Document
Weekly Raw Product Report
ICR 201807-0581-001 · OMB 0581-0177 · Object 84228501.
This document may belong to an older filing. More recent activity for OMB 0581-0177:
Document Viewer [doc]
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Weekly Raw Product Report |
| Author | Heather |
| Last Modified By | Writer |
| File Modified | 2016-09-20 |
| File Created | 2026-11-04 |
| Conversion State | complete |
Extracted Text
Weekly Raw Product Report Cherry Industry Administrative Board P.O. Box 388, DeWitt, MI 48820-0388 Tel: 517/669-1070 Fax: 517/669-1260 According the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number to this information collection is 0581-0177. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing the collection of information. Weekly Raw Product Report Cherry Industry Administrative Board P.O. Box 388, DeWitt, MI 48820-0388 Tel: 517/669-1070 Fax: 517/669-1260 Report receipts of fruit starting with the first week of harvest and pack and continue until the harvest is completed. The reporting week ends on Saturday. The report is due in the CIAB office by close of business Eastern time on Monday following each week of harvest. Please indicate the completion of harvest for each district from which you receive cherries when you are done in the district and the Final Report when you have completed your harvest. Handler: __ Handler ID# ______ Address, City, State, Zip: Telephone No.: The undersigned hereby certifies to the CIAB and the Secretary of Agriculture that this is a true and correct report of product received by the Handler for the indicated period. By: Title: 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.