Information Collection

Reporting and Recordkeeping Requirements - Private Sector

IC 2514 under ICR 202101-0581-003 · OMB 0581-0309.

⚠️ Notice: This information collection may be referencing outdated material.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

2025-03-24 - Revision of a currently approved collection

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 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 100 Conflict-on-Interest Questionnaire (Non Licensed Officia FGIS 100 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 904 Laboratory Scale Test FGIS 904 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 907 Application for Inspection and Weighing Services FGIS 907 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 909 Official Export Grain Inspection Certificate FGIS909.pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 921 Inspection Log FGIS 921 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 921-2 Inspection Report - Insects in Grain FGIS 921-2 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 922 Inspection and Weighing Report FGIS 922 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 923 Moisture Meter Test FGIS 923 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 924 Barley Pearler and Sieve Test FGIS 924 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 925 Rice Checktest Form FGIS 925 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 927 Testweight Checklist FGIS 927 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 928 Dockage Checktest FGIS 928 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 930 AMA Output Report FGIS 930 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 931 Approved Label for Inspected Machinery FGIS931_OMB.pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 936 Sampler Condition Report FGIS 936 1.21 (508).xlsx www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 938 Report of Grain Inspected and Weighed for Export FGIS 938 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 941 Request for Waiver of Inspection fgis-941.pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 942 Application for Designation FGIS 942 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 944 Application for License Under the US Grain Standards Ave FGIS 944 1.21.pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 945 Application for Registration FGIS 945 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 950 Warehouseman's Sample Lot Inspection Service Contract FGIS 950 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 952 Sanitation Inspection Report (Processed Products) FGIS 952 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 952-1 Sanitatin Inspection Report (Beans, Peas, and Lentils) FGIS 952-1 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 952-2 Sanitation Inspection Report (Overpacker) FGIS 952-2 1.21 (508).pdf www.ams.usda.gov/resources/forms	Form and Instruction
FGIS 956 Rice Inspection Services Certificate FGIS956.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 960 Official Grain Weight Certificate FGIS960.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 FGIS964.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 965 Scale Test Report (Hopper) FGIS 965 1.21 (508).xlsx 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 1.21 (508).xlsx 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 1.21 (508).xlsx www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 968 Weight Loading Log FGIS 968 1.21 (508).pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 983 Cotract Service Agreement FGIS 983 1.21 (508).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 1.21 (508).pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 992 Service Performed Report FGIS 992 1.21 (508).pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 993 Commodity Inpection Certificate FGIS993.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 994 Commodity Inspection Certificate (Submitted Sample) FGIS994.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 992 1.21 (508).pdf 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 1.21 (508).pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS 9601 Repair/Modication Notice FGIS 9601 1.21 (508).pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS-905 Official Sample - Lot Inspection Certificate FGIS905.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS-913 Warehouseman's Sample - Lot Inspection FGIS913.pdf www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing	Form and Instruction
FGIS-914 Submitted Sampe Inspection FGIS914.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 FGIS 907 1.21 (508).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

Record metadata
IC Title	Reporting and Recordkeeping Requirements - Private Sector