CN-383-J USDA International HVI Level Assessment Program

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FORM APPROVED – OMB NO. 0581-0008

UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
COTTON AND TOBACCO PROGRAM

DATE

Standardization & Engineering Division
3275 Appling Road
Memphis, TN 38133
Telephone: (901) 384-3030
Fax: (901) 384-3039
E-Mail: [email protected]

ORDER #

USDA International HVI Level Assessment Program
The USDA, AMS, Cotton and Tobacco Program, International HVI Level Assessment Program was initiated in 1994 in
response to the worldwide proliferation in the use of HVI measurements in trading cotton in the world markets. The program is
designed to ensure a standard level of HVI testing on an international level. The USDA International HVI Level Assessment
Program provides for participating organizations to send selected check samples tested on their instruments to the USDA for
comparison at no cost. The only cost incurred by participants is the cost of shipping the samples to the USDA’s Quality
Assurance Branch in Memphis, Tennessee, USA. The only restriction will be to limit the number of submitted samples to ten
per month per participant during the months of January through August. During the months of September through December,
submitted samples will be limited to two per month.The samples are tested in the Quality Assurance Lab and the comparison
results are returned to the participant.

Sample

Number

Sample

1

6

2

7

3

8

4

9

5

10

Number

RETURN RESULTS TO (print or type)
CONTACT NAME

COMPANY NAME

STREET ADDRESS (necessary)
POSTAL BOX

CITY

PHONE

STATE, COUNTRY AND ZIP CODE

E-MAIL ADDRESS

FAX

SIGNATURE

CN-383J (Exp. X/XXXX) Destroy previous editions.

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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
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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.

CN-383J (Exp. X/XXXX) Destroy previous editions.