SC-38 (958) ID/E.OR Onions--Assessment Credit Rept

OMB No. 0581-0178

IDAHO-EASTERN OREGON ONION COMMITTEE

P.O. Box 909, PARMA, ID 83660

PHONE: 208-722-5111 FAX: 208-722-6582

ASSESSMENT CREDIT REPORT

This form is for a handler to receive a credit for assessments on onions that have been levied in accordance with §§ 958.42 and 958.240 and are subsequently regraded, resorted, repacked within the production area, or shipped in accordance with a special purpose shipment §958.328(e). In the case of special purpose shipment, please only complete the first four columns of the table. Please attach copies of the applicable page(s) from the inspection certificate(s) with each lot referenced below marked with a highlighter. This form must be completed and returned to the Idaho-Eastern Oregon Onion Committee as soon as possible, but no later than June 15^th of each year. Onions were handled for (check one):

□ Regrading □ Repacking □ Resorting □ Planting □ Livestock Feed □ Charity □ Dehydration □ Canning □ Freezing

□ Extraction □ Pickling □Disposal

Original Inspection Certificate No.

Original Bag Count

Original Container

Original Grade

New Inspection Certificate No.

New Bag Count

New Container

New Grade

I, the undersigned, hereby certify to USDA and to the Idaho-Eastern Oregon Onion Committee that this report represents all onions that have been regraded, repacked, resorted, or handled for special purpose by our firm. Falsification of information on this government document may result in a fine, or imprisonment of not more than five (5) years, or both (18 U.S.C. 1001).

Signature

Name

Title

Firm

Phone

Date

Address

City

State

Zip Code

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 8 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.

SC-38 (Exp. x/xxxx) Destroy previous editions.