APPENDIX B. 

 Report Form 



OMB No. O6O7-0667: Approval Expires 09/30/90 



NOTICE — Response to this inquiry Is required by law/ (title 1 3, U.S. 

 Code). By the same law YOUR REPORT TO THE CENSUS BUREAU IS 

 CONFIDENTIAL, tt may bo seen only by persons who have sworn to 

 uphold the confidentiality of the census and may be used only for 

 statistical purposes. Your report CANNOT be used for purposes of 

 taxation, investigation, or regulation. 



form90-A1(AS) 



(io-«-as) 



1990 CENSUS OF AGRICULTURE 



AMERICAN SAMOA 



Part A — QUESTIONNAIRE IDENTIFICATION 



County 



FARM SERIAL NUMBER 



Map Spot 



CEWSUS USE OWLY 



Island/District 



County 



Part a — OPERATOR'S NAME AND PHYSICAL LOCATION 



Full name (First namo, middle initial, last name) 



lo36 



CENSUS USE ONLY 



Physical location (Describe) 



READ TO rtESROMDEMT — W* estlmato that It will taico from 10 to 20 minutaa to complata thia raport, with 1 5 mlnutaa 

 baing tha avaraga tlma. if you hava any contimanta ragardlng thasa astimataa or any othar aapact of tha cansus, raf ar to 

 tha liiformation on Form 0-31 . 



INSTRUCTIONS 



. Communal landa 



a . Any land used in owner-like possession for the benelrt of the 

 extended family should be reported as land owned under 

 section 1 , question 1 . If the land is used for the sole benefit of 

 the operator rather than the extended family, report the land 

 under section 1 , question 2 on a separate questionnaire. 



b. Any land used to w/hich t'rtle or right of ownership is not held, should be 

 reported as land rented FROM OTHERS under section 1 , question 2. Do 

 this even though no rent is paid to the owner of this land. 



c. Any land to which tha title is held or o^vnership claimed, which is 

 used by a nonmember of the extended family, should be reported as 

 land rented TO OTHERS under section 1 , question 3. Do this even 

 though no rent is paid by the nonmember. In such cases, a separate 

 agriculture questionnaire should be completed for the lands reported 

 under section 1 , question 3 in the name of the person in charge. 



2 . Privata ian<l 



Prlvataly ownad lands, not haM or oparatad undar tha 

 communal ayatam — If crops were raised or livestock or 

 poultry are kept, complete this agricuKure questionnaire in the 

 name of the person in charge. The person in charge is the one 

 responsible for making the decisions. The person in charge will 

 usually be the head of the family which plants or gathers the 

 crops. 



3 . All othar land 



Exparimantal farms, schools, churchas, and oUiar 

 Institutions — If crops were raised or livestock or pouhry are 

 kept, complete this agriculture questionnaire in the name of the 

 institution. Also, give the name of the manager or 

 superintendent in part B, above. 



SECTIOIVI 1 



LAND IN AGRICULTURE 



None 



□ 



1 . Howr many acres do you owm or use In owmot^lke posaeaalon? 



Ar« tliaso communal lands? °*' i □ Yes 2 □ No 



2. How many acras do you rent FROM OTHERS? (Includa land usad rent-free) HH 



Are these communal lands? °*' l □ Yes 2 □ No 



3 . How many acras do you rent TO OTHERS? (Include land for which no rant is received) CH 



«. TOTAL ACRES IN THIS PLACE — ADD acres owned (question 1) and acres rented Icjuestion 2), 



then SUBTRACT acres rented TO OTHERS (Question 3), and 

 enter the result in this space. — * 



If you rented land FROM OTHERS, 

 {question 2) enter the following 

 information for each landlord. . . 



Name of landlord 



Island/District 



/io 



6 . How many separata TIRACTS or PIECES of land or plantations 

 are represented In the "Total acres In this pdace?" 



. Number of pieces 



7 . Is this holding producing mainly for honte consumption 

 or sale? (Mark (X) one) 



8 . If producing mainly for sale, which of tha followring Is It? 



(Mark (X) one) 



9 



I; 



9 . What percent of tha farm operation Is financed hy each of tha following eourcas? 



a. Operator 



b. Private 



c. Commercial 



d. Government •-- 



a. Other — Specify 



□ Home consumption — GO to Question 9 



Sale — ASK Question 8 



im Crop holding 



1 1 Livestock and/or poultry holding 

 O Mixed holding 



□ Other 

 None 



□ 



□ 

 □ 

 □ 



1987 CENSUS OF AGRICULTURE 



APPENDIX B B-1 



