RAC-501 Mthly. Rept. of disposition of Raisins Grown Outside Pro

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE

2445 Capitol Street, Suite 200

Fresno, California 93721

Phone: (559) 225-0520

MONTHLY REPORT OF DISPOSITION OF RAISINS PRODUCED FROM

GRAPES GROWN OUTSIDE OF THE PRODUCTION AREA

Report No. ________________

The undersigned certifies to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that as of the month ending _________________, 20___, the following quantities of raisins produced from grapes grown outside the “area” were shipped or disposed of during the period in the manner indicated herein.

Varietal Type	Total Disposition (1)	Domestic (2)	Export (3)	Other Disposition		Area of Origin (6)
				Kind (4)	Quantity (5)
TOTAL

Handler _____________________________________________ Date ____________________________________________

By _________________________________________________ Title _____________________________________________

The making of any false statement or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section 1001 of the United States Code, which provides for a penalty of a fine or imprisonment of not more than five years, or both.

INSTRUCTIONS FOR COMPLETING FORM RAC-501

1. Reports shall be submitted to the RAC on or before the eighth day of each month by 10:00 a.m., covering shipments or disposition of raisins produced from grapes grown outside the “area” (State of California) for the preceding month.

2. All quantities on the report shall be in pounds. (1)(2)(3)(5)

3. Reports shall be certified by a responsible official of the reporting handler.

4. Other dispositions, Columns (4) and (5), may include, but are not limited to raisins shipped in natural condition or shipped to distilleries, livestock feeders, for concentrate, or as transfers to other packers. Indicate in Column (4) the kind of shipment reported and to whom each item in Column (4) was shipped.

5. In Column (6) report the area of origin – state or country.

6. Consult RAC Field Representatives on any points not clear to you.

This report is required by law (7 U.S.C. 608d, 7 CFR 989.73, 7 C.F.R. 989.173(c)(3)). Failure to report can result in a fine of $1,100 for each such violation, and each day during which such violation continues shall be deemed a separate violation.

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 4 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.

RAC-501 (Rev. 10/2010) Destroy previous editions.