VS 16-7 Additional Information for Cell Cultures and Their Produ

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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

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EXP DATE XX//XXXX

ADDITIONAL INFORMATION FOR CELL CULTURES AND THEIR PRODUCTS
(Monoclonal Antibodies, Recombinant Products, Extracts, Viruses, etc.)
(Supplement to VS Form 16-3)
1. SPECIES AND TISSUE OF ORIGIN OF CELL LINE(S). ALSO, INCLUDE COUNTRY OF ORIGIN

2. IMMUNOGEN (for monoclonal antibodies and hybridomas)

3. REFERENCE NUMBER OF CELL LINE(S)

4. IDENTIFY ALL ANIMAL DERIVED NUTRITIVE FACTORS IN THE MEDIA (e.g., serum, albumin, transferrin, trypsin, etc.). IDENTIFY THE
COUNTRY OF ORIGIN AND SPECIES OF ORIGIN OF ALL NUTRITIVE FACTORS.

5. IDENTIFY ANY ANIMAL PATHOGENS THAT ARE STUDIED IN THE LAB WHERE THE CELL LINE ORIGINATES. ALSO NAME ANY ANIMAL
PATHOGENS INFECTING THE CELL LINE.

6. IF THE CELL LINE IS RECOMBINANT, SPECIFY GENETIC INSERT (do not use abbreviations)

7. POTENTIAL USE OF IMPORTED CELLS OR PRODUCTS (use of derivatives or extracts, immunogen for antibodies produced, and production
method. If for animal use, specify the animal species.)

8. SIGNATURE

VS FORM 16-7
DEC 2011

9. DATE