VS 21-304 Health Management on U.S. Feedlots 2020 Informed Consent

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 0579-0079. The time required
to complete this information collection is estimated to average 5 minutes per response, including the
time to review instructions, search existing data resources, gather the data needed, and complete
and review the information collected.
UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES
NATIONAL ANIMAL HEALTH MONITORING SYSTEM
2150 CENTRE AVE, BLDG B
FORT COLLINS, CO 80526

OMB Approved
0579-0079
EXP: XX/20XX

HEALTH MANAGEMENT ON U.S.
FEEDLOTS 2020 INFORMED CONSENT
FOR FEEDLOTS IN THE STATE OF
CALIFORNIA

The U.S. Department of Agriculture's National Agricultural Statistics Service (NASS), Animal and Plant Health Inspection
Service (APHIS), the California Department of Food and Agriculture and the State of California, and the Producer hereby enter
into this National Animal Health Monitoring System (NAHMS) Health Management on U.S. Feedlots 2020 INFORMED
CONSENT, the terms of which are set forth below.
1.
The California Department of Food and Agriculture (CDFA) is mandated by California Food and Agricultural Codes
14400-14408 to monitor antimicrobial use and management practices in livestock. The California Law furthermore directs that,
when applicable, this information be gathered in coordination with NAHMS. The California Law stipulates that these data are
collected in a voluntary manner. The collected data will be used for monitoring and educational, not regulatory, purposes.
2.
Since the NAHMS Health Management on U.S. Feedlots 2020 study will include collection of data regarding
antimicrobial use and health management in feedlot cattle in California, CDFA has requested that NAHMS share aggregate
data collected in the NAHMS Health Management on U.S. Feedlots 2020 study from California cattle feedlots with them for the
purposes of fulfilling California Food and Agricultural Codes 14400-14408.
3.
Only aggregate (summary) data, not individual data, will be shared with CDFA. The identity of the Producer will be
withheld. No individual responses will be shared or published.

Signature of U.S. Department of Agriculture or California Department of Food and
Agriculture Employee :

Date:

Signature of Producer or authorized representative:

Date:

VS Form 21-304
September 2020