7005 Record of Acquisition and Dogs and Cats on Hand

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 0579-0036. The time required to complete this information collection is estimated to average .083 hour 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.

OMB APPROVED 0579-0036 0579-0254

U.S. DEPARTMENTOF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE Record of acquisition of dogs and cats on hand

This record is required by law (7 USC 2131-2156). (9 CFR, Subchapter A, Parts 1, 2 and 3). Failure to maintain this record can result in a suspension or revocation of license and/or imprisonment for not more than 1 y ear, or a fine of not more than $1,000, or both.

1. record for (“X”)

Usda License or registration number

2. name and address of licensee, registrant, or holding facility

3. business year

4. PAGE NUMBER

Dealer Other

Holding Facility (Submit copy to Dealer Exhibitor (Dogs and Cats only)

FROM (MO/DAY/YR)

TO (MO/DAY/YR)

5. identification of the animals being delivered (See reverse for Bread Abbreviations for)

Acquired from

a. tattoo or usda tag numbr

b. Dog

C. Cat

d. Age or date of birth

E. Weight

F. Breed or Type * (If mixed bred, list 2 dominant breeds)

G. description of animal (Color, Distinctive Marks, Hair, Tail, Tattoos, Etc.)

h. date acquired

i. name and adress usda license or registration number, or driver’s license number and state, vehicle license number and state

J. Date Removed or Sold

K. Date died or Euthanized (Specify)

“X” M OR F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

APHIS FORM 7005

Inspector use only

Last inspection (Date)

Total Number Animals Entered Since Last Inspection

Count total Number Animals Actually on Premises

Difference (+ or -)

Date

Initials

JUNE 2009 Previous Versions are Obsolete

Breed abbreviations – dogs (Col. F)
Afghan Hound	AH	English Bulldog	eb	Pekingese	pk
Airedale Terrier	AD	English Setter	ES	Pomeranian	PM
Akita	ak	Eskimo Dog	ed	Poodle	po
American Bull Terrier	ab	Foxhound	fh	Pug	pu
Basenji	bs	Fox Terrier	ft	Redbone Coonhound	rb
Basset Hound	bh	French Bulldog	FB	Rhodesian Ridgeback	rr
Beagle	be	German Shepherd	gs	Rottweiler	rw
Belington Terrier	bl	German Short Haired pointer	sh	Saint Bernard	sb
Bichon Frise	bf	Golden Retriever	gr	Samoyed	sm
Black and Tan Coonhound	BT	Gordon Setter	go	Schipperke	sk
Bluetick	bk	Great Dane	GD	Schnauzer	sn
Boston Terrier	BO	Great Pyrenees	gp	Scottish Terrier	sc
Boxer	bx	Greyhound	gh	Shar-Pei	SP
Bullmastiff	bm	Husky	hk	Shetland Sheepdog	SS
Cairn Terrier	ct	Irish Setter	is	Shih-Tzu	si
Catahoula	cu	Jack Russell Terrier	jr	Silky Terrier	st
Chihuahua	ca	Keeshond	kh	Spitz	sz
Chinese Crested Dog	CD	King Charles Spaniel	kc	Springer Spaniel	sr
Chow-Chow	CC	Komondor	km	Staffordshire Bull Terrier	SA
Cocker Spaniel	ck	Labrador Retriever	lr	Walker	wk
Collie	cl	Lhasa Apso	la	Weimaraner	wk
Coonhound (Specify)	ch	Malamute	ma	Welsh Corgi	wc
Dachshund	dh	Miniature Pinscher	mp	Whippet	wh
Dalmatian	DL	Newfoundland	nf	Yorkshire Terrier	yh
Doberman	db	Old English Sheepdog	oe	Other (Specify)
Elkhound	eh
Breed abbreviations – cats (Col. F)				type – dogs (Col. F)
Abyssinian	ab	Manx	mx	Hound Crossbreed	hx
Burmese	bu	Persian	pr	Terrier Crossbreed	tx
Domestic Long Hair	dl	Rex	re	Shepherd Crossbreed	sx
Domestic Short Hair	ds	Russian Blue	rb	Spaniel Crossbreed	PX
Himalayan	hm	Siamese	si
Maine Coon	mc	Other (Specify)

APHIS FORM 7005 (Reverse)

JUN 2009