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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Reporting and Recordkeeping Requirements - State, Local, Tribal
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection 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 of Interest Questionnaire
fgis-100.pdf
htt://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-905
Official Sample-Lot Inspection Certificate
fgis-905.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landilng
Yes
No
Fillable Printable
Form and Instruction
FGIS-907
Application for Inspection and Weighing Services
Revised fgis-907 030415.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=lalnding&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 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 Sample 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-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-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-922
Inspection and Weighing Report
fgis-922(1).pdf
http://www.gipsa.usda.gov/GIPSA/wepp?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 Checklist 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 Checktest
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 Checklist
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
fgis-931.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
Printable Only
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 USGSA and/or the AMA of 0946
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-952-1
Sanitation 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-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-956
Rice Inspection Services Certificate
fgis-956.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
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 Printable
Form and Instruction
FGIS-963
Scale Record Log
FGIS-963_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 Printable
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-965
Scale Test Report (Hopper)
fgis-965.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-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-983
Contract 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-992
Services 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 Inspection Certificate
fgis-993.pdf
http://www.gipsa.usda.gov/GIPSA/webapp?area=forms&subject=landing&topic=landing
Yes
No
Fillable Printable
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 Printable
Form and Instruction
FGIS-998
Questionnaire for Proposed Diverter 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 Weighing 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/Modification Notice
FGIS9601.doc
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 - Mark up
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 - Mark up
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:
842
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
129,215
0
0
0
0
129,215
Annual IC Time Burden (Hours)
16,784
0
0
0
0
16,784
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.