NAHMS-266 Feedlot 2011 General Producer Agreement

F

National Animal Health Monitoring System

2150 Centre Ave, Bldg B

Fort Collins, CO 80526

Form Approved

OMB Number 0579-0079

Expires: 6/30/2013

eedlot 2011

General

P

Animal and Plant Health

Inspection Service

Veterinary Services

roducer Agreement

The U.S. Department of Agriculture’s Animal Plant and Health Inspection Service (APHIS), the
State of ________________, and the Producer hereby enter into this National Animal Health Monitoring System (NAHMS) Feedlot 2011 PRODUCER AGREEMENT, the terms of which are set forth below.

1. APHIS and/or the State of ________________ will provide personnel who will be referred to as the Data Collector. The Data Collector and the Producer will participate together in implementing a statistically valid NAHMS study for determining estimates of feedlot animal health practices and for compiling health information to enhance feedlot animal health and management. The Data Collector will complete a personal interview with the Producer.

2. The Producer will assist APHIS by providing information regarding feedlot management practices supporting animal health. The Producer retains the right to refuse any questions deemed inappropriate.

3. The Data Collector will keep the origin of the data confidential by recording the data with the Producer’s unique code number only. The Data Collector will not keep any key to the code after the completion of the study. The Data Collector and all other project personnel acknowledge that the Producer is providing information and samples that he/she does not customarily share and is providing it with the expectation that it will be not be made public. The one exception to data confidentiality is the suspicion or diagnosis of a dangerously contagious, infectious, or exotic disease foreign to the United States on the Producer’s premises (e.g., foot-and-mouth disease), in which case further investigation and possible action could occur.

4. Data collected by the Data Collector will not be used for regulatory purposes. However, information on a Producer’s animals revealed from sources unrelated to the Feedlot 2011 study, such as testing and inspection for movement or sale of animals or tracebacks on testing done at slaughter, may cause regulatory action to be initiated by the State or APHIS.

5. APHIS may publish or authorize others to publish the aggregate (summary) findings acquired from NAHMS for the benefit of the feedlot industry, private industry, and other interested groups, but will ensure that the identity of the Producer is withheld. APHIS may not publish or authorize others to publish individual responses. APHIS may perform additional testing or authorize others to perform additional testing of samples collected through the study for the benefit of the feedlot industry, but will ensure that the identity of the Producer is withheld.

6. After completion of data reporting by the Producer, APHIS will provide the Producer with several reports containing summary results from all participating Producers. The Producer can obtain any further information available from this study by accessing the NAHMS Web site or subscribing to the NAHMS mailing/email list.

7. The Producer will complete an evaluation of the Feedlot 2011 study, the results of which will be used to assist APHIS in the design and implementation of future NAHMS surveys.

8. Any changes to or waivers of the terms of the Producer AGREEMENT shall be binding on APHIS and the State of ________________ and the Producer only if they are put in writing by each party.

9. The effective data collection period of the PRODUCER AGREEMENT shall begin with today’s date of ____/____/____ and end no later than June 30, 2012.

Continued on back.

______________________________ __________ ______________________________ __________

VS Employee, USDA–APHIS, or date Producer or date

_______________ Dept. of Agriculture authorized representative

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-266

2011

COMPLETE THIS PAGE AFTER THE

QUESTIONNAIRE IS ADMINISTERED

At this time, it may be unknown if you will be selected to participate in the fecal sampling portion of the study. However, we need to know if you would be willing to participate if your operation is eligible and selected.

10. The Producer consents and authorizes the Data Collector to:

I AGREE TO I DO NOT

PARTICIPATE AGREE TO

IF SELECTED PARTICIPATE

a. Collect 75 bagged fecal samples from the floors of 3 pens

(25 each pen) during the collection visit. (Pen selection

will be based on the selection protocol provided

by the Data Collector.) Samples will be tested for

Salmonella, generic E. coli, Campylobacter, Enterococcus, and

Clostridium difficile. Results from the testing will NOT

be returned to the Producer. Isolates may be banked

for future testing. __________ __________

b. Would you be willing to consider participating in future

NAHMS studies if asked?  Yes  No