OMB No. 0581-0178
VIDALIA ONION COMMITTEE
P.O. Box 1609, Vidalia, GA 30475
Phone: (912) 537-1918 / Fax: (912) 537-2166
NOMINATIONS TO THE VIDALIA ONION COMMITTEE
Please use this form to cast your nomination for individuals to serve on the Vidalia Onion Committee for fiscal years 20___ / 20___.
I nominate the following people to serve on the Vidalia Onion Committee.
1. __________________________________ 2.___________________________________
3. __________________________________ 4.___________________________________
5. __________________________________ 6.___________________________________
7. __________________________________ 8.___________________________________
THIS IS NOT A BALLOT!
Please submit to the Vidalia Onion Committee by ________________, 20___ at the address above.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for the information collection is 0581-0178. The time required to complete this information collection is estimated to average 1 minute, including the time for reviewing instructions, searching existing data sources, gathering 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. 01/2014. Destroy previous editions.
File Type | application/msword |
File Title | Nominations to the Vidalia Onion Committee |
Author | Registered User |
Last Modified By | USDA |
File Modified | 2013-12-09 |
File Created | 2013-12-09 |