FD-210 Request for Classification

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REPRODUCE LOCALLY. Include form number and edition date on all reproductions

OMB APPROVED – NO: 0581-0008
FOR CCC SALES ONLY:

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
COTTON PROGRAM

ANNOUNCEMENT

SALE

TAG LIST

REQUEST FOR CLASSIFICATION
1. USDA CLASSING LOCATION (City and State)

DATE

2. THE UNDERSIGNED REQUESTS (“X” only one block in this section)

3. SERVICE DESIRED (“X” one)

ORIGINAL CLASSIFICATION

COMPARISON

□ FORM A
□ FORM D
□ FOREIGN GROWTH

□ FORM A
□ FORM A
□ FORM D
□ FORM D
□ FOREIGN GROWTH □ FOREIGN GROWTH

REVIEW

□
□

HVI Classification with Official Color Grade, Leaf Grade, and
Extraneous Matter
HVI Classification

Classification data will be issued on Cotton Program computer listings.
NOTE: See reverse for explanation of services and instructions for submitting
samples.
4. DESCRIPTION OF COTTON (“X” one)
a. Growth:

□

Upland

□

Pima

□

5. SAMPLES ARE (“X” one)

□

Other (Specify)

□ Saw □ Roller
c. Production Area: □ United States
□ Outside United States

□

b. Type Ginning:

Freshly drawn and submitted directly from a warehouse licensed by
the Cotton Program, AMS
OTHER (Specify)

(Name of Country)
d. Has any cotton been reginned, repacked, or processed in addition
to normal ginning?

□

Yes

□

No

e. Does any cotton contain linters, gin waste, or mill waste?
6. DISPOSITION OF SAMPLES

□
□
□
□

□

Yes

□

No

Government Loose

7. CLASSIFICATION DATA TO BE SENT TO APPLICANT (“X”one)

Hold samples for possible review

□
□
□
□

Owner will pick up
Return to owner via (Carrier):

Owner’s Account No.
8. SAMPLES SUBMITTED
LOT NO.
NO. B/C

Fax
Telephone Number
Hold for Pickup

FIRM NAME

TYPE
LOT NO.

Mail

NO. B/C
SIGNATURE OF AUTHORIZED REPRESENTATIVE

ADDRESS (Street and No., City, State, ZIP Code)

e-Mail Address:
PHONE NUMBER:
LOCATION OF COTTON (Warehouse, City, State)

FD-210 (12-07) (Previous editions of CN-357 are obsolete)

(OVER)

Clear Form

Print Form

Submit & Close

EXPLANATION OF TYPES OF CLASSING SERVICES AND INSTRUCTIONS FOR SUBMITTING
SAMPLES
COTTON STANDARDS ACT
1. FORM A MEMORANDUM -- Issued on classification or comparison of samples freshly drawn and submitted
direct to the Classing Office serving the territory in which the cotton is located by a warehouse licensed by the
Cotton Division, AMS.
2. FORM D MEMORANDUM -- Issued as an informative classification or comparison on samples submitted by
the owner of the cotton or his/her agent to the Classing Office serving the territory in which the samples are located.
NOTE: Samples representing cotton produced outside the United States are NOT eligible for Form A or D
classing. (See “Agricultural Marketing Act of 1946,” below.)

AGRICULTURAL MARKETING ACT OF 1946
Memorandum on Foreign Growth Cotton Samples -- Issued on classification or comparison of samples from cotton
produced outside the United States. Samples should be submitted to the classing Office serving the territory in which
the samples are located. If the samples are located outside the United States, they should be submitted to the Classing
Office designated by the Deputy Administrator of the Cotton Program, AMS.
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 0581-0008. 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.

FD-210 (REVERSE) (12-07)