Form VS 16-26 VS 16-26 Agreement for Handling Restricted Imports of Animal Bypr

Highly Pathogenic Avian Influenza, All Subtypes, and exotic Newcastle disease; additional restrictions

VS 16-26 JUL 2011

Individuals and Households

OMB: 0579-0367

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No inspection or storage in an approved establishment can be made unless a completed application has been received (9 CFR Parts 94, 95, and 96).

According to the Paperwork Reduction Act of 1995, an agency may 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 numbers for this information collection are 0579-0015 and 0579-0367. The time required to complete this information collection is estimated to average .083 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.

OMB Approved

0579-0015

0579-0367

United States Department of Agriculture

Animal and Plant Health Inspection Service

Veterinary services

4700 River Road, Unit 40

Riverdale, MD 20737-1231


Agreement for Handling Restricted Imports of Animals By products and Controlled Materials

DATE OF AGREEMENT

DATE AGREEMENT EXPIRES

Kind of Byproducts or materials

Name and Address of Establishment

Mailing Address of Establishment (Include ZIP Code)







telephone number

dun and bradstreet number

For all restricted animals products, byproducts, and controlled materials (herein referred to as restricted import) it is agreed that: (items 1 through 10 are always applicable and items 11 through 14 are applicable when checked).


1. Any restricted import of this kind shipped to and received at the aforementioned establishment will e unloaded, handled and treated in accordance with provisions of 9 CFR Parts 94, 95, or 96 and as directed by an inspector of the United States Department of Agriculture.


2. Restricted imports must go forward from the port of arrival to the approved establishment I closed transportation vehicles which are capable of being sealed, except when packed in tight containers acceptable to a Department Inspector, such shipments may go forward with other fright and without sealing.


3. Seals on conveyances used in the transportation of any of the aforesaid restricted imports will not be broken except by a Departmental inspector or by other persons when authorized.


4. All leaking or broken bags or containers of restricted imports to be repackaged or repaired immediately before going forward of the approved establishment.

5. Any bags or containers which have been used for the above described restricted imports will be destroyed unless disinfected or otherwise handled in a manner approved by the Animal and Plant Health Inspection Service.

6. Cars, trucks and other equipment used to handle restricted imports will be cleaned and disinfected as prescribed by the Department. The dock area, pallet boards and any other equipment which in the opinion of the inspector constitutes a potential source of spread of the restricted import must be cleaned and disinfected under supervision with an approved disinfectant.

7. Officials of the approved establishment shall maintain the identity of the restricted imports and keep records to show that the disposition of each shipment is in accordance with Department requirements. These records must be kept until they have been inspected by a Department inspector or no longer than one year after disposition of the shipment. Representatives of the Department shall be given access to the approved establishment records in connection with the restricted import in order to determine that disposition of the restricted imports is in accordance with this agreement.

8. Officials of the approved establishment shall designate an employee authorized to cooperate with the Department and be responsible for handling the restricted import in accord with Department regulations and requirements

9. Approved establishments and premises on or in which any restricted import is stored, handled or processed, shall be maintained in a sanitary condition. Aprons, frocks, and other outer clothing, including boots or shoes worn by persons who handled restricted imports, or who work in areas where these imports are handled, must be changed before leaving the approved establishment. Every practicable precaution should be taken to exclude insects and rodents from approved establishments.

10. Restricted imports will either disinfect or processed within six months after receipt at the approved establishment.

11. Storage facilities are available at the approved establishment and will be maintained and used in accordance with Department regulations.

12. Storage facilities are not available at the establishment and, in each instance, the restricted imports will be held either under lock or seal at the establishment in the conveyance used to transport them to the establishment in an area specified by the Department Inspector until they can be moved directly to the disinfecting or processing room where they will be Immediately disinfected or processed.

13. Agreement applicable only to handling and storage of restricted imports.

14. Attachment is applicable.

TYPED NAME AND TITLE OF ESTABLISHMENT OFFICER

SIGNATURE OF ESTABLISHMENT OFFICER

DATE

SIGNATURE



Area Veterinarian-in-Charge

DATE

SIGNATURE



Staff Veterinarian, Import-Export

DATE

VS FORM 16-26

JUL 2011

INSTRUCTIONS: Submit original and 2 copies to below address.

File Typeapplication/msword
File TitleNo inspection or storage in an approved establishment can be made unless a completed application has been received (9 CFR Parts
Authorkahardy
Last Modified Bykahardy
File Modified2011-07-26
File Created2011-07-26

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