HON-CPA Honey Board Candidate Profile (Board use only)

National Research, Promotion, and Consumer Information Programs

HON-CPA (Candidate Profile)

National Research, Promotion, and Consumer Information Programs

OMB: 0581-0093

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OMB No. 0581-0093


UNITED STATES DEPARTMENT OF AGRICULTURE/

NATIONAL HONEY BOARD

CANDIDATE PROFILE


The National Honey Nominations Committee requests the following information to help determine your qualifications, eligibility and availability to serve on the National Honey Board.


1. Name___________________________________________________________


Home/Main Address________________________________________________


City/State/Zip_____________________________________________________


Phone (day)____________________ (evening)__________________________


Email_________________________________


2. For which Board position____________________________________________


3. Submitted by ____________________________________________________



If you are a candidate for a Producer Position, please answer questions 4, 5 & 6.


4. Indicate your operation size: (___) Hobbyist 1-50 colonies, (___) Sideliner 50-300), (___) Commercial beekeeper – 300+


5. Do you also pack honey?______________________


6. If you are a Producer, during 3 of the 5 preceding years, did you purchase for resale more honey than you produced?____________________________



If you are a candidate for a Handler/Importer Position, please answer questions 7 & 8.


7. If you are a Packer, do you import honey?______________________________


8. If you import honey, did you receive at least 75 percent or more of your gross

income (generated by the sale of honey and honey products) from the sale of imported honey or honey products during 3 of the 5 preceding years?_________



HON-CPA (09/07)

All candidates please answer the remaining questions.


9. Work Experience - Honey related_____________________________________


________________________________________________________________


Other Work Experience ____________________________________________


________________________________________________________________

10. Explain how you are involved in honey marketing directly, either retail or wholesale?_______________________________________________________

________________________________________________________________


11. Please list offices held and awards received in the honey and beekeeping industry: ________________________________________________________________


________________________________________________________________


Please list your community involvement:

________________________________________________________________


________________________________________________________________


12. As a member of the Board, would you be willing and able to attend Board and committee meetings? (several per year)___________________________

And, will you work to support the objectives and goals of the NHB?___________


13. What qualifications would you bring to the National Honey Board?

________________________________________________________________


________________________________________________________________


________________________________________________________________


14. Please list three reasons why you think the National Honey Board is important to the Honey Industry:

1.______________________________________________________________


2.______________________________________________________________


3.______________________________________________________________



HON-CPA (09/07)


15. Please list three specific areas (in order of importance)) that you feel the National Honey Board should be focusing on that would be most beneficial to the Honey Industry:

1.______________________________________________________________


2.______________________________________________________________


3.______________________________________________________________


16. What specific qualifications and/or experience do you have that would help the

National Honey Board achieve its goals?

________________________________________________________________


________________________________________________________________


________________________________________________________________


17. Please list the names and phone numbers of three references involved in the Honey industry:

1.______________________________________________________________


2.______________________________________________________________


3.______________________________________________________________


You may attach no more than 2 pages of additional information. Please sign and return this form to the National Honey Board, Street, City, State Zip.


_____________________________________________ _______________

Signature Date


FYI: The reason for the burden statement is in Public Law 104-13, Paperwork Reduction Act of 1995 (PRA), Section 3506, (c) 1 (B) (i to iii and I to V). The reason for the non-discrimination statement is Departmental Regulation No. 4300-3 "Equal Opportunity Public Notification Policy" November 16, 1999, Section 7.


BURDEN AND NONDISCRIMINATION STATEMENTS:


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 0581-0093. The time required to complete this information collection is estimated to average 30 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.


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.


HON-CPA (09/07)


File Typeapplication/msword
File TitleOMB No
AuthorTina Tindall
Last Modified ByFV_Profile
File Modified2007-09-09
File Created2004-03-08

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