FV-37 ID/E.OR Onions Fresh Cut Report

REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0178

IDAHO-EASTERN OREGON ONION COMMITTEE

P.O. BOX 909, PARMA, ID 83660

PHONE: 208-722-5111 FAX: 208-722-6582

IDAHO-EASTERN OREGON ONION FRESH CUT REPORT

This form is to be completed daily for all fresh market onions that have been peeled, chopped or sliced within the production area. This form is due to the Idaho-Eastern Oregon Onion Committee (Committee) within 72 hours of alteration.

Date of Peeling, Chopping, or Slicing:

Inspection Certificate No.

Quantity

Container Information

Hundredweight before Alteration (cwt.)

TOTAL Hundredweight

I, the undersigned, hereby certify to USDA and to the Committee that this report represents all onions that have been peeled, chopped, or sliced for the fresh market by our firm for the date specified. Falsification of information on this government document may result in a fine or imprisonment, or both (18 U.S.C. 1001).

Signature

Name

Title

Date

Firm

Phone

Address

City

State

Zip Code

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 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.

FV-37 (Rev. 10/2014. Destroy previous editions.)