Form VS-1-22 ISA Program Enrollment Form

ISA-Payment of Indemnity

VS 1-22 JAN 2012

ISA-Payment of Indemnity

OMB: 0579-0192

Document [docx]
Download: docx | pdf

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 0579-0192. The time required to complete this information collection is estimated to average .25 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

0579-0192

EXP DATE XX/XXXX

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

VETERINARY SERVICES

INFECTIOUS SALMON ANEMIA PROGRAM

ENROLLMENT FORM


In order to assist in the control of Infectious Salmon Anemia (ISA) and to qualify for Federal indemnity, we, _________________________________________, agree to participate fully in the United States Department of Agriculture and Maine Department of Marine Resources' Infectious Salmon Anemia Program. We specifically agree to the following:

ITEM 1: Establish and maintain a veterinary client-patient relationship with an APHIS’ accredited veterinarian. Companies are to inform the ISA Program Veterinarian in writing of the name of their accredited veterinarian retained for Veterinary Services at the time of program sign up and within 15 days if there is a change.


ITEM 2: Cooperate with and assist in onsite disease surveillance, testing, and reporting activities for ISA, which will be conducted by their APHIS accredited veterinarian or State or Federal as directed by the ISA Program Veterinarian.


ITEM 3: Develop and implement biosecurity protocols for use at all company leased finfish sites and company vessels engaged in aquaculture operations. A copy of the company's biosecurity protocols shall be submitted to the ISA Program Veterinarian at the time of program sign up and within 15 days of changes to the protocols are made.


ITEM 4: Develop, with the involvement of the company's APHIS accredited veterinarian and the fish site health manager, a site specific ISA Action Plan for the prevention, control, and management of ISA. A copy of the action plan will be submitted to APHIS for review.


ITEM 5: Participate in the State of Maine's integrated pest management of sea lice on salmonids. A copy of the integrated pest management plan will be submitted in writing to the ISA Program Veterinarian at the time of program sign up and within 15 days if changes to the plan are made.


ITEM 6: Submit to the ISA Program Veterinarian complete and current fish inventory information for all company leased finfish sites with site and cage identifiers. Fish inventory information must include the numbers, age, date of saltwater transfer, vaccination status, and previous therapeutant history for all fish in each leased finfish site.


ITEM 7: Maintain and make available upon request of the ISA Program Veterinarian, mortality data for each leased finfish site and pen in production.


ITEM 8: Cooperate and assist APHIS in the completion of biosecurity audits at leased finfish sites and company vessels involved in salmonid aquaculture.


Representative of APHIS - VS (Signature)

Date

Owner (Signature)

Date


Address


VS FORM 1-22 R

JAN 2012 LOCAL REPRODUCTION AUTHORIZED

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorsmharris
File Modified0000-00-00
File Created2021-01-31

© 2024 OMB.report | Privacy Policy