ABC 13 CA Almonds Intention to Ship Reserve Almonds

OMB No. 0581-0178

ALMOND BOARD OF CALIFORNIA

1150 9th Street, Suite 1500

Modesto, CA 95354

Tel: (209) 549-8262 Fax: (209) 550-5494

INTENTION TO SHIP RESERVE ALMONDS

Crop Year 20___ Reserve Transaction No. ________________

□ Domestic □ Export

Notice is hereby given of intention to dispose of reserve almonds as described below:

□ almond butter □ school lunch □ non-human consumption outlets □ charity

□ airlines □ natural paste □ other _______________________________________

Name, address, and phone number of manufacturer, outlet, or other user:

Number of pounds to be shipped: _______________ raw or processed kernel weight

__________________________________ _____________________________________________

Handler Signature

__________________________________

Date

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 12 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 of 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, political beliefs, genetic information, 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 USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.

ABC-13 (Rev. 01/2014) Destroy previous editions.