SC-266-6 (920) KISS Price/Shipment Rept. (paper version)

Fruit Crops

SC-266-6 Paper KISS Price-Shipment Report 11-13-19

Generic Fruit Crops (Mandatory)

OMB: 0581-0189

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0581-0189 can be found here:

2023-12-27 - Revision of a currently approved collection

Document [pdf]

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OMB No. 0581-0189
Paper version of Form SC-266-6 (Exp. x/xxxx. Destroy previous editions.)

KISS 20__/20__
PRICE/SHIPMENT REPORT

Kiwifruit Administrative Committee (KAC)
Email: [email protected]
Fax No.: (916) 446-1063

Page 1

KAC Phone No.: (916) 441-0678
MARKET Circle one:
GRADE Circle one:

CONTACT:
PHONE No.:

Week of ____________ through ____________
Report Due by 5:00 p.m. each Tuesday
A separate report must be filed for each market and grade category
_____ Check if no shipments made during reporting period
If shipments to Export market, Page 2 must be completed.
_____ Check if final report for the season
PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN
SIZE
18+

DOMESTIC
FANCY/U.S.#1

COMPANY:

EXPORT
KAC

(No of Containers)
Gross FOB Sales

(No. of Containers)
Gross FOB Sales

27/28

(No. of Containers)
Gross FOB Sales

(No. of Containers)
Gross FOB Sales
(No. of Containers)

TOTALS Gross FOB Sales
I hereby certify to the best of my knowledge and belief that this report is true and complete. Shipments reported and FOB Sales are based on the best available information as of the
report date.
Date:

Signature:

Paper version of Form SC-266-6 (Exp x/xxxx) Destroy previous editions.

Title:

OMB No. 0581-0189

KISS 20__/20__
PRICE/SHIPMENT REPORT

Kiwifruit Administrative Committee (KAC)

Page 2

Email: [email protected]
Fax No.: (916) 446-1063

KAC Phone No.: (916) 441-0678

WHEN EXPORT MARKET IS CIRCLED ON PAGE 1, INFORMATION ON
PAGE 2 MUST BE COMPLETED.

EXPORT COUNTRY (fill in
Countries as needed)
Canada

(No of Containers)
Gross FOB Sales

Mexico

(No of Containers)
Gross FOB Sales

Korea

(No of Containers)
Gross FOB Sales
(No of Containers)
Gross FOB Sales
(No. of Containers)
Gross FOB Sales
(# of Containers)
Gross FOB Sales
(No. of Containers)
Gross FOB Sales
(No. of Containers)
Gross FOB Sales
(No. of Containers)

TOTALS

Gross FOB Sales

Paper version of Form SC-266-6 (Exp. x/xxxx) Destroy previous editions.

COMPANY:
CONTACT:
PHONE No.:

Week of ____________ through ____________
Report Due by 5:00 p.m. each Tuesday

PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN

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 0581-0189. The time required to complete this information collection is estimated to average 60 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.
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.

REPORT IS DUE BY 5:00 P.M. EACH TUESDAY FROM THE TIME YOUR SHIPPING SEASON BEGINS UNTIL IT ENDS.
IF NO SHIPMENTS WERE MADE DURING REPORTING PERIOD CHECK THE APPROPRIATE BOX ON THE FORM AND RETURN.
Instructions for completing KISS Price Report - Page 1:
1.
2.
3.
4.
5.
6.
7.
8.

Enter appropriate Handler/Marketer information.
Circle appropriate market and grade. Separate forms must be completed for each market and each grade category. For instance, if all shipments were
Domestic but included both US #1 and KAC grades, a form must be filed for Domestic - US #1, and a form for Domestic - KAC. If any fruit was
exported another report must be filed for those shipments, also separated by grade.
Enter beginning and ending dates for reporting week. Reporting period runs from Sunday through Saturday.
If no shipments were made during the previous week, check the box and return report. Reports must be filed each week during the shipping season,
even when no shipments are made.
If final report of the season, check box. After final report is filed no further price reports are required.
Across the top of columns, enter the type of pack styles shipped during reporting period. Select pack styles from the list below.
For each pack style, enter the total number of containers shipped and gross FOB sales by size for the reporting period.
Sign and date report.
Description
9kg (19.8 lb.) Volume Fill
Single layer tray
Container with 3-layers
125 lb. Bins
Master Container with 20 - 1 lb. Bags
Master Container with 10 - 1kg Bags
Master Container with 4 - 4lb. Clams
Master Container with 8 - 2lb. Clams
Master Container with 27 -.8lb Clams
Master Container with 18 - 8 ct. Clams
Master Container with 20 - 6 ct. Clams
Returnable Plastic Containers, 9kg
Containers with 2-layers

Enter this pack style on report
Volume Fill
Trays
3-Layers
Bins
20/1# Bags
10/1kg Bags
4/4# Clams
8/2# Clams
27/.8# Clams
18/8ct. Clams and net wt. of master container
20/6ct. Clams and net wt. of master container
RPC
2-Layers and net wt. of container

Euro Containers, must include description and net wt. (i.e. Euro
Type and net wt. of container
2-layers, 20# )
Any other container type/consumer pack must include the
description and container net wt.

Type and net wt. of container

WHEN EXPORT MARKET IS CIRCLED ON PAGE 1, INFORMATION ON PAGE 2 MUST BE COMPLETED.
Instructions for completing KISS Price Report - Page 2:
1.
2.
3.
4.
5.

Enter appropriate Handler/Marketer information.
Enter beginning and ending dates for reporting week. Reporting period runs from Sunday through Saturday.
Across the top of columns, enter the type of pack styles shipped during reporting period. Select pack styles from the list below.
For markets not listed, enter in the first column.
For each market, enter the total number of containers shipped and gross FOB sales for the reporting period.
Description
9kg (19.8 lb.) Volume Fill
Single layer tray
Container with 3-layers
125 lb. Bins
Master Container with 20 - 1 lb. Bags
Master Container with 10 - 1kg Bags
Master Container with 4 - 4lb. Clams
Master Container with 8 - 2lb. Clams
Master Container with 27 -.8lb Clams
Master Container with 18 - 8 ct. Clams
Master Container with 20 - 6 ct. Clams
Returnable Plastic Containers, 9kg
Containers with 2-layers

Euro Containers, must include description and net wt. (i.e.
Euro 2-layers, 20# )

Type and net wt. of container

Any other container type/consumer pack must include the
description and container net wt.

Type and net wt. of container

File Type	application/pdf
Author	Barbara Windmiller
File Modified	2020-01-13
File Created	2020-01-13