Attachment 3 - Cost to the public

Estimated Annual Cost to Respondents
Form Number

Title

Total
Hours
Per Year

Cost
Per
Hour

Attachment 4
Total
Annual
Cost

FGIS-4

Application and
Agreement For Contract
Service

23.76

$18.71

$445

FGIS-100

Conflict-of-Interest
Questionnaire (NonLicensed Official Agency
Personnel)

7.06

$8.19

$58

FGIS-904

Laboratory Scale Test

409.94

$14.03

$5,751

FGIS-907

Application for
Inspection and
Weighing Services

1076.55

$21.05

$22,661

FGIS-909

Official Export Grain
Inspection Certificate

156.39

$5.85

$915

FGIS-909-1

Official Export Grain
Inspection Certificate
(Divided-Lot)

2.00

$5.85

$12

FGIS-909-2

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

10.72

$5.85

$63

FGIS-921

Inspection Log

3831.57

$14.03

$53,757

FGIS-921-2

Inspection Report Insects in Grain

180.20

$14.03

$2,528

FGIS-922

Inspection and
Weighing Report

448.90

$5.85

$2,626

FGIS-923

Moisture Meter Test

220.43

$14.03

$3,093

August 10, 2007

Attachment 4

Page 1 of 7

Form Number

Title

Total
Hours
Per Year

Cost
Per
Hour

Total
Annual
Cost

339.04

$14.03

$4,757

FGIS-924

Barley Pearler and Sieve
Test

FGIS-925

Rice Checktest Form

8.01

$14.03

$112

FGIS-927

Testweight Checktest

55.95

$14.03

$785

FGIS-928

Dockage Checktest

269.11

$14.03

$3,776

FGIS-930

AMA Output Report

72.00

$5.85

$421

FGIS-931

Approved Label for
Inspected Machinery

9.98

$14.03

$140

FGIS-932

Rice Inspection
Certificate (Submitted
Sample)

46.75

$5.85

$273

FGIS-936

Sampler Condition
Report

2002.47

$18.71

$37,466

FGIS-938

Report of Grain
Inspected and Weighed
for Export

151.89

$5.85

$889

FGIS-941

Request for Waiver of
Inspection

0.17

$21.05

$3

FGIS-942

Application for
Designation

33.03

$26.31

$869

FGIS-944

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

19.98

$11.69

$234

FGIS-945

Application for
Registration

3.30

$31.57

$104

August 10, 2007

Attachment 4

Page 2 of 7

Form Number

Title

FGIS-950

Warehouseman's
Sample-Lot Inspection
Service Contract

FGIS-952

Total
Hours
Per Year

Cost
Per
Hour

Total
Annual
Cost

0.53

$18.71

$10

Sanitation Inspection
Report (Processed
Products)

396.09

$11.69

$4,630

FGIS-952-1

Sanitation Inspection
Report (Beans, Peas,
and Lentils)

80.04

$11.69

$936

FGIS-952-2

Sanitation Inspection
Report (Overpacker)

0.00

$0.00

$0

FGIS-956

Rice Inspection Services
Certificate

17.00

$5.85

$99

FGIS-960

Official Grain Weight
Certificate

41.14

$5.85

$241

FGIS-961

Official Grain Weight
Certificate (Divided)

10.48

$5.85

$61

FGIS-963

Scale Record Log

199.80

$9.35

$1,868

FGIS-964

Supervision of Weight
Certificate

666.08

$5.85

$3,897

FGIS-965

Scale Test Report
(Hopper)

588.60

$25.51

$15,015

FGIS-965-1

Scale Test Report
(Railroad Track)

14.23

$25.51

$363

FGIS-965-2

Scale Test Report
(Vehicle)

82.89

$25.51

$2,114

FGIS-968

Weight Loading Log

5335.57

$9.35

$49,888

August 10, 2007

Attachment 4

Page 3 of 7

Form Number

Title

Total
Hours
Per Year

Cost
Per
Hour

Total
Annual
Cost

FGIS-980

Authorization To Use
Mechanical Sampler

4.15

$18.71

$78

FGIS-983

Contract Service
Agreement

3.17

$18.71

$59

FGIS-992

Services Performed
Report

2759.72

$11.69

$32,261

FGIS-993

Commodity Inspection
Certificate

323.00

$5.85

$1,890

FGIS-994

Commodity Inspection
Certificate (Submitted
Sample)

1580.91

$5.85

$9,248

FGIS-998

Questionnaire for
Proposed Diverter Type
Mechanical Sampler
Installation

50.05

$0.00

$0

FGIS-1001

Application for Approval
to Operate as a
Weighing Facility

25.59

$18.71

$479

FGIS-9601

Repair/Modification
Notice

1.49

$0.00

$0

None

Application for
Delegation

0.00

$26.31

$0

None

Application for
Emergency Waiver

1.00

$26.31

$26

None

Application for Scale
Testing

404.50

$21.05

$8,515

None

Approval to Operate
Outside Assigned Area

12.50

$26.31

$329

August 10, 2007

Attachment 4

Page 4 of 7

Form Number

Title

None

Directives Maintenance

None

Total
Hours
Per Year

Cost
Per
Hour

Total
Annual
Cost

0.00

$5.85

$0

Fee Records

28.03

$5.85

$164

None

File Samples

27609.06

$9.35

$258,145

None

Filing Complaints

36.00

$31.57

$1,137

None

Grain Disposition Record

302.40

$5.85

$1,769

None

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

60.00

$5.85

$351

None

Letter Requesting
Exemption from
Prohibited Grain
Handling Practices

0.00

$31.57

$0

None

License Sensory
Examination

33.46

$11.69

$391

None

Notification of 15,000 MT
Exemption

6.05

$21.05

$127

None

Notification of Change in
Specified Service Point

15.00

$26.31

$395

None

Notification of
Dismissal/Withdrawal/Re
fusal

0.45

$21.05

$9

None

Official Certificate

6840.00

$5.85

$40,014

None

Payment of Bills

4548.00

$8.19

$37,248

August 10, 2007

Attachment 4

Page 5 of 7

Form Number

Title

None

Official Certificate Submitted Sample
Inspection

None

Total
Hours
Per Year

Cost
Per
Hour

Total
Annual
Cost

991.80

$5.85

$5,802

Official Certificate
Warehouseman's
Sample Lot Inspection

3.96

$5.85

$23

None

Official Stowage
Examination Certificate

40.26

$7.97

$321

None

Proof of Authorization

0.00

$31.57

$0

None

Notification of Deceptive
Practice

0.00

$0.00

$0

None

Registration Suspension
or Revocation Hearing

0.00

$14.03

$0

None

Reporting Violations

1.17

$26.31

$31

None

Request for Amendment
to Assigned Area

2.00

$26.31

$53

None

Request for Assistance
to Provide Official
Services

0.00

$26.31

$0

None

Request for Delegation
Cancellation

0.00

$26.31

$0

None

Request for Designation
Cancellation

0.00

$26.31

$0

None

Request for Prototype
Testing

26.00

$25.51

$663

None

Work Records (AMA)

3631.85

$11.69

$42,456

August 10, 2007

Attachment 4

Page 6 of 7

Form Number
None

Title
Work Records (USGSA)

Total
Hours
Per Year
98240.18

Total Annual Cost

August 10, 2007

Cost
Per
Hour
$11.88

Total
Annual
Cost
$1,167,093

$1,829,937

Attachment 4

Page 7 of 7