Information Collection

Reporting and Recordkeeping Requirements - Private Sector

IC 2514 under ICR 201804-0581-003 · OMB 0581-0309.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0309 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FGIS 4 Reporting and Recordkeeping Requirements - Private Sector	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-on-Interest Questionnaire (Non Licensed Officia fgis-100.pdf 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 907 Application for Inspection and Weighing Services fgis-907.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&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 921 Inspection Log fgis-921.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 922 Inspection and Weighing Report fgis-922(1).pdf www.gipsa.usda.gov/GIPSA/webapp?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 Checktest Form fgis-925.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 927 Testweight Checklist fgis-927.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 928 Dockage Checktest fgis-928.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 930 AMA Output Report FORM 930 - Revision.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 931 Approved Label for Inspected Machinery FGIS931_OMB.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 US Grain Standards Ave 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 Sanitation Inspection Report (Processed Products) fgis-952.xls www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 952-1 Sanitatin 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 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 FGIS963_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 Scale Test Report (Hopper) fgis-965.xls 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 968 Weight Loading Log fgis-968.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 983 Cotract Service Agreement fgis-983_f.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 992 Service Performed Report fgis-992.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 993 Commodity Inpection 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 Dioverter Type Mechanical Sam 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 Weight Facility fgis-1001.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 9601 Repair/Modication Notice fgis-9601.pdf 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=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 Sampe 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 907 Application for Inspection and Weighing Services - Marku 20150313153031150.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 930 AMA Output Report - markup 20150313153117840.pdf 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 - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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 100	Conflict-on-Interest Questionnaire (Non Licensed Official Agency Personnel)	fgis-100.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 992	Service 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 Inpection Certificate	fgis-993.pdf	http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Yes	No	Fillable Fileable
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 Fileable
Form and Instruction	FGIS 998	Questionnaire for Proposed Dioverter 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 Weight 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/Modication Notice	fgis-9601.pdf	http://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 907	Application for Inspection and Weighing Services	fgis-907.pdf	http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&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 Fileable
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 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 922	Inspection and Weighing Report	fgis-922(1).pdf	http://www.gipsa.usda.gov/GIPSA/webapp?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 Checktest 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 Checklist	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 Checktest	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	FORM 930 - Revision.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	FGIS931_OMB.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	Fillable Printable
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 US Grain Standards Ave (USGSA) and/or The Agriculture Marketing Act and of 1946	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	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 952-1	Sanitatin 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 956	Rice Inspection Services Certificate	fgis-956.pdf	http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Yes	No	Fillable Fileable
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 Fileable
Form and Instruction	FGIS 963	Scale Record Log	FGIS963_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 Fileable
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 Fileable
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 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 983	Cotract 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-905	Official Sample - Lot Inspection Certificate	fgis-905.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 Sampe 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 907	Application for Inspection and Weighing Services - Markup	20150313153031150.pdf	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 - markup	20150313153117840.pdf	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: 7,768

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 88 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,113,237	1,113,237
Annual IC Time Burden (Hours)	144,830	144,830
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.