NAHMS 190 Dairy 2007 Heifer Calf Blood Collection Record

National Animal Health
Monitoring System

Dairy 2007
Heifer Calf Blood
Collection Record

Animal and
Plant Health
Inspection
Service
Veterinary
Services

2150 Centre Ave, Bldg B
Fort Collins, CO 80526
Form Approved
OMB Number 0579-0205
Approval expires: 4/30/10

Instructions:
1) Sample heifer calves which received colostrum and are between 24 and 72 hours of age.
2) Sample a maximum of 10 eligible calves available today or at a later visit.
3) Aseptically collect approximately 8 ml sera in the tubes provided.
4) Write the State, Operation, and Animal IDs on the tube label. Record the tube number from the label to
this form and complete the information for each sample. Ship on ice to NVSL within 24 hours with yellow
copy of this form. Send the original to your Coordinator.

State FIPS:

Operation #:

2 digits

4 digits

Tube #
from
label

Collector:
Initials

Age in
hours
Calf ID

(include
quarter hour)

Was this calf
allowed to
nurse its
mother?

Date:
mm/dd/yy

Kit #:
Printed on labels

How was the first
feeding of
colostrum
provided?

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

…1 Yes …3 No

…1 By Bottle
…2 By Tube
…3 Nursed dam

Time to collect
samples:

How many quarts
of colostrum were
administered at
first feeding?

in minutes
How many hours has
it been since this calf
received its first
colostrum feeding?

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 0579-0205. The time
required to complete this information collection is estimated to average 1 hour per response, including the time to review
instructions, search existing data resources, gather the data needed, and complete and review the information collected.

(include quarter hour)

NAHMS-190
JAN 2007