Ca Fmmo

Report Forms under a California Federal Milk Marketing Order

OMB: 0581-0298

IC ID: 225605

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0298 can be found here:

2018-06-11 - New collection (Request for a new OMB Control Number)

Documents and Forms

Document Name Document Type
Form Form 1 CA FMMO Form
Biennial Summary of Packaged Fluid Milk Sales in Fed. Or Biennial Summary of Packaged Fluid Milk Sales in Federal Order Markets 12-7-16.pdf Form and Instruction
Form 1 Report of Receipts & Utilization Form 1 Report of Receipts and Utilization 2-8-17.pdf Form
CPR-2 Report of Payments to Cooperative Associations CPR-2 Report of Payments to Cooperative Assocaitions 2-8-17.pdf Form
Request for Cooperative Pool Manufacturing Plant System Cooperative Pool Manufacturing Plant System Status 2-8-17.pdf Form
California FMMO Producer Payroll Report California FMMO Producer Payroll Report 2-8-17.pdf Form
HR-EZ Report of Receipts & Utilization, (schedules 1,2, & 3) HR-EZ Report of Receipts and Utilization 2-8-17.pdf Form
MA-201 Notification of Producer Change(s) MA 201 Notification of Producer Change(s) 2-8-17.pdf Form
Designation of Persons Authorized to Sign Handler Report Designation of Persons Authorized to Sign Handler Reports 2-8-17.pdf Form
DA-24 Annual Report of Cooperative Milk Marketing Association DA-24 - Annual Report of Coopertiave Milk Marketing Association 2-8-17.pdf Form
PH-1 Information Report for Designation as Producer Handler PH-1 Information Report for Designation as Producer Handler 2-8-17.pdf Form
DA-25 Application for Qualification of Cooperative Milk Market DA-25 Application for Qualification of Coop Milk Market Association 2-8-17.pdf Form and Instruction
HR-76(a) Report of Route Disposition into Federal Milk Marketing HR-76(a) Report of Route Dispositions into FMMOs 2-8-17.pdf Form
Record of Milk Products Dumped or Lost Record of Milk Products Dumped or Lost 2-8-17.pdf Form
Delivery Detail Report Delivery Detail Report 2-8-17.pdf Form
California FMMO Brokerage Report California FMMO Brokerage Report 2-7-17.pdf Form
Monthly Report of Payments Received by Coop. Association Monthly Report of Payments Received by Coop from Handlers 2-8-17.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CA FMMO	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1000-1199 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	Form 1	Report of Receipts & Utilization	Form 1 Report of Receipts and Utilization 2-8-17.pdf	No	Paper Only
Form	CPR-2	Report of Payments to Cooperative Associations	CPR-2 Report of Payments to Cooperative Assocaitions 2-8-17.pdf	No	Paper Only
Form	None	Request for Cooperative Pool Manufacturing Plant System Status	Cooperative Pool Manufacturing Plant System Status 2-8-17.pdf	No	Paper Only
Form	None	California FMMO Producer Payroll Report	California FMMO Producer Payroll Report 2-8-17.pdf	No	Paper Only
Form	HR-EZ	Report of Receipts & Utilization, (schedules 1,2, & 3)	HR-EZ Report of Receipts and Utilization 2-8-17.pdf	No	Paper Only
Form	MA-201	Notification of Producer Change(s)	MA 201 Notification of Producer Change(s) 2-8-17.pdf	No	Paper Only
Form	None	Designation of Persons Authorized to Sign Handler Reports	Designation of Persons Authorized to Sign Handler Reports 2-8-17.pdf	No	Paper Only
Form	DA-24	Annual Report of Cooperative Milk Marketing Association	DA-24 - Annual Report of Coopertiave Milk Marketing Association 2-8-17.pdf	No	Paper Only
Form	PH-1	Information Report for Designation as Producer Handler	PH-1 Information Report for Designation as Producer Handler 2-8-17.pdf	No	Paper Only
Form and Instruction	DA-25	Application for Qualification of Cooperative Milk Marketing Association	DA-25 Application for Qualification of Coop Milk Market Association 2-8-17.pdf	No	Paper Only
Form	HR-76(a)	Report of Route Disposition into Federal Milk Marketing Orders	HR-76(a) Report of Route Dispositions into FMMOs 2-8-17.pdf	No	Paper Only
Form	None	Record of Milk Products Dumped or Lost	Record of Milk Products Dumped or Lost 2-8-17.pdf	No	Paper Only
Form	None	Delivery Detail Report	Delivery Detail Report 2-8-17.pdf	No	Paper Only
Form	None	California FMMO Brokerage Report	California FMMO Brokerage Report 2-7-17.pdf	No	Paper Only
Form and Instruction	None	Biennial Summary of Packaged Fluid Milk Sales in Fed. Order Markets, By Size, Container Type and Distribution Method	Biennial Summary of Packaged Fluid Milk Sales in Federal Order Markets 12-7-16.pdf	No	Paper Only
Form	None	Monthly Report of Payments Received by Coop. Association from Handlers	Monthly Report of Payments Received by Coop from Handlers 2-8-17.pdf	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 33

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,022	2,022
Annual IC Time Burden (Hours)	2,138	2,138
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.