DUE FEBRUARY 10, 2014 
OMB No. 0535-0234: Approval Expires 09/30/2016 
2013 FARM AND RANCH IRRIGATION SURVEY 
Form Number: 13-A621 
(09/10/2013) 
USDA 
National Agricultural 
Statistics Service 
Return your 
completed report to: 
Census of Agriculture 
1201 East 10th Street 
Jeffersonville, IN 47132 
OFFICE USE 
ONLY 
0010 
13-A621 
Make corrections to name, address, and ZIP Code if necessary. 
February 10, 2014— Everyone who receives a form must return one by this date. 
www.agcounts.usda.gov - Use this website to report via the Internet. 
Horticultural crops in the open or under protection - Report these crops on this form. 
Use blue or black ballpoint pen to complete this form 
Duplicate form(s) - If you received extra report forms for the SAME farming operation, return all report forms in the 
same envelope as the completed report. 
Questions — Call us toll-free at 1-888-424-7828. Thank you for your cooperation. 
SECTION 1 
ACREAGE IN 2013 
Report land owned, rented, or used by you, your spouse, or by the partnership, corporation, or organization named on the 
label above. Round to whole acres. Include ALL LAND, regardless of location or use - cropland, pastureland, rangeland, 
woodland, idle land, greenhouses or other area under protection, farmsteads, Conservation Reserve Program (CRP) 
land, etc. 
Number of Acres 
1 . All land owned 
□025 
None 
□ 
All land rented or leased from others, including land worked by you on 
shares, used rent free, in exchange for services, payment of taxes, etc. 
Include Federal. State and railroad land leased on a per-acre basis. 
Exclude leased land (e.g., private, Federal, State, railroad) used on 
a per-head or animal unit month (AUM) basis under a grazing permit . . 
3. 
All land rented or leased to others, including land worked on shares 
by others and land subleased. 
□026 CH 
0027 n 
TOTAL ACRES in this operation (Items 1 + 2 - 3 = BOX A), 
0028 
□ = 
BOX A 
NOTICE: Response to this inquiry is required by law (Title 7, U.S. Code). By the same law and Public Law 107-347, YOUR REPORT IS CONFIDENTIAL and 
will only be used for statistical purposes. Your report (CANNOT be used for purposes of taxation, investigation, or regulation. The law also provides that copies 
retained in your files are immune from legal process. http;//www, agcensus.usda.gov/About_the_Census/Regulations_Guiding_NASS/index. asp 
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 0S35-O234. The time required to complete this information collection is 
estimated to average 45 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. 
21303011 
B-10 Appendix B 2012 Census of Agriculture 
USDA, National Agricultural Statistics Service 
