Reporting and Recordkeeping Requirements - State, Local, Tribal

Reporting and Recordkeeping Requirements (US Grain Standards Act and Agricultural Marketing Act of 1946)

OMB: 0580-0013

IC ID: 182961

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0580-0013 can be found here:

Documents and Forms

Document Name Document Type
Form FGIS-100 Reporting and Recordkeeping Requirements - State, Local, Tribal 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 of Interest Questionnaire fgis-100.pdf htt://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-905 Official Sample-Lot Inspection Certificate fgis-905.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landilng Form and Instruction
FGIS-907 Application for Inspection and Weighing Services fgis-907_f.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=lalnding&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-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 Sample 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-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-921 Inspection Log fgis-921.pdf 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/wepp?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 Checklist Form fgis-925.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-927 Testweight Checktest fgis-927.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-928 Dockage Checklist fgis-928.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-930 AMA Output Report fgis-930.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-931 Approved Label for Inspected Machinery fgis-931.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 USGSA and/or the AMA o 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-952-1 Sanitation 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-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-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 FGIS-963_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-965-1 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-965 Scale Test Report (Hopper) fgis-965.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-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-983 Contract Service Agreement fgis-983_f.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-992 Services Performed Report fgis-992.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-993 Commodity Inspection 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 Diverter Type Mechanical Samp 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 Weighing Facili fgis-1001.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing Form and Instruction
FGIS-9601 Repair/Modification Notice fgis-9601.doc 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 - State, Local, Tribal	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-100	Conflict of Interest Questionnaire	fgis-100.pdf	htt://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-905	Official Sample-Lot Inspection Certificate	fgis-905.pdf	http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landilng	Yes	No	Fillable Printable
Form and Instruction	FGIS-907	Application for Inspection and Weighing Services	fgis-907_f.pdf	http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=lalnding&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 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 Sample 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-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-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-922	Inspection and Weighing Report	fgis-922(1).pdf	http://www.gipsa.usda.gov/GIPSA/wepp?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 Checklist 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 Checktest	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 Checklist	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	fgis-930.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	fgis-931.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	Printable Only
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 USGSA and/or the AMA of 0946	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-952-1	Sanitation 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 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-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-956	Rice Inspection Services Certificate	fgis-956.pdf	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 Printable
Form and Instruction	FGIS-963	Scale Record Log	FGIS-963_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 Printable
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-965	Scale Test Report (Hopper)	fgis-965.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-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-983	Contract 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-992	Services 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 Inspection Certificate	fgis-993.pdf	http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Yes	No	Fillable Printable
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 Printable
Form and Instruction	FGIS-998	Questionnaire for Proposed Diverter 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 Weighing 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/Modification Notice	fgis-9601.doc	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: 842	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	129,215	33,560	95,655
Annual IC Time Burden (Hours)	16,447	-6,598	23,045
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.