Form FV-35 Idaho-Eastern oregon Onion Committee Onion Diversion Rep

U.S. DEPARTMENT OF AGRICULTURE (USDA)
Agricultural Marketing Service
Fruit and Vegetable Programs

Idaho-Eastern Oregon Onion Committee
PO BOX 909
Parma, ID 83660
208-722-5111 Fax: 208-722-6582

Onion Diversion Report
OMB NO. 0581-0178

This form is to be completed for each Certificate of Privilege permit number. This form is due within 72 hours of daily
shipment(s) for spot sale onions and/or onions sold in 50 lb bags; otherwise this form is due by 4 pm on the Wednesday
immediately following the shipping week of Monday through Sunday.

COP Permit No.

Date of Shipment(s)

Receiver Name & Agent
Address
City
R.R. Car No. or Truck
Licenses

State

Zip
Hundredweight (cwt.)
Shipped

Container & Label

TOTAL Hundredweight (cwt.) SHIPPED
I, the undersigned, hereby certify to USDA and to the Idaho-Eastern Oregon Onion Committee that this report represents all
onions for this COP Permit Number that were diverted from fresh channels in accordance with the regulations of the IdahoEastern Oregon Onion Committee 7 CFR §958.328 for the stated date of shipment. Falsification of information on this
government document may result in a fine of not more than $10,000 or imprisonment of not more than five (5) years, or both
(18 U.S.C. 1001).

Signature

Name

Title

Date

Firm

Phone

Address
City

State

Zip

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 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.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national
origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic
information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (Not all
prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information
(Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800)
795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
FV-35 (06/06)