RAC-3 (989) Wkly. Rept. of Standard Raisins Received for Memor

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE

2445 Capitol Street, Suite 200

Fresno, California 93721

Phone: (559) 225-0520

WEEKLY REPORT OF STANDARD RAISINS RECEIVED

FOR MEMORANDUM RECEIPT OR WAREHOUSING

Report No. _______________

The undersigned certifies to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that as of the week ending __________________, 20___, the following quantities of standard raisins were received for warehousing or on memorandum receipt at ________________ (plant location), California.

Varietal Type (1)	Memorandum Receipts			Returned to Producers (5)	Balance on Hand at End of Current Week (6)
	Total on Hand at Start of Current Week (2)	From Producers and Dehydrators During Current Week (3)	Acquired and Reported on RAC-1 (4)
Natural Seedless
Dipped Seedless
Golden Seedless
Zante Currants
Sultanas
Muscats
Monukkas
Other Seedless: Flames
Other(specify): ________
Other Seedless - Sulfured
TOTAL

Copies of door receipts or weight certificates applicable to the quantity of raisins received from producers and dehydrators (column 3 above) are attached, and certified to be true and correct.

The making of any false statement or representation in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section 1001, of the United States Code, which provides for a penalty of a fine or imprisonment of not more than five years, or both.

Handler Name ____________________________ By ____________________________ Title _____________________ Date __________

This report is required by law (7 U.S.C. 608d, 7 CFR 989.73, 7 CFR 989.173(b)(3)). Failure to report can result in a fine of $2,750 for each such violation and each day during which such violation continues shall be deemed a separate violation.

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 0581-0178. 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, and completing and reviewing the collection of information.

INSTRUCTIONS FOR COMPLETING FORM RAC-3

1. Reports covering the period Sunday through Saturday shall be submitted not later than 10:00 am Wednesday, as of the close of business on the preceding Saturday. IT IS IMPORTANT THAT THE REPORTS COVER ALL STANDARD RAISINS RECEIVED BY THE HANDLER THROUGH SATURDAY, EXCEPT RAISINS ACQUIRED BY HIM THAT REQUIRE A REPORT ON FORM RAC-1, AND RAISINS TRANSFERRED FROM ANOTHER HANDLER THAT REQUIRE A REPORT ON FORM RAC-6.

2. All quantities on the report shall be in pounds.

3. Reports shall be certified by a responsible official of the reporting handler.

4. Each report should be numbered consecutively, beginning with No. 1 for the first week ending in August each year.

5. The quantity of standard raisins received by the handler during the current week for memorandum receipt, storage, bailment or warehousing, as shown in Column (3) on the report, shall be supported by a copy of a door receipt or weight certificate covering each such delivery of raisins. These door receipts or weight certificates shall clearly show the name and address of producer or dehydrator from whom the raisins were received, the varietal type of raisins, the net fruit weight, the number and type of containers in the lot, and the date of delivery.

6. The quantities shown in Columns (4) and (5) are to be deducted from the sum of the quantities shown in Columns (2) and (3). The remaining quantity should be shown in Column (6) and should be that quantity of raisins segregated from all other raisins as required by section 989.96 of Marketing Order No. 989.

7. The quantity of raisins acquired from storage, as shown in Column (4), shall be included with other acquisitions on Form RAC-1. Since Form RAC-1 must be supported by appropriate door receipts or weight certificates, please attach a note to your Form RAC-1 covering such acquisitions from storage, giving producer’s name and door receipt or weight certificate number, and we will detach the documents from our memo storage report for attachment to the acquisition report.

8. The quantity of raisins returned to producer as shown in Column (5) shall be the weight reported on the original door receipt or weight certificate issued at the time the raisins were received for storage.

9. Handlers who store such standard raisins at more than one location should state “Various” in the blank space labeled “plant location,” and submit additional sheets numbered A, B, and C, whereon the data will be shown by location of plant.

10. Consult RAC staff on any points not clear to you.

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.

RAC-3 (Exp. x/xxxx) Destroy previous versions.