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pdfOMB 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 WITHHOLDING APPEAL
In accordance with the Cranberry Marketing Order, if any handler is dissatisfied with an adverse determination made by the
Cranberry Marketing Committee (CMC) with regard to any matter related to its compliance with a volume regulation then in
effect, the handler may submit to the CMC within 30 days after notification of this determination, or after its adverse nature is
discovered, a request for review by an appeals subcommittee. The appeals subcommittee shall be composed of two
independent representatives, two major cooperative representatives and a public member, all of whom shall be appointed by
the Chair of the CMC.
The handler may further appeal to the Secretary, within 15 days after notification of the subcommittee’s findings, if such
handler is not satisfied with the appeals subcommittee’s decision. The CMC shall forward a file with all pertinent information
related to the handler’s appeal. The Secretary shall inform the handler and all interested parties of the Secretary’s decision.
Handlers interested in submitting an appeal, should complete the enclosed form and attach any pertinent supporting materials.
Handler Name: _________________________________________ Handler Contact No.: _____________________________
Business Address: ______________________________________________________________________________________
Contact Name: _________________________________________ Telephone No.: __________________________________
Email Address: ________________________________________
1.
What is the reason for this appeal? Identify the decision of CMC that the Handler considers to be adverse.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
2.
What documents are being provided as pertinent material(s) to support the appeal?
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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: _____________________________________
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
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CMC-APPL (10/2017)
OMB No. 0581-New
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-APPL (10/2017)
File Type | application/pdf |
Author | Hatch, Andrew - AMS |
File Modified | 2017-09-27 |
File Created | 2017-09-27 |