FV-37 ID/E.OR Onions Fresh Cut Report

OMB NO. 0581-0178

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

Fresh Cut Report

This form is to be completed daily for all fresh market onions that have been peeled, chopped or sliced within the
production area. This form is due to the Committee within 72 hours of alteration.
Date of Peeling, Chopping, or Slicing
Inspection
Certificate No.

Quantity

Hundredweight before
Alteration (cwt.)

Container Information

TOTAL Hundredweight
I, the undersigned, hereby certify to USDA and to the Idaho-Eastern Oregon Onion Committee that this report
represents all onions that have been peeled, chopped, or sliced for the fresh market by our firm for the date specified.
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 5 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-37 (06/06)