FD-210 Request for Classification

U. S. DEPARTMENT OF AGRICULTURE AGRICULTURAL MARKETING SERVICE COTTON PROGRAM REQUEST FOR CLASSIFICATION	FOR CCC SALES ONLY
	ANNOUNCEMENT	SALE	TAG LIST
1. USDA CLASSING LOCATION (City and State)		DATE
2. THE UNDERSIGNED REQUESTS ("X" ONLY ONE BLOCK IN THIS SECTION) ORIGINAL CLASSIFICATION COMPARISON REVIEW FORM A FORM A FORM A FORM D FORM D FORM D FOREIGN GROWTH FOREIGN GROWTH FOREIGN GROWTH Classification data will be issued on Cotton Program computer listings. NOTE: See reverse for explanation of services and instructions for submitting samples	3. SERVICE DESIRED ("X" ONE) HVI Classification with Official Color Grade, Leaf Grade, and Extraneous Matter HVI Classification
4. DESCRIPTION OF COTTON ("X" ONE) a. Growth Upland Pima Other(Specify) b. Type Ginning Saw Roller c. Production Area United States Outside United States d. Has any cotton been reginned, repacked, or processed in addition to normal ginning? Yes NO e. Does any cotton contain linters, gin waste, or mill waste? Yes No	5. SAMPLES ARE ("X" one) Freshly drawn and submitted from a warehouse licensed by the Cotton Program, AMS OTHER (Specify)
6. DISPOSITION OF SAMPLES Government Loose Hold samples for possible review Owner will pick up Return to owner via (Carrier) Owner’s Account No.	7. CLASSIFICATION DATA TO BE SENT TO APPLICANT ("X"ONE) Mail Fax: Telephone Number: Hold for Pickup
8. SAMPLES SUBMITTED TYPE LOT NO. NO. B/C LOT NO. NO. B/C	FIRM NAME SIGNATURE OF AUTHORIZED REPRESENTATIVE ADDRESS (Street and No., City, State, ZIP Code) PHONE NUMBER: LOCATION OF COTTON (Warehouse, City, State)

FORM FD-210

EXPLANATION OF TYPES OF CLASSING SERVICES AND INSTRUCTIONS FOR SUBMITTING SAMPLES

COTTON STANDARDS ACT

1. FORM A MEMORANDUM – Issued on classification or comparison of samples freshly drawn and submitted direct to the Classing Office serving the territory in which the cotton is located by a warehouse licensed by the Cotton Program, AMS.

2. FORM D MEMORANDUM – Issued as an informative classification or comparison on samples submitted by the owner of the cotton or his/her agent to the Classing Office serving the territory in which the samples are located.

NOTE: Samples representing cotton produced outside the United States are NOT eligible for Form A or D classing. (See "Agricultural Marketing Act of 1946" below)

AGRICULTURAL MARKETING ACT OF 1946

Memorandum on Foreign Growth Cotton Samples - Issued on classification or comparison of samples from cotton produced outside the United States. Samples should be submitted to the Classing Office serving the territory in which the samples are located. If the samples are located outside the United States, they should be submitted to the Classing Office designated by the Deputy Administrator of the Cotton Program, AMS.

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 0581-0008. The time required to complete this information collection is estimated to average 5 minutes/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.

FORM FD-210 (REVERSE)