dollars
4.
5.
In 2015, what was the total gross value of sales for these crops, livestock,
or agricultural products that were NOT food for humans to eat or drink?. . . . . . . . . . . . . . . .
5012
Acres
In 2015, how many acres did this operation:
a. Own? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Rent or Lease from others or use Rent Free?
(Exclude land used on an animal unit month (AUM) basis, BLM and Forest Service land.)
0901
+
0902
c. Rent to others? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0905
-
=
6.
Calculate item 5a + 5b - 5c. Then the total acres operated in 2015 was: . . . . . . . . . . . . . . .
7.
Considering the total acres operated in Item 6, in what county and state was the largest value of this operation’s
agricultural products raised or produced?
Principal County Name
0055
State
0060
0900
10
8.
From which of the following categories of crops and livestock did this operation produce and sell an agricultural product
in 2015, regardless of marketing channel, and was any food produced and sold directly to consumers, a retail market,
an institution, or an intermediate market from that category?
Crops & Livestock
a. Grains, Oilseeds, Dry Beans, and Dry Peas (corn, flaxseed, grain
silage and forage, grains and oilseeds, popcorn, rice, small grains, sorghum,
soybeans, sunflowers, straw, etc.)
b. Tobacco
c. Cotton and Cottonseed
d Vegetables, Melons, Potatoes, and Sweet Potatoes (beets, cabbage,
cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable
seeds, etc.)
e. Fruit, Tree Nuts, and Berries (almonds, apples, blueberries, cherries,
grapes, hazelnuts, kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.)
f. Nursery, Greenhouse, Floriculture, and Sod (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants,
shrubbery, sod, food crops grown under protection, etc.)
g. Cut Christmas Trees and Short Rotation Woody Crops
h. Other Crops, Hay, CRP, and Pasture (grass seed, hay and grass silage,
hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, CRP, etc.)
i. Hogs and Pigs
j. Milk and Other Dairy Products from Cows
k. Cattle and Calves (beef and dairy cattle for breeding stock, fed cattle,
beef and dairy cull animals, stockers and feeders, veal calves, etc.)
l. Sheep, Goats, and their Products
m. Horses, Ponies, and Mules (burros and donkeys)
n. Poultry and Eggs (broilers, chickens, turkeys, ducks, eggs, emus, geese,
hatchlings ostriches, pigeons, pheasants, quail, poultry products, etc.)
o. Aquaculture (catfish, trout, ornamental and other fish, mollusks,
crustaceans, etc.)
p. Other Animals and Other Animal Products (bees, honey, rabbits,
fur-bearing animals, semen, manure, other animal specialties, etc.)
Produced and sold
agricultural product
regardless of marketing
channel
5052
5050
1
5053
1
5056
1
Yes
3
No
Yes
3
No
Yes
3
No
Yes
3
Yes
3
No
No
5068
1
Yes
3
No
Yes
3
No
Yes
3
5074
1
5077
1
Yes
Yes
3
3
No
No
No
5083
1
5086
1
Yes
3
No
Yes
3
No
Yes
3
No
Yes
3
5089
1
5092
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
5076
1
No
Yes
3
5079
1
No
Yes
3
No
1
Yes
3
5085
1
No
Yes
3
No
Yes
3
No
Yes
3
No
Yes
3
No
5091
No
Yes
3
No
Yes
3
No
1
5094
1
5097
5095
1
1
5082
5080
1
No
5073
5071
1
3
5067
5065
1
Yes
5064
5062
1
1
5061
5059
1
Produced and sold food
directly to consumers, a
retail market, an
institution, or an
intermediate market
1
11
9.
Considering:
•
•
•
•
•
sales of all crops, livestock, poultry, and livestock products (milk, eggs, etc.) sold in 2015;
the value of product removed for all crops, livestock, and poultry produced under contract in 2015;
sales of all miscellaneous agricultural products in 2015;
all government agricultural payments received in 2015; and
exclude dollars received on land rented to others.
What code represents the total gross value of sales, including government agricultural payments, in 2015?
Total Value
GVS Code
$1 – $999 . . . . . . . . . . . . . . . . .
1
$1,000 – $2,499 . . . . . . . . . . . .
2
$2,500 – $4,999 . . . . . . . . . . . .
3
$5,000 – $9,999 . . . . . . . . . . . .
4
$10,000 – $24,999. . . . . . . . . . .
5
$25,000 – $49,999. . . . . . . . . . .
6
$50,000 – $99,999. . . . . . . . . . .
7
$100,000 – $249,999 . . . . . . . . .
8
$250,000 – $499,999 . . . . . . . . .
9
0860
GVS Code
10
$500,000 – $999,999 . . . . . . . . .
$1,000,000 – $2,499,999 . . . . . .11
$2,500,000 – $4,999,999 . . . . . .12
$5,000,000 and over . . . . . . . . .13
10. Is the GVS Code in Item 9 equal to ‘1’?
0865 1
Yes – Continue
3
No – Go to Item 12 on page 12
11. Record all crops, land uses, and livestock or poultry on the total acres operated in 2015.
Land Use
ACRES
Field Crops Intended
For Harvest
ACRES
Other Crops
ACRES
CRP/WRP. . . . . . . . .
..
Cut Christmas Trees . .
Idle Cropland . . . . . .
..
Nursery & Greenhouse
Summer Fallow . . . . .
..
..
..
Government Payments
..
..
WHOLE DOLLARS
Fruits/Nuts
ACRES
Livestock
NUMBER
CRP/WRP Payments
..
Cattle - Dairy . . . . . . .
Other Gov’t Payments
..
Cattle - Other . . . . . . .
..
Chickens . . . . . . . . . .
..
Hogs . . . . . . . . . . . . .
Pasture/Rangeland
Cropland Used Only
For Pasture. . . . . . . .
ACRES
..
Vegetables/Melons
Permanent Pasture . .
Horses . . . . . . . . . . . .
ACRES
Woodland Pasture . . .
Mules/Burros . . . . . . .
..
Aquaculture
Sheep & Goats . . . . . .
NUMBER
..
..
Acres of Ponds in Use
..
Foodsize/Stockers . . .
Fingerlings/Broodfish
Trout Eggs . . . . . . . .
Berries
..
ACRES
..
..
OFFICE USE
Total Points
0861
Other Aquaculture . . .
..
Pasture Points
0869
12
Dollars
12. What were this operation’s total expenses in 2015?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1936
13. Report marketing expenses paid by this operation in 2015 for the food produced and sold directly to consumers, a
retail market, an institution, or an intermediate market in 2015. Expenses reported in Items 13a through 13f should have
also been reported in Item 12.
INCLUDE
• expenses paid by you and your landlords
• expenses from processed and value-added products
EXCLUDE
• expenses not related to the farm business
• any expenses paid by the contractor
• expenses for food not produced and sold directly to consumers,
a retail market, an institution, or an intermediate market
Marketing Expense
Expenses
Mark
"X" if
none
(Dollars)
6100
a. Hired labor to work at market channel outlets
b. Transportation and distribution costs to market channel outlets such as vehicle insurance,
gas, depreciation costs, etc.
6101
6102
c. Market promotion/advertisement expenses such as a website, brochures, etc.
d. Equipment/supply expenses associated with market channel outlets such as boxes, bags,
coolers, crates, scales, tables, etc.
6103
6104
e. Food safety expenses such as compliance costs, training, third-party auditing costs, etc.
f. Other marketing expenses such as market fees, licenses, insurance, etc.
Specify: 6105
6106
6107
Total Marketing Expenses (Sum of Items 13a through 13f)
13
SECTION 6
1.
At any time during 2015, did this operation have internet access, either on the operation or at the principal operator’s
residence?
5013 1
2.
PRACTICES
Yes – Continue
3
No – Go to Item 5
In 2015, did this operation use the internet to access the following resources?
a. Purchasing input supplies, commodities, equipment, and other materials for
farm operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5014
1
Yes
3
No
b. Using online and/or peer learning resources (live or recorded webinars,
tutorials, peer user groups, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Yes
3
No
c. Using online business products and services (business planning, accounting,
legal, banking, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5016
1
Yes
3
No
d. Identifying sources for and/or submitting funding, grant, subsidy requests, or proposals . .
5017
1
Yes
3
No
e. USDA Market News price and market information . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5018
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
a. A balance sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5037
1
Yes
3
No
b. An income statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5038
1
Yes
3
No
c. A cash flow budget or projection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5039
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
f. Price and market information from other sources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
Yes – Continue
3
No – Go to Item 5
In 2015, did this operation use its farm business website to:
a. Provide background/history on farm operation and practices? . . . . . . . . . . . . . . . . . . . . .
5020
b. Advertise products for sale and on-farm activities/services? . . . . . . . . . . . . . . . . . . . . . .
5021
c. Carry out transactions and sell farm products online? . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
6.
7.
5130
In 2015, did this operation have a farm business website?
5019 1
4.
5015
5022
Did this operation participate in the following USDA programs in 2015?
a. Noninsured Crop Disaster Assistance Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5023
b. Farm Loan Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5024
c. Whole-Farm Revenue Protection Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5025
d. Environmental Quality Incentives Program (EQIP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5026
e. Value-Added Producer Grant Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5027
In 2015, did this operation maintain the following farm management records?
d. A written business plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5040
e. A separate marketing plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5041
Was this operation a member of a cooperative in 2015? . . . . . . . . . . . . . . . . . . . . . . . . . .
5042
14
SECTION 7
1.
THIRD-PARTY CERTIFICATION AND FOOD SAFETY
In 2015, did this operation have the following practices certified or verified by a third party?
a. USDA Certified Organic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7100
b. Pasture-based management (grass fed, free range, pasture raised) . . . . . . . . . . . . . . . .
7101
c. Animal care-based management (cage free, raised without antibiotics,
animal welfare approved, certified humane). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7102
d. Naturally Grown Certified . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7103
e. Other USDA labels/quality verification? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7112
f. Other third party certified or verified practices excluding food safety certification. . . . . . . .
2.
7104
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
1
Yes
3
No
Did this operation have a food safety plan that covered produce in 2015?
INCLUDE
• Fruit, berries, vegetables, herbs, tree nuts, dry beans, peas and lentils, peanuts, sprouts, and mushrooms
7001 1
3.
3
No – Go to Item 4
3
No
Is the food safety plan written?
7002 1
4.
Yes – Continue
Yes
Did this operation have a third-party food safety audit of produce in 2015?
INCLUDE
• Fruit, berries, vegetables, herbs, tree nuts, dry beans, peas and lentils, peanuts, sprouts, and mushrooms
7003 1
5.
Yes – Continue
3
No – Go to Section 8 on page 15
In 2015, did this operation receive a(n):
a. USDA individual Good Agricultural Practices (GAP) certification? . . . . . . . . . . . . . . . . . .
7110
b. Other third party Good Agricultural Practices (GAP) certification? . . . . . . . . . . . . . . . . . .
7111
15
SECTION 8
1.
PERSONAL CHARACTERISTICS
In 2015, did your household and extended family own more than 50% of this farming operation?
Select yes if more than 50% of the assets of this operation are owned by you (the principal operator), members of your
household, and/or other persons related to you by blood, marriage, or adoption, including relatives not residing in your
household. Consider only farm or ranch assets owned – not rented or leased – by this operation, and exclude the
assets held by non-family landlords and contractors.
1600 1
No
In 2015, how many individuals were involved in the decisions
for this operation (include family members and hired managers)?
Enter the total number of men and the total number of women.
Number of Individuals Making Decisions
Exclude hired workers unless they were a hired manager or
family member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1574
1571
Answer the following questions for up to four individuals who were involved in the decisions for this operation as of
December 31, 2015.
a. Is this person
1610
completing this
1
form?. . . . . . . . . . .
Person 2
1611
Yes
3
Male 2
Female
c. What was this
1925
person’s age on
December 31,
2015? . . . . . . . . . .
d. Is this person of
Hispanic, Latino
or Spanish,
origin? . . . . . . . . . .
Yes
3
1
Female
Male 2
Female
Yes
3
1
1
Yes
3
1
No
American Indian 1803
or Alaska Native.
Specify tribe
American Indian 1903
or Alaska Native.
Specify tribe
American Indian 1618
or Alaska Native.
Specify tribe
1833
1933
1619
↵
2704
f. At which
1928
occupation
did this person
1
spend the majority
(50 percent or more) 2
of his/her worktime
3
in 2015? . . . . . . . .
Native Hawaiian
or Other Pacific
Islander
Mark one.
1804
1580
1905
Asian
Native Hawaiian
or Other Pacific
Islander
Mark one.
1904
1591
Black or African
American
1617
1620
Asian
Native Hawaiian
or Other Pacific
Islander
Mark one.
Yes
3
No
1621
1623
White
Black or African
American
American Indian
or Alaska Native.
Specify tribe
Asian
Native Hawaiian
or Other Pacific
Islander
Mark one.
Farm or ranch work
1
Farm or ranch work
1
Farm or ranch work
1
Farm or ranch work
Other work
2
Other work
2
Other work
2
Other work
Currently not in the
paid workforce
3
Currently not in the
paid workforce
3
Currently not in the
paid workforce
3
Currently not in the
paid workforce
g. How many years in 1629
TOTAL has this
person operated
ANY farm?. . . . . . .
1633
1805
Asian
1902
1616
White
2703
2705
Female
Mark one or more.
Black or African
American
Black or African
American
Male 2
age
Mark one or more.
1901
No
Hispanic, Latino or
Spanish origin
1622
2702
1802
3
age
No
White
Yes
1615
Hispanic, Latino or
Spanish origin
1598
Mark one or more.
1801
White
1
1596
1
1
No
1614
age
No
2733
h. Has this person
ever served on
active duty in the
U.S. Armed Forces,
Reserves, or
National Guard? . . .
Male 2
Hispanic, Latino or
Spanish origin
1587
Mark one or more.
2701
Yes
3
1597
age
1
1613
1
No
1585
Hispanic, Latino or
Spanish origin
1927
e. Race . . . . . . . . . . .
Yes
3
1586
1
Person 4
1612
1
No
1926
b. Sex . . . . . . . . . . . .
Person 3
↵
Person 1
↵
3.
Women
Men
↵
2.
3
Yes
1630
1631
years
Mark one.
1632
years
1634
Mark one.
years
1635
Mark one.
years
1636
Mark one.
1
Never served in
the military
1
Never served in
the military
1
Never served in
the military
1
Never served in
the military
2
Only on active duty
for training in the
Reserves or
National Guard
2
Only on active duty
for training in the
Reserves or
National Guard
2
Only on active duty
for training in the
Reserves or
National Guard
2
Only on active duty
for training in the
Reserves or
National Guard
3
Now on active duty
3
Now on active duty
3
Now on active duty
3
Now on active duty
4
On active duty in the
past, but not now
4
On active duty in the
past, but not now
4
On active duty in the
past, but not now
4
On active duty in the
past, but not now
16
SECTION 9
1.
CONCLUSION
It is important that we do not have duplication on our list of farms and ranches. Is it possible the information on this
form would be reported by another operation or under another name?
1080 1
3
Yes – please provide the name, phone number, and address below
No – Go to Item 2
Operator Name
Operation Name
1088
1081
Address
Phone Number
1089
1082
City
State
1083
2.
1084
Zip Code
1085
Survey Results: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/
9990
1
Would you rather have a brief summary sent to you at a later date?
Respondent Name
Yes
3
Phone
9912
No
Date
MM-DD-YYYY
9910
9911
–
–
Thank you for your response
Response
1-Comp
2-R
3-Inac
4-Office Hold
5-R - Est
6-Inac -Est
7-Off Hold - Est
8-Known Zero
S/E Name
9901
Respondent
1-Op/Mgr
2-Sp
3-Acct/Bkpr
4-Partner
9-Oth
9902
OFFICE USE
Enum.
Mode
1-Mail
2-Tel
3-Face-to-Face
4-CATI
5-Web
6-e-mail
7-Fax
8-CAPI
19-Other
9903
9998
Eval.
9900
Change
9985
Office Use for POID
9989
R. Unit
9921
Optional Use
9907
9908
9906
9916
File Type | application/pdf |
File Modified | 2016-03-16 |
File Created | 2016-03-14 |