QID Fruit and Nut Contractor Profile Questionnaire

Northwest Region Fruit & Nut Profile
OMB No. 0535-0140
Approval Expires: XX/XX/XXXX
Project Code:
SurveyId:

United States
Department of
Agriculture

NATIONAL
AGRICULTURAL
STATISTICS
SERVICE

USDA/NASS - Washington
Northwest Region
PO Box 609
Olympia, WA 98507-0609
Phone: 1-800-435-5883
FAX: 1-855-270-2721

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 and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 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 0535-0140. The time required to complete this information collection is
estimated to average 15 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.

_______________________________________________________________________________________________

Please make corrections to the information on the label if necessary:
Operation Name _________________________________________________________________
Operator Name __________________________________________________________________
Mailing Address __________________________________________________________________
Physical Address __________________________________________________________________
City State Zip Code _______________________________________________________________
E-Mail _____________________________________________________________________________
Phone _____________________________________________________________________________

-2-

1. NASS produces agricultural statistics on a wide range of topics including production, economics,
demographics, and environment. If different from the primary contact listed on the label, please
provide the appropriate contact for the following topic areas:
Acreage, Production, and Yield:
_______________________________________________________________________________________________________________________________
(name)

(title)

(phone)

(email)

Labor and wages:
_______________________________________________________________________________________________________________________________
(name)

(title)

(phone)

(email)

Economics (Income, Production Expenses):
______________________________________________________________________________________________________________________________
(name)

(title)

(phone)

(email)

Environmental (Chemical Use, Irrigation):
_______________________________________________________________________________________________________________________________
(name)

(title)

(phone)

(email)

2. What is the preferred way to receive correspondence?
☐ Mail
☐ Phone
☐ E-Mail
☐ Personal Visit
3. What is the preferred way to report data?
☐ Mail
☐ Phone
☐ E-Mail
☐ Personal Visit
☐ Internet
4. Are you able and willing to provide electronic records from your own reports that would reduce your
reporting burden?
☐ Yes- Continue to Item 4A
☐ No- Go to Item 5, Page 3
A. If yes to item 4, what type of data would you be able to supply from your existing electronic data
(check all that apply)?
☐ Acreage, Production, and Yield
☐ Labor and Wages
☐ Economics (Income, Production Expenses)
☐ Environmental (Chemical Use, Irrigation)
☐ Other (Specify ______________________)

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5. Are you satisfied with the current reporting arrangement/method of contacts?
☐ Yes, Continue to item 6 ☐ No, Please explain
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

6. Do you want to receive emails from USDA/NASS summarizing important statistics and trends
relevant to this State’s agriculture?
☐ Yes
☐ No (These reports can also be accessed at www.nass.usda.gov)
7. Do you report multiple operations under one fruit and nut management business name?
☐ Yes
☐ No

8. If this operation manages fruit and nut acres that are not owned by the company, how long are the
terms of these contracts?

a. During what time of the year are the contracts signed?

b. How often are they changed?

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List of Operations
Please provide the following information for the Fruit and Nut acres operated.

Orchard/Vineyard Name _______________________________________________________
Orchard/Vineyard Physical address_____________________________________________
If this is a newly added orchard/vineyard provide information on acreage, including total land and all fruit
& nut acreages.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Is it possible the acreage on this operation can be reported by another entity? If the land is not owned by
the fruit and nut management company, provide the land owner name and address.
Owner Name __________________________________________________________
Mailing Address _______________________________________________________
City State Zip Code ____________________________________________________
Email ___________________________________________________________________
Office Phone __________________________________________________________
Cell Phone ______________________________________________________________

9912

9911

Completed by:

Phone:(

9910

)

This completes the survey. Thank you for your help.

Date:

MM

DD

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