Your agricultural operation, large or small, is important to U.S. agriculture.  NASS conducts a census of all agricultural operations every five years as well as other agricultural surveys.  We need to know about all types of agricultural operations of all sizes.  Please fill in all the information below to be included.

NOTE:  Names submitted through April 15, 2008 will be processed for the 2007 Census of Agriculture.  Starting April 16, 2008, new names will be processed for future surveys and censuses.

Name

Address

City

State

Select one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada NewHampshire NewJersey NewMexico NewYork NorthCarolina NorthDakota Ohio Oklahoma Oregon Pennsylvania RhodeIsland SouthCarolina SouthDakota Tennessee Texas Utah Vermont Virginia Washington WestVirginia Wisconsin Wyoming

Zip

Phone Number

Ethnicity:

Hispanic or Latino

Not Hispanic or Latino

Race:

(Mark one or more)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Sex:

 Male

 Female

Comments:

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid control number for this survey is OMB number is 0535-0140. The time required to complete this information is estimated to average 5 minutes. Approval Expires 7/31/2009