| GIPSA Cost for Information Collection            Attachment 4 | 
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		| Form Number | Title | Total Annual Responses | Average Time Response | Total Hours per year | GIPSA Hourly Cost* | Program Cost | Overhead Costs | 
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		| FGIS-904 | Laboratory Scale Test | 2774 | 0.033 | 91.55 | $27.02 | $2,473.68 | $343.84 | 
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		| FGIS-905 | Official Sample-Lot Inspection Certificate | 
 | 0.050 | 13.32 | $22.09 | $294.24 | $40.90 | 
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		| FGIS-909 | Export Certificate | 
 | 0.050 | 39.10 | $22.09 | $863.65 | $120.05 | 
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		| FGIS-913 | Warehouseman's Sample Lot Inspection Certificate | 
 | 0.050 | 1.56 | $22.09 | $34.46 | $4.79 | 
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		| FGIS-914 | Submitted Sample | 
 | 0.050 | 19.04 | $22.09 | $420.59 | $58.46 | 
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		| FGIS-915 | Stowage Examination Certificate | 
 | 0.050 | 55.19 | $22.09 | $1,219.15 | $169.46 | 
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		| FGIS-921 | Inspection Log | 691 | 1.000 | 691.08 | $27.02 | $18,672.98 | $2,595.54 | 
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		| FGIS-921-2 | Inspection Report -Insects | 1485 | 0.080 | 338.80 | $27.02 | $9,154.38 | $1,272.46 | 
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		| FGIS-922 | Inspection and Weighing Report | 672 | 0.167 | 112.22 | $22.09 | $2,478.94 | $344.57 | 
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		| FGIS-923 | Moisture Meter Test | 1160 | 0.033 | 38.28 | $27.02 | $1,034.33 | $143.77 | 
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		| FGIS-924 | Barley Pearler and Sieve Test | 976 | 0.033 | 32.21 | $27.02 | $870.31 | $120.97 | 
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		| FGIS-925 | Rice Checktest Form | 4 | 0.033 | 0.13 | $27.02 | $3.51 | $0.49 | 
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		| FGIS-927 | Testweight Checktest | 1586 | 0.033 | 52.34 | $27.02 | $1,414.23 | $196.58 | 
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		| FGIS-928 | Dockage Checktest | 848 | 0.033 | 27.98 | $27.02 | $756.02 | $105.09 | 
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		| FGIS-930 | AMA Output Report | 144 | 1.000 | 144.00 | $22.09 | $3,180.96 | $442.15 | 
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		| FGIS-931 | Approved Label for Insp. Machinery | 7182 | 0.033 | 237.01 | $27.02 | $6,404.01 | $890.16 | 
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		| FGIS-936 | Sampler Condition | 2667 | 0.083 | 221.37 | $27.02 | $5,981.42 | $831.42 | 
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		| FGIS-938 | Report of Grain Insp/Weighed Export | 520 | 0.083 | 43.16 | $22.09 | $953.40 | $132.52 | 
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		| FGIS-952 | Sanitation Inspection-Processed | 132 | 0.050 | 6.60 | $27.02 | $178.33 | $24.79 | 
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		| FGIS-952-1 | Sanitation Inspection-Pea, Beans, Lentils | 80 | 0.050 | 4.00 | $27.02 | $108.08 | $15.02 | 
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		| FGIS-956 | Rice Inspection Certificate | 
 | 0.050 | 17.00 | $22.09 | $375.53 | $52.20 | 
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		| FGIS-960 | Grain Weight Certificate | 
 | 0.050 | 3.74 | $22.09 | $82.62 | $11.48 | 
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		| FGIS-963 | Scale Record Log | 
 | 0.050 | 8.50 | $22.09 | $187.77 | $26.10 | 
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		| FGIS-964 | Supervision of Weight Certificate | 
 | 0.050 | 42.08 | $22.09 | $929.64 | $129.22 | 
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		| FGIS-965 | Scale Test Report-Hopper | 186 | 0.083 | 15.44 | $32.70 | $504.89 | $70.18 | 
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		| FGIS-965-1 | Scale Test Report-Railroad Track | 14 | 0.083 | 1.16 | $32.70 | $37.93 | $5.27 | 
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		| FGIS-965-2 | Scale Test Report-Vehicle | 48 | 0.083 | 3.98 | $32.70 | $130.15 | $18.09 | 
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		| FGIS-968 | Weight Loading Log | 978 | 1.000 | 978.00 | $27.02 | $26,425.56 | $3,673.15 | 
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		| FGIS-980 | Authorization To Use Mechanical Sampler | 50 | 0.087 | 4.35 | $32.70 | $142.25 | $19.77 | 
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		| FGIS-992 | Services Performed Report | 8248 | 0.583 | 4808.58 | $27.02 | $129,927.83 | $18,059.97 | 
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		| FGIS-993 | Commodity Certificate | 
 | 0.050 | 17.00 | $22.09 | $375.53 | $52.20 | 
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		| FGIS-994 | Commodity Submitted Certificate | 
 | 0.050 | 83.20 | $22.09 | $1,837.89 | $255.47 | 
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		| FGIS-998 | Questionnaire for DT Sampler | 50 | 0.250 | 12.50 | $32.70 | $408.75 | $56.82 | 
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		| None | Fee Records | 25 | 2.000 | 50.00 | $37.74 | $1,887.00 | $262.29 | 
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		| CP-2 | License Sensory Examination | 100 | 0.167 | 33.40 | $28.38 | $947.89 | $131.76 | 
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		| None | Payment of Bills | 10200 | 0.083 | 846.60 | $55.07 | $46,622.26 | $6,480.49 | 
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		| None | Reporting Violations | 36 | 0.167 | 6.01 | $39.19 | $235.53 | $32.74 | 
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		| None | Work Records (AMA) | 6114 | 0.500 | 3057.00 | $19.88 | $60,773.16 | $8,447.47 | 
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		| None | Work Records (USGSA) | 1118768 | 0.083 | 92857.74 | $19.88 | $1,846,011.87 | $256,595.65 | 
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		| *Step 5 of the GS schedule, rest of the US was used in calculations | 
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 | $2,174,340.71 | $302,233.36 | 
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 | Grand Total | 
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 | $2,476,574.07 | 
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		| Only forms that incur a cost to GIPSA are included in this attachment. | 
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