Grandma was a teenager in Norfolk, Nebraska when these yo-yos were made from feed sacks/sugar sacks and stitched together into 9-patches and then 4-patches with lines of single yo-yos separating them. I don't know for sure if she was the sole maker or if her younger sister Ella May and her mother also helped.
It remained a UFO from 1934 until 1997, when Grandma had the ladies at her church tie the yo-yos to a backing with perle cotton (it is not actually quilted since there is no batting).
Here's a close-up of some of the prints. Grandma packed this away after it was tied and I was never aware of it until the mid 2000's, when she brought it out to show me once when I was visiting her. I loved it and am so glad it came to me when she was moved into a senior home and her house emptied some years later.