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
Varietal Type
Package Style or Type
No. of
Total
(a)
and Net Weight Content
Packages
Quantity
(ea.)
(c)
Applied
(b)
For (d)

1.
2.
3.
4.
5.
6.

7.
8.
9.
10.

PROPOSED OUTLETS - Distribution
TOTAL
Direct to Consumers
To persons or organizations for gifts
To Wholesalers
Other special uses:
To Retailers
QUALITY:
Standard
Fancy
Extra Fancy
STYLE:
Glazed
Coated
Other
CONDITION:
Processed
Unprocessed
Special processing required (if any):

ACTUAL
QUANTITY
SHIPPED UNDER
EXEMPTION
DURING CROP
YEAR
Total
Outlet
Quantity
(f)
Shipped or
Disposed
(e)

FOR RAC USE ONLY
Date Received
Application No.
Date Approved
Max Quantity Approved ___ lbs
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 05810178. 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.

RAC-8 (Exp. 4/30/2027) Destroy previous versions.

OMB No. 0581-0178

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 $3,501 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. 4/30/2027) Destroy previous versions.