RAC-99 CA Raisins--Producer Questionnaire

Office of Management and Budget
Control No. 0581-0178

RAC-99
Revised 12/06

Raisin Administrative Committee
Voluntary Producer Questionnaire
The infonnation on this fonn is to be used by the Raisin Administrative Committee and the Secretary of
Agriculture in detennining whether the party is a producer under the Federal Marketing Order in
accordance with §989.11 which defines a producer as any person engaged in a proprietary capacity in
the production of grapes which are sun-dried or are dehydrated by artificial means until they become
raisins. The producer has the right to be a member of the Raisin Administrative Committee and to vote
for nominees. The producer of record as reported by the handler, may not always be the producer of the
grapes as defined by the Order, if the producer sold his grapes "green" and they were later made into
raisins bv another Dart

Producers Name:
Producers Address:

Telephone Number:
Production Unit Address and Location:

Approximate Bearing Acreage:
Crop year in which the grapes you produced were made into raisins:
Approximate Raisin Tonnage:

Varietal Type:

Name Under Which the Raisins Were Delivered:
Name of Handler to Which Raisins Were Delivered:

The following statements are made in accordance with the Privacy Act of 1974 (U.S.C. 552a) and the Paperworll:Reduction Act of 1995. The
authority forrequesting this information to be supplied on this form is the Agricultural Marketing Agreement Act of1937, Secs. 1-19,48 Stat. 31,
as amended, (7 U.S.C. 601-674). Furnishing the requested information is necessary for the administration of the marketing order program.
According to the Paperworll:Reduction Act of1995, 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 05810178. 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 ITomany 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.