Form QID Hawaii Crop or Livestock Loss Survey

Crops or Livestock Loss Survey
OMB No. 0535-0xxx
Approval Expires: xx/xx/xxxx
Project Code: xxx QID: xxxxxx
SMetaKey: xxxx

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: 1–855–515–1328
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. Your responses will be kept confidential and any person who willfully discloses ANY
identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey is conducted in accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107–347, and other applicable Federal laws. For more information on how we protect
your information please visit: https://www.nass.usda.gov/confidentiality. Response to this survey 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 0535-0xxx. 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.

Crops – Please report for the total acres you operate.
1. Were any of your crops damaged or destroyed in 2018, due to:
 Natural disasters (earthquakes, landslides, volcanic eruption, wildfires, etc.), or
 Weather conditions (flooding, drought, freezes, hurricanes, etc.)?
xxx

1

Yes – Continue

3

No – Go to Item 5

2. Which of the following crops were damaged or destroyed in 2018 due to natural disasters or weather conditions?
For each applicable crop, report the number of acres or square feet damaged or destroyed.
Crop

N/A

Acres

Square Feet

xxx

xxx

Floriculture

OR
xxx

xxx

Macadamia Nuts

OR
xxx

xxx

Papaya

OR
xxx

xxx

Taro

OR
xxx

xxx

Vegetables

OR
xxx

xxx

Other, specify:

OR

3. Did you replant any of these acres or square feet (reported in Item 2) for harvest in 2018 or 2019?
xxx

1

Yes – Continue

3

No – Go to Item 5

4. Which of the following crops were replanted for harvest in 2018 or 2019? For each applicable crop, report the
number of acres or square feet replanted.
Crop

N/A

Acres

Square Feet

xxx

Floriculture

xxx

OR
xxx

Macadamia Nuts

xxx

OR
xxx

Papaya

xxx

OR
xxx

Taro

xxx

OR
xxx

Vegetables

xxx

OR
xxx

Other, specify:

xxx

OR

Livestock or Poultry – Please report for the total acres you operate:
5.



Were any of your livestock or poultry lost in 2018, due to:
Natural disasters (earthquakes, landslides, volcanic eruption, wildfires, etc.), or
Weather conditions (flooding, drought, freezes, hurricanes, etc.)?

xxx

1

Yes – Continue

3

No – Go to Item 7
Survey Continues on Back 

6. Which of the following livestock or poultry were lost in 2018 due to natural disasters or weather conditions? For
each livestock or poultry, report the number of head lost.
Livestock or Poultry

N/A

Number of Head Lost
xxx

Cattle
xxx

Sheep
xxx

Goats
xxx

Hogs
xxx

Poultry
xxx

Other, specify:

Comments:
7. Do you have any additional comments on the effects these natural disasters or weather conditions have had on
your operation?

8. Survey Results: To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/.
099

Would you rather have a brief summary mailed to you at a later date?

Respondent Name:

Yes = 1

No = 3

9911

9910

MM

Phone:

Date:

DD

YY

OFFICE USE ONLY
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

Respondent
9901

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

9902

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

Enum.
9903

098

Eval.
100

Change
785
785

Office Use for POID
789
__ __ __ - __ __ __ - __ __ __

R. Unit
921

Optional Use
407

408

9906

9916