VS 5-24 Application for Scrapie Classification, Classification R

FORM APPROVfi:D

OMB NO. D57M1D1

1. ST....TE

o
o
o
o

CONSISTENT ST....TUS

o

REHEWALOf' CONSlSTENT ST....TUS

O ST....GE

REINST....TEMENT Of' CONSISTENT ST....TUS

• . QUAliFICATION ("X" all t/lllr apply)
The require ments 019 CFR p.lrt 79 .ectlo n 79.1 ha.,. been meL

The Sute effectlwly enforces II Sute designed .eno ple prog nm tIllit Is ellust .. ehetl¥e In conlrolli ng senple . . ltle r. q1.Ii.........ts of. CFR plIrt 1t HCtlofl1t.•.
Sule prognm sundllrds,leglll authorttles. and otMr t41pporting documentltlofl a.. altKtltd. (TM supporting ~mentlItlonmu:sl lnc lude which requ..........I(.1 of
7'''' .,.. no! being mel and 1M ellemne mettlodt betng UNdI.

D The Scnple NlItlonlII ~ Da~ III continuously updllted and ad 1M dlItI Is KCUI"lIIe lind eomplete ror 1M ~ng pmod.

o

1 .......

......-...cI tM ASSS .-port ror tM ~ng pmod and " Is

ilCC UI"llle end

eorrwet.

ST....TE

..,.

It. TOTALI'tO.SHEEP

5. FLOCK AND HERD POPULATION OF ST....TE

.

C. 1'tO. OF BREEDING

8 . TOTAL JrtO.GOAT

O. NO. OF eREEDIfoIG

""

~

ROC...

GOA"

..

E. TOTAL NO. OF

""

f . TOTAL NO. Of
GOA"

t . REP()f:IT 0 ....TES

II. DETERMINED BY

A. FROM
EXPOSED AND HIGH RISK AN.MALS
I . Number of anlmll 's desig nated e..poMd w hIgh ri sk.

B. 10

'hoe,

Goats

• . Number of animals designated uposed w high ris k Iw wh ich lritClng .....as requi red.
1D. Number of enimlll:s dnlgRllted expoted w hig h rtsk succeufully trlIced..

11. Number of animals dnlgNlted exposed w high risk that eouId not bot succ.ssfu lly lrK 10) list sourees.)
11. Num ber of posllve IInl mal. originating fI'om fl oc ks In !he Stil e Idenllfled tIl rough tI'lleted . urve lllllnce.
17. Number of infected IIoekt iden tified throug h slaughter , urve llla.-.
1• . Number of tlrgeted .urvelilanu (+I..unals coDeeted In Stille SUC:C:IIHfully trxed to flock of ongM\.
1• • Number of

Urveted ~ 1+)animals collKted 0U1of

20. Number of tarveted

State. b'K«I to State of origin and suec:n.lully IrM:ad to IIodl of orlglf\.

.......m-ce l+} anllNlls that eoukI not

21. Number of infKWd or soun::e lIcx:kt not on plant _

be ~ to fIocll of origin I" :> IDle..pl.aIn In ~·I
eo days after tM ....ulls .-port cl.at. I" :> IOlnpl.aln .n .......rkt.1

22. Number of IIcx:k.t In pI.an stllllS _ I monlht (II '" 10le..plllln In _rkt.)
IDENTIFIC....TION OF ANIMAlS

".

Perce nl 01breeding lI nlmals .dentifled lit requ.red In II CFR 7'.2

25. Method of clftermlnllllon

vs FORM 5-24
AUG 2004

12• . Percen t ol sl ilughler lI nlmlil. OYer 18 mon ths id entl fl ll'd lit required In ' CFR
10...

2$. Ownef"s __ notified

In KeOJd anee witt! • CFR h rt 1Utel

D Yes 0

No (~My~.) (Ifmcrespacel$ neeoH,U.lIIIatlaChmenIsheetJ

21. REMARKS

CERTIACATlON
1M pt"ovtskms or 9 CFR pa rts 54 a nd 79 h.ve been meL W.

~uest

th.at th is Smt. be decl;lred Co nsistent.

21. Signa ture of StMe Offlelal

29. Plea se Type or Prin t Na me

30. Dale

31. SiQn.1lure of F ~ V.t.rinarlan In Charge

32.. PIHH Type or PrInt Name

sa

3<11. The Veterinary Servlcn l>ereby dKI.... the abovtt Sta t. Co........nl kw the period beginning

35. Slgnalurt of CI't'1lfyfng Offlelal

VS FORM 5·24

31. Pie... Type or Prinl Na ....

Do..

and e nd ing

31. Dale

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