RAC-8 (989) CA Raisins Cmte. - Application for Exemption of Ex

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE

2445 Capitol Street, Suite 200

Fresno, California 93721

Phone: (559) 225-0520

APPLICATION FOR EXEMPTION OF EXPERIMENTAL AND SPECIALTY PACKS

FROM OUTGOING INSPECTION REQUIREMENTS

The undersigned Handler hereby requests approval of this application for experimental or specialty packs, as described in sections 989.59(a), (b) and (d) of Marketing Order No. 989, as provided for in paragraph (g) of said section. The undersigned certifies to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that only standard raisins will be shipped or disposed of under this authorization and in the outlets as indicated:

Handler Name ______________________________________ Date _______________________

Address (incl. City, State, and Zip Code)

ESTIMATED QUANTITY OF EACH VARIETAL TYPE OF RAISINS THAT WILL BE SHIPPED UNDER EXEMPTION DURING THE 20___ CROP YEAR

ACTUAL QUANTITY SHIPPED UNDER EXEMPTION DURING CROP YEAR

Varietal Type (a)

Package Style or Type and Net Weight Content (ea.) (b)

No. of Packages (c)

Total Quantity Applied For (d)

Total Quantity Shipped or Disposed (e)

Outlet (f)

1.

2.

3.

4.

5.

6.

PROPOSED OUTLETS - Distribution

TOTAL

Direct to Consumers

To persons or organizations for gifts

FOR RAC USE ONLY

To Wholesalers

Other special uses:

To Retailers

Date Received

7.

QUALITY:

Standard

Fancy

Extra Fancy

Application No.

8.

STYLE:

Glazed

Coated

Other

Date Approved

9.

CONDITION:

Processed

Unprocessed

Max Quantity Approved ___ lbs

10.

Special processing required (if any):

Approved by

The undersigned handler hereby certifies to the RAC that the quantities of standard raisins shown in the “Total Quantity Shipped or Disposed” column, packed in gift or specialty packs, were shipped or otherwise disposed of without outgoing inspection.

Handler _____________________________________ Date _____________________________________

By _________________________________________ Title _____________________________________

The making of any false statement or representations 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.

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 10 minutes/hours 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-8

1. This application should be submitted to the Raisin Administrative Committee (RAC) in triplicate—an original and two copies—all of which should be signed by a responsible official of the handler.

2. After the RAC has approved the application, two (2) copies will be returned to the handler. One of the approved copies should be resubmitted to the RAC by the handler upon completion of the shipment or disposition by him of the experimental or specialty packs covered by the application, or at the end of the crop year, whichever occurs first.

3. DO NOT show application number as this will be inserted by the RAC office.

4. All weights shown on application should be stated in pounds.

5. DO NOT fill in data beyond column (d) of the application except when reporting to the RAC the total actual quantity of raisins shipped or disposed of under exemption during the crop year upon completion of season or termination of crop year as required under item (2) above.

6. The outlet in which dispositions of such experimental and/or specialty packs are contemplated should be properly described. That is, whether disposition will be made directly to consumers, to wholesalers, or to retailers for resale, or to persons or organizations for distribution as gifts, etc. Under item (6) check all applicable squares when filing application with the RAC, or insert description of special uses.

7. The type of package for which exemption from outgoing inspection is requested should be adequately described so that the RAC will have a proper basis on which to render its decision.

8. If space is insufficient in any column, insert and submit the information on a separate sheet of paper attached to the application. Make a proper cross-reference on a separate sheet indicating the applicable column to which such data pertains, using both column and line numbers.

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

This report is required by law (7 U.S.C. 608d, 7 CFR 989.159(f)(2), 7 CFR 989.173(e)). 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.

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-8 (Exp. x/xxxx) Destroy previous versions.