APHIS 7020A Record of Acquisition, Disposition or Transport of Anima

Animal Welfare

APHIS 7020A

Animal Welfare - Private

OMB: 0579-0093

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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 to, a collection of information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0036 and 0579-0093. The time required to complete this information collection is estimated to average .1 hour 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

0579-0036

0579-0093

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE


Record of Acquisition, disposition or transport

of animals (Other Than Dogs and Cats)


sale Exchange or Transfer Donation

1. invoice number


2. Page


of

3. Date of disposition

This record is required by law (7 U.S.C. 2131-2156). (9 CFR, Subchapter A, Parts 1, 2, and 3). Failure to maintain this record can result in a suspension or revocation of license and/or imprisonment for not more than 1 year, or a fine of not more than $1,000, or both.

4. dealer’s license number

5. seller or Donor (Name)

6. Buyer or receiver (Name)

8. identification of animals being delivered

a.


container tag number crate or pen number

b.


number animals

C.


previous invoice number (if any)

d.


individual ident tattoos, tag number (if applicable)

E.



species

Age - sex

G.


remarks

(Condition, etc.)

Receiver’s use

f.


number

Young

G.


Number

Adult

J.

K.






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APHIS FORM 7020A

JUN 2009

File Typeapplication/msword
File TitleAccording to the paperwork reduction Act of 1995, no persons are required to
AuthorGovernment User
Last Modified ByHardy, Kimberly A - APHIS
File Modified2012-11-19
File Created2009-06-19

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