FGIS-930 AMA Output Report

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTUREAL MARKETING SERVICE
FEDERAL GRAIN
AMA OUTPUT REPORT

MONTH

YEAR

SERVICE PROVIDER
CODE

(GROSS REVENUE FOR SERVICES PERFORMED
UNDER THE AGRICULTURAL MARKETING ACT OF
1946, AS AMENDED)

Rice Inspection Service Renue (in whole dollars)
Commodity Inspection Services Revenue (in whole dollars)
Point of Contact

Phone Number

Form Approved OMB 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 0581-0309 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 (03/25) Previous editions are obsolete. Expires 03/28

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTUREAL MARKETING SERVICE
FEDERAL GRAIN
AMA OUTPUT REPORT

MONTH

YEAR

1

2

(GROSS REVENUE FOR SERVICES PERFORMED
UNDER THE AGRICULTURAL MARKETING ACT OF
1946, AS AMENDED)

3
4
5

Rice Inspection Service Renue (in whole dollars)
Commodity Inspection Services Revenue (in whole dollars)
Point of Contact

SERVICE PROVIDER
CODE

Phone Number

7

6

Form Approved OMB 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 0581-0309 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 (03/25) Previous editions are obsolete. Expires 03/28

Instructions for Completing FGIS-930
At the end of each month cooperators are required to fill out an FGIS-930 "AMA Output Report". The cooperator is required to report
its total gross revenue (costs you have billed your customers) for the reporting month in the proper section of the form. Please send
the FGIS-930 to the appropriate field office's Administrative Points of Contact (APOC) for billing by the 5th business day after the
reporting month.
1. Month reported.
2. Calendar year reported.
3. Service Provider Code of the Cooperator.
4. Enter Total Gross Rice AMA Revenue in whole dollars billed to customers.* This is billed to you
under rate code: R7CA%, see FGIS Directive 9180.74.
5. Enter Total Gross Commodity (graded and processed) AMA Revenue in whole dollars billed to
customers.* This is billed to you under rate code: C8CA%, see FGIS Directive 9180.74.
6. Enter name of person completing the form.
7. Enter phone number of person completing the form.
*Official AMA services, includes but is not limited to official sampling, weighing, testing, and
inspection of graded and processed commodities and rice under the AMA as well as travel time billed
to the applicant for service.
The following costs shall not be included:
• Travel costs such as airfare, hotel, lodging, rental cars, per diem, meals, incidental expenses,
mileage, tolls, and parking.
• Mailing expenses (USPS, UPS, Fed Ex, and other courier fees).
• State and local sales taxes.