ORG-DAE Dual-Covered Commodity Exemption Request

ORGANIC RESEARCH, PROMOTION, AND INFORMATION ORDER

(7 CFR 1255)

Dual-Covered Commodity Exemption Request Form

OMB No. 0581-NEW

The information on this form is required to make a determination concerning a person’s eligibility for exemption from assessments under the Organic Research and Promotion Program. Entities eligible to submit this request are those that are currently eligible for organic assessment exemption under the regulations of 24 Federal marketing orders and 22 research and promotion (R&P) programs AND that have committed to participate in one or more of the orders or programs listed below:

Exempt commodities under R&P Programs

Exempt commodities under Federal Marketing Orders

Beef—7 CFR part 1260; Christmas trees—7 CFR part 1214; Cotton—7 CFR part 1205; Dairy—7 CFR part 1150; Eggs—7 CFR part 1250; Fluid milk—7 CFR part 1160; Hass Avocados—7 CFR part 1219; Highbush Blueberries—7 CFR part 1218; Honey—7 CFR part 1212; Lamb—7 CFR part 1280; Mangos—7 CFR part 1206; Mushrooms—7 CFR part 1209; Paper and Paper-Based Packaging—7 CFR part 1222; Peanuts—7 CFR part 1216; Popcorn—7 CFR part 1215; Pork—7 CFR part 1230; Potatoes—7 CFR part 1207; Processed Raspberries—7 CFR part 1208; Softwood Lumber—7 CFR part 1217; Sorghum—7 CFR part 1221; Soybeans—7 CFR part 1220; and Watermelons—7 CFR part 1210.

Florida citrus—7 CFR part 905; Texas citrus—7 CFR part 906; Florida avocados—7 CFR part 915; California—kiwifruit 7 CFR part 920; Washington apricots—7 CFR part 922; Washington sweet cherries—7 CFR part 923; Southeastern California grapes—7 CFR part 925; Oregon/Washington pears—7 CFR part 927; Cranberries grown in the States of Massachusetts, et al.—7 CFR part 929; Tart cherries grown in the States of Michigan, et al.—7 CFR part 930; California olives—7 CFR part 932; Colorado potatoes—7 CFR part 948; Georgia Vidalia onions—7 CFR part 955; Washington/Oregon Walla Walla onions—7 CFR part 956; Idaho-Eastern Oregon onions—7 CFR part 958; Texas onions—7 CFR part 959; Florida tomatoes—7 CFR part 966; California almonds—7 CFR part 981; Oregon-Washington hazelnuts—7 CFR part 982; California walnuts—7 CFR part 984; Far West spearmint oil—7 CFR part 985; California dates—7 CFR part 987; Pecans grown in the States of Alabama, et al.—7 CFR part 986; California raisins—7 CFR part 989; and California dried prunes—7 CFR part 993

Complete the following:

Applicant’s First and Last Name:

Company name:

Phone:

Street address:

Fax:

City/State/Zip code:

E-mail:

Tax ID #

Importer ID #

In order to be exempt, the above-named company must meet all of the following (please check):

• A copy of this entity’s current organic production and/or handling certificate provided by a USDA-accredited certifying agent must be attached. Importers must attach a copy of producer and/or handler certificates for the products imported. If applicable, the equivalency agreement for the eligible product as established under the USDA National Organic Program (NOP) should also be noted.
  
  

• Is located in the United States, the District of Columbia, the Commonwealth of Puerto Rico, or any territory or possession of the United States.

• Has provided and attached documentation to confirm it has and/or will submit assessments to an existing research and promotion program and/or marketing order [i.e. an organic watermelon producer is requesting exemption from assessment by the Organic Research and Promotion Board because it will pay assessments to the ___________________________________. List the applicable programs and/or marketing orders: _____________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Certification Statement

I certify that the above information is true and correct to the best of my knowledge. I also certify that I am authorized to sign this report.

Print Name and Title of Person Completing this Report

Signature Date

Any false statement or misrepresentation may result in a fine of not more than $10,000, or imprisonment for not more than 5 years or both (18 U.S.C. 1001).

Please Mail this form to our ADDRESS:

U.S. Department of Agriculture

AMS, Specialty Crops Program

Promotion and Economics Division

Organic Research & Promotion Program Nominations

1400 Independence Avenue, S.W., Room 1406-S

Washington, DC 20250-0244

Or e-mail this report to:

Please contact: xxxx

NOTE: The following statements are made in accordance with the Privacy Act of 1974 (U.S.C. 522a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting this information to be supplied on this form is from the applicable commodity legislation for research and promotion programs. Furnishing the requested information is necessary for the administration of this program. Submission of Tax Identification Number (TIN) or importer identification number is mandatory and will be used to determine affiliation or entity identity.

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-NEW. The time required to complete this information collection is estimated to average 1 hour 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.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: 1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; 2) fax: (202) 690-7442; or 2) email: [email protected].

USDA is an equal opportunity provider, employer, and lender.

ORG-DAE