RAC-501 (989) Mthly. Rept. of disposition of Raisins Grown Outsi

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE
2445 Capitol Street, Suite 200
Fresno, California 93721
Phone: (559) 225-0520
MONTHLY REPORT OF DISPOSITION OF RAISINS PRODUCED FROM
GRAPES GROWN OUTSIDE OF THE PRODUCTION AREA

Report No. ________________
The undersigned certifies to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that as of the month
ending _________________, 20___, the following quantities of raisins produced from grapes grown outside the “area” were shipped or disposed
of during the period in the manner indicated herein.
Varietal Type

Total Disposition
(1)

Domestic
(2)

Export
(3)

Other Disposition
Kind
Quantity
(4)
(5)

Area of Origin
(6)

TOTAL
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 4 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.

RAC-501 (Exp. 4/30/2027) Destroy previous versions.

OMB No. 0581-1078

INSTRUCTIONS FOR COMPLETING FORM RAC-501
1. Reports shall be submitted to the RAC on or before the eighth day of each month by 10:00 a.m.,
covering shipments or disposition of raisins produced from grapes grown outside the “area”
(State of California) for the preceding month.
2. All quantities on the report shall be in pounds. (1)(2)(3)(5)
3. Reports shall be certified by a responsible official of the reporting handler.
4. Other dispositions, Columns (4) and (5), may include, but are not limited to raisins shipped in
natural condition or shipped to distilleries, livestock feeders, for concentrate, or as transfers to
other packers. Indicate in Column (4) the kind of shipment reported and to whom each item in
Column (4) was shipped.
5. In Column (6) report the area of origin – state or country.
6. Consult RAC Staff on any points not clear to you.

This report is required by law (7 U.S.C. 608d, 7 CFR 989.73, 7 C.F.R. 989.173(c)(3)). 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-501 (Exp. 4/30/2027) Destroy previous versions.