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SMetaKey: xxxx |
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(SAMPLE QUESTIONNAIRE) |
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United States Department of Agriculture |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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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 |
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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. |
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1. Did this operation grow any sunflower, flaxseed, safflower, canola, rapeseed, or mustard seed in 2018? |
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Include:
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Exclude:
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xxxx 1Yes - Continue
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3No - Go to Item 9
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xxxx 1Yes - Continue |
3No - Go to Item 3 |
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Acres |
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xxxx |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
xxxx |
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Pounds Per Acre |
OR |
Total Pounds |
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xxxx |
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xxxx |
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xxxx 1Yes - Continue |
3No - Go to Item 4 |
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Acres |
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xxxx |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
xxxx |
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Pounds Per Acre |
OR |
Total Pounds |
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xxxx |
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xxxx |
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4. FLAXSEED |
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xxxx 1Yes - Continue |
3No - Go to Item 5 |
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Acres |
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0682 |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
0605 |
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Bushels Per Acre |
OR |
Total Bushels |
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0498 |
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0606 |
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5. SAFFLOWER |
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xxxx 1Yes - Continue |
3No - Go to Item 6 |
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Acres |
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0683 |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
0176 |
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Pounds Per Acre |
OR |
Total Pounds |
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0735 |
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0674 |
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xxxx |
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Average Price Per Pound |
OR |
Total Dollars Received |
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xxxx |
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xxxx |
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$ |
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xxxx 1Yes - Continue |
3No - Go to Item 7 |
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Acres |
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0684 |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
0177 |
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Pounds Per Acre |
OR |
Total Pounds |
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0736 |
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0675 |
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xxxx 1Yes - Continue |
3No - Go to Item 8 |
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Acres |
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0685 |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
0668 |
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Pounds Per Acre |
OR |
Total Pounds |
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0737 |
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0676 |
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xxxx |
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Average Price Per Pound |
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Total Dollars Received |
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xxxx |
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xxxx |
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xxxx 1Yes - Continue |
3No - Go to Item 9 |
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Acres |
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0686 |
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2018 crop year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
0179 |
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Pounds Per Acre |
OR |
Total Pounds |
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0738
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0677 |
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xxxx |
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Average Price Per Pound |
OR |
Total Dollars Received |
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xxxx |
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xxxx |
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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/
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To have a brief summary emailed to you at a later date, please enter your email address . . . . . . . . . . . . . . . . . . . . |
1095 |
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Would you rather have a brief summary mailed to you at a later date? 9990 1Yes 3No |
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9911 |
9910 |
MM DD YY |
Respondent Name: |
Phone: |
Date: |
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Thank you for your response |
OFFICE USE ONLY |
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Response |
Respondent |
Mode |
Enum. |
Eval. |
Change |
Office Use for POID |
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1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est
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9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth
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9902 |
1-PASI (Mail) 2-PASI (Tel) 3-PAPI (Face-to-Face) 6-E-mail 7-Fax 19-Other |
9903 |
9998 |
9900 |
9985
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9989
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R. Unit |
Optional Use |
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9921 |
9907 |
9908 |
9906 |
9916 |
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S/E Name |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Sloan, Rachel - NASS |
File Modified | 0000-00-00 |
File Created | 2022-02-07 |