No Form number So. TX Onions Cert. for subcontractors (peel/or chop oni

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OMB0581-0178

CERTIFICATION FOR SUBCONTRACTORS
WHO PEEL AND/OR CHOP ONIONS FOR PROCESSORS FOR
SPECIAL PURPOSE ONION SHIPMENTS
20XX-20XX SEASON
Two (2) copies of this Certification are enclosed. Ifyou plan to peel and/or chop special purpose
onions for processors (canners and/or freezers), you must complete this Certificationand return
one copy to the South Texas Onion Committee office, retaining the other copy for your files.
I, THE UNDERSIGNED, HEREBY CERTIFY TO THE SECRETARY OF AGRICULTURE AND TO
THE SOUTH TEXAS ONION COMMITTEE THAT I HAVE READ, FULLY UNDERSTAND, AND

WILL COMPLY WITH THE FOREGOING RULES WHICH GOVERN THE HANDLING OF
ONIONS WHICH FAILTO MEET THE SOUTH TEXAS ONION RULES AND REGULATIONS, I
FURTHER UNDERSTAND THAT NON COMPLIANCE IS A VIOLATION OF THE
AGRICULTURAL MARKETING AGREEMENT ACT AND SUBJECT TO A FINE OF UP TO
$1,100 FOR EACH VIOLATION.

---------------------------------BY: __________________________
(Signature)

(Print Name)

----------------(Title)

(Date)

----------(Firm Name)

(Telephone Number)

(Fax Number)

---------------------------------------------------------------(Street or Box Number, City, State, and Zip Code)

---------------------------------------------------------------(Physical address ifdifferent than the above mailing address)

Below list the name and address of companies you willbe peeling and/or chopping for:

No shipments of special purpose onions may be made unless this form is completed and
returnedto the South Texas OnionCommitteeoffice(7 CFR959.126).

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Note: The following statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 1995. The
authority for requesting this information to be supplied on this form is the Agricultural Marketing Agreement Act of 1937, Sees. 1-19,48 Stat. 31, as
amended, (7 U.S.C. 601-674). Fumishing the requested information is necessary for the administration of the marketing order program.
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 0581-0178. The time
required to complete this information collection is estimated to average 5 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 disabirlties 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 TOD). To file a complaint of discrimination, write to USDA, Director, OfficeofCivD RigtD, 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.