OMB No. 0581-0178
RAISIN ADMINISTRATIVE COMMITTEE
2445 Capitol Street, Suite 200
Fresno, California 93721
Phone: (559) 225-0520 PROCESSOR’S REPORT OF DISPOSITION OF OFF-GRADE
RAISINS AND RAISIN MATERIAL
Report No. _________________
The undersigned certifies to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that the following quantities of off-grade raisins, or raisin material, were disposed of in the outlets indicated during the month of _____________________, 20___.
Disposition Outlet (1) |
Date Shipped (2) |
Varietal Type (3) |
Exemption (4) |
Weight of Residuals (5) |
Weight of Off-Grade (6) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS (7) |
|
|
|
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.
Processor _____________________________________________ Date _____________________________________
By _________________________________________________ Title ___________________________________________________
INSTRUCTIONS FOR COMPLETING FORM RAC-28A
One
copy of this report shall be submitted to the RAC not later than the
seventh
day of
each month by 10:00
a.m. and shall
contain all raisins or raisin material shipped or otherwise disposed
of during the preceding month. The reports shall be numbered
consecutively beginning at the start of the crop year and shall be
certified by a responsible official of the reporting handler. The
acquisition of the raisins or raisin material reported herein was
shown on Form RAC-28.
Enter ultimate disposition as “stock feed” or “distillery.”
Enter date shipped or otherwise disposed of.
Enter varietal type.
If off-grade was received under exemption, mark an “X” in column.
Enter weight of residuals including stemmer waste, tailings, etc.
Enter weight of off-grade raisins exclusive of residuals.
Enter totals of residuals and off-grade disposed of during reporting period. If more than one sheet is used totals should be brought forward to first sheet.
Consult RAC Field Representatives on any points not clear to you.
This report is required by law (7 U.S.C. 608d, 7 CFR 989.173(c)(4)). Failure to report can result in a fine of $1,100 for each such violation, and each day during which such violation continues shall be deemed a separate violation.
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 15 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-28A (Rev. 01/2014) Destroy previous editions.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | John Silva |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |