RAC-6 (989) Inter-Handler Transfer of Free Tonnage Raisins

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE

2445 Capitol Street, Suite 200

Fresno, California 93721

Phone: (559) 225-0520

INTER - HANDLER TRANSFER OF RAISINS

TRANSFERRING (Submit to RAC on date of transfer)		RECEIVING (Submit to RAC within 5 days of transfer)
Handler:		Handler:
Address:		Address:
From Plant At:		From Plant At:

The undersigned hereby certify to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that this is a true and correct statement of the transfer of raisins as recorded below:

Date of Transfer (1)	Varietal Type (2)	Condition (3)	Net weight in lbs. (4)

To be completed by Transferring Handler:			To be completed by Receiving Handler:
The undersigned certifies that the raisins being transferred have met all Federal Marketing Order requirements, including proper reporting, inspection, and assessments, if applicable.			The above quantities of raisins were received on ________________________, 20___
Handler Name:			Handler Name:
By:			By:
Title:			Title:

The making of any false statement or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section 1001, of the United States Code, which provides for a penalty of a fine or imprisonment of not more than five years, or both.

INSTRUCTIONS FOR COMPLETING FORM RAC-6

1. This report should be prepared by the transferring handler, who should transmit a copy to the Raisin Administrative Committee (RAC) and the receiving handler immediately upon transfer.

2. The transferring handler should complete all blocks, except for the block to be filled out by the receiving handler, identifying the specific plant, by name or geographic location, from which the raisins were actually moved.

3. The receiving handler should complete the block in the right middle section, showing the date the raisins were received. They should also identify the specific plant, by name or geographic location, at which the raisins were received. A copy should be sent to the RAC not later than five days following the transfer.

4. The varietal types are defined in section 989.10 of Marketing Order No. 989 (7 CFR Part 989).

5. In column (3) “Condition,” specify whether natural condition, stemmed or processed.

6. The net weight to be reported is the actual weight of the raisins being transferred.

7. Consult RAC staff on any points not clear to you.

This report is required by law (7 U.S.C. 608d, 7 CFR 989.73, 7 CFR 989.173(d)(1)). Failure to report can result in a fine of $2,750 for each such violation and each day during which such violation continues shall be deemed a separate violation.

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 0581-0178. The time required to complete this information collection is estimated to average 15 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.

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.

RAC-6 (Exp. x/xxxx) Destroy previous versions.