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According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond

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File Typeapplication/msword
File TitleAccording to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond
AuthorKhbrown
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File Modified2011-05-23
File Created2026-07-14
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21.  IDENTIFICATION  (See instructions)
IDENTIFICATION
Sample ID
Sample ID Animal ID Breed Age Sex






































































































































































































































VS FORM 10-4A
AUG 2009



INSTRUCTIONS FOR VS FORM 10-4A

PAGE
Enter the number for this page out of the total number of pages submitted (e.g., 2 of 3).

NAME OF OWNER/BROKER
Enter the complete name of the animal owner from VS Form 10-4, block 3.

REFERRAL NUMBER
Enter the referral number from VS Form 10-4, block 15.

IDENTIFICATION
Continue the specimen numbering sequence started on VS 10-4, block 21.  Enter the National Animal ID, breed, age, and sex of each animal sampled.  If more than 48 specimens are submitted, use additional VS Form 10-4A as required.  Please limit to <250 specimens per VS Form 10-4.