AMS at USDA - Electronic Forms Site

ELECTRONIC FORMS

Welcome to the Agricultural Marketing Service (AMS) Electronic Forms Manager (EFM). The EFM is provided to assist users who wish to conduct electronic business transactions with AMS. Users that prefer to use paper forms may continue to obtain them through normal channels or download the forms from this site for printing. Most Forms are in Adobe PDF format which requires Adobe Acrobat 6.0.1 or later, Reader or full version. To get Reader, click on the Adobe Acrobat Reader icon.

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The forms are displayed by OMB Number, AMS Forms Number, Title, and File Authority.

Cotton Program	Poultry Program
Dairy Program	Tobacco Program
Fruit and Vegetable Program	Transportation and Marketing Program
Livestock and Seed Program

Customers who want to electronically transmit this form to the appropriate USDA servicing office may do so by selecting 'SUBMIT AND CLOSE' button on the bottom of each form. You will be notified by e-mail that your application has been received and is being processed along. If you would like a copy of your submission, please print it prior to submission.

IMPORTANT: You must be using Adobe Acrobat 6.0.1 or later, Reader or full version.

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COTTON PROGRAM

OMB Number	Form Number	Title	Users	Purpose	Authority
0581-0008	CN-246	Application for License to Sample Cotton Under the Cotton Standards Act	Officials of Gins and Warehouses	This form is used to apply for a license to sample cotton under the United States Cotton Standards	6300a000
0581-0008	CN-383	Application for Practical Forms of the Cotton Standards	General Public	This form is used to order Cotton Grade Standards.	6340a000
0581-0008	FD-210	Application for Practical Forms of the Cotton Standards	General Public	This form is used to order Cotton Grade Standards.

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DAIRY PROGRAM

OMB Number	Form Number	Title	Users	Purpose	Authority
0505-0001	AD-755	Advisory Committee of Research and Promotion Background Information National Fluid Milk Processor Promotion Board	Fluid Milk Processors	To Meet Eligibility Requirements
0505-0001	AD-755-2	Advisory Committee of Research and Promotion Background Information National Dairy Promotion and Research Board	Milk Producers	To Meet Eligibility Requirements
0581-0093	DA-15-CG	Application for Initial or Continued Qualification of State or Regional Dairy Product Promotion, Research, or Nutrition Education Program	State or Regional Dairy Product Promotion, Research, or Nutrition Education Programs	Initial or Continued Qualification
0581-0093	DA-19 DA-19-1	Nomination of Milk Producers to Serve on the National Dairy Promotion and Research Board Nomination of Milk Processors to Serve on the National Fluid Milk Processor Promotion Board	Milk Producers Fluid Milk Processors	To Nominate Milk Producers to Serve on the National Dairy Promotion and Research Board To Nominate Milk Processors to Serve on the National Fluid Milk Processor Promotion Program
0581-0032	DA-24	Annual Report of Cooperative Milk Association	Agricultural Cooperative Associations	To Satisfy Annual Requirement	668000000
0581-0032	DA-25	Application for Qualification of Cooperative Milk Marketing Association	Agricultural Cooperative Associations	Original Application	668000000
0581-0126	DA-155	Application to Use Official ID	Equipment Manufacturers, Food Processors and Other Food Industry	To Use Official Identification or Grade Labels	6770a000
0581-0126	DA-156	Request to Display Official ID	Equipment Manufacturers, Food Processors and Other Food Industry	To Display Official Identification or Grade Labels
0581-0126	DA-157	Request to validate a prior meat and poultry equipment acceptance.	Equipment Manufacturers, Food Processors and Other Food Industry	To validate a prior meat and poultry equipment acceptance.
0581-0126	DA-162	Equipment Review Request (Dairy)	Equipment Manufacturers, Food Processors and Other Food Industry	Reporting Requirements; Equipment Review Requests and Scheduling
0581-0126	DA-227a Form Fill Instructions Instructions to disable Pop-up blockers	OPEN DA-227a WITH INTERNET EXPLORER BROWSER ONLY Application To Use Official EU Health Certificate, European Union Electronic Instructions	European Dairy Manufacturers, Butter, Cheese Processors and Other Dairy Industry	Animal Health Certificate
0581-0126	DRF Derogation Request Form Instructions	OPEN DRF WITH INTERNET EXPLORER BROWSER ONLY Notification of Farm in Noncompliance/Derogation Request Form for EU Export Program	Exporters to the EU; Manufacturers of Dairy Products and/or Dairy Ingredients or Traders	To Provide Notification to AMS and to Request Derogations from EU Requirements

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FRUIT AND VEGETABLE PROGRAM

OMB Number	Form Number	Title	Users	Purpose	Authority
0581-0234	FV-DOV-1	Domestic Origin Verification (DOV) Program Application for Service	Wholesalers - Distributors	DOV program is a user-fee assessment service, available to suppliers, processor, and any financially interested party. It is designed to provide validation of an applicant's domestic origin verification program prior to bidding on contracts to supply food product to the USDA's Domestic Feeding programs, and / or may be conducted after a contract is awarded.	7 CFR 52.7
0581-0125	FV-24	Positive Lot Identification	Wholesalers - Distributors and State and Local Governments	Regulations Governing Inspection, Certification, and Standards for Fresh Fruits, Vegetables and Other Products	6210C000
0581-0125	FV-237	Record of Request for Inspection or Re-inspection of Food Products	Wholesalers - Distributors	Regulations Governing Inspection, Certification, and Standards for Fresh Fruits, Vegetables and Other Products	7230a000
0581-0125	FV-237A	Request for Audit Services	Wholesalers – Distributors, Other Food Industry, and State and Local Governments	FV-237A is used by personnel of the grading service to record information when applications for services are made. This information is used by auditors to ensure that the correct audit service is provided, the correct operation is audited, and that correct information appears on the official audit certificates. Other information is used by the grading office to properly direct billing for these services. This request for service can be requested in person, by telephone, or facsimile to the nearest inspection office.	7 CFR 51
0581-0234	FV-356 Form Fill Instructions	Application for Inspection and Certification of Sampling	Commodity Brokers	Regulations Governing Inspection, Certification, and Standards for Processed Fruits, Vegetables and Other Products.	7 CFR 52.7
0581-0234	FV-358	Request for Surety Bond	Food Processors and Other Food Industry	Assure the insepction service that fees and charges for any inspection service are paid by the interested party making the application for such service, in accordance with the applicable provisions of the regulation. The FV-358 set the agreement for surety and establish the amount to be paid.	7 CFR 52.41
0581-0234	FV-468	Application for License to Sample Processed Foods	Food Processors and Other Food Industry	Subcontract applicant desiring to sample processed food and certify as to the identifcation, location, and condition of containers of the processed products that are sampled.	7 CFR 52.30
0581-0006	FV-498-1	Weekly Report of Berries Received for Processing (WA and OR)	Food Processors and Other Food Industry	For Fruit and Vegetable Market News Reports	9030a000
0581-0125	FV-651	Agreement for Participation in Audit Verification Programs/B>	Wholesalers - Distributors and Other Food Industry	FV-651 is used by applicants requesting audit services. This is a contractual agreement between the applicant and USDA which outlines the program requirements for the applicant and list the services provided by FPB upon signature.	7 CFR 51
0581-0125	FV-652	Logo Use Request for Audit Programs	Wholesalers - Distributors and Other Food Industry	FV-652 is used by any participant in a USDA GAP&GHP program, IP Program, or PIQ Program who would like to use the individual programs logo. This form will be used by USDA to document the use of specific audit programs logo. As outlined in sections 51.49 and 51.59(e)(8) prior to printing, drawings or printer’s proofs of each packer’s or distributor’s label bearing or referring in any manner to official inspection legends or grade marks must be submitted to the Fruit and Vegetable Programs for approval. This is to ensure that these meet USDA specifications.	7 CFR 51.49 and 51.59(e)(8)

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LIVESTOCK AND SEED PROGRAM

OMB Number

Form Number

Title

Users

Purpose

Authority

0581-0124

LS-313

Application for Service

Meat Producers, Feeders, Processors and Other Members of the Food Industry

Parties interested in Receiving Meat Grading and Certification Branch Services, such as Beef, Calf, Veal or Lamb Grading or Meat Certification

0581-0124

LS-315

Application for Commitment Grading or Certification Service

Meat Producers, Feeders, Processors and Other Members of the Food Industry

Applicants who use Branch services regularly may enter into a commitment arrangement with the Meat Grading and Certification Branch

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POULTRY PROGRAM

OMB Number	Form Number	Title	Users	Purpose	Authority
0581-0127	PY-32	Application for Service	Agricultural Producers, Food Processors and Other Food Industry	Regulations for Voluntary Grading of Poultry and Rabbit Products	7560a000
0581-0127	PY-33	Application for Specification Approval	Retailers, Agricultural Producers, Food Processors and Other Food Industry	Regulations for Voluntary Grading of Poultry and Rabbit Products	7710a000
0581-0113	PY-155	Registration of Shell Egg Handlers	Agricultural Producers, Food Processors and Other Food Industry	Regulations for the Inspection of Eggs

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TOBACCO PROGRAM

OMB Number	Form Number	Title	Users	Purpose	Authority
0581-0004	TB-26	Tobacco Stocks Report	Dealers and Manufacturers	For Reporting Leaf Tobacco Stocks, Stems, and Sheet as Required by the Tobacco Statistics Act (7 U.S.C. 502). Data Used for Calculation of Domestic Usage Of Tobacco	83700000
0581-0004	TB-39	Quarterly Report on Manufacture and SALE OF Snuff, Smoking and Chewing Tobacco.	Dealers and Manufacturers	To Collect Statistics for Publication of National Totals for the Manufacture and Sales of Snuff, Smoking, and Chewing Tobacco as Requested by the Industry	83800000
0581-0056	TB-87	Imported Tobacco Pesticide Residues and End User(s) Certification	Dealers and Manufacturers	To Determine if Imported Tobacco Conforms with the Pesticide Residue Requirements and Identify End User/Purchasers of Importers Tobacco as required by 7 U.S.C. 511r.	83100000

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TRANSPORTATION AND MARKETING PROGRAM

OMB Number

Form Number

Title

Users

Purpose

Authority

0581-0169

TM-6

Farmer’s Market Questionnaire

Farmer's Market Managers

To Receive Information Regarding Farmers Markets

0581-0191

TM-10CG

Application for Accreditation

Certifying Agents

National Organic Program