P&SP 1300 Posted Stockyards Name Change

OMB Control No. 0580-0015

U.S. Department of Agriculture Grain Inspection, Packers and Stockyards Administration Packers and Stockyards Program

Change of Name of Posted Stockyard

1. Full name that stockyard was formerly known as____________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

2. Physical location of stockyard___________________________________________________________

___________________________________________________________________________________

3. The previous stockyard was officially designated under the Packers and Stockyards Act, 1921, as amended and supplemented, as posted stockyard no. ____________________________

4. The name of this stockyard has been changed to ____________________________________________

____________________________________________________________________________________

5. The stockyard is now owned by _______________________________________________________

____________________________________________________________________________________

6. The change was effective on___________________________________________________________

This notice is given in compliance with section 302 of the Packers and Stockyards Act, 1921, as amended and supplemented.

I represent all information on this form to be true and correct to the best of my knowledge and belief.

7. Signed: ____________________________________________

8. Title: ______________________________________________

9. Date: ______________________________________________

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information is 0580-0015. The time required to complete this collection is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection.

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.

Form P&SP-1300 August 2007 Page 2 of 2