PEC-AAE Application for Exemption from Assessments

Pecan Promotion, Research and Information Order

Application for Exemption PEC-AAE

Pecan Promotion, Research and Information order (voluntary)

OMB: 0581-0328

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Form Approved OMB 0581-NEW


AMERICAN PECAN PROMOTION BOARD

APPLICATION FOR EXEMPTION FROM ASSESSMENT



As stated in Section 1223.53 of the Pecan Promotion, Research and Information Order (Exemption Procedures):


Any producer who produces or importer who imports less than 50,000 pounds of in-shell pecans (25,000 pounds shelled pecans) on average for four fiscal periods may request an exemption from the American Pecan Promotion Board (APPB), on a form provided by the APPB, for a certificate of exemption. Such producer shall certify that the producer’s production of pecans shall be less than 50,000 pounds of in-shell pecans (25,000 pounds for shelled pecans) on average for four fiscal periods(the fiscal period for which the exemption is claimed and previous three fiscal periods) for which the exemption is claimed. Any importer who imports less than 50,000 pounds of in-shell pecans (25,000 pounds for shelled pecans) on average for four fiscal periods (the fiscal period for which the exemption is claimed and previous three fiscal period) for which the exemption is claimed.


CERTIFICATION

(To Be Signed and Dated by Applicant)

I hereby certify that my total level of pecan production or imported pecans to the United States is less than 50,000 pounds in-shell pecans (25,000 pounds shelled pecans) for fiscal years _____. I therefore request a certificate of exemption from the American Pecan Promotion Board for the year _____.


Signature ____________________________________ Date: ________________


Please Print

Name of Applicant: _________________________________________________


Company Name (if applicable): _________________________________________


Street Address: ______________________________________________________


City: ________________________________ State: ________________________


Zip Code: __________ Phone:_________________ E-mail:___________________


Please send your completed Certificate of Exemption Application and supporting documentation to verify previous year production or importation to the American Pecan Promotion Board (APPB) at the following address:

APPB

Street

City, State Zip

Telephone: xxx.xxx.xxxx

E-mail:

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 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information.


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.






















PEC-AAE

Exp. Date XX/XX/XXXX

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNORTH AMERICAN BLUEBERRY COUNCIL
AuthorMary Nezbeth
File Modified0000-00-00
File Created2021-01-22

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