Form SurveyID 2025 Area Screener NY IL TX Version

Quick Response for Cooperator-funded Surveys Generic Clearance

0264 - June Area Screener Pilot Questionnaire to OMB NY IL TX _v2

2025 Area Screening Survey, a pilot study for the June Area Survey

OMB: 0535-0264

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2025 AREA SCREENING SURVEY
OMB No. 0535-0264
Approval Expires:
05/31/2028
Project Code: XXX
SurveyID: XXX

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 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 control number is 0535-0264. 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

Page #1: Standard Face Page with Label + Area Operation details below
□ [VERIFY LABEL IF PRESENT]

SECTION 1 – ACRES OPERATED
1. Refer to the enclosed map. Do you live on and/or operate any land within the boundaries indicated
on the map?
Yes – Continue to Question 2
No – Skip to Section 4
2. How many acres do you operate inside the boundaries shown on the
map? …………………………………………………………………………………
a. Of the acres reported in Question 2, how many are for an occupied
farmstead or dwelling inside the boundaries shown on the map?

Acres

.

Acres

.

3. Are the day-to-day decisions for this tract of land made by an individual, by partners, or by a hired
manager? Landlord-tenant arrangements are not considered partnerships. [Check one]
Individual
Partners
A hired manager
4. Please identify up to 4 other people who are involved in the day-to-day decisions for this operation.
DO NOT INCLUDE landlords or tenants who do not help with day-to-day decisions for the operation.
Person 1

Person 2

Person 3

Person 4

Check if mobile

Check if mobile

Check if mobile

Check if mobile

Name (First and Last)

Street Address

City, ST

ZIP
Phone

OFFICE USE - STPOID

5. In 2025, including the land shown in the map and any other land you operate outside of the map,
how many acres does this operating arrangement …

a. Own? ……………………………………………………………………..

Acres

b. Rent or Lease FROM Others, or use Rent Free? (EXCLUDE
Federal, State and other types of land rented or leased on an
animal unit month (AUM) basis, Bureau of Land Management
(BLM) and Forest Service.) ………………….............................

.
+

Acres

.
-

c. Rent or Lease TO Others? ………………….............................

Acres

.
=

d. What is the TOTAL acreage operated?
[Question 5a] + [Question 5b] – [Question 5c]

TOTAL
Acres

.

IMPORTANT

The remainder of this questionnaire refers to ALL land owned or rented by this operating
arrangement, reported in 5d above.

SECTION 2 – AGRICULTURAL ACTIVITY
CROPLAND AND PASTURE
1. In 2025, how many acres are considered cropland,
including land currently growing crops or hay, summer
fallow, cropland idle, cropland used for pasture and
cropland in government programs such as the
Conservation Reserve Program (CRP) or Wetland
Reserve Program (WRP)?
2. In 2025, how many acres are fruit trees, grape vines, tree
nuts, berries (excluding strawberries), or Christmas
trees?
3. In 2025, what is the storage capacity (in bushels) of all
structures normally used to store whole grains or
oilseeds on the total acres operated?
4. In 2025, does this operation have any IDLE cropland?
5. In 2025, does this operation pasture greater than 99
acres?

Acres

.

Acres

.

Bushels

.

Yes

No

Yes

No

LIVESTOCK
6. In 2025, what is (or will be) the maximum number of each of the following types of livestock on this
operation?
NOTE: The maximum number can include livestock that you had, or will have, on your operation at any time this
year, even if they are not on the operation today. Unless specified, this is regardless of ownership.

a.
b.
c.
d.
e.

Cows, cattle and calves ........................................................................
Hogs and pigs........................................................................................
Sheep and lambs …………………………………….…………………………………….
Goats and kids ……………………………………………………………………………..
Horses, ponies, and other equine owned on this operation.…..……………

Head
Head
Head
Head
Head

PAYMENTS AND EMPLOYMENT
7. In 2025, what is (or will be) the total dollar amount of federal or state
agricultural payments received? Include payments from the Federal Farm
Program, CRP, WRP, and other such programs.
8. In 2025, what is the largest number of people that will be on the agricultural
payroll on any one day? INCLUDE Full-time employees, part-time
employees, paid family members. EXCLUDE contract labor and retail
workers. If you do not know what this number will be for 2025, please
provide your best estimate.

Dollars

Persons

SECTION 3 – OPERATION CHARACTERISTICS
1. In 2025, what do you expect will be your total gross value of sales? Include sales of all agricultural
items AND the total payments received from government agricultural programs.
Include:
•
Sale of all crops, livestock, poultry, and livestock products.
•
The value of hay, silage, and other crops harvested but not sold in 2025.
•
The value of all crops, livestock, and poultry produced under contract in 2025.
•
Landlord’s share of government payment and crops sold in 2025.

$0-999
$1,000-$9,999
$10,000-$49,999
$50,000-$99,999
$100,000-$249,999
$250,000-$499,999
$500,000-$999,999
$1,000,000-$4,999,999
$5,000,000 and over

2. In 2025, which of the types of farm below represents the largest portion of the gross income of the
operation? If you will have no income from agriculture in 2025, choose the category that best
describes the operation. Select only one.
Grains, Oilseeds, Dry Beans, and Dry Peas
(corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice, small grains, sorghum, soybeans, sunflowers,
straw, etc.)

Tobacco
Cotton and Cottonseed
Vegetables, Melons, Potatoes and Sweet Potatoes
(beets, cabbage, cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable seeds, etc.)

Fruit, Tree Nuts and Berries
(almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.)

Nursery, Greenhouse, Floriculture and Sod
(bedding plants, bulbs, cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, sod, etc.)

Cut Christmas Trees and Short Rotation Woody Crops
Other Crops and Hay, CRP and Pasture
(grass seed, hay and grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, CRP, etc.)

Hogs and Pigs
Milk and Other Dairy Products (from cows)
Cows, Cattle, and Calves
(beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals, stockers and feeders, veal calves, etc.)

Sheep, Goats, and their Products (wool, mohair, milk and cheese)
Horses, Ponies, and Mules (burros and donkeys)
Poultry and Eggs
(broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings, ostriches, pigeons, pheasants, quail, poultry products,
etc.)

Aquaculture (catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.)
Other Animals and Other Animal Products (honey bees, honey, rabbits, fur-bearing)
No Agricultural Activity, Agricultural Land, or Potential for Agriculture

SECTION 4 – CONCLUSION
Respondent Name:

Respondent Phone:
(

Respondent Email:

Date:

) __________-_________________

D D
___ ___

Additional Phone (if different from above):
(

Operation Email (if different from above):

M M
___ ___

) __________-_________________

Operation Phone (if different from above:
(

) __________-_________________

Y Y Y Y
___ ___ ___ ___


File Typeapplication/pdf
AuthorHerrell, Kenneth - REE-NASS
File Modified2025-08-27
File Created2025-08-27

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