CMC-OUT Handler Application for Outlets for Withheld Fruit

OMB No. 0581-New
Cranberry Marketing Committee
219A Main Street
Wareham, MA 02571
Phone: (508) 291-1510; Fax: (508) 291-1511
Website: www.usacranberries.com

Filing Date: ___________________

HANDLER APPLICATION FOR OUTLETS FOR WITHHELD FRUIT
In accordance with the Cranberry Marketing Order (§929.57 Outlets for withheld cranberries), withheld cranberries may be
disposed of in non-commercial outlets that the Cranberry Marketing Committee (CMC) finds, with the approval of the
Secretary, meet requirements.
An application must provide sufficient information for with the CMC to make its determination regarding this request. As a
general rule, the more specific and detailed the information provided, the better and more promptly the committee will be able
to act. If you do not provide adequate information, the application will be returned for additional information.
Handler Name: _________________________________________________ Handler Contract No.: _____________________
Business Address: ______________________________________________________________________________________
Contact Name: _____________________ Telephone: _____________________ Email Address: ________________________
Project Name: __________________________________________________________________________________________
Project Type:

Charitable Institution

Research & Development
Nonhuman Food Use

Product Form:

Fresh Fruit

Processed Fruit

Noncompetitive Outlets
Other

Concentrate/Juice

How many equivalent barrels of withheld fruit will be utilized: ________

Documents provided to support this conversion

1.

Describe in detail the cranberry product item that is the subject of the application.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

2.

If the application is for charitable institution(s), detail what institution(s) will be receiving product and how they
intend to distribute. Organizations that receive withheld fruit as a result of this application will be required to
complete a form confirming receipt of product.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

3.

If the application is for a research and development project, detail how the project furthers the development of foreign
and domestic markets.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

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 5 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.

CMC-OUT (10/2017)

OMB No. 0581-New
4.

If the application is for noncompetitive outlets, detail how this market is “new” and is not presently being
commercially utilized by the cranberry industry. Verification will be required following transfer of product.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

5.

If the application is for nonhuman food use, detail what person(s) or organization(s) will be receiving product and how
they intend to use. Verification will be required following transfer of product.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

HANDLER CERTIFICATION
I, _____________________hereby certify to the CMC and the Secretary of Agriculture that this is a true and correct record
of information regarding the undersigned Handler for the current crop year, and that the undersigned handler has a good
faith intent to withhold cranberries in accord with the Marketing Order as described herein. I further certify that I have the
authority to make such representation on behalf of the undersigned handler.
Name: ___________________________________________

Title: ____________________________________

Signature: ________________________________________

Date: ____________________________________

For CMC Use Only
Approved

Denied Date: _____________

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 (3) email: [email protected].
USDA is an equal opportunity provider, employer, and lender.

CMC-OUT (10/2017)