VS 4-33D Monthly report of Brucellosis Eradication Activities

This form is used to report the number of animals tested; suspicious and reactor animals; and calves vaccinated (9 CFR 51 and 78). This is done to determine progress in the program and/or deficiencies in the States.

See Reverse for OMB Statement.

OMB APPROVED 0579-0047 EXP. 00/00/0000

MONTHLY REPORT OF BRUCELLOSIS PROGRAM ACTIVITIES

STATE NAME

STATE / AREA CLASS

MONTH AND YEAR

SECTION A – BLOOD TESTS OF CATTLE HERDS TESTED ON FARM OR RANCH

REASON FOR TEST

HERD TYPE

EXPENSE

Total Tested

VS Employee

VS Fee Basis

State Employee

State Fee Basis

Owner

Herds A

Cattle B

Herds C

Cattle D

Herds E

Cattle F

Herds G

Cattle H

Herds I

Cattle J

Herds K

Cattle L

1. Slaughter Reactor

Dairy

Other

2. Stockyard Reactor

Dairy

Other

3. Suspect Milk Ring Test

Dairy

Other

4. Diagnostic Investigation

Dairy

Other

5. Private Test

Dairy

Other

6. Herd Certification

Dairy

Other

7. Interstate Movement Quar. and Retest

Dairy

Other

8. Area Test

Dairy

Other

9. Epidemiological Investigation

Dairy

Other

10. Other (explain)

Dairy

Other

11. Field MCI Reactor

Dairy

Other

12. Retest Suspects or Reactors

Dairy

Other

13. Adjacent Herd Test

Dairy

Other

14. Retest of Reactor Herds

Dairy

Other

15. Total on farm Tests

Dairy

Other

TOTAL

SECTION B – SUMMARY OF CALVES AND CATTLE VACCINATED

Type of Vaccination

Herd Type

EXPENSE

TOTAL VACCINATED

VS Employee

VS Fee Basis

State Employee

State Fee Basis

Owner

Herds A

Cattle B

Herds C

Cattle D

Herds E

Cattle F

Herds G

Cattle H

Herds I

Cattle J

Herds K

Cattle L

16. Calfhood Vac- cination on Farm

Dairy

Other

17. Other Calfhood Vaccination

Dairy

Other

18. Whole Herd Vaccination

Dairy

Other

SECTION C – SUMMARY OF HERDS PENDING TEST OR RETEST

HERD TYPE AND VACCINATION STATUS

Reactor Herds Pending Retest

MCI Reactor Herds Pending Test

BRT Suspicious Herds

Other Herds

Days since last test

Total E

Days since MCI Reactor

Days since BRT Test

Days since listed

0 to 60 A

61 to 120 B

121 to 180 C

Over 180 D

0 to 60 F

61 to 120 G

121 to 180 H

Over 180 I

0 to 30 J

31 to 60 K

Over 60 L

0 to 60 M

61 to 180 N

Over 180 O

19. Vaccinated

Dairy

Other

20. Not Vaccinated

Dairy

Other

21. TOTAL

Dairy

Other

VS FORM 4-33D Previous edition obsolete.

APR 2009

According to the Paperwork Reduction Act of 1995, an agency may not consider 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 collection is 0579-0047. The time required to complete this information collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

SECTION D – SUMMARY OF BRUCELLOSIS CERTIFIED FREE CATTLE HERDS

22. New Herds Certified Free This Month

23. Cattle Herds Recertified This Month

24. Total Certified-Free Cattle Herds at End of Month

SECTION E – MONTHLY REPORT OF BRUCELLOSIS REACTOR HERDS IN STATE

Herd ID Number A:

Herd Type B:

C: Herd Name (Last, First, I (initial))

F: County where herd is located

Total Eligible Animals K:

Total Animals Tested L:

Number of Reactors M:

Date of Previous Reactors N:

Quar / Vacc. O:

D: City

E: ZIP Code

Expense G:

Reason H:

Initial or Retest I:

No. MCI Reactors J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

C:

F:

D:

E:

G:

H:

I:

J:

TOTALS (Carry total forward from supplemental pages if used)

J:

K:

L:

M:

New Reactor Herds Found this Month (Do not count herds that had previous reactors during the past 18 months or herds retested because of previous reactors)

Number:

Total Herds with Reactors this Month

Number:

SIGNATURE

TITLE

DATE

VS FORM 4-33D (Reverse)