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Reporting and Recordkeeping Requirements - Private Sector
Reporting and Recordkeeping Requirements (US Grain Standards Act and Agricultural Marketing Act of 1946)
OMB: 0580-0013
IC ID: 2514
OMB.report
USDA/GIPSA
OMB 0580-0013
ICR 201503-0580-001
IC 2514
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0580-0013 can be found here:
2017-11-06 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FGIS-905
Reporting and Recordkeeping Requirements - Private Sector
Form and Instruction
FGIS 4 Application and Agreement for Contract Service
fgis-4.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 100 Conflict-on-Interest Questionnaire (Non Licensed Officia
fgis-100.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 904 Laboratory Scale Test
fgis-904.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 907 Application for Inspection and Weighing Services
Revised fgis-907 030415.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 909 Official Export Grain Inspection Certificate
fgis-909.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 921 Inspection Log
fgis-921.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 921-2 Inspection Report - Insects in Grain
fgis-921-2-v3.doc
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 922 Inspection and Weighing Report
fgis-922(1).pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 923 Moisture Meter Test
fgis-923.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 924 Barley Pearler and Sieve Test
fgis-924.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 925 Rice Checktest Form
fgis-925.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 927 Testweight Checklist
fgis-927.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 928 Dockage Checktest
fgis-928.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 930 AMA Output Report
FORM 930 - Revision.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 931 Approved Label for Inspected Machinery
FGIS931_OMB.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 936 Sampler Condition Report
fgis-936.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 938 Report of Grain Inspected and Weighed for Export
fgis-938_f.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 941 Request for Waiver of Inspection
fgis-941.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 942 Application for Designation
fgis-942.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 944 Application for License Under the US Grain Standards Ave
fgis-944_f.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 945 Application for Registration
FGIS_945.doc
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 950 Warehouseman's Sample Lot Inspection Service Contract
fgis-950.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 952 Sanitation Inspection Report (Processed Products)
fgis-952.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 952-1 Sanitatin Inspection Report (Beans, Peas, and Lentils)
fgis-952-1.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 952-2 Sanitation Inspection Report (Overpacker)
fgis-952-2.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 956 Rice Inspection Services Certificate
fgis-956.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 960 Official Grain Weight Certificate
fgis-960.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 963 Scale Record Log
FGIS963_OMB.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 964 Supervision of Weight Certificate
fgis-964.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 965 Scale Test Report (Hopper)
fgis-965.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 965-1 Scale Test Report (Railroad Track)
fgis-965-1.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 965-2 Scale Test Report (Vehicle)
fgis-965-2.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 968 Weight Loading Log
fgis-968.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 983 Cotract Service Agreement
fgis-983_f.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIs 980 Authorization To Use Mechanical Sampler
fgis-980.doc
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 992 Service Performed Report
fgis-992.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 993 Commodity Inpection Certificate
fgis-993.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 994 Commodity Inspection Certificate (Submitted Sample)
fgis-994.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 998 Questionnaire for Proposed Dioverter Type Mechanical Sam
fgis-998.xls
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 1001 Application for Approval to Operate as a Weight Facility
fgis-1001.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 9601 Repair/Modication Notice
fgis-9601.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS-905 Official Sample - Lot Inspection Certificate
fgis-905.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS-913 Warehouseman's Sample - Lot Inspection
fgis-913.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS-914 Submitted Sampe Inspection
fgis-914.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS-915 Official Stowage Examination Certificate
fgis-915.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 907 Application for Inspection and Weighing Services - Marku
20150313153031150.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
FGIS 930 AMA Output Report - markup
20150313153117840.pdf
www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reporting and Recordkeeping Requirements - Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FGIS-905
Official Sample - Lot Inspection Certificate
fgis-905.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS-913
Warehouseman's Sample - Lot Inspection
fgis-913.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS-914
Submitted Sampe Inspection
fgis-914.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS-915
Official Stowage Examination Certificate
fgis-915.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 907
Application for Inspection and Weighing Services - Markup
20150313153031150.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 930
AMA Output Report - markup
20150313153117840.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 956
Rice Inspection Services Certificate
fgis-956.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 4
Application and Agreement for Contract Service
fgis-4.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 100
Conflict-on-Interest Questionnaire (Non Licensed Official Agency Personnel)
fgis-100.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 904
Laboratory Scale Test
fgis-904.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 907
Application for Inspection and Weighing Services
Revised fgis-907 030415.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 909
Official Export Grain Inspection Certificate
fgis-909.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 921
Inspection Log
fgis-921.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 921-2
Inspection Report - Insects in Grain
fgis-921-2-v3.doc
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 922
Inspection and Weighing Report
fgis-922(1).pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 923
Moisture Meter Test
fgis-923.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 924
Barley Pearler and Sieve Test
fgis-924.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 925
Rice Checktest Form
fgis-925.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 927
Testweight Checklist
fgis-927.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 928
Dockage Checktest
fgis-928.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 930
AMA Output Report
FORM 930 - Revision.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 931
Approved Label for Inspected Machinery
FGIS931_OMB.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 936
Sampler Condition Report
fgis-936.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 938
Report of Grain Inspected and Weighed for Export
fgis-938_f.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 941
Request for Waiver of Inspection
fgis-941.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 942
Application for Designation
fgis-942.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 944
Application for License Under the US Grain Standards Ave (USGSA) and/or The Agriculture Marketing Act and of 1946
fgis-944_f.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 945
Application for Registration
FGIS_945.doc
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 950
Warehouseman's Sample Lot Inspection Service Contract
fgis-950.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 952
Sanitation Inspection Report (Processed Products)
fgis-952.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 952-1
Sanitatin Inspection Report (Beans, Peas, and Lentils)
fgis-952-1.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 952-2
Sanitation Inspection Report (Overpacker)
fgis-952-2.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 960
Official Grain Weight Certificate
fgis-960.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 963
Scale Record Log
FGIS963_OMB.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 964
Supervision of Weight Certificate
fgis-964.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 965
Scale Test Report (Hopper)
fgis-965.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 965-1
Scale Test Report (Railroad Track)
fgis-965-1.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 965-2
Scale Test Report (Vehicle)
fgis-965-2.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 968
Weight Loading Log
fgis-968.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 983
Cotract Service Agreement
fgis-983_f.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIs 980
Authorization To Use Mechanical Sampler
fgis-980.doc
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 992
Service Performed Report
fgis-992.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 993
Commodity Inpection Certificate
fgis-993.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 994
Commodity Inspection Certificate (Submitted Sample)
fgis-994.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Fileable
Form and Instruction
FGIS 998
Questionnaire for Proposed Dioverter Type Mechanical Sampler Installation
fgis-998.xls
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 1001
Application for Approval to Operate as a Weight Facility
fgis-1001.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Form and Instruction
FGIS 9601
Repair/Modication Notice
fgis-9601.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7,768
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
88 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,113,237
0
0
0
0
1,113,237
Annual IC Time Burden (Hours)
144,830
0
0
0
0
144,830
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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Title
Document
Date Uploaded
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