FV-97-1 915-Avocados (Public Member & Alternates) Confidential B

CONFIDENTIAL BACKGROUND STATEMENT (Avocados)
(To be completed by public interest members and alternates)
The Secretary of Agriculture needs the following information to determine whether you are qualified under Federal Marketing Order No. 915
to serve on the committee. Statutory authority to collect the information is provided in 7 U.s.C.601-674. Failure to provide this information
may hinder your selection by the Secretary.

5.
ARE YOU OR ANY MEMBER OF YOUR IMMEDIATE FAMILY DIRECTlY ASSOCIATED WITH
THE AVOCADO INDUSTRY
FINANCIALLY OR OTHERWISE?
6. IF YOU HAVE AN INDIREG RElATIONSHIP WITH THE AVOCADO INDUSTRY, PLEASEEXPlAIN.

7. LIST ALL PUBLIC INTEREST AND SERVICE TYPE ORGANIZATIONS

OF WHICH YOU ARE OR HAVE BEEN A MEMBER AND POSITIONS HELD WITH EACH

ORGANIZATION.

8. ARE YOU WILLING TO FAMILIARIZE
AGREEMENT

YOURSELF WITH THE AVOCADO

INDUSTRY AND THE PROVISIONS OF THE MARKETING

AND/OR ORDER WITH THE UNDERSTANDING THAT MEMBERS OF THE INDUSTRY AND THE STAFF OF THE

COMMnTEE WOULD ASSIST

YOU IN THIS FAMILIARIZATION

PROCES~;? (Mark OX"in appropriate

box)

DYES

9. WOULD YOU BE WlLUNG TO SPENDTHEnME NECESSARYTO REPRESENT
THE PUBUC PROPERLYON SUCH COMMITTEE? D

YES

0

NO

D

NO

(Mark 'X'in appropriate box)

10. ARE YOU WILLING TO UNDERTAKE
AN ASSIGNMENT
WITH THE NEWS MEDIA OR OTHER
INTERESTED
GROUP IN EXPLAINING THE MARKETING
ORDER AS A REPRESENTATIVE
OF THE
GENERAL PUBLIC? (Mark "X" in appropriate box)

FV-97-1 (05-07) (Destroyprevious editions.)

DYES

D NO

PAGE 1 OF 2

11. LIST ANY OTHER SPECIAl QUALIFICATIONS YOU MAY HAVE, SUCH AS EDUCATIONAL TRAINING, WORK EXPERIENCE,ETC.,
ENHANCE YOUR QUAUFICAnONS TO SERVE.

WHICH WOULD

12
Marketing order committee members, in their official capa'cities, are prohibited from taking any action specifically designed to influence
legislation, including any attempt to influence public opinion C()nceming legislation.
Committee members may not communicate with any
official of a State or Federal legislative body for the purpose of attempting to influence legislation.
Committee
members are also
prohibited from attempting to influence State or Federal government actions or policies or those of foreign governments,
except as
specifically authorized under the marketing order or expressly apj:lroved by the Secretary.
Committee members are specifically precluded from authorizing
influence legislation or government actions

the expenditure

of marketing order funds for the purpose of attempting to

These same prohibitions apply to committee managers, !;taff, and contractors except that committee
Department of Agriculture employees dunng the pendency of infc,nnal rulemaking actions.

managers

may consult with U.S.

13.
If marketing order committee or subcommittee members or committee employees are sued individually or jointly for errors in judgment,
mistakes or other acts either of omission or commission (exc:ept for acts of dishonesty, willful misconduct, or gross negligence) in the
conduct of their duties under the marketing agreement or order, they may be authorized legal defense by the Department of Justic:e
(DOJ).
Alternatively, legal defense may be provided through private counsel, if recommended
by the Department of Agriculture (USDA)
and approved by DOJ.
USDA and DOJ enjoy an excellent working relationship with respect to providing legal representation
for
committee members and employees, either by DOJ or through authorized private counsel.
USDA is committed to a comprehensive
legal
defense
policy for all committee
members
and employees
acting within the scope of their authorized
committee
duties and
responsibilities.

COMMENTS

CERTIFICATION STATEMENT:

certify

meet the eligibility requirements of the Marketing Order and

am willing to

serveonthe committee.

.

(Signature)

(Date)

Note: The following statementsaremadein accordancewith the PrivacyAct of 1974(5V.S.C. 552a)andthe PaperworkReductionAct of 1995. The
authorityfor requestingthis informationto be suppliedon this fonn is the Agricultural MarketingAgreementAct of 1937,Secs.1-19,48 Stat.31, as
amended,(7 V.S.C. 601-674). Furnishingthe requestedinformationis necessaryfor the administrationof the marketingorderprogram.
Accordingto the PaperworkReductionAct of 1995,an agmcy may not conductor sponsor,anda personis not requiredto respondto a collection of
information unlessit displaysa valid OMB controlnumber. The valid OMB control numberfor this informationcollectionis 0581-0189. The time required
to completethis informationcollection is estimatedto average5 minut~: per response,includingthe time for reviewing instructions,searchingexistingdata
sources,gatheringandmaintainingthe dataneeded,andcompletingandreviewingthe collectionof information.
TheU.S. DepaI1mentof Agricuhure(USDA) pr-obibitsdiscriminationin all its progrmnsandactivitieson the basisof race,color, nationalFile Typeapplication/pdfAuthormbowers [ XPWASHFV1406MB ]File Modified0000-00-00File Created2007-06-12