MA-301 Estimated Deliveries by Sec. 9(c) Cooperatives and/or Se

Return to: Federal Milk Order No. 1—Northeast Marketing Area
89 South Street
Mailing Address: P.O. Box 51478
Boston, MA 02205-1478
Tel: (617) 737-7199 —Fax (617) 737-8002
Email: [email protected] Website: www.fmmone.com

Handler Name:

___________________________________________

Address:

___________________________________________

MA 301
Form Approved, OMB No. 0581-0032
This report is required by the Order in
accordance with 7 U.S.C. 608c and d.
Failure to report can result in the
assessment of a civil penalty of up to
$1,000 per day (7 U.S.C. 608c (14)(B))
or, upon conviction, in a fine of up to
$5,000 per day (7 U.S.C. 608c (14)(A)).

___________________________________________

Estimated Deliveries by Section 9(c) Cooperatives and/or Section 7(c) Supply Plants
to Section 7(a) Class I Distributing Plants

FOR THE PERIOD
THROUGH

DELIVERIES TO:

POUNDS

PERCENT

Northeast Order Pool Distributing Plants 7(a) Plants
Transfers from Your Pool Supply Plant(s) to Northeast
Order Pool Distributing Plants 7 (a) Plants
Transfers from Your Pool Supply Plant(s) to Other
Order Pool Distributing Plants 7 (a) Plants
ESTIMATED TOTAL PRODUCER RECEIPTS
THAT YOU WILL POOL ON THE
NORTHEAST ORDER

SIGNED BY:
(Person authorized to sign on behalf of handler.)

DATE:

PRINT NAME:
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 0581-0032. The time required to complete this information
collection is estimated to average 0.5 hour 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, DC 20250-9410, or call (800) 795-3272
(voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.