VS 13-2 Swine Health Protection Program Inspection Summary

Swine Health Protection

VS 13-2 Sep 2011

Swine Health Protection - State

OMB: 0579-0065

Document [pdf]
Download: pdf | pdf
According to the Paperwork Reduction Act of 1995, no persons are 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 0579-0065. The time required to complete this information collection
is estimated to average 1 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing the reviewing the collection of information.

STATE OF:

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

SWINE HEALTH PROTECTION PROGRAM INSPECTION SUMMARY

OMB Approved
0579-0065
EXP XX/XXXX

REPORTING PERIOD
FROM:

TO:

Q/M:

YEAR:

SECTION I – GENERAL
1. State authority for feeding food waste or garbage to swine

Allowed

2. Enforcement responsibility for Swine Health Protection Act or equivalent State requirements
3. License is issued by

State

Federal

Both

Prohibited
State

Federal

Cooperative

Not Applicable (NA)

SECTION II - SEARCHES DURING THIS REPORTING PERIOD

State Personnel

Federal Personnel

State Personnel

Federal Personnel

State Personnel

Federal Personnel

State Personnel

Federal Personnel

State Personnel

Federal Personnel

4. Number of searches made for non-licensed garbage feeders
5. Number of non-licensed garbage feeders found
6. Number of non-licensed garbage feeders found and licensed, or otherwise resolved, without Government
agency enforcement action

SECTION III - INSPECTIONS DURING THIS REPORTING PERIOD
7. a. Number of routine inspections of licensed premises
b. Number of re-inspections made of licensed premises
8. Number of licensed premises inspected
9. a. Number of temperature checks on direct fire cookers
b. Number of temperature checks on steam injection cookers
10. Number of pre-licensing inspections completed
11. Number of inspections reporting abnormal occurrence of disease
12. Number of inspections that initiated a FAD investigation

13. Number of licenses issued
14. Total number of licensed premises this reporting period

SECTION IV - VIOLATIONS DURING THIS REPORTING PERIOD
15. Number of licensed premises inspected and alleged to be in violation of the Swine Health Protection Act
or equivalent State requirements
16. Number of licensed inspected premises alleged to be in violation that were corrected without actions
from a Government enforcement agency
17. a. Number of licensed premises alleged to be in violation and not corrected that were forwarded to a
Government enforcement agency for action
b. Number of licensed premises alleged violation cases handled by a Government enforcement agency
this period
c. Number of licensed premises alleged violation cases resolved
18. a. Number of non-licensed feeders alleged to be in violation that were forwarded to a Government
enforcement agency for action
b. Number of non-licensed premises alleged violation cases handled by a Government agency this
period
c. Number of non-licensed premises alleged violation cases resolved
19. Name of AVIC or Area EPI
VS FORM 13-2
SEP 2011

20. Date

21. Name of State Official

Previous edition obsolete

22. Date

SECTION V - UNRESOLVED CASES (From items 17 and 18.)
23. a. NAME OF ALLEGED VIOLATOR(S)

b. TYPE
(Licensed or
Non-licensed)

c. DATE OF
THE ALLEGED
VIOLATION

SECTION VI - NARRATIVE (Use for additional information or explanations.)
24. EXPLAIN:

VS FORM 13-2 (Reverse)

d. DATE SENT TO
ENFORCEMENT
AGENCY

e. FEDERAL
OR STATE
AGENCY


File Typeapplication/pdf
Authorsmharris
File Modified2011-10-12
File Created2011-09-20

© 2024 OMB.report | Privacy Policy