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APPLICATION Avocado Administrative Committee

U.S. DEPARTMENT OF AGRICULTURE FOR

P.O. Box 900188 AGRICULTURAL MARKETING SERVICE REGISTRATION AS Homestead, FL 33090-0188 SPECIALTY CROPS PROGRAM AVOCADO PROCESSOR Tel: (305) 247-0848

Any person who desires to buy, as an approved manufacturer of avocado products, avocados for commercial

processing, shall, prior thereto, submit to the Avocado Administrative Committee an application containing the

following information (7 CFR § 915.141):

NAME OF APPLICANT

MAILING ADDRESS (City, County, State, and Zip Code) EMAIL ADDRESS

REGISTERED AVOCADO HANDLER’S NUMBER LOCATION OF PROCESSING FACILITIES

TYPE OF PRODUCT OR PRODUCTS TO BE MADE OR DERIVED FROM AVOCADOS

DESCRIPTION OF FACILITIES FOR PROCESSING AVOCADOS

STATE QUANTITY OF AVOCADOS PROCESSED ESTIMATED QUANTITY OF AVOCADOS TO BE

DURING THE PREVIOUS YEAR PROCESSED DURING THE CURRENT YEAR

FROM WHAT SOURCE DO YOU EXPECT TO RECEIVE AVOCADOS FOR PROCESSING?

HOW WILL THE AVOCADOS BE TRANSPORTED

WHERE WILL THE UNLOAD POINT BE?

CERTIFICATION STATEMENT: I hereby state that all the avocados obtained for processing into products will

be used for that purpose only and will not be resold or disposed of in fresh fruit channels, and I agree to report such

reports as are required by the Avocado Administrative Committee.

NAME OF FIRM

SIGNATURE AND TITLE DATE

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-

0189. 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.

SC-217 (Exp. 01/31/2027. Destroy previous editions.)
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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.

SC-217 (Exp. 01/31/2027. Destroy previous editions.)