Remittance Form

American Lamb Remittance Form

REPRODUCE LOCALLY, INCLUDE FORM NUMBER & EDITION DATE ON ALL REPRODUCTIONS FORM APPROVED - OMB NO. 0581-0198
UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
LAMB PROMOTION, RESEARCH AND INFORMATION BOARD REMITTANCE REPORT
LAMB PROMOTION, RESEARCH AND INFORMATION BOARD REMITTANCE REPORT

Information is required by 7CFR § 1280.223. Failure to report can result in a fine. Information provided in this report is held confidential under 7CFR § 1280.227.

Note: 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 0581-0198. The time required to complete this information collection is estimated to average 1 hour 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.

REPORT AND REMITTANCE OF AMOUNT COLLECTED AND DUE ON SHEEP AND LAMBS

Remittance Form

  • Assessment Date

    The report and assessment must be remitted by the 15th day of the month following the end of the collection period.
  • Price: $0.00
  • Price: $0.00
  • PENALTIES : You may, by law be fined up to $10,000, imprisoned up to five years or both for knowingly or willfully making false statements within this document.(18 U.S.C. § 1001)
    CERTIFICATION STATEMENT
    I declare under the penalties provided by law, that this report has been examined by me and to the best of my knowledge and belief is a true, correct, and complete report. I also certify that I am authorized to sign this report.
  • $0.00
SKU: remittance-form Category: