OMB No. 0581-NEW
ABC Form No. 51
Almond Board of California
Process Authority for Almonds
Application Form
Pursuant to authority provided in § 981.42 of the almond marketing order (order) – 7 CFR Part 981, and as specified in § 981.442(b) of the order’s regulations, handlers must subject their almonds to a treatment process or processes that have been determined to achieve in total a minimum 4-log reduction of Salmonella bacteria. Process authorities validate that the treatment technology and equipment have been demonstrated to achieve the minimum 4-log reduction. The Almond Board of California (Board or ABC) locally administers the order, with oversight by the U.S. Department of Agriculture (USDA).
In consideration of the approval of this application, the following applicant requests approval as a Process Authority for almonds for __________(crop year). 1
Date___________________ Company_________________________________________________________
Name____________________________________________________________
Address__________________________________________________________
Telephone (______)__________________Fax (_____)_____________________
Please complete the following (attach a curriculum vitae and additional pages, if needed):
Professional Affiliation(s) and Education:
Length of time as a process authority:
Products/Equipment/Processes for which you have been a process authority:
Experience conducting or evaluating tests that determine the effects of the treatment on microorganisms, such as microbiological challenge studies. (Specify microorganisms and types of tests, including recovery and enumeration techniques):
Experience conducting or evaluating tests that determine the effects of the treatment on foods (note how this is relevant to processing of almonds or other nuts):
________________________________________________________________________________________________
Undersigned hereby certifies to the U.S. Department of Agriculture and the Board that the information supplied herein is complete and correct. The making of any false statement or representation on this form, knowing it to be false, is a violation of Title 18, section 1001, United States Code, which provides for the penalty of a fine of $10,000 or imprisonment of not more than 5 years, or both.
Date___________________ Signature________________________________________________________________
For ABC Use:
Date Received by ABC: |
MM/DD/YR |
Date Approved by ABC: |
MM/DD/YR |
Effective for Crop Year: |
August 1 – July 31, XXXX |
Date Process Authority Notified of Approval: |
MM/DD/YR |
The following statements are made in accordance with the Privacy Act of 1974 (U.S.C. 552a) and the Paperwork Reduction Act of 1995. The authority for requesting this information to be supplied on this form is the Agricultural Marketing Agreement Act of 1937, Secs. 1-19, 48 Stat. 31, as amended, (7 U.S.C. 601-674). Furnishing the requested information is necessary for the administration of the marketing order program.
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 control number for this information collection is 0581-NEW. The time required to complete this information collection is estimated to average 2 hours 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.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
1 Applications will be reviewed by ABC’s Technical Expert Review Panel (TERP). Should the applicant disagree with TERP’s decision, it may appeal the decision in writing to the Board, and ultimately to USDA.
File Type | application/msword |
File Title | SAMPLE CERTIFICATE |
Author | Jamie |
Last Modified By | mpish2 |
File Modified | 2006-11-30 |
File Created | 2006-11-30 |