FGIS-930 AMA Output Report

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

FORM 930 - Revision.xls

Reporting and Recordkeeping Requirements - State, Local, Tribal

OMB: 0580-0013

Document [xlsx]
Download: xlsx | pdf

Overview

AMA Report
Instructions
Contact


Sheet 1: AMA Report

AMA OUTPUT REPORT FIELD OFFICE: FISCAL YEAR:
COOPERATOR: MONTH:
TYPE OF PRODUCTS POUNDS (LBS)

FGIS COOPERATOR
PULSES




DRY EDIBLE BEANS

DRY WHOLE PEAS

SPLIT PEAS

LENTILS




RICE




BROWN RICE

ROUGH RICE

MILLED RICE




PROCESSED COMMODITIES




PROCESSED COMM.




OTHER SERVICES


NUMBER OF INSPECTIONS/SERVICE REQUESTS
AFLATOXIN
VOMITOXIN (DON)

BULK WEIGHING

CONDITION ONLY

FALLING NUMBER

PHYTOSANITARY INSPECTION

SANITATION

STOWAGE EXAMINATION-ONLY

OFFICIAL SAMPLING-ONLY

SUBMITTED SAMPLES

REMARKS:
TOTAL GROSS REVENUE:
$



This area for FGIS use:






















Point of Contact Phone Number Date Completed




OMB CONTROL NO. 0580-0013: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0580-0013. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
FORM FGIS-930 (03/2015) Previous Editions Obsolete
Expires January 2018









Sheet 2: Instructions












1. Name of the FGIS Field Office.








2. Name of Cooperator.








3. Current fiscal year.








4. Month reported.








5. Number of pounds for services (all pounds) obtained by FGIS Offices.








6. Number of pounds for services (all pounds) obtained by Cooperators.








7. Enter the number of Inspection/Service Requests performed per category when FGIS performs the service.








8. Enter the number of Inspection/Service Requests performed per category when Cooperator performs the service.
9. Any remarks necessary, please place here.








10. Enter Total Gross AMA Revenue billed to customers per Cooperative Agreement for FGIS to bill appropriate percentage for fees.








11. Enter name of person completing the form, phone number, and date form completed.


















Sheet 3: Contact










































File Typeapplication/vnd.ms-excel
AuthorGIPSA USER
Last Modified ByGreenfield, Andrew - GIPSA
File Modified2015-03-13
File Created1999-09-09

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