QID Annual Colony Loss Inquiry - December 2016

ANNUAL COLONY LOSS INQUIRY – December 2016
			OMB No. 0535-0255 Approval Expires: 4/30/2018 Project Code: 116 QID: 153782 – HQ SMetaKey: 3782
				United States Department of Agriculture
				NATIONAL AGRICULTURAL STATISTICS SERVICE

Please make corrections to name, address, and ZIP Code, if necessary.	USDA/NASS National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO  63132-1547 Phone: 1-888-424-7828 Fax: 1-855-515-3687 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.
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SECTION 1 – APIARIES

1. Between January 1, 2016, and December 31, 2016, did this operation own or control any apiaries?
	2720	1Yes – Continue	3No – Go to Section 10

SECTION 2 – JANUARY THROUGH MARCH 2016

	None	Colonies
2. On January 1, 2016, how many total colonies did this operation own, regardless of location?		2721
3. Between January 1, 2016, and March 31, 2016, how many:
a. Colonies were completely lost/dead out? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2722
b. Colonies were requeened (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
c. Received nucs or packages? (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
d. New colonies did you add? (Include splits, newly created, and replacements of lost/dead out colonies. Exclude colonies that were requeened and/or received nucs/packages in Item 3b. or 3c.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2724

SECTION 3 – APRIL THROUGH JUNE 2016

	None	Colonies
4. On April 1, 2016, how many total colonies did this operation own, regardless of location?		2725
5. Between April 1, 2016, and June 30, 2016, how many:
a. Colonies were completely lost/dead out? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2726
b. Colonies were requeened (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
c. Received nucs or packages? (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
d. New colonies did you add? (Include splits, newly created, and replacements of lost/dead out colonies. Exclude colonies that were requeened and/or received nucs/packages in Item 5b. or 5c.) . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2728

SECTION 4 – JULY THROUGH SEPTEMBER 2016

	None	Colonies
6. On July 1, 2016, how many total colonies did this operation own, regardless of location?		2729
7. Between July 1, 2016, and September 30, 2016, how many:
a. Colonies were completely lost/dead out? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2730
b. Colonies were requeened (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
c. Received nucs or packages? (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
d. New colonies did you add? (Include splits, newly created, and replacements of lost/dead out colonies. Exclude colonies that were requeened and/or received nucs/packages in Item 7b. or 7c.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2732

SECTION 5 – OCTOBER THROUGH DECEMBER 2016

	None	Colonies
8. On October 1, 2016, how many total colonies did this operation own, regardless of location?		2733
9. Between October 1, 2016, and December 31, 2016, how many:
a. Colonies were completely lost/dead out? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2734
b. Colonies were requeened (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
c. Received nucs or packages? (Exclude colonies that were completely lost/dead out in Item 3a.) . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx
d. New colonies did you add? (Include splits, newly created, and replacements of lost/dead out colonies. Exclude colonies that were requeened and/or received nucs/packages in Item 9b. or 9c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2736

SECTION 7 – LOSS IN 2016

11. Of the total colonies lost between January 1, 2016, and December 31, 2016, did any colonies experience all of the following symptoms?

Little to no build-up of dead bees in the hive or at the hive entrance Rapid loss of adult bee population despite the presence of queen, capped brood, and food reserves Absence or delayed robbing of the food reserves Loss not attributable to Varroa or Nosema loads
2742	1Yes – Continue 3No – Go to Section 8 4No Loss – Go to Section 8 2Don't Know – Go to Section 8
		Colonies
12. How many colonies did you lose that experienced all of the symptoms in Item 1? . . . . . . . . . . . . .		2743

SECTION 8 – COLONY HEALTH IN 2016

13. Of the total colonies owned between January 1, 2016, and December 31, 2016, how many colonies were affected by the following, but not necessarily lost? Note: The total of rows a through h, may exceed the total number of colonies.
	None	Colonies
a. Varroa Mites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2744
b. Other Pests and Parasites1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2745
c. Diseases2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2746
d. Pesticides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2749
e. Other5 (Specify) 2750 ____________________________________________		2751
f. Unknown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		2752

1/ Includes Tracheal Mites, Nosema, Hive beetle, Wax moths, etc.

2/ Includes American and European foulbrood, Chalkbrood and Stonebrood, Paralysis (acute and chronic), Kashmir, Deformed Wing, Sacbrood, IAPV, Lake Sinai II, etc.

5/ Includes weather, starvation, insufficient forage, queen failure, hive damage/destroyed, etc.

SECTION 9 – COMMENTS

     

SECTION 10 – CHANGE IN OPERATION

1. Has the operation named on the label been sold or turned over to someone else?

₁Yes – Identify the new operator(s) ₃No – Go to Section 9

Operation Name:

Operator Name:

Address:

City: State: Zip:

Phone: ( ) -

SECTION 11 – CONCLUSION

1. Do you make any day-to-day decisions for any other apiaries?

₁Yes – List other operations: ____________________________________________________________________

₃No

THANK YOU FOR YOUR COOPERATION

2. SURVEY RESULTS: To receive the complete results of this survey on the release date, go to http://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/

Would you rather have a brief summary mailed to you at a later date? 9990 1YES 3NO

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

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