In the multifaceted landscape of agricultural regulatory obligations, the AMS 15 form emerges as a critical document for dairy producers and companies operating under the umbrella of organic certification. Mandated by regulations stipulated in 7 CFR 1150.157 (a) and (b), and with confidentiality guaranteed under 7 CFR 150.173, this form orchestrates a dialogue between organic producers and the National Dairy Promotion and Research Board. It serves as an Organic Exemption Request Form, designed for those who exclusively produce and market products that can proudly bear the label "100% organic" as recognized by the National Organic Program (NOP). The form not only simplifies the procedure for claiming exemption from assessments levied by the National Dairy Promotion and Research Program but also filters the eligibility through a set of specific criteria including, but not limited to, operating under an approved organic system plan recognized by the NOP and ensuring the production of solely 100% organic labeled products. Additionally, it touches upon the compliance and documentation aspects by necessitating the attachment of a valid organic farm certificate provided by a USDA-accredited certifying agent. Highlighting the Paperwork Reduction Act of 1995, it intimates applicants about the estimated average time required for completing this information collection, underscoring a commitment to efficiency without compromising the rigor of regulatory requisites. Thus, the AMS 15 form aligns with broader USDA and federal policies aiming at promoting organic agriculture while ensuring a streamlined, transparent process for exemptions, deeply rooted in legislative and regulatory frameworks.
| Question | Answer |
|---|---|
| Form Name | Form Ams 15 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ExemptionForm national dairy promotion and research board organic exemption request form |
Information is required by 7 CFR 1150.157 (a) and (b). Information is held confidential. (7 CFR 150.173). |
OMB No. |
National Dairy Promotion and Research Board
Organic Exemption Request Form
For the Calendar Year: _______
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- 0217. The time required to complete this information collection is estimated to average 30 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.
Persons that only produce and market products eligible to be labeled “100% organic” under the National Organic Program may request exemption from the National Dairy Promotion and Research Board assessments.
Please complete the following: (Please Print)
Company/ Producer Name:
Mailing Address:
City/State/Zip:
Contact Name:
Telephone No.:
Fax No.:
Email (optional):
In order to be exempt, the
Operate under an approved organic system plan authorized by the National Organic Program (NOP) (7 CFR Part 205)
Produces only products eligible for a 100% organic label under the NOP
Is not a split operation as defined by the Organic Foods Production Act of 1990
Please list all commodities produced (Use continuation sheet if necessary):
|
Eligible to be labeled |
|
Eligible to be labeled |
Commodity |
100% organic? |
Commodity |
100% organic? |
__________________ Yes No
__________________ Yes No
__________________ Yes No
__________________ Yes No
__________________ Yes No
__________________ Yes No
A copy of this company’s valid organic farm certificate
provided by a
Certification Statement
I certify that my firm meets the above criteria and is eligible for an exemption from the assessments under the National Dairy Promotion and Research Program.
________________________________ |
_____________________________ |
____________ |
Signature |
Title |
Date |
[Any false statement or misrepresentation may result in a fine of not more than $10,000, or imprisonment for not more than five years, or both (18 U. S. C. 1001).]
Please mail your completed application to: |
Or fax your completed application to: |
National Dairy Promotion and Research Board |
National Dairy Promotion and Research Board |
Attn: Collections and Compliance |
Attn: Collections and Compliance |
10255 West Higgins Road, Suite 900 |
Fax Number: (847) |
Rosemont, IL 60018 |
|
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (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
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room
National Dairy Promotion and Research Board
Organic Exemption Request Form
Continuation Sheet for
Company/Producer Name: __________________________________________
If you need more space to list commodities, please use this sheet.
Please list all commodities produced:
Eligible to be labeled as |
Eligible to be labeled as |
||||
Commodity |
100% Organic? |
Commodity |
100% Organic? |
||
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |
__________________________ |
Y |
N |