Attachment 2 - Grid for estimated burden

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.115
800.145
800.147
800.154
800.195
800.196
800.198
USGSA
800.186
800.187
800.195
800.196
800.199
USGSA
800.145
800.151
800.153
800.155
800.158
800.195
800.196
800.217

Application and Agreement For Contract Service

Conflict-of-Interest Questionnaire (Non-Licensed Official
Agency Personnel)

Laboratory Scale Test

SUMMARY OF INFORMATION COLLECTION

Page 1 of 25

FGIS-4

FGIS-100

FGIS-904

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

TOTAL
HOURS
(Col. F x G)
(H)

NO. OF
RECORDSKEEPERS

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

18 Profit

4.00

72

0.33

23.76

0

0.000

0.000

0 State

0
72

0.33
0.33

0
23.76

0
0

0.000
0.000

0.000

18 Total

4.00
4.00

0.000

75 Profit

1.00

75

0.083

6.225

0

0.000

0.000

10 State
85 Total

1.00
1.00

10
85

0.083
0.083

0.83
7.055

0
0

0.000
0.000

0.000

45 Profit

43.66

1965

0.167

328.11

45

0.029

1.305

11 State

43.66

480

0.167

80.205

11

0.029

0.319

56 Total

43.66

2445

0.167

408.32

56

0.029

1.624

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.005
800.015
800.046
800.047
800.075
800.076
800.085
800.086
800.087
800.095
800.115
800.116
800.125
800.126
800.135
800.136
800.163
800.164
868.008
868.021
868.030
868.040
868.042
868.044
868.050
868.051
868.060
868.061
868.074
868.075

Application for Inspection and Weighing Services

FGIS-907

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

TOTAL
HOURS
(Col. F x G)
(H)

NO. OF
RECORDSKEEPERS

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

2671 Profit

7.00

18697

0.057579

1076.6

0

0.000

0.000

0 State

7.00
7.00

0
18697

0.057579
0.057579

0
1076.6

0
0

0.000
0.000

0.000

2671 Total

SUMMARY OF INFORMATION COLLECTION

Page 2 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.016
800.016
800.017
800.075
800.076
800.081
800.082
800.083
800.085
800.086
800.118
800.129
800.139
800.145
800.153
800.155
800.161
800.162
800.163
800.164
800.165
800.166
800.195
800.196

Official Export Grain Inspection Certificate

FGIS-909

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

0

39.097

0.000

0 State

0.00
0.00

0
0

0
0

0
0

4
4

39.097
39.097

156.390

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 3 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

156.390

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.016
800.016
800.017
800.075
800.076
800.081
800.082
800.083
800.085
800.086
800.118
800.129
800.139
800.145
800.153
800.155
800.161
800.162
800.163
800.164
800.165
800.166
800.195
800.196

Official Export Grain Inspection Certificate (Divided-Lot)

FGIS-909-1

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

0

0.500

0.000

0 State

0.00
0.00

0
0

0
0

0
0

4
4

0.500
0.500

2.000

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 4 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

2.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.016
800.016
800.017
800.075
800.076
800.081
800.082
800.083
800.085
800.086
800.118
800.129
800.139
800.145
800.153
800.155
800.161
800.162
800.163
800.164
800.165
800.166
800.195
800.196
USGSA
800.086
800.129
800.139
800.145
800.153
800.155
800.156
800.185
800.195
800.196

U.S. Grain Standard Act Official Export Grain Inspection
Certificate

Inspection Log

FGIS-909-2

FGIS-921

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

0

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

0 Profit

0.00

0 State

0.00

0

0

0

0 Total

0.00

0

0

0

15 Profit

35.94

539

6.66

3590.8

1 State

35.94
35.94

36
575

6.66
6.66

239.39
3830.2

16 Total

SUMMARY OF INFORMATION COLLECTION

Page 5 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0

0

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

15

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0.670

10.050

1

0.670

0.670

16

0.670

10.720

15

0.083

1.250

1
16

0.083
0.083

1.333

0.083

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
353.6

USGSA
800.145
800.155
800.159
800.195
800.196
USGSA
800.145
800.151
800.153
800.155
800.158
800.195
800.196
800.217
USGSA
800.145
800.151
800.153
800.155
800.158
800.195
800.196
800.217
AMA
868.030

Inspection Report - Insects in Grain

Inspection and Weighing Report

Moisture Meter Test

Barley Pearler and Sieve Test

Rice Checktest Form

FGIS-921-2

FGIS-922

FGIS-923

FGIS-924

FGIS-925

NO. OF
RESPONSES
PER
RESPONDENT
(E)

31 Profit

62.00

4 State

62.00

35 Total

62.00

45 Profit

12.00

11 State

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

1922

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

0.08

153.76

248

0.08

19.84

2170

0.08

173.6

540

0.667

360.18

56 Total

12.00
12.00

132
672

0.667
0.667

45 Profit

11.32

509

11 State

11.32

125

56 Total

11.32

45 Profit
11 State

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

3.720

1

0.120

0.120

55

0.120

6.600

45

0.012

0.540

88.044
448.22

11
56

0.012
0.012

0.672

0.33

168.13

45

0.200

9.000

0.33

41.099

11

0.200

2.200

634

0.33

209.23

56

0.200

11.200

21.02

946

0.25

236.44

45

0.800

36.000

56 Total

21.02
21.02

231
1177

0.25
0.25

57.797
294.24

11
56

0.800
0.800

44.800

1 Profit

2.00

2

2

4

1

0.004

0.004

1 State

2.00
2.00

2
4

2
2

4
8

1
2

0.004
0.004

0.008

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

31

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0.120

2 Total

SUMMARY OF INFORMATION COLLECTION

Page 6 of 25

0.132

8.800

0.004

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.145
800.151
800.153
800.155
800.158
800.195
800.196
800.217
USGSA
800.145
800.151
800.153
800.155
800.158
800.195
800.196
800.217
AMA
868.030

USGSA
800.075
800.145
800.153
800.155
800.157
800.158
800.195
800.196
800.217

Testweight Checktest

Dockage Checktest

AMA Output Report

Approved Label for Inspected Machinery

FGIS-927

FGIS-928

FGIS-930

FGIS-931

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

TOTAL
HOURS
(Col. F x G)
(H)

NO. OF
RECORDSKEEPERS

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

45 Profit

9.63

433

0.083

35.957

45

0.200

9.000

11 State
56 Total

9.63
9.63

106
539

0.083
0.083

8.7896
44.747

11
56

0.200
0.200

11.200

45 Profit

13.83

622

0.333

207.25

45

0.200

9.000

11 State

13.83

152

0.333

50.661

11

0.200

2.200

56 Total

13.83

775

0.333

257.91

56

0.200

11.200

12 Profit

12.00

144

0.25

36

0

0.000

0.000

12 State

12.00

144

0.25

36

0

0.000

0.000

24 Total

12.00

288

0.25

72

0

0.000

0.000

3196 Profit

2.00

6392

0.001389

8.8785

0

0.000

0.000

395 State

2.00
2.00

790
7182

0.001389
0.001389

1.0973
9.9758

0
0

0.000
0.000

0.000

3591 Total

SUMMARY OF INFORMATION COLLECTION

Page 7 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

2.200

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

AMA
868.030
868.031
868.035
868.043
868.052
868.070
868.071
868.072
868.073
868.074
868.075
USGSA
800.145
800.151
800.153
800.155
800.158
800.195
800.196
800.217
USGSA
800.145
800.155
800.159
800.195
800.196
USGSA
800.075

USGSA
800.075
800.196

Rice Inspection Certificate (Submitted Sample)

Sampler Condition Report

Report of Grain Inspected and Weighed for Export

Request for Waiver of Inspection

Application for Designation

FGIS-932

FGIS-936

FGIS-938

FGIS-941

FGIS-942

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

0

46.750

0.000

0 State

0
0

0
0

0
0

1
1

46.750
46.750

46.750

0 Total

0.00
0.00

46.750

45 Profit

47.63

2143

0.75

1607.4

45

0.038

1.710

11 State

47.63

524

0.75

392.92

11

0.038

0.418

56 Total

47.63

2667

0.75

2000.3

56

0.038

2.128

18 Profit

26.00

468

0.25

117

18

0.104

1.874

5 State
23 Total

26.00
26.00

130
598

0.25
0.25

32.5
149.5

5
23

0.104
0.104

2.394

2 Profit

1.00

2

0.083

0.166

0

0.001

0.000

0 State
2 Total

1.00
1.00

0
2

0.083
0.083

0
0.166

0
0

0.001
0.001

0.000

29 Profit

1.00

29

1

29

29

0.001

0.029

4 State

1.00
1.00

4
33

1
1

4
33

4
33

0.001
0.001

0.033

33 Total

SUMMARY OF INFORMATION COLLECTION

Page 8 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.521

0.000

0.004

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.017
800.018
800.145
800.149
800.154
800.159
800.172
800.174
800.175
800.176
800.177
800.186
800.187
800.195
800.196
800.199
868.081
868.082
868.083
868.084
USGSA
800.031
800.032

Application For License Under The United States Grain
Standards Act (USGSA) and/or The Agriculture Marketing Act
(and) of 1946

USGSA
800.145
800.147
800.154
800.195
800.196
800.198
AMA
868.033

Warehouseman's Sample-Lot Inspection Service Contract

Application for Registration

Sanitation Inspection Report (Processed Products)

SUMMARY OF INFORMATION COLLECTION

Page 9 of 25

FGIS-944

FGIS-945

FGIS-950

FGIS-952

214 Profit

NO. OF
RESPONSES
PER
RESPONDENT
(E)

1.00

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

214

TOTAL
HOURS
(Col. F x G)
(H)

0.083

17.762

NO. OF
RECORDSKEEPERS

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

50

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0.001

0.050

26 State

1.00

26

0.083

2.158

6

0.001

0.006

240 Total

1.00

240

0.083

19.92

56

0.001

0.056

100 Profit

1.00

100

0.033

3.3

0

0.000

0.000

0 State
100 Total

1.00
1.00

0
100

0.033
0.033

0
3.3

0
0

0.000
0.000

0.000

2 Profit

1.00

2

0.083

0.166

2

0.183

0.366

0 State
2 Total

1.00
1.00

0
2

0.083
0.083

0
0.166

0
2

0.183
0.183

0.366

12 Profit

11.00

132

1.5

198

12

0.008

0.090

12 State

11.00

132

1.5

198

12

0.008

0.090

24 Total

11.00

264

1.5

396

12

0.008

0.090

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

AMA
868.033

AMA
868.033

AMA
868.030
868.031
868.033
868.035
868.043
868.044
868.052
868.070
868.071
868.072
868.073
868.074
868.075

Sanitation Inspection Report (Beans, Peas, and Lentils)

Sanitation Inspection Report (Overpacker)

Page 10 of 25

FGIS-952-1

FGIS-952-2

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

13.33

0

1

0

0

0.013

0.000

6 State
6 Total

13.33
13.33

80
80

1
1

79.998
79.998

3
3

0.013
0.013

0.040

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State

0.00

0

0

0

0

0.000

0.000

0 Total

0.00

0

0

0

0

0.000

0.000

0 Profit

0.00

0

0

0

0

17.000

0.000

0 State

0.00

0

0

0

1

17.000

17.000

0 Total

0.00

0

0

0

1

17.000

17.000

0.040

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Rice Inspection Services Certificate

SUMMARY OF INFORMATION COLLECTION

FGIS-956

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.016
800.017
800.075
800.076
800.095
800.096
800.097
800.098
800.099
800.118
800.129
800.145
800.153
800.155
800.161
800.163
800.164
800.165
800.166
800.195
800.196

Official Grain Weight Certificate

FGIS-960

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

6

3.740

22.440

0 State

0.00
0.00

0
0

0
0

0
0

5
11

3.740
3.740

41.140

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 11 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

18.700

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.016
800.017
800.075
800.076
800.095
800.096
800.097
800.098
800.099
800.118
800.129
800.145
800.153
800.155
800.161
800.163
800.164
800.165
800.166
800.195
800.196
USGSA
800.046
800.145
800.153
800.155
800.157
800.158
800.195
800.196

Official Grain Weight Certificate (Divided)

Scale Record Log

FGIS-961

FGIS-963

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

4

1.310

5.240

0 State
0 Total

0.00
0.00

0
0

0
0

0
0

4
8

1.310
1.310

10.480

0 Profit

0.00

0

0

0

18

7.400

133.200

0 State

0.00
0.00

0
0

0
0

0
0

9
27

7.400
7.400

66.600

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 12 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

5.240

199.800

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.016
800.075
800.076
800.095
800.096
800.097
800.098
800.099
800.118
800.129
800.145
800.153
800.155
800.161
800.164
800.165
800.166
800.195
800.196
USGSA
800.075
800.145
800.153
800.155
800.157
800.195
800.196
800.217

Supervision of Weight Certificate

Scale Test Report (Hopper)

FGIS-964

FGIS-965

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

16

41.630

666.080

0 State
0 Total

0.00
0.00

0
0

0
0

0
0

0
16

41.630
41.630

666.080

0 Profit

49.00

0

2

0

0

0.100

0.000

6 State

49.00
49.00

294
294

2
2

588
588

6
6

0.100
0.100

0.600

6 Total

SUMMARY OF INFORMATION COLLECTION

Page 13 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

0.600

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.075
800.145
800.153
800.155
800.157
800.195
800.196
800.217
USGSA
800.075
800.145
800.153
800.155
800.157
800.195
800.196
800.217
USGSA
800.095
800.096
800.097
800.098
800.099
800.145
800.153
800.155
800.157
800.195
800.196
USGSA
800.145
800.151
800.158
800.195
800.196
800.217

Scale Test Report (Railroad Track)

Scale Test Report (Vehicle)

Weight Loading Log

Authorization To Use Mechanical Sampler

FGIS-965-1

FGIS-965-2

FGIS-968

FGIS-980

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

14.00

0

1

0

0

0.230

0.000

1 State

14
14

1
1

14
14

1
1

0.230
0.230

0.230

1 Total

14.00
14.00

0 Profit

6.86

0

2

0

0

0.100

0.000

6 State

6.86

41

2

82.286

6

0.100

0.600

6 Total

6.86

41

2

82.286

6

0.100

0.600

2 Profit

220.00

440

4.85

2134

2

0.113

0.226

3 State

220.00

660

4.85

3201

3

0.113

0.339

5 Total

220.00

1100

4.85

5335

5

0.113

0.565

50 Profit

1.00

50

0.083

4.15

0

0.000

0.000

0 State

1.00
1.00

0
50

0.083
0.083

0
4.15

0
0

0.000
0.000

0.000

50 Total

SUMMARY OF INFORMATION COLLECTION

Page 14 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.230

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

Contract Service Agreement

AMA
868.033

Services Performed Report

AMA
868.030
868.031
868.033
868.035
868.044
868.052
868.070
868.071
868.072
868.073
868.074
868.075
AMA
868.030
868.031
868.033
868.043
868.044
868.052
868.070
868.071
868.073
868.074
868.075
868.35

Commodity Inspection Certificate

Commodity Inspection Certificate (Submitted Sample)

FGIS-983

FGIS-992

FGIS-993

FGIS-994

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

19 Profit

1.00

19

0.167

3.173

0

0.000

0.000

0 State
19 Total

1.00
1.00

0
19

0.167
0.167

0
3.173

0
0

0.000
0.000

0.000

2 Profit

2062.00

4124

0.333

1373.3

2

3.285

6.570

2 State

4124
8248

0.333
0.333

1373.3
2746.6

2
4

3.285
3.285

6.570
13.140

0

0

12

17.000

204.000

0.000

4 Total

2062.00
2062.00

0 Profit

0.00

0 State

0.00

0

0

0

7

17.000

119.000

0 Total

0.00

0

0

0

19

17.000

323.000

0 Profit

0.00

0

0

0

11

83.206

915.266

0 State

0.00
0.00

0
0

0
0

0
0

7
19

83.206
83.206

1580.914

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 15 of 25

0

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

582.442

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.145
800.151
800.158
800.195
800.196
800.217
USGSA
800.046
800.145
800.153
800.157
800.195
800.196
USGSA
800.046
800.145
800.153
800.157
800.195
800.196
USGSA
800.195

USGSA
800.18

Questionnaire for Proposed Diverter Type Mechanical
Sampler Installation

Application for Approval to Operate as a Weighing Facility

Repair/Modification Notice

Application for Delegation

Page 16 of 25

FGIS-998

FGIS-1001

FGIS-9601

None

50 Profit

NO. OF
RESPONSES
PER
RESPONDENT
(E)

1.00

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

50

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

1

50

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

50

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0.001

0.050

0 State

1.00

0

1

0

0

0.001

0.000

50 Total

1.00

50

1

50

50

0.001

0.050

175 Profit

1.00

175

0.133

23.275

3

0.110

0.330

0 State

1.00

0

0.133

0

18

0.110

1.980

175 Total

1.00

175

0.133

23.275

21

0.110

2.310

0.000

0 Profit

2.00

0

0.033

0

0

0.071

15 State

2.00

30

0.033

0.99

7

0.071

0.497

15 Total

2.00

30

0.033

0.99

7

0.071

0.497

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State

0.00

0

0

0

0

0.000

0.000

0 Total

0.00

0

0

0

0

0.000

0.000

1 Profit

1.00

1

1

1

0

0.000

0.000

0 State

1.00
1.00

0
1

1
1

0
1

0
0

0.000
0.000

0.000

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Application for Emergency Waiver

None

1 Total

SUMMARY OF INFORMATION COLLECTION

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.197
802.001
USGSA
800.145
800.147
800.155
800.196
USGSA
800.145
800.146
800.154
800.185
800.195
800.196
868.010
USGSA
800.070
800.145
800.150
800.154
800.159
800.170
800.195
800.196
USGSA
800.081
800.145
800.152
800.156
800.195
800.196
868.033
868.035

Application for Scale Testing

Approval to Operate Outside Assigned Area

Directives Maintenance

Fee Records

File Samples

None

None

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

(Col. F x G)
(H)

13.00

0 State

13.00

0

1

0

31 Total

13.00

403

1

403

20 Profit

1.00

20

0.5

10

5 State
25 Total

1.00
1.00

5
25

0.5
0.5

0 Profit

0.00

0

0 State
0 Total

0.00
0.00

26 Profit
2 State
28 Total

None

403

NO. OF
RECORDSKEEPERS

TOTAL
HOURS

31 Profit

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 17 of 25

1

403

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

0

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0.250

0.000

6

0.250

1.500

6

0.250

1.500

0

0.000

0.000

2.5
12.5

0
0

0.000
0.000

0.000

0

0

0

0.000

0.000

0
0

0
0

0
0

0
0

0.000
0.000

0.000
0.000

1.00

26

1

26

26

0.001

0.026

1.00

2

1

2

2

0.001

0.002

1.00

28

1

28

28

0.001

0.028

0.000

0.00

0

50

493.019

24650.950

0.00
0.00

0
0

6
56

493.019
493.019

27609.064

0

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0

2958.114

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.005
800.145
800.195
800.196
800.218
868.008
USGSA
800.145
800.146
800.154
800.185
800.195
800.196
868.010
USGSA
800.018
800.025
800.026
USGSA
800.061

Filing Complaints

Grain Disposition Record

Grain Merchandising Records - Export Exemption/Waiver Officially Inspected/Weighed

Letter Requesting Exemption from Prohibited Grain Handling
Practices

Page 18 of 25

None

None

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

9 Profit

2.00

18

2

36

0

0.000

0.000

0 State
9 Total

2.00
2.00

0
18

2
2

0
36

0
0

0.000
0.000

0.000

0 Profit

0.00

0

0

0

50

5.400

270.000

0 State

0.00

0

0

0

0

5.400

0.000

0 Total

0.00

0

0

0

56

5.400

302.400

12 Profit

1.00

12

0

0

0

5.000

0.000

0.000

0 State

1.00

0

0

0

0

5.000

0.000

12 Total

1.00

12

0

0

12

5.000

60.000

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State

0.00
0.00

0
0

0
0

0
0

0
0

0.000
0.000

0.000

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.
0 Total

SUMMARY OF INFORMATION COLLECTION

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.145
800.148
800.149
800.154
800.170
800.171
800.173
800.175
800.176
800.177
800.195
800.196
800.199
8000.17
USGSA
800.018

USGSA
800.145
800.147
800.155
800.196

License Sensory Examination

Notification of 15,000 MT Exemption

Notification of Change in Specified Service Point

None

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

45 Profit

2.00

90

0.167

15.03

45

0.001

0.045

11 State
100 Total

2.00
2.00

22
200

0.167
0.167

3.674
33.4

11
56

0.001
0.001

0.056

36 Profit

1.00

36

0.167

6.012

36

0.001

0.036

0 State

1.00

0

0.167

0

0

0.001

0.000

36 Total

1.00

36

0.167

6.012

36

0.001

0.036

24 Profit

1.00

24

0.5

12

0

0.000

0.000

6 State

1.00
1.00

6
30

0.5
0.5

3
15

0
0

0.000
0.000

0.000

30 Total

SUMMARY OF INFORMATION COLLECTION

Page 19 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.011

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.048
800.049
800.050
800.145
800.153
800.155
800.159
800.195
800.196
868.022
868.023
868.024
868.025
USGSA
800.118
800.129
800.139
800.145
800.153
800.155
800.160
800.161
800.162
800.164
800.165
800.166
800.195
800.196
800.75
800.76
800.82

Notification of Dismissal/Withdrawal/Refusal

Official Certificate

SUMMARY OF INFORMATION COLLECTION

Page 20 of 25

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

25 Profit

1.00

25

0.017

0.425

25

0.001

0.025

0 State
25 Total

1.00
1.00

0
25

0.017
0.017

0
0.425

0
25

0.001
0.001

0.025

0 Profit

0.00

0

0

0

48

114.000

5472.000

0 State

0.00

0

0

0

12

114.000

1368.000

0 Total

0.00

0

0

0

60

114.000

6840.000

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.046
800.051
800.073
800.170
868.021
868.026
868.041
868.092
USGSA
800.075
800.076
800.082
800.118
800.129
800.139
800.145
800.153
800.155
800.160
800.161
800.162
800.164
800.165
800.166
800.195
800.196

Payment of Bills

Official Certificate - Submitted Sample Inspection

SUMMARY OF INFORMATION COLLECTION

Page 21 of 25

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

758 Profit

12.00

9096

0.5

4548

0

0.000

0.000

0 State
758 Total

12.00
12.00

0
9096

0.5
0.5

0
4548

0
0

0.000
0.000

0.000

0 Profit

0.00

0

0

0

49

16.530

809.970

0 State

0.00

0

0

0

11

16.530

181.830

0 Total

0.00

0

0

0

60

16.530

991.800

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.075
800.076
800.082
800.083
800.084
800.085
800.118
800.129
800.139
800.145
800.153
800.155
800.160
800.161
800.162
800.164
800.165
800.166
800.195
800.196
USGSA
800.075
800.095
800.118
800.129
800.139
800.145
800.153
800.155
800.160
800.161
800.164
800.165
800.166
800.195
800.196

Official Certificate Warehouseman's Sample Lot Inspection

Official Stowage Examination Certificate

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0

0

0

2

1.980

3.960

0 State
0 Total

0.00
0.00

0
0

0
0

0
0

0
2

1.980
1.980

3.960

45 Profit

0.00

0

0

0

45

0.719

32.355

11 State

0.00
0.00

0
0

0
0

0
0

11
56

0.719
0.719

40.264

0 Total

SUMMARY OF INFORMATION COLLECTION

Page 22 of 25

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

7.909

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.045
868.020

USGSA
800.60

USGSA
800.039
800.179

USGSA
800.005
800.145
800.155
800.185
800.195
800.196
800.199
868.008

Proof of Authorization

Page 23 of 25

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

0

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

0 Profit

0.00

0 State

0.00

0

0

0

0

0.000

0.000

0 Total

0.00

0

0

0

0

0.000

0.000

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State
0 Total

0.00
0.00

0
0

0
0

0
0

0
0

0.000
0.000

0.000

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State
0 Total

0.00
0.00

0
0

0
0

0
0

0
0

0.000
0.000

0.000

4 Profit

1.00

4

0.167

0.668

0

0.000

0.000

3 State

1.00
1.00

3
7

0.167
0.167

0.501
1.169

0
0

0.000
0.000

0.000

0

0

0

0.000

0.000

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Notification of Deceptive Practice

None

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Registration Suspension or Revocation Hearing

None

0.000

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Reporting Violations

None

7 Total

SUMMARY OF INFORMATION COLLECTION

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

0.000

0.000

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT
Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

OMB NO.
0580-0013
DATE PREPARED

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

8/14/2007

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

USGSA
800.196

USGSA
800.196

USGSA
800.145
800.147
800.195
800.196

USGSA
800.145
800.147
800.196

USGSA
800.217

Request for Amendment to Assigned Area

Request for Assistance to Provide Official Services

Page 24 of 25

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

NO. OF
RECORDSKEEPERS

TOTAL
HOURS
(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

2 Profit

1.00

2

0.5

1

0

0.000

0.000

0 State
4 Total

1.00
1.00

0
4

0.5
0.5

0
2

0
0

0.000
0.000

0.000

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State

0.00

0

0

0

0

0.000

0.000

0 Total

0.00

0

0

0

0

0.000

0.000

0 Profit

0.00

0

0

0

0

0.000

0.000

0 State
0 Total

0.00
0.00

0
0

0
0

0
0

0
0

0.000
0.000

0.000

0 Profit

1.00

0

1

0

0

0.000

0.000

0 State

1.00

0

1

0

0

0.000

0.000

0 Total

1.00

0

1

0

0

0.000

0.000

13 Profit

1.00

13

2

26

0

0.000

0.000

0 State

1.00

0

2

0

0

0.000

0.000

13 Total

1.00

13

2

26

0

0.000

0.000

0.000

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Request for Delegation Cancellation

None

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Request for Designation Cancellation

None

0.000

The action identified by this section was not used during the
last 3 years and is not anticipated for use during the next 3year period. The requirement is maintained in the regulations
if any incident should occur which requires such action. If
instances do occur which require action, we will submit burden
estimates for OMB approval.

Request for Prototype Testing

SUMMARY OF INFORMATION COLLECTION

None

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

Attachment 3

INSTRUCTIONS: Use this form when a single collection document involves
multiple reporting and recordkeeping requirements. The totals of the figures in cols.
(D), (F), (H), (I), and (K) should be entered as item 13 of OMB 83-I. For cols. (E),
(G), and (J), the averages of the totals shall be computed as follows and the entered on
the OMB 83-I.
Total = (E) Average
Total

(M) Total = (G) Average
(F) Total

TITLE OF INFORMATION DOCUMENT

OMB NO.
0580-0013

Approval of the Regulations Governing the National Inspection and
Weighing System Under the USGSA and AMA

(K) Total = (J) Average
(I) Total

DATE PREPARED
8/14/2007

ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

Reports
SECTION
REGS

DESCRIPTION

FORM NO(S).
(If none,
so state)

NO. OF
RESPONDENTS

(A)

(B)

(C)

(D)

AMA
868.33

USGSA
800.145
800.153
800.156
800.185
800.195
800.196

Work Records (AMA)

Work Records (USGSA)

None

None

NO. OF
RESPONSES
PER
RESPONDENT
(E)

Records

TOTAL
ANNUAL
RESPONSES

HOURS
PER
RESPONSE

(Col. D x E)
(F)

(G)

TOTAL
HOURS

NO. OF
RECORDSKEEPERS

(Col. F x G)
(H)

ANNUAL
HOURS PER
RECORDKEEPERS
(J)

(I)

TOTAL
RECORDKEEPING
HOURS
(Col. I x J)
(K)

12 Profit

1689.00

20268

0.083

1682.2

12

11.140

133.680

12 State
24 Total

1689.00
1689.00

20268
40536

0.083
0.083

1682.2
3364.5

12
24

11.140
11.140

267.360

45 Profit

14717.00

662265

0.117

77485

45

32.400

1458.000

11 State

14717.00
14717.00

161887
824152

0.117
0.117

18941
96426

11
56

32.400
32.400

356.400

56 Total

Total Respondents (D)
8,754

SUMMARY OF INFORMATION COLLECTION

Page 25 of 25

Total Annual Responses (F)
923,908

Profit = Private Business Sector for Profit
State = State, Local, or Tribal Group

Total Hours (H)
123,296

133.680

1814.400

Total Record-keeping hours (K)
41,097

Attachment 3