QID Oilseed Survey - Dec - Sample

Field Crops Production - Substantive Change Request for Montana Wheat & Barley

0002 - Oilseeds - Sample Questionnaire

Field Crops Production

OMB: 0535-0002

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0535-0002 can be found here:

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OILSEED SURVEY - December 1, 2018
		OMB No. 0535-0002 Approval Expires: 10/31/2018 Project Code: 191 QID: xxxxxx SMetaKey: xxxx
	(SAMPLE QUESTIONNAIRE)		United States Department of Agriculture
			NATIONAL AGRICULTURAL STATISTICS SERVICE

USDA/NASS – North Dakota

National Operations Division

9700 Page Avenue, Suite 400

St. Louis, MO 63132-1547

Phone: 1-800-435-5883

Fax: 1-855-415-3687

E-mail: NASSRFONWR@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 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 0535-0002. 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.


1. Did this operation grow any sunflower, flaxseed, safflower, canola, rapeseed, or mustard seed in 2018?
Include: Acres rented or leased from others. All sunflower, flaxseed, safflower, canola, rapeseed, and mustard seed regardless of use. All acres even if the crop failed due to weather, disease, etc.			Exclude: Acres rented or leased to someone else.
_{xxxx 1}Yes - Continue		₃No - Go to Item 9
OIL VARIETY SUNFLOWER (BLACK SEED FOR CRUSHING, BIRDSEED, OR OTHER USES)
Were any oil variety sunflower acres planted on this operation for all purposes for the 2018 crop year?
_{xxxx 1}Yes - Continue	₃No - Go to Item 3
						Acres
How many total acres of oil variety sunflower were planted on this operation for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						xxxx
Of these (Item 2b) acres, how many acres were harvested or to be harvested for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						xxxx
				Pounds Per Acre	OR	Total Pounds
How many pounds per acre or total pounds were harvested or to be harvested for the 2018 crop year? If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .				xxxx		xxxx

NON-OIL VARIETY SUNFLOWER (STRIPED SEED)
Include Conoil
Were any non-oil variety sunflower acres planted on this operation for all purposes for the 2018 crop year?
_{xxxx 1}Yes - Continue	₃No - Go to Item 4
						Acres
How many total acres of non-oil variety sunflower were planted on this operation for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						xxxx
Of these (Item 3b) acres, how many acres were harvested or to be harvested for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						xxxx
		Pounds Per Acre			OR	Total Pounds
How many pounds per acre or total pounds were harvested or to be harvested for the 2018 crop year? If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		xxxx				xxxx
4. FLAXSEED
Were any flaxseed acres planted on this operation for all purposes for the 2018 crop year?
_{xxxx 1}Yes - Continue	₃No - Go to Item 5
						Acres
How many total acres of flaxseed were planted on this operation for the 2018 crop year? . . . . . . .						0682
Of these (Item 4b) acres, how many acres were harvested or to be harvested for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0605
		Bushels Per Acre			OR	Total Bushels
How many bushels per acre or total bushels were harvested or to be harvested for the 2018 crop year? If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0498				0606
5. SAFFLOWER
Were any safflower acres planted on this operation for all purposes for the 2018 crop year?
_{xxxx 1}Yes - Continue	₃No - Go to Item 6
						Acres
How many total acres of safflower were planted on this operation for the 2018 crop year? . . . . . .						0683
Of these (Item 5b) acres, how many acres were harvested or to be harvested for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0176
		Pounds Per Acre			OR	Total Pounds
How many pounds per acre or total pounds were harvested or to be harvested for the 2018 crop year? If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0735				0674
How many total pounds of the 2018 safflower crop were sold (or to be sold, if price is known)? .						xxxx
			Average Price Per Pound		OR	Total Dollars Received
What was the average price per pound or total dollars received for this (Item 5d) safflower? If sales are not complete, make your best estimate . . . . . . .		xxxx		. __ __		xxxx
		$

CANOLA
Were any canola acres planted on this operation for all purposes for the 2018 crop year?
_{xxxx 1}Yes - Continue	₃No - Go to Item 7
						Acres
How many total acres of canola were planted on this operation for the 2018 crop year? . . . . . . . .						0684
Of these (Item 6b) acres, how many acres were harvested or to be harvested for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0177
		Pounds Per Acre			OR	Total Pounds
How many pounds per acre or total pounds were harvested or to be harvested for the 2018 crop year? If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0736				0675
RAPESEED
Were any rapeseed acres planted on this operation for all purposes for the 2018 crop year?
_{xxxx 1}Yes - Continue	₃No - Go to Item 8
						Acres
How many total acres of rapeseed were planted on this operation for the 2018 crop year? . . . . . .						0685
Of these (Item 7b) acres, how many acres were harvested or to be harvested for the 2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						0668
		Pounds Per Acre			OR	Total Pounds
How many pounds per acre or total pounds were harvested or to be harvested for the 2018 crop year? If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		0737				0676
How many total pounds of the 2018 rapeseed crop were sold (or to be sold, if price is known)? .						xxxx
			Average Price Per Pound		OR	Total Dollars Received
What was the average price per pound or total dollars received for this (Item 7d) rapeseed? If sales are not complete, make your best estimate . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . .		xxxx		. __ __		xxxx

MUSTARD SEED

Were any mustard seed acres planted on this operation for all purposes for the 2018 crop year?

_{xxxx
1}Yes - Continue

₃No - Go to Item 9

Acres

How many total acres of mustard seed were planted on this operation for the 2018 crop year? . . .

0686

Of these (Item 8b) acres, how many acres were harvested or to be harvested for the

2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0179

Pounds Per Acre

Total Pounds

How many pounds per acre or total pounds were harvested or to be harvested for the 2018 crop year?

If harvest is not complete, make your best estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0738

0677

How many total pounds of the 2018 mustard seed crop were sold (or to be sold, if price is known)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxxx

Average Price Per Pound

Total Dollars Received

What was the average price per pound or total dollars received for this (Item 8d) mustard seed?

If sales are not complete, make your best estimate . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . .

xxxx

. __ __

xxxx

Comments about the 2018 oilseed crop are appreciated:

10. Survey Results: To receive the complete results of this survey on the release date go to www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/

To have a brief summary emailed to you at a later date, please enter your email address . . . . . . . . . . . . . . . . . . . .

1095

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

9911

9910

MM DD YY

Respondent Name:

Phone:

Date:

Thank you for your response

OFFICE USE ONLY
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-PASI (Mail) 2-PASI (Tel) 3-PAPI (Face-to-Face) 6-E-mail 7-Fax 19-Other	9903	9998	9900	9985	9989 __ __ __ - __ __ __ - __ __ __

							R. Unit		Optional Use
							9921		9907	9908	9906	9916
S/E Name

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Sloan, Rachel - NASS
File Modified	0000-00-00
File Created	2021-04-08