NAHMS-226 Goat 2009 Scab Sample Collection Record

National Animal Health
Monitoring System
2150 Centre Ave, Bldg B
Fort Collins, CO 80526

Animal and
Plant Health
Inspection
Service

Goat 2009
Scab Sample Collection Record

Veterinary
Services

Form Approved
OMB Number 0579-xxxx
Expiration date: xxx

Samples must be shipped on Monday, Tuesday, or Wednesday.
State:

Date Sample(s)
Collected:

Operation
Number:

Kit Number:

How many samples
are you sending in?
_____________

(from Producer Agreement

)

Please complete the information above and answer the questions below regarding
the herd and each animal sampled.
1. How many goats (including kids) are on your operation today? ....................................__________
2. What percentage of this herd would you say have scabs?............................................._________ %
3. For each animal sampled, please answer the following:
Animal
Age

Gender

Goat ID

(in years)

Doe, Wether,
Buck

Billy Jo

2.5

;1 D † 2 W † 3 B

Breed Codes:
1 – Alpines
2 – Angora
3 – Boer
4 - Kiko

Breed and
Code
(from list below)
Boer/Kiko cross
- 13

Location of scab
Mouth, Teat, Other
(9 one – specify other in
comments
;1 M

†2 T †3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

;1 D † 2 W † 3 B

†1 M †2 T

†3 O

5 – La Mancha
6 – Nubian
7 – Oberhasli
8 – Pygmy Goat
9 – Saanens

Comments
(include symptoms and
scab location if not mouth
or teat)
Limping, rough coat

10 - Spanish
11 – Tennessee Fainting
12 – Toggenburgs
13 – OTHER (specify breed or
cross in column)

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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-xxxx. The time required to complete this information collection is estimated to average 0.5
hours per response, including the time to review instructions, search existing data resources, gather the data needed, and
complete and review the information collected.

NAHMS-226
Nov 2008