RAC-75 Application for Exemption

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE

2445 Capitol Street, Suite 200

Fresno, California 93721

Phone: (559) 225-0520

APPLICATION FOR EXEMPTION

Applicant

Date

Name

Address

E-mail Address

REQUEST TO BE EXEMPT FROM:

Varietal Type

Volume Regulations

Quality Regulations

Specify

Pounds Applied For

(per year)

Years Applied For

Please state the purpose of the request for exemption

In accordance with§ 989.60(c) of Marketing Order No. 989 (Order), the Raisin Administrative Committee (RAC) may designate such raisins as it deems appropriate for production, processing and marketing research and development. The maximum period is five (5) years and the maximum tonnage is 500 tons, unless extended and/or increased by the Secretary of Agriculture upon a recommendation by the RAC. If in any year the volume of the tonnage applied for exceeds the maximum limit, the exemption is void and all such tonnage is subject to the rules of the Order.

Signed _______________________________________

The making of any false statement or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section 1001 of the United States Code, which provides for a penalty of a fine or imprisonment of not more than five years, or both.

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.

RAC-75 (Rev. 01/2014) Destroy previous editions.