Form VS 6-22D VS 6-22D Comparative Cervical Tuberculin Test results

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control number for this information is 0579-0084. The time required to complet e this information collection is estimated to average .2 hours per responses, i ncluding the time for
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USDA - APHIS - VETERINARY SERVICES

NAME OF HERD OWNER (Last, First, Middle Initial)

FORM APPROVED -

OTHER_______________

CERVINE OR

BOVINE

COMPARATIVE CERVICAL TUBERCULIN TEST RESULTS

ADDRESS (Including Zip Code)

COMPARATIVE TEST

PRIOR CFT OR SCT

NUMBER TESTED

DATE INJECTED

NUMBER TESTED

COMPARATIVE RETEST

OBSERVATION DATE

NEG.

2ND

1ST

OMB NO. 0579-0084

DATE INJECTED

SUS.

REA.

3RD

NAME OF VETERINARIAN

TITLE

DATE

17

16

15

14

Negative for M. bovis

13

Zone
12

A
V
I
A
N

(Tuberculin Response in Millimeters)

11

10

9

8

7

6

5

Reactor
Zone

4

3

2

1

0
0

1

2

Suspect
Zone for
Cervids
VS FORM 6-22D
(FEB 99)

3

4

Suspect
Zone for
Cattle/
Bison

(Previous editions are obsolete.)

5

6

7

8

9

10

BOVINE
(Tuberculin Response in Millimeters)

11

12

13

14

15

16

17

COPY DESIGNATIONS

PART 1 - STATE - FEDERAL OFFICE
PART 2 - TESTING VETERINARIAN
PART 3 - REGIONAL EPIDEMIOLOGIST