FV-34 ID/E. Oregon Onions Application Special Purpose Shipment

OMB NO. 0581-0178
APPLICATION TO MAKE SPECIAL
PURPOSE SHIPMENTS
CERTIFICATE OF PRIVILEGE

Idaho-Eastern Oregon Onion Convnittee
PO Box 909
Parma, ID 83660
208-722-5111 Fax: 208-722-6582

u.s. DEPARTMENTOFAGRICULTURE(USDA)
AGRICULTURAL MARKETING SERVICE
FRUIT AND VEGETABLE PROGRAMS

-

The Marketing Order for onions requires that handlers desiring to make shipments outside the production area to canners, dehydrators, extractors,
freezers, and/or picklers, which do not meet the requirements for fresh shipments, shall prior to making such a shipment apply to the Committee for
permission. A shipment may be made to a receiver without a COP Permit number, if the sale occurs after 5 pm, on a Holiday, or Weekend; provided,
that both the handler and receiver have had prior approval and this Application is faxed to the Committee prior to shipment.

Address

City

D

Canning

D

Container(s)

D

D

Dehydration

D

Extracting

D

Bins

D

D

Freezing

Pickling

Total cwt.

Contract Sale

Totes

D

Bulk

D

Other:

I, the undersigned, hereby certify to USDA and to the Idaho-Eastern Oregon Onion Committee, that I have read, fully
understand, and agree to comply with 7 CFR §958.328 which governs the handling of onioQs,and further agree that none
of these special purpose onions will be diverted to any fresh market outlet(s). To the best of my knowledge all statements
in this Application are true and complete. In addition, I will prepare an Onion Diversion Report for each Application and
submit it to the Committee. The Committee reserves the right to audit the receiver or their agent randomly to verify
shipments. Falsification of infonnation on this government document may result in a fine of not more than $10,000 or

imprisonmentof notmorethan five (5) years,or both (18U.S.C.1001).
Signature

Name

Title

Date

Finn

'

I

Phone:

I

Zip

I

Address
City

I

State

I

I

COMMITTEE ACTION

D APPROVED D NOTAPPROVED

Reason not approved:

COP Pennit No.

Date Approved:

Manager:

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 OMS control number. The valid OMS control number for this information collection is 0581-0178. The time
required to complete this information collection is estimated to average 8 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 an 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 (BOO)795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity
provider and employer.
FV-34 (06106)