906-TX Citrus Information Data Sheet on Citrus Processor

OMB No. 0581-0189

TEXAS VALLEY CITRUS COMMITTEE

901 Business Park Drive

Suite 500

Mission, Texas 78572

Telephone: (956) 581-2190

Fax: (956) 584-0300

INFORMATION DATA SHEET ON CITRUS PROCESSORS

Name of Manufacturer:

Address:

(include Street, City, State, and Zip Code)

1. Products Manufactured:

2. Estimated Quantity of Citrus to be Processed:

3. Outlets for Products Manufactured (wholesale, retail, or direct to consumers):

4. What type of packaging is used for distribution (bottles, cartons, sealed containers)?

5. Are facilities maintained for distribution of citrus in fresh form?

6. What method is used to extract juice?

7. How is juice treated upon extraction?

REMARKS:

___________________________________ _____________________________

Processor Signature Date

___________________________________

Processor Name

NOTE: 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 0581-0189. 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.

Rev. 7/10. Destroy previous editions.