Vs 7-12 Rodent Control Logbook

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 numbers for these collections are 0579-0065 and 0579-0323. 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
0579-0065 and 0323
EXP XX/XXXX

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

RODENT CONTROL LOGBOOK
“X” indicates a number is needed.
When filling in caught or killed index indicated mice (M) rats (R).
Date
MM/DD/YYYY

Initials

(X) Traps Set
(If needed)

Caught or
killed index
(X)

Number of
Rats sighted
monthly (X)

Placed (X)
new stations

Refreshed
bait in (X)
stations

Brand name
of bait

Active
ingredient of
bait

Lbs. of bait
used (x)

DOCUMENT BELOW THE DISPOSAL METHOD FOR ALL UNUSED BAIT REPLACED.

NOTE: Always include a rodent control diagram with your logbook for the facility and site. This diagram should indicate
the location of all bait stations and rodent traps for the site. The logbook and diagram should be updated monthly at a
minimum.
VS FORM 7-12
JUNE 2011