Nomination of Sheep Producers

REPRODUCE LOCALLY.

FORM APPROVED- OMB NO. 0581-NEW
U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE

NOMINATIONS TO THE NATIONAL SHEEP INDUSTRY IMPROVEMENT CENTER BOARD

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unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-NEW. The time required to complete this
information collection is estimated to average 30 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.
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Pursuant to the Commodity Promotion, Research, and Information Act of 1996, the following names of sorghum producers
are submitted as nominees to the Sorghum Promotion, Research and Information Board from the indicated state.

1. STATE/UNIT

NAMES(S) OF NOMINEE(S)
(List name(s) for each allotted position on the Board)

IF MORE SPACE IS NEEDED, USE ADDITIONAL FORMS.
A COMPLETED BACKGROUND INFORMATION SHEET SIGNED BY EACH NOMINEE MUST BE ATTACHED.

3. IDENTIFICATION OF PERSON AND ORGANIZATION/ASSOCIATION SUBMITTING THESE NOMINATIONS
A. NAME AND ADDRESS OF ORGANIZATION/ASSOCIATION

C. NAME AND TITLE (PRINT OR TYPE)

D. E-MAIL ADDRESS (name@provider.com)

B. FACSIMILE NO. AND AREA CODE

RETURN FORMS TO:

E. SIGNATURE

Marketing Programs Branch
Livestock and Seed Program, AMS
U.S. Department of Agriculture, Room 2628-S
1400 Independence Avenue, SW, MAIL STOP 0251
Washington, DC 20250-0251
FAX: 202/720-1125

DATE