Form Nacs-01 - National Agricultural Classification Survey - 2016
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4OMB No. 0535-0226: Approval Expires 09/30/2017
2016 NATIONAL AGRICULTURAL CLASSIFICATION SURVEY
NACS-01
(09/29/16)
Project Code: 649
United States
Department of
Agriculture
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
USDA/NASS
Census of Agriculture
1201 East 10th Street
Jeffersonville, IN 47132
Phone: 1-888-424-7828
Fax: 1-812-218-2232
E-mail: nass@nass.usda.gov
OFFICE USE ONLY
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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. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law
107–347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than employees or agents.
By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or
your operation. Response to this survey is required by law under Title 7 USC 2204(g) Public Law 105-113.
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 0535-0226. 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.
Your responses to the following items will help us determine your involvement in agriculture. Your
completed form is required even if you are not involved in agricultural activity.
Please complete your report by mail or via the internet at by 1/30/17.
Since January 2016...
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Did you have any agricultural revenue?
. . . . . . . . . . . . . . . . . . . . . .
Yes – Go to Item 1
No – Continue
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(Include any crop sales and sales of livestock or their products, fish and other aquaculture.)
(Exclude cash rent received or share of crops received for rented out land.)
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Did you own, rent, or operate cropland, pastureland, or land
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with the potential for agricultural production?
. . . . . . . . . . . . . . . . . .
Yes – Go to Item 1
No – Continue
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Did you have or sell any type of livestock, including equine,
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poultry or fowl, bees, or aqua culture?
. . . . . . . . . . . . . . . . . . . . . . .
Yes – Go to Item 1
No – Continue
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Did you receive any Federal or State agricultural payments?
. . . . . . .
Yes – Go to Item 1
No – Continue
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(Include Federal Farm Program, CRP, WRP, FWP, and CREP payments.)
If you answered YES to any questions above, continue with Item 1 below.
If you answered NO to all questions above, go to Item 21 on page 4.
Location of Agricultural Activity for this Operation
1.
In what county and state was the largest value of your agricultural products raised or produced?
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County
State
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21016019
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