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917- Peaches Confidential CA Tree Fruit Agreement Peach Producer Nominee Questionnaire
ICR 201203-0581-002 · OMB 0581-0189 · Object 31239501.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | 917- Peaches Confidential CA Tree Fruit Agreement Peach Producer Nominee Questionnaire |
| Author | WZeng |
| Last Modified By | Writer |
| File Modified | 2010-09-02 |
| File Created | 2026-10-02 |
| Conversion State | complete |
Extracted Text
UNITED STATES DEPARTMENT OF AGRICULTURE AGRICULTURAL MARKETING SERVICE FRUIT AND VEGETABLE PROGRAMS CONFIDENTIAL CALIFORNIA TREE FRUIT AGREEMENT PEACH PRODUCER NOMINEE QUESTIONNAIRE CERTIFICATION STATEMENT: I hereby certify that I am willing to serve on the California Fruit Tree Committee. ___________________________________________________ __________________________ Signature Date NOTE: 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 0581-0189. 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.