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. New
names will be processed for future surveys and censuses.
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The Information you
provide is kept confidential by law, Title 7, U.S. Code and will not be
disclosed to any other government or private entity.
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Name
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Address
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City
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State
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Zip
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Phone Number
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Ethnicity:
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Hispanic or Latino
Not Hispanic or Latino
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Race:
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(Mark one or more)
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American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
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Sex:
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Male
Female
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Comments:
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