CMC-OUT Handler Application for Outlets for Withheld Fruit

OMB No. 0581-0304

Filing Date: ___________________

Cranberry Marketing Committee
219A Main Street
Wareham, MA 02571
Phone: (508) 291-1510; Fax: (508) 291-1511
Website: www.usacranberries.com

HANDLER APPLICATION FOR OUTLETS FOR WITHHELD FRUIT

In accordance with the Cranberry Marketing Order (§929.57 Outlets for withheld cranberries), withheld cranberries may be disposed of in non-commercial outlets that the Cranberry Marketing Committee (CMC) finds, with the approval of the Secretary, meet requirements.

An application must provide sufficient information for with the CMC to make its determination regarding this request. As a general rule, the more specific and detailed the information provided, the better and more promptly the committee will be able to act. If you do not provide adequate information, the application will be returned for additional information.

Handler Name: _________________________________________________ Handler Contract No.: _____________________

Business Address: ______________________________________________________________________________________

Contact Name: _____________________ Telephone: _____________________ Email Address: ________________________

Project Name: __________________________________________________________________________________________

Project Type: Charitable Institution Research & Development Noncompetitive Outlets

Nonhuman Food Use Other

Product Form: Fresh Fruit Processed Fruit Concentrate/Juice

How many equivalent barrels of withheld fruit will be utilized: ________ Documents provided to support this conversion

1. Describe in detail the cranberry product item that is the subject of the application.
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2. If the application is for charitable institution(s), detail what institution(s) will be receiving product and how they intend to distribute. Organizations that receive withheld fruit as a result of this application will be required to complete a form confirming receipt of product.
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3. If the application is for a research and development project, detail how the project furthers the development of foreign and domestic markets.
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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 0581-0304. 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.

4. If the application is for noncompetitive outlets, detail how this market is “new” and is not presently being commercially utilized by the cranberry industry. Verification will be required following transfer of product.
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5. If the application is for nonhuman food use, detail what person(s) or organization(s) will be receiving product and how they intend to use. Verification will be required following transfer of product.

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HANDLER CERTIFICATION
I, _____________________hereby certify to the CMC and the Secretary of Agriculture that this is a true and correct record of information regarding the undersigned Handler for the current crop year, and that the undersigned handler has a good faith intent to withhold cranberries in accord with the Marketing Order as described herein. I further certify that I have the authority to make such representation on behalf of the undersigned handler.
Name: ___________________________________________	Title: ____________________________________
Signature: ________________________________________	Date: ____________________________________

For CMC Use Only

Approved Denied Date: _____________

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: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.

CMC-OUT (03/2018)