Form Nacs-01 - National Agricultural Classification Survey - 2016 Page 4
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1
2
3
4Operator
Men
Women
19.
In the past 12 months, how many men and women were involved in decisions
1571
1574
for this operation (include family members and hired managers)? (Exclude hired
workers unless they were a hired manager or family member.)
. . . . . . . . . . . . . . . . . . . . . . . .
20. Answer the following questions for up to three individuals who were involved in the decisions for this operation as of
December 31, 2016.
Person 1
Person 2
Person 3
1835
1852
1872
a. Full name
. . . . . . . . . . . . . . . . .
0926
1586
1597
b. Sex
. . . . . . . . . . . . . . . . . . . . .
Male
Female
Male
Female
Male
Female
1
2
1
2
1
2
0925
1585
1596
c. What was the person’s age
years
years
years
on December 31, 2016?
. . . . . .
0930
1584
1595
d. In what year did the person
begin to operate any part of
THIS operation?
. . . . . . . . . . . .
0927
1587
1598
Hispanic, Latino
Hispanic, Latino
Hispanic, Latino
or Spanish origin
or Spanish origin
or Spanish origin
e. Is this person of Hispanic,
Latino or Spanish origin?
. . . . . .
Yes
No
Yes
No
Yes
No
1
3
1
3
1
3
Mark one or more.
Mark one or more.
Mark one or more.
1701
1801
1901
f.
Race
. . . . . . . . . . . . . . . . . . . .
White
White
White
1702
1802
1902
Black or African
Black or African
Black or African
American
American
American
1703
1803
1903
American Indian
American Indian
American Indian
or Alaska Native
or Alaska Native
or Alaska Native
1705
1805
1905
Asian
Asian
Asian
Native Hawaiian
Native Hawaiian
Native Hawaiian
1704
1804
1904
or Other Pacific
or Other Pacific
or Other Pacific
Islander
Islander
Islander
Change of Operator
21.
Has the operator named on the label sold, rented, or turned over this operation to someone else?
1086
YES - Continue with Item 22
NO - Go to Item 23
1
3
22. Please provide the following information for the operation that has taken over the land.
Operation Name
Operator Name (First/Last)
1088
1089
Address
City
1090
1091
State
Zip Code
Area Code and Phone Number
1092
1094
1095
-
-
Possible Duplication or Other Names
23. It is important that we do not have duplication on our list of farms and ranches. Is it possible the information on this form
would be reported by another operation or under another name?
1080
YES - please provide the name and address below
NO
1
3
Operation Name
Operator Name (First/Last)
1081
1087
Address
City
State
Zip Code
1084
1085
1082
1083
Please return this form in the postage-paid envelope provided. Thank you for your cooperation.
A wide variety of agricultural statistics is available from the National Agricultural Statistics Service (NASS).
NASS reports, data products, and services are also available on the Internet at
Completed by
Area Code and Phone Number
Date (mm/dd/yy)
9912
9911
9910
-
-
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4
21016043
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