BLU-AAE Blueberry Application for Exemption from Assessment

National Research, Promotion, and Consumer Information Programs

BLU-AAE (Exemption) 12-2013

National Research, Promotion & Consumer Information Programs (Voluntary)

OMB: 0581-0093

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Form Approved OMB 0581-0093


U.S. HIGHBUSH BLUEBERRY COUNCIL

APPLICATION FOR EXEMPTION FROM ASSESSMENT



As stated in Section 1218.53 of the Blueberry Promotion, Research and Information Order (Exemption Procedures):


Any producer who produces less than 2,000 pounds of blueberries annually who desires to claim an exemption from assessments during a fiscal year as provided in Section 1218.42 shall apply to the U.S. Highbush Blueberry Council (USHBC), on a form provided by the USHBC, for a certificate of exemption. Such producer shall certify that the producer’s production of blueberries shall be less than 2,000 pounds for the fiscal year for which the exemption is claimed. Any importer who imports less than 2,000 pounds of fresh and processed blueberries annually who desires to claim an exemption from assessments during a fiscal year as provided in Section 1218.52 shall apply to the USHBC, on a form provided by the USHBC, for a certificate of exemption. Such importer shall certify that the importer’s importation of fresh and processed blueberries shall not exceed 2,000 pounds, for the fiscal year for which the exemption is claimed.”


CERTIFICATION

(To Be Signed and Dated by Applicant)


I hereby certify that my total level of blueberry production in 20XX, or the total fresh or processed blueberries I will import in 20XX, will be less than 2,000 pounds. I therefore request a certificate of exemption from the U.S. Highbush Blueberry Council (USHBC) assessments for the year 20XX.


Signature ____________________________________ Date: ________________


Please Print

Name of Applicant: _________________________________________________


Company Name (if applicable): _________________________________________


Street Address: ______________________________________________________


City: ________________________________ State: ________________________


Zip Code: __________ Phone:_________________ E-mail:___________________


Please send your completed Certificate of Exemption Application to the U.S. Highbush Blueberry Council at the following address:

USHBC

Street

City, State Zip


BLU-AAE (rev. 08/10) Destroy previous editions.


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 0581-0093. The time required to complete this information collection is estimated to average 15

minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, 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.

































BLU-AAE (rev. 08/10) Destroy previous editions.


File Typeapplication/msword
File TitleNORTH AMERICAN BLUEBERRY COUNCIL
AuthorMary Nezbeth
Last Modified ByUSDA
File Modified2013-12-30
File Created2013-12-30

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