RAC-8 RAC Application for Exemption of Experimental & Specialt

INSTRUCTIONS FOR COMPLETING FORM RAC-8
1.

This application should be submitted to the Raisin Administrative Committee in triplicate
- - an original and two copies, all of which should be signed by a responsible official of
the handler.

2.

After the Committee has approved the application, two (2) copies will be retumed to the
handler. One of the approved copies should be resubmitted to the RAC by the handler
upon completion of shipment or disposition by him of the experimental or specialty
packs covered by the application, or at the end of the crop year, whichever occurs first.

3.

DO NOT show application number as this will be inserted by the RAC office.

4.

All weights shown on application should be stated in pounds.

5.

DO NOT fill in data beyond column (d) of the application except when reporting to the
RAC the total actual quantity of raisins shipped or disposed of under exemption during
the crop year upon completion of season or termination of crop year as required under
item (2) above.

6.

The outlet in which dispositions of such experimental and/or specialty packs are
contemplated should be properly described. That is, whether disposition will be made
directly to consumers, to wholesalers, or to retailers for resale, or to persons or
organizations for distribution as gifts, etc. Under item (6) check all applicable squares
when filing application with the Committee, or insert description of special uses.

7.

The type of package for which exemption from outgoing inspection is requested should
be adequately described so that the Committee will have a proper basis on which to
render its decision.

8.

If space is insufficient under column (b) - "Type or Style of Package and Net Weight
Content (ea.)" or any other column, insert and submit information on a separate sheet of
paper attached to the application. Make proper cross-reference on separate sheet
indicating applicable column to which such data pertains, using both column and line
numbers.

9.

Consult RAC Field Representatives on any points not clear to you.

This report is required by law (7 U.S.C 608(d), 7 CF.R. 989.159(/)(2) and 7 CF.R. 989.173(e)). Fajlure to report can
result In a fine Of $1,100 for each such violtition and each day during which such violation continues shaH be deemed a
separate violation.
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 coUect.on oj in/ormation unless it displays a valid OMB control number. The valid OMB control number for
thIS information coUect.on IS 0581-0178. The time required to complete this information coUection is estimated to average
10 minuteslhours per response.; including the time for reviewing instructions, searching existing dida sources, gathering
and maintajningthe dida neeaed, and completing imd reviewing the coUection of information. The u.s. Department o}
Agriculture (USDA) J!rohibits discrimination in iiJlits programs and activities on tlie basis of race, color, national origin,
age, disabi!iJy, ana where applicable, sex, marital status, JtlIJIilialstatus, parental status; religion, sexUal orientation,
genetic information, p!lliticfil beliefs, reprisal, or becallSe aH or part of an individual's Income is derivedfrom any public
assistance program (Not aHJ!rohi6ited bases apJ!lyto aHI!!ograms.) Persons with disabilities who require alJernative
means for communication Ofprogram information (Bral1le 1arg rint, audiotape, etc.) should contact USDA's TARGET
0 iliscrimination, write to USDA, Director, 0 ICe 0 Civil
Center at (202 720-2600 (voice tiiul TDfJ). To ile a co EJ;;i
l!lJrhts, 1400 'PndependenceAvenue, S.W was{';"J!ton,"if. C 20 50-9410 or caH (800) 795-3272(voice) or (2~ 7il6382
(1vD). USDA is an equal opportunity provider aniI employer.

~

RAC-8
(Submit in Triplicate)
Revised 12/06

APPLICATION FOR EXEMPTION OF EXPERIMENTAL AND SPECIAL TV PACKS
FROM OUTGOING INSPECTION REQUIREMENTS
RAISINADMINISTRATIVECOMMITTEE
P.O. Box 5217
Fresno, CA 93755-5217

Office of Management and Budget
Control Number 0581-0178

The undersigned Handler hereby requests approval of this applicationfor experimental or specialty packs, as described below,from outgoing inspection requirement:
of Section 989.59(a), (b) and (d), as provided for in paragraph (g) of said section. The undersigned certifies to the Raisin AdministrativeCommittee and the
___._._W.I _ww...__ Itureof .._w__.....__ ____..__ .._.__ _....1 ___..__._
._._..._....0.__ _............__
_. _._.....____
_. _"__' .....___...._..__..._.. _.._ .0. ...._ __..._..___ ..._.__..__.
Nameof Handler

State

Address(Cityor Town)

Date

Zip

ESTIMATEDQUANTITYOF EACHVARIETALTYPEOF RAISINSTHATWILL BE SHIPPED
ACTUALQUANTITYSHIPPED
under exemption during the
crop year
under exemption during crop year.
Line
No. of
TOTALQUANTITY TOTAL QUANTITY
Package Style or Type
Outlet
No. Varietal Type
and Net Weight Content (ea.)
Packages
Applied for
Shipped or Disposed
(a)
(c)
(d)
(f)
(b)
(e)
1.
2.
3.
4.
5.
6.
PROPOSEDOUTLETS-Distribution
TOTAL

§
8.
9.
7.
10.

To Wholesalers
To
Retailers
Direct
to Consumers

§

B

§

STYLE:
Glazed
CONDITION:
Processed
QUALITY:
Standard
Special Processing required (if any)

**FOR RAC USE ONLY**

OtherSpecialUses

DATERECEIVED

To persons or organizations for gifts

Coated
Unprocessed
Fancy

B

APPLICATION NO.
DATE APPROVED
MAX. QUANT APPRD

Other
Extra Fancy

The undersignedHandlerherebycertifiesto the RaisinAdministrativeCommitteethat the quantitiesof standard

LBS

APPROVED BY:

raisins shown in the "TOTAL QUANTITY Shipped or Disposed" column, packed in gift or specialty packs, were shipped or otherwise disposed of without outgoing inspection.

The making of any false statement or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a
violation of Title 18, Section 1001, United States Code, which provides for a penalty of a fine of $10,000 or imprisonment of not more than five years, or both.

Handler

By

Title

(See reverseside for instructions)

Date