Document
F/H Form 3
ICR 201103-0581-006 · OMB 0581-0178 · Object 23867701.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | F/H Form 3 |
| Author | polly |
| Last Modified By | Writer |
| File Modified | 2010-11-02 |
| File Created | 2026-09-04 |
| Conversion State | complete |
Extracted Text
HAZELNUT MARKETING BOARD 21595-A Dolores Way NE Aurora, OR 97002-9738 Tel: (503) 678-6823 Fax: (503) 678-6825 REQUEST FOR TRANSFER OF FREE TONNAGE* Date ________________________________ TO: Hazelnut Marketing Board In accordance with the provisions of section 982.52(d) of Marketing Order No. 982, as amended, it is requested that _______________ pounds of free tonnage be transferred. (NOTE: Total Free Tonnage that can be transferred equals your credits divided by the ratio listed on line C. 2. on your monthly F/H Form 1.) FROM: Handler __________________________________________ By ______________________________________________ Title _____________________________________________ TO: Handler __________________________________________ By ______________________________________________ Title _____________________________________________ * MUST BE SIGNED BY BOTH HANDLERS APPROVAL OF REQUEST The foregoing request is hereby approved, and the Hazelnut Marketing Board (Board) records have been adjusted accordingly. HAZELNUT MARKETING BOARD _____________________________________ Dated ______________________________ (After approval, the Board will send a copy to each of the handlers involved.) No approval may be given to hazelnut handlers wishing to transfer excess restricted credits unless a completed request form is received and approved by the Board. (7 U.S.C. 608(d), 7 CFR 982.53 and 7 CFR 982.460). 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 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.