VS 4-108B Animals Removed from Infected Herd

See Notice/Instructions on Reverse See reverse for additional OMB statement OMB Approved 0579-0047

U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE VETERINARY SERVICES Animals removed from infected herd Supplemental to VS Form 4-108

INSTRUCTIONS: List all animals (include feeder heifers and slaughtered cows and bulls but exclude reactors) sold or otherwise removed from the herd within the last two years, or since infection was introduced. Obtain all supporting documents.

1. NAME OF HERD OWNER

2. Document Number

3. COUNTY

4. HERD NO.

5. PAGE OF PAGES

6. LIST of animals sold or otherwise removed from the herd

Buyer or recipient

SALES

IDENTIFICATION

Sex

Age when Sold

Breed

Vac. Status

Disposition

Verified (see codes)

REMARKS (Stage of pregnancy, etc.)

Brucellosis Status 1 – Untested 2 – Tested Neg.

NAME AND ADDRESS

Date

No. of Animals

Tag No’s

OTHER ID (Brands, Tattoos, etc.)

A

B

C

D

E

F

G

H

I

J

K

L

M

7. Assignments made to contact recipient herds Yes No

8. signature of VMO

CODE

9. DATE SIGNED

VS FORM 4-108B Previous edition may be used

APR 2009

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 0579-0047. The time required to complete this information collection is estimated to average 4 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.

_________________________________________________________________________________________________________________________

NOTICE TO HERD OWNERS

Herd Owners (Managers or Agents) of herds of brucellosis affected livestock must be advised that information is given voluntarily to assist in the elimination of brucellosis from the livestock population. Cooperation of all affected herd owners (Managers or Agents) is needed to complete a thorough epidemiologic investigation to identify the source of the disease, the method of spread and the possible dissemination to new herds. The authorities under which the brucellosis program is conducted are contained in 21 U.S.C. 111, 112, 114, 114a, 114a-1, 115, 120, 121, 125, and 134a-f and Title 9, Code of Federal Regulations, Parts 51 and 78.

INSTRUCTIONS

The purpose of this form is to record information of epidemiologic importance for each potentially brucella exposed animal removed from this herd. This information facilitates tracing of each animal for retesting or for verification of slaughter.

4. From 4-108. Item 2 is the preprinted number on the 4-108.

5. Indicate which page of 4-108B this is and how many total

pages were completed.

6. List each animal (except steers or reactors) removed from

the herd for any reason since it became infected (if this date can be established) or otherwise for the 2-year period prior to discovery of infection.

6-A. Record the full legal name and mailing address of the

recipient of each animal. Each animal should be listed individually if individual identification is available; otherwise they may be listed by transaction lots.

6-B. Record the date this herd owner gave up control of the

animals.

6-C. Indicate the number of animals involved with each

transaction.

6-D. Record all available identification at time of sale (removal

and E. from premises) for each animal including eartags, salestags,

backtags, bangle tags, brands, identification tattoos, and registration numbers.

6-F. Enter F (female) or M (male). If a lot, indicate the number

of each.

6-G. Age at time of removal from herd. If a lot, indicate the

average or predominant age.

6-H. Indicate the specific breed. If nondescript, indicate the breed

that the animal most appears to represent. For lots, enter the predominant breed or record as mixed beef, etc.

6-I. Record the vaccination status as “CV,” “AV,” “NV” (not

vaccinated), or “UN” (unknown) and list the vaccination tattoo, if applicable.

6-J. Indicate disposition of animals by recording “S” for slaughter,

“F” for feedlots, veal feeding, dairy heifer lot, etc., and “H” for herd replacement.

6-K. Indicate the status of the tracing on each animal by 1

(slaughter verified), 2 (located and retested), 3 (located but not tested), 4 (recipient state notified), or 5 (not verified).

6-L. Record the stage of pregnancy and other pertinent

information as of the time of sale. Also list the buyer if different than that given in A.

6-M. List status of animal when it left the herd or first point of

concentration.

7. Indicate if arrangements have been made to contact

everyone that received animals from this herd.

8-9. Self-explanatory.

Submit copies of any documents that may help trace the animals such as invoices, brand inspection, cancelled checks, etc.

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VS FORM 4-108B (Reverse)

Form Copy Designations

Part 1-Herd file

Part 2-Cattle diseases staff,

Riverdale, MD (Free Areas only)

Part 3-Station Epidemiologist

Part 4- State or Federal Field

Veterinarian