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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
0579-0315
EXP: 01/2023
2021 NAHMS Swine Large Enterprise
VS Visit
State FIPS: __________ Operation #: _________ Site #: _________ Interviewer: ___________ Date:
/
/
2 digits
4 digits
2 digits
Initials
mm/dd/yy
Arrival time at site: ____________
Start time of questionnaire: ____________
Section 1—Today's Inventory
INTERVIEWER'S INSTRUCTION: It is important that you and the Producer complete this questionnaire for the same
sites for which NASS completed the General Swine Farm Questionnaire (GSFQ). Before your visit, check the copy
of the NASS Consent form to make sure that you have the right site.
1. Of the total pigs on hand today, how many are: (Enter Zero if None)
a.. Sows, unmated replacement gilts and bred gilts in the breeding herd?...............................
b. Unmated replacement gilts for breeding not yet in the breeding herd, such as those in a
Gilt Development unit?......................................................................................................... +
c.
Nursing pigs?........................................................................................................................ +
d. Boars and young males for breeding, including teaser boars?............................................. +
e. Cull sows, gilts, and boars?.................................................................................................. +
f.
Weaned hogs under 60 pounds?.......................................................................................... +
g. Market hogs 60 pounds and over, excluding cull sows, gilts, and boars?....................... +
h. Then the total number of pigs on hand today is:…………………………………..………….. =
v100
Head
v101
v102
v103
v104
v105
v106
v107
Note: If the Interviewee has electronic or paper records that would assist this process, ask him/her to bring
them out now.
Note: The questions in all sections pertain to what is done on THIS Site
VS Form 21-203
October 2021
-1
Section 2—Sows and Breeding-age Gilts
1. Between December 1, 2020 and May 31, 2021:
a. Did any sows or gilts farrow? ............................................................................................ v200 1 Yes 3 No
b. Were any sows or gilts bred? ............................................................................................ v201 1 Yes 3 No
[If Items 1a and 1b BOTH = NO, SKIP to Section 3.]
Note: All questions in this section except Item 7 refer to the time period between December 1, 2020 and May
31, 2021
2. Were the following disease problems present in breeding females? (DK = Don’t know)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
APP (Actinobacillus pleuropneumoniae) ...........................................................
Erysipelas ..........................................................................................................
Gastric ulcers ....................................................................................................
Glasser's disease (Haemophilus parasuis) .......................................................
Ileitis/ Proliferative enteritis (Lawsonia intracellularis) .......................................
Influenza ............................................................................................................
Leptospirosis .....................................................................................................
Lice ....................................................................................................................
Mange ...............................................................................................................
Mycoplasma pneumonia ...................................................................................
Parvovirus .........................................................................................................
Porcine circovirus 2 (PCVAD, formerly known as PMWS) ...............................
Porcine deltacoronavirus (PDCoV) ...................................................................
Porcine epidemic diarrhea (PED) ......................................................................
PRRS (porcine reproductive and respiratory syndrome) ..................................
Roundworms .....................................................................................................
Salmonella .........................................................................................................
Seneca Valley Virus (SVV or SVA) ...................................................................
Swine dysentery ................................................................................................
TGE (transmissible gastroenteritis) ...................................................................
Other disease problems (Specify:_____________________________) v222oth ..
1 Yes
1 Yes
v204 1 Yes
v205 1 Yes
v206 1 Yes
v207 1 Yes
v208 1 Yes
v209 1 Yes
v210 1 Yes
v211 1 Yes
v212 1 Yes
v213 1 Yes
v214 1 Yes
v215 1 Yes
v216 1 Yes
v217 1 Yes
v218 1 Yes
v219 1 Yes
v220 1 Yes
v221 1 Yes
v222 1 Yes
v202
v203
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
3. (Show vaccine list to respondent.) Were breeding females on this site vaccinated (including prior to their arrival
on this site) against the following diseases?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
APP (Actinobacillus pleuropneumoniae) ...........................................................
Actinobacillus suis (autogenous) ......................................................................
Atrophic rhinitis (Bordatella/Pasteurella) ..........................................................
Clostridium difficile (autogenous) .....................................................................
Clostridium perfringens Type A ........................................................................
Clostridium perfringens Types C and D ...........................................................
Erysipelas .........................................................................................................
E. coli (K88, K99, 987P, F41) ............................................................................
Glasser's disease (Haemophilus parasuis) .......................................................
Ileitis/Proliferative enteritis (Lawsonia intracellularis) ........................................
Influenza ............................................................................................................
Leptospirosis ....................................................................................................
Mycoplasma hyopneumoniae ...........................................................................
Parvovirus ........................................................................................................
Porcine circovirus 2 ...........................................................................................
PRRS.................................................................................................................
Porcine epidemic diarrhea.................................................................................
Rotavirus ...........................................................................................................
VS Form 21-203
October 2021
1 Yes
1 Yes
v225 1 Yes
v226 1 Yes
v227 1 Yes
v228 1 Yes
v229 1 Yes
v230 1 Yes
v231 1 Yes
v232 1 Yes
v233 1 Yes
v234 1 Yes
v235 1 Yes
v236 1 Yes
v237 1 Yes
v238 1 Yes
v239 1 Yes
v240 1 Yes
v223
v224
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
-2
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
3. (continued)
s. Salmonella .........................................................................................................
t. Streptococcus suis ............................................................................................
u. TGE (transmissible gastroenteritis) ...................................................................
v. Other vaccinations (Specify: _________________________________) v244oth .
1 Yes
1 Yes
v243 1 Yes
v244 1 Yes
v241
v242
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
[If Item 3p (PRRS vaccination) = No or Don’t Know, SKIP to Item 6.]
4. Were breeding females usually vaccinated against PRRS during the following time periods?
a.
b.
c.
d.
e.
f.
g.
h.
Prior to entering the breeding herd (i.e., as young pigs) ...................................
As gilts at time of entering the breeding herd ..................................................
During gestation up to 4 weeks before farrowing ..............................................
During the last 4 weeks of gestation.................................................................
From farrowing to weaning ................................................................................
After weaning through breeding/mating ...........................................................
At regular intervals, regardless of reproductive stage.......................................
In response to a PRRS outbreak (i.e., whole herd exposure via vaccination) ..
1 Yes
1 Yes
v247 1 Yes
v248 1 Yes
v249 1 Yes
v250 1 Yes
v251 1 Yes
v252 1 Yes
v245
v246
[If all Items 4b-4h = No or Don’t Know, SKIP to Item 6.]
5. Were the following types of PRRS vaccines used in breeding females?
a. Commercial modified live PRRS vaccine (Show vaccine list to respondent.) ..
b. Autogenous PRRS vaccine (killed) ...................................................................
v253
v254
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
6. Were any of the following measures taken specifically to control, eliminate or keep out PRRS in breeding
females on this site? (Check all that apply. Check No if measure is taken but not specifically to control/eliminate
PRRS.)
a. Expose replacement gilts via infected animals ................................................. v255 1 Yes
b. Expose replacement gilts via feedback of tissues from infected animals ......... v256 1 Yes
c. Expose replacement gilts via live virus inoculation (LVI)
using serum from infected animals ................................................................... v257 1 Yes
d. Expose breeding herd via live virus inoculation (LVI) using serum
from infected animals ........................................................................................ v258 1 Yes
e. Segregate gilts from breeding herd (parity segregation) so that
they enter the sow herd after weaning their first litter ....................................... v259 1 Yes
f. Depopulate whole herd ..................................................................................... v260 1 Yes
g. Temporarily cease introduction of replacement gilts (roll-over; herd closure) . v261 1 Yes
If Yes:
i. For how many weeks were introductions interrupted? ...............................
v262
ii. Was an off-site breeding project used? ...................................................... v263 1 Yes
h. Introduce PRRS-negative replacement gilts ..................................................... v264 1 Yes
i. Introduce PRRS-positive replacement gilts
(exposed, recovered, immune, and non-shedding) .......................................... v265 1 Yes
j. Use semen only from boars that are PRRS negative and monitored ............... v266 1 Yes
k. Use air filtration system ..................................................................................... v267 1 Yes
l. Other measures not including vaccination (Specify: ________________) v268oth v268 1 Yes
3 No 4 DK
3 No 4 DK
3 No 4 DK
3 No 4 DK
3 No 4 DK
3 No 4 DK
3 No 4 DK
_____ weeks
3 No 4 DK
3 No 4 DK
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
Item 7-Codes for PRRS Herd Status Category
1 – Unknown or unsure
2 – Positive unstable
3 – Positive stable
4 – Positive stable undergoing elimination
5 – Provisional negative
6 – Negative
7. What is the PRRS status of the breeding herd? (Use the PRRS Status Decision Chart sheet to identify the
PRRS status of the breeding herd and then enter corresponding status code from list above.) v269 _____ code
VS Form 21-203
October 2021
-3
[If Item 3k (Influenza vaccination) = No or Don’t Know, SKIP to Item 10.]
8. Were breeding females usually vaccinated against influenza during the following time periods?
a.
b.
c.
d.
e.
f.
g.
Prior to entering the breeding herd (i.e., as young pigs) ...................................
As gilts at time of entering the breeding herd ..................................................
During gestation up to 4 weeks before farrowing .............................................
During the last 4 weeks of gestation.................................................................
From farrowing to weaning ................................................................................
After weaning through breeding/mating ............................................................
At regular intervals, regardless of reproductive stage.......................................
1 Yes
v271 1 Yes
v272 1 Yes
v273 1 Yes
v274 1 Yes
v275 1 Yes
v276 1 Yes
v270
3 No
3 No
3 No
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
[If all Items 8b-8g = No or Don’t Know, SKIP to Item 10.]
9. Were the following types of influenza vaccines used in breeding females?
a. Commercial influenza vaccine (killed) (Show vaccine list to respondent.) .......
b. Autogenous influenza vaccine (killed) ...............................................................
c. Modified Live influenza vaccine (Show vaccine list to respondent.) .................
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
v279 1 Yes 3 No 4 DK
v277
v278
10. Were any breeding females given antibiotics to treat disease conditions between
December 1, 2020 and May 31, 2021? (Answer NA if no disease in breeding females.)
.......................................................................................................................................................................................................................... v280 1 Yes 2 NA 3 No
11. Were the following disease problems present in preweaned (nursing) pigs?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
Clostridium ........................................................................................................
Coccidiosis ........................................................................................................
E. coli (colibacillosis) .........................................................................................
Greasy pig disease (Staph. hyicus) ..................................................................
Influenza ............................................................................................................
Navel infections (perhaps with swollen joints)...................................................
Porcine deltacoronavirus (PDCoV) ...................................................................
Porcine epidemic diarrhea (PED) ......................................................................
PRRS.................................................................................................................
Rotavirus ...........................................................................................................
Salmonella .........................................................................................................
Seneca Valley Virus (SVV or SVA) ...................................................................
Strep. suis (meningitis, polyserositis, arthritis) ..................................................
TGE (transmissible gastroenteritis) ...................................................................
Undifferentiated pneumonia ..............................................................................
Other disease problems in preweaned pigs (Specify: _______________) v296oth
VS Form 21-203
October 2021
1 Yes
1 Yes
v283 1 Yes
v284 1 Yes
v285 1 Yes
v286 1 Yes
v287 1 Yes
v288 1 Yes
v289 1 Yes
v290 1 Yes
v291 1 Yes
v292 1 Yes
v293 1 Yes
v294 1 Yes
v295 1 Yes
v296 1 Yes
v281
v282
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
-4
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
Section 3—Nursery Aged Pigs
Note: Nursery Aged pigs are the age between weaning and approximately 60 pounds, or until switched to a
Grower/Finisher type diet or switched to being managed as Grower/Finishers or moved to a specific
Grower/Finisher facility to raise to market weight.
1. Between December 1, 2020 and May 31, 2021, did this site raise weaned pigs? .................. v300 1 Yes 3 No
[If Item 1 = No, SKIP to Section 5.]
2. Between December 1, 2020 and May 31, 2021, did this site raise nursery aged pigs (weaning to approximately
60 pounds)? .............................................................................................................................. v301 1 Yes 3 No
[If Item 2 = No, SKIP to Section 4.]
3. Between December 1, 2020 and May 31, 2021, in which of the following facilities did this site raise most of its
nursery aged pigs? (Check one box below only (3a or 3b))
a. A Nursery facility ....................................................................................................................................................................................................................... v302 1
b. A Wean-to-Finish facility .................................................................................................................................................................................................... v303 1
Note: All questions in this section refer to the time period between December 1, 2020 and May 31, 2021
UNLESS otherwise specified (Items 7-14 and Item 19).
4. Were the following disease problems present in nursery aged pigs? (DK = Don’t know)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
APP (Actinobacillus pleuropneumoniae) ...........................................................
E.coli diarrhea ...................................................................................................
Edema disease (E.coli enterotoxemia) .............................................................
Glasser's disease (Haemophilus parasuis) .......................................................
Greasy pig disease (Staph.hyicus) ...................................................................
Influenza ............................................................................................................
Lice ....................................................................................................................
Mange................................................................................................................
Mycoplasma pneumonia ...................................................................................
Porcine circovirus 2 (PCVAD, formerly known as PMWS) ...............................
Porcine deltacoronavirus (PDCoV) ...................................................................
Porcine dermatitis and nephropathy syndrome (PDNS) ...................................
Porcine epidemic diarrhea (PED) ......................................................................
PRRS (porcine reproductive and respiratory syndrome) ..................................
Roundworms ....................................................................................................
Salmonella .........................................................................................................
Seneca Valley Virus (SVV or SVA) ...................................................................
Strep. suis (Strep. meningitis) ...........................................................................
Swine dysentery ................................................................................................
TGE (transmissible gastroenteritis) ...................................................................
Other disease problems (Specify:_________________) ..........................v324oth
1 Yes
v305 1 Yes
v306 1 Yes
v307 1 Yes
v308 1 Yes
v309 1 Yes
v310 1 Yes
v311 1 Yes
v312 1 Yes
v313 1 Yes
v314 1 Yes
v315 1 Yes
v316 1 Yes
v317 1 Yes
v318 1 Yes
v319 1 Yes
v320 1 Yes
v321 1 Yes
v322 1 Yes
v323 1 Yes
v324 1 Yes
v304
3No
3No
3No
3No
3No
3No
3No
3No
3No
3 No
3 No
3 No
3No
3No
3No
3No
3No
3No
3No
3No
3No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
5. (Show vaccine list to respondent.) Were nursery aged pigs on this site vaccinated against the following
diseases?
a. APP (Actinobacillus pleuropneumoniae) ........................................................... v325 1 Yes 3 No 4 DK
b. Actinobacillus suis (autogenous) ....................................................................... v326 1 Yes 3 No 4 DK
c. Atrophic rhinitis (Bordatella/Pasteurella) ........................................................... v327 1 Yes 3 No 4 DK
d. Clostridium difficile (autogenous) ...................................................................... v328 1 Yes 3 No 4 DK
e. Clostridium perfringens Type A ......................................................................... v329 1 Yes 3 No 4 DK
f. Clostridium perfringens Types C and D ............................................................ v330 1 Yes 3 No 4 DK
g. Erysipelas .......................................................................................................... v331 1 Yes 3 No 4 DK
VS Form 21-203
October 2021
-5
5. (continued)
h. E. coli (K88, K99, 987P, F41) ............................................................................
i. Glasser's disease (Haemophilus parasuis) .......................................................
j. Ileitis (Lawsonia intracellularis) .........................................................................
k. Influenza ............................................................................................................
l. Leptospirosis .....................................................................................................
m. Mycoplasma hyopneumoniae ...........................................................................
n. Porcine circovirus 2 ...........................................................................................
o. PRRS.................................................................................................................
p. Porcine epidemic diarrhea.................................................................................
q. Rotavirus ...........................................................................................................
r. Salmonella .........................................................................................................
s. Streptococcus suis ............................................................................................
t. TGE (transmissible gastroenteritis) ...................................................................
u. Other vaccinations (Specify: ________________________________) v345oth .....
1 Yes
1 Yes
v334 1 Yes
v335 1 Yes
v336 1 Yes
v337 1 Yes
v338 1 Yes
v339 1 Yes
v340 1 Yes
v341 1 Yes
v342 1 Yes
v343 1 Yes
v344 1 Yes
v345 1 Yes
v332
v333
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
[If Item 5k = No or Don’t Know, SKIP to Item 7.]
6. Were the following types of influenza vaccines used in nursery aged pigs?
a. Commercial influenza vaccine (killed) (Show vaccine list to respondent.) .......
b. Autogenous influenza vaccine (killed) ...............................................................
c. Modified Live influenza vaccine (Show vaccine list to respondent.) .................
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
v348 1 Yes 3 No 4 DK
v346
v347
Item 7-Action Codes
1 – Have not had clinical respiratory disease in 4 – Treated all pigs in same pen with clinically
nursery aged pigs during last 12 months
ill pigs with antibiotics
5 – Treated all pigs in same pen and pens
2 – Did not treat any pigs with antibiotics
adjacent to clinically ill pigs with antibiotics
6 – Treated all pigs in entire room with
3 – Treated only clinically ill pigs with
clinically ill pigs with antibiotics (all pigs
antibiotics
with shared airspace)
7. For the most recent occurrence of a respiratory disease outbreak in nursery aged pigs, which option from the
code list above best describes the action taken? (Enter one code only from list above. Antibiotics can be given in
water/feed or by injection.)............................................................................................................ v349 _____ code
8. During the last 6 months, approximately how many weaned pigs were fed and managed as nursery aged pigs?
....................................................................................................................................................... v350_____ head
VS Form 21-203
October 2021
-6
9. During the last 6 months, were any medications given by injection to nursery aged pigs?
.................................................................................................................................... v351 1 Yes 3 No 4 DK
[If Item 9 = No or Don’t Know, SKIP to Item 11.]
Item 10-Primary Reason Codes
1 – Disease prevention or control
4 – Polyserositis/meningitis treatment
2 – Respiratory disease treatment
5 – Parasite treatment/deworming
3 – Enteric (intestinal or GI) disease treatment
6 – Other treatment
(Specify: _____________________) v351aoth
(Specify: _____________________) v351both
10. (Show medication list to respondent.) For any medications given by injection in the last 6 months to nursery
aged pigs, enter the primary reason given (enter one code only from list above) and the approximate number
of nursery aged pigs that received injected medication in the 6 month period.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
v365/a
Dexamethasone
Glucortin-20
v366/a
Doramectin
Dectomax
v367/a
Flunixin meglumine
Banamine S
v368/a
Isoflupredone
Predef 2x
v369/a
Ivermectin
Ivomec
v370/a
Levamisole
Tramisol; Levasole
v371/a
Vitamin A, D, E
Other medications (Specify: _______________________) v372oth v372/a
VS Form 21-203
October 2021
Trade name (example)
Polyflex
Amoxi-Inject
Excenel; Naxcel; Excede
Baytril 100, Enroflox® 100
Erythro
Nuflor
Garacin
Lincocin
LA200; Oxtyet; Biomycin
BP48, long-acting Pen
Pen-G
Draxxin
Tylan
Primary
Number of nursery
reason code aged pigs treated
Active ingredient
Ampicillin
Amoxicillin
Ceftiofur
Enrofloxacin
Erythromycin
Florfenicol
Gentamicin
Lincomycin
Oxytetracycline
Penicillin benzathine
Procaine Penicillin G
Tulathromycin
Tylosin
v352/a
v353/a
v354/a
v355/a
v356/a
v357/a
v358/a
v359/a
v360/a
v361/a
v362/a
v363/a
v364/a
-7
11. During the last 6 months, were any medications given by water to nursery aged pigs?
......................................................................................................................................................................................................................... V373
[If Item 11 = No or Don’t Know, SKIP to Item 13.]
1 Yes 3 No 4 DK
Item 12-Primary Reason Codes
1 – Disease prevention or control
2 – Respiratory disease treatment
3 – Enteric (intestinal or GI) disease treatment
4 – Polyserositis/meningitis treatment
5 – Other treatment
(Specify: _____________________) v373aoth
(Specify: _____________________) v373both
12. (Show medication list to respondent.) For any medications given by water in the last 6 months to nursery aged
pigs, enter the primary reason given (enter one code only from list above), total number of days medication was
given in the water and the approximate percent of Item 8 pigs medicated by water in the 6 month period.
a.
b.
c.
d.
e.
Active ingredient
Amoxicillin
Bacitracin Methylene
Disalicylate
Bacitracin zinc
Chlortetracycline
Chlortetracyline/
sulphamethazine
Trade name (example)
v374/a/b
BMD® soluble, Solutracin
v375/a/b
Baciferm® soluble
Aureomycin soluble powder
Chloronex® Sulmet® soluble
powder
Florvio™ 2.3% concentration
solution
Garacin® oral solution
LinxMed® soluble powder
v376/a/b
L-S 50 Water soluble® powder
Neosol, Neomix® soluble
powder
Terramycin® soluble, Tetroxy®
PenAqua Sol G®, Solu-Pen
Spectam®, Spectogard ScourChek™
Vetisulid®, Prinzone oral
suspension
Albon® oral suspension,
Agribon soluble powder
Sulmet®, Purina® sulfa
S.Q. 20% Solution, Sul-Q-Nox
Tet-Sol® 324, Duramycin-10
Denagard® liquid concentrate
Pulmotil® AC
TMP/Sulfa, Tribrissen
Tylan® soluble, Tylovet® soluble
Aivlosin®
v382/a/b
v397/a/b
f.
Florfenicol
g.
h.
i.
Gentamicin
Lincomycin
Lincomycin/Spectinomycin
j.
Neomycin
k.
l.
Oxytetracycline
Penicillin G Potassium
m.
Spectinomycin
n.
Sulfachlorpyridazine
o.
Sulfadimethoxine
p.
q.
r.
s.
t.
u.
v.
w.
Sulfamethazine
Sulfaquinoxaline
Tetracycline
Tiamulin
Tilmicosin
Trimethoprim/Sulfadiazine
Tylosin
Tylvalosin
x.
y.
Salicylic Acid
Aspirin
Other medications (Specify: ______________________) v398oth
VS Form 21-203
October 2021
Total days in
Primary water per treated
reason code
group
v377/a/b
v378/a/b
v379/a/b
v380/a/b
v381/a/b
v383/a/b
v384/a/b
v385/a/b
v386/a/b
v387/a/b
v388/a/b
v389/a/b
v390/a/b
v391/a/b
v392/a/b
v393/a/b
v394/a/b
v395/a/b
v396/a/b
v398/a/b
-8
Percent of
Item 8 pigs
13. During the last 6 months, were any medications given by feed to nursery aged pigs?
.................................................................................................................................... v399 1 Yes 3 No 4 DK
[If Item 13 = No or Don’t Know, SKIP to Item 15.]
Item 14-Primary Reason Codes
1 – Growth promotion
5 – Parasite treatment/deworming
2 – Disease prevention or control
3 – Respiratory disease treatment
6 – Other treatment
(Specify:______________________) v399aoth
4 – Enteric (intestinal or GI) disease treatment
(Specify:______________________) v399both
14. (Show medication list to respondent.) For any medications given by feed during the last 6 months to nursery
aged pigs, enter the primary reason given (enter one code only from list above), average starting age (in
weeks since birth) of pigs when medications began, total number of days medication was given in the feed and
approximate percent of Item 8 pigs medicated by feed in the 6 month period.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
v.
w.
x.
y.
z.
Trade name
Active ingredient
(example)
Avilamycin
Kavault®
Bacitracin Methylene Disalicylate BMD®
BMD/Chlortetracycline
BMD®/Aureomycin®
Bacitracin Zinc
Albac®, Baciferm®
Bambermycin
Flavomycin®
Carbadox
Mecadox®
Carbadox/Oxytetracycline
Terramycin®
Chlortetracycline
Aureomycin®
Aureomix® S,
Chlortetracycline/Sulfamethazine
Pennchlor S
Chlortetracycline/Tiamulin
Denagard® Plus CTC®
Florfenicol
Nuflor®
Lincomix®
Lincomycin
Narasin
Neomycin/Terramycin
Oxytetracycline
Tiamulin
Tilmicosin
Tylosin
Tylosin/Sulfamethazine
Tylvalosin
Virginiamycin
Skycis
Neo-Oxy 100/100®
Terramycin®, OXTC®
Denagard®
Pulmotil ® 90
Tylan®, Tylovet®
Tylan® Sulfa-G
Aivlosin® 17%
Stafac®
®
Primary Average
Total days in
reason starting age feed per treated
code
(weeks)
group
v3000/a/b/c
v3001/a/b/c
v3002/a/b/c
v3003/a/b/c
v3004/a/b/c
v3005/a/b/c
v3006/a/b/c
v3007/a/b/c
v3008/a/b/c
v3009/a/b/c
v3010/a/b/c
v3011/a/b/c
v3012/a/b/c
v3013/a/b/c
v3014/a/b/c
v3015/a/b/c
v3016/a/b/c
v3017/a/b/c
v3018/a/b/c
v3019/a/b/c
v3020/a/b/c
v3021/a/b/c
Fenbendazole
Safeguard
v3022a/b/c
Ivermectin
Ivomec
v3023a/b/c
Pyrantel tartrate
Banmith
v3024/a/b/c
Zinc oxide
Other medications (Specify: _________________) v3025oth v3025/a/b/c
VS Form 21-203
October 2021
-9
Percent of
Item 8 pigs
15. Were the following ingredients in any of the nursery aged pig diets and if YES were they imported into this
country?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
Ingredient
Used?
Imported?
Tallow (animal fat from cattle or sheep)……… v3026/a
1 Yes 3 No 4 DK 1 Yes 3 No 4 DK
Lard or choice white grease (pork fat)………... v3027/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Other animal fat (Specify: _______________) v3028/a/oth 1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Soybean oil………………………………………. v3029/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
v3030/a
Corn oil……………………………………………
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Other vegetable fat (Specify: ____________) v3031/a/oth 1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Molasses……………………………………….… v3032/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Spray dried plasma……………………...……… v3033/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Blood meal, serum albumin, or other blood
v3034/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
products………………………………………......
Mucosal products such as dried porcine
v3035/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
soluble or PEP products……………...……...…
Fish meal………………………………………… v3036/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Feather meal……………………...…………...… v3037/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Meat meal or meat-and-bone meal…………… v3038/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Soybean meal or other vegetable protein
v3039/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
source……………………………………….…….
Other protein sources (Specify: ___________) v3040/a/oth 1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Bakery/food manufacture byproducts (not
v3041/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
table waste) …………………………………...…
Vitamin Mineral Mix……………………………... v3042/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Distiller’s dried grain and solubles (DDGS)...... v3043/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
i. If Yes, what is the average percentage of DDGS in the diet?.......................................v3044 _________%
16. How many different rations were routinely fed to nursery aged pigs? .................................... v3045 _____ rations
17. How many of the different rations fed routinely to nursery aged pigs were: (Enter Zero if None in a category)
a. Meal/mash? .........................................................................................................................v3046 _____ rations
b. Pellet?..................................................................................................................................v3047 _____ rations
c. Liquid? ............................................................................................................................... v3048 _____ rations
d. Other? (Specify: ________________________________________________) v3049oth….. v3049 _____ rations
e. Total rations (should equal answer to Item 16) ...................................................................v3050 _____ rations
18. On average, what was the total amount of feed (on an as-fed basis) a pig consumed as a nursery aged
pig? ........................................................................................................................................... v3051 ______ lb/pig
19. During the last 6 months, how many shipments of nursery aged pigs left this site to go to the following
destinations? For each shipment indicate the distance and state characteristics.
Distance
Distance
Number of
If shipped out
Number
to closest to farthest shipments that
of State,
destination destination crossed State destination State(s)
of
shipments
(miles)
(miles)
lines
(2 letter code)
Destination
a. Grower/finisher site
v3052/a/b/c/d
b. Slaughter plant
v3053/a/b/c/d
c. Auction/livestock market
v3054/a/b/c/d
d. Other (Specify: ____________) v3055oth
v3055/a/b/c/d
VS Form 21-203
October 2021
- 10
Section 4—Grower/finisher Aged Pigs
Note: Grower/Finisher Aged pigs can weigh approximately 60 lbs. and market weight. Nursery aged pigs
become Grower/Finisher Aged when switched to a Grower/Finisher type diet or when managed as
Grower/Finishers or when moved to a specific Grower/Finisher facility to raise to market weight.
1. Between December 1, 2020 and May 31, 2021, did this site raise grower/finisher aged pigs?
.................................................................................................................................................. v400 1 Yes 3 No
[If Item 1 = No, SKIP to Section 5.]
2. Between December 1, 2020 and May 31, 2021, in which of the following facilities did this site raise most of the
grower/finisher aged pigs? (Check one box below only (2a or 2b))
a. A Grower/Finisher facility .................................................................................................................................................................................................. v401 1
b. A Wean-to-Finish facility .................................................................................................................................................................................................... v402 1
Note: All questions in this section refer to the time period between December 1, 2020 and May 31, 2021
UNLESS otherwise specified (Items 6-13 and Item 18).
3. Were the following disease problems present in grower/finisher aged pigs? (DK = Don’t know)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
APP (Actinobacillus pleuropneumoniae) ...........................................................
Atrophic rhinitis ..................................................................................................
Erysipelas ..........................................................................................................
Gastric ulcers ....................................................................................................
Glasser's disease (Haemophilus parasuis) .......................................................
Hemorrhagic bowel syndrome ..........................................................................
Ileitis (Lawsonia intracellularis) .........................................................................
Influenza ............................................................................................................
Lice ....................................................................................................................
Mange................................................................................................................
Mycoplasma pneumonia ...................................................................................
Porcine circovirus 2 (PCVAD, formerly known as PMWS) ...............................
Porcine deltacoronavirus (PDCoV) ...................................................................
Porcine dermatitis and nephropathy syndrome (PDNS) ...................................
Porcine epidemic diarrhea (PED) ......................................................................
PRRS (porcine reproductive and respiratory syndrome) ..................................
Roundworms .....................................................................................................
Salmonella .........................................................................................................
Seneca Valley Virus (SVV or SVA) ...................................................................
Swine dysentery ................................................................................................
Other disease problems (Specify:________________) v423oth ...........................
1 Yes
v404 1 Yes
v405 1 Yes
v406 1 Yes
v407 1 Yes
v408 1 Yes
v409 1 Yes
v410 1 Yes
v411 1 Yes
v412 1 Yes
v413 1 Yes
v414 1 Yes
v415 1 Yes
v416 1 Yes
v417 1 Yes
v418 1 Yes
v419 1 Yes
v420 1 Yes
v421 1 Yes
v422 1 Yes
v423 1 Yes
v403
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4. (Show vaccine list to respondent.) Were grower/finisher aged pigs on this site vaccinated against the following
diseases?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
APP (Actinobacillus pleuropneumoniae) ...........................................................
Actinobacillus suis (autogenous) .......................................................................
Atrophic rhinitis (Bordatella/Pasteurella) ...........................................................
Clostridium difficile (autogenous) ......................................................................
Clostridium perfringens Type A .........................................................................
Clostridium perfringens Types C and D ............................................................
Erysipelas ..........................................................................................................
E. coli (K88, K99, 987P, F41) ............................................................................
Glasser's disease (Haemophilus parasuis) .......................................................
Ileitis (Lawsonia intracellularis) .........................................................................
VS Form 21-203
October 2021
1 Yes
v425 1 Yes
v426 1 Yes
v427 1 Yes
v428 1 Yes
v429 1 Yes
v430 1 Yes
v431 1 Yes
v432 1 Yes
v433 1 Yes
v424
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
- 11
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4. (continued)
k. Influenza ............................................................................................................
l. Leptospirosis .....................................................................................................
m. Mycoplasma hyopneumoniae ...........................................................................
n. Porcine circovirus 2 ...........................................................................................
o. PRRS.................................................................................................................
p. Porcine epidemic diarrhea.................................................................................
q. Salmonella .........................................................................................................
r. TGE (transmissible gastroenteritis) ...................................................................
s. Other vaccinations (Specify: ________________________________) v442oth ..
1 Yes
1 Yes
v436 1 Yes
v437 1 Yes
v438 1 Yes
v439 1 Yes
v440 1 Yes
v441 1 Yes
v442 1 Yes
v434
v435
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
3 No
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
4 DK
[If Item 4k = No or Don’t Know, SKIP to Item 6.]
5. Were the following types of influenza vaccines used in grower/finisher aged pigs?
a. Commercial influenza vaccine (killed) (Show vaccine list to respondent.) .......
b. Autogenous influenza vaccine (killed) ...............................................................
c. Modified Live influenza vaccine (Show vaccine list to respondent.) .................
1 Yes 3 No 4 DK
v444 1 Yes 3 No 4 DK
v445 1 Yes 3 No 4 DK
v443
Item 6-Action Codes
1 – Have not had clinical respiratory disease
in grower/finisher aged pigs during last 12
months
2 – Did not treat any pigs with antibiotics
3 – Treated only clinically ill pigs with
antibiotics
4 – Treated all pigs in same pen with clinically
ill pigs with antibiotics
5 – Treated all pigs in same pen and pens
adjacent to clinically ill pigs with antibiotics
6 – Treated all pigs in entire room with
clinically ill pigs with antibiotics (all pigs
with shared airspace)
6. For the most recent occurrence of a respiratory disease outbreak in grower/finisher aged pigs which option
from the code list above best describes the action taken? (Enter one code only from list above. Antibiotics can be
given in water/feed or by injection.) .............................................................................................. v446 _____ code
7. During the last 6 months, approximately how many weaned pigs were fed and managed as grower/finisher
aged pigs? ..................................................................................................................................... V447_____ head
VS Form 21-203
October 2021
- 12
8. During the last 6 months, were any medications given by injection to grower/finisher aged pigs?
.................................................................................................................................... v448 1 Yes 3 No 4 DK
[If Item 8 = No or Don’t Know, SKIP to Item 10.]
Item 9-Primary Reason Codes
1 – Disease prevention or control
4 – Polyserositis/meningitis treatment
2 – Respiratory disease treatment
5 – Parasite treatment/deworming
3 – Enteric (intestinal or GI) disease treatment
6 – Other treatment
(Specify:_____________________) v448aoth
(Specify:_____________________) v448both
9. (Show medication list to respondent.) For any medications given by injection in the last 6 months to
grower/finisher aged pigs, enter the primary reason given (enter one code only from list above) and the
approximate number of grower/finisher aged pigs that received injected medication in the 6 month period.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
Active ingredient
Ampicillin
Amoxicillin
Ceftiofur
Enrofloxacin
Erythromycin
Florfenicol
Gentamicin
Lincomycin
Oxytetracycline
Penicillin benzathine
Procaine Penicillin G
Tulathromycin
Tylosin
n.
o.
p.
q.
r.
s.
t.
u.
Dexamethasone
Glucortin-20
Doramectin
Dectomax
Flunixin meglumine
Banamine S
Isoflupredone
Predef 2x
Ivermectin
Ivomec
Levamisole
Tramisol; Levasole
Vitamin A, D, E
Other medications (Specify: _____________________)v469oth
VS Form 21-203
October 2021
Trade name (example)
Polyflex
Amoxi-Inject
Excenel; Naxcel; Excede
Baytril 100, Enroflox® 100
Erythro
Nuflor
Garacin
Lincocin
LA200; Oxtyet; Biomycin
BP48, long-acting Pen
Pen-G
Draxxin
Tylan
Number of
Primary
grower/finisher
reason code aged pigs treated
v449/a
v450/a
v451/a
v452/a
v453/a
v454/a
v455/a
v456/a
v457/a
v458/a
v459/a
v460/a
v461/a
v462/a
v463/a
v464/a
v465/a
v466/a
v467/a
v468/a
v469/a
- 13
10. During the last 6 months, were any medications given by water to grower/finisher aged pigs?
......................................................................................................................................................................................................................... V470
[If Item 10 = No or Don’t Know, SKIP to Item 12.]
1 Yes 3 No 4 DK
Item 11-Primary Reason Codes
1 – Disease prevention or control
4 – Polyserositis/meningitis treatment
2 – Respiratory disease treatment
3 – Enteric (intestinal or GI) disease treatment
5 – Other treatment
(Specify: _____________________) v470aoth
(Specify: _____________________) v470both
11. (Show medication list to respondent.) For any medications given by water in the last 6 months to grower/
finisher aged pigs, enter the primary reason given (enter one code only from list above), total number of days
medication was given in the water and the approximate percent of Item 7 pigs medicated by water in the 6
month period.
a.
b.
c.
d.
e.
Active ingredient
Amoxicillin
Bacitracin Methylene
Disalicylate
Bacitracin zinc
Chlortetracycline
Chlortetracyline/
sulphamethazine
Trade name (example)
v471/a/b
BMD® soluble, Solutracin
v472/a/b
Baciferm® soluble
Aureomycin soluble powder
Chloronex® Sulmet® soluble
powder
Florvio™ 2.3% concentration
solution
Garacin® oral solution
LinxMed® soluble powder
v473/a/b
L-S 50 Water soluble® powder
Neosol, Neomix® soluble powder
Terramycin® soluble, Tetroxy®
PenAqua Sol G®, Solu-Pen
Spectam®, Spectogard ScourChek™
Vetisulid®, Prinzone oral
suspension
Albon® oral suspension, Agribon
soluble powder,
Sulmet®, Purina® sulfa
S.Q. 20% Solution, Sul-Q-Nox
Tet-Sol® 324, Duramycin-10
Denagard® liquid concentrate
Pulmotil® AC
TMP/Sulfa, Tribrissen
Tylan® soluble, Tylovet® soluble
Aivlosin®
v479/a/b
f.
Florfenicol
g.
h.
i.
j.
k.
l.
Gentamicin
Lincomycin
Lincomycin/Spectinomycin
Neomycin
Oxytetracycline
Penicillin G Potassium
m.
Spectinomycin
n.
Sulfachlorpyridazine
o.
Sulfadimethoxine
p.
q.
r.
s.
t.
u.
v.
w.
Sulfamethazine
Sulfaquinoxaline
Tetracycline
Tiamulin
Tilmicosin
Trimethoprim/Sulfadiazine
Tylosin
Tylvalosin
x.
y.
Salicylic Acid
Aspirin
Other medications (Specify: _____________________) v495oth
VS Form 21-203
October 2021
Total days in
Primary water per treated
reason code
group
v474/a/b
v475/a/b
v476/a/b
v477/a/b
v478/a/b
v480/a/b
v481/a/b
v482/a/b
v483/a/b
v484/a/b
v485/a/b
v486/a/b
v487/a/b
v488/a/b
v489/a/b
v490/a/b
v491/a/b
v492/a/b
v493/a/b
v494/a/b
v495/a/b
- 14
Percent of
Item 7 pigs
12. During the last 6 months, were any medications given by feed to grower/finisher aged pigs?
.................................................................................................................................... V496 1 Yes 3 No 4 DK
[If Item 12 = No or Don’t Know, SKIP to Item 14.]
Item 13-Primary Reason Codes
1 – Growth promotion
5 – Parasite treatment/deworming
2 – Disease prevention or control
3 – Respiratory disease treatment
6 – Other treatment
(Specify: ______________________) v496aoth
4 – Enteric (intestinal or GI) disease treatment
(Specify: ______________________) v496both
13. (Show medication list to respondent.) For any medications given by feed during the last 6 months to
grower/finisher aged pigs, enter the primary reason given (enter one code only from list above), average
starting age (in weeks since birth) of pigs when medications began, total number of days medication was given
in the water approximate percent of Item 7 pigs medicated by feed in the 6 month period.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
Trade name
Active ingredient
(example)
Avilamycin
Kavault®
Bacitracin Methylene Disalicylate BMD®
BMD/Chlortetracycline
BMD®/Aureomycin®
Bacitracin Zinc
Albac®, Baciferm®
Bambermycin
Flavomycin®
Carbadox
Mecadox®
Carbadox/Oxytetracycline
Terramycin®
Chlortetracycline
Aureomycin®
Aureomix® S,
Chlortetracycline/Sulfamethazine
Pennchlor S
Chlortetracycline/Tiamulin
Denagard® Plus CTC®
Florfenicol
Nuflor®
Lincomix®
Lincomycin
Narasin
Neomycin/Terramycin
Oxytetracycline
Tiamulin
Tilmicosin
Tylosin
Tylosin/Sulfamethazine
Tylvalosin
Virginiamycin
Skycis
Neo-Oxy 100/100®
Terramycin®, OXTC®
Denagard®
Pulmotil ® 90
Tylan®, Tylovet®
Tylan® Sulfa-G
Aivlosin® 17%
Stafac®
®
Primary Average
Total days in
reason starting age feed per treated
code
(weeks)
group
v497/a/b/c
v498/a/b/c
v499/a/b/c
v4000/a/b/c
v4001/a/b/c
v4002/a/b/c
v4003/a/b/c
v4004/a/b/c
v4005/a/b/c
v4006/a/b/c
v4007/a/b/c
v4008/a/b/c
v4009/a/b/c
v4010/a/b/c
v4011/a/b/c
v4012/a/b/c
v4013/a/b/c
v4014/a/b/c
v4015/a/b/c
v4016/a/b/c
v4017/a/b/c
v4018/a/b/c
v. Fenbendazole
Safeguard
v4019/a/b/c
w. Ivermectin
Ivomec
v4020/a/b/c
x. Pyrantel tartrate
Banmith
v4021/a/b/c
y. Ractopamine
Paylean
v4022/a/b/c
z. Zinc oxide
aa. Other medications (Specify: _________________) v4023oth v4023/a/b/c
VS Form 21-203
October 2021
- 15
Percent of
Item 7 pigs
14. Were the following ingredients in any of the grower/finisher age pig diets and if YES were they imported into
this country?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
Ingredient
Used?
Imported?
v4024/a
Tallow (animal fat from cattle or sheep)………
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Lard or choice white grease (pork fat)………... v4025/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Other animal fat (Specify: _______________) v4026/a/oth 1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Soybean oil………………………………………. v4027/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Corn oil…………………………………………… v4028/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
v4029/a/oth
Other vegetable fat (Specify: ____________)
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Molasses……………………………………….… v4030/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Spray dried plasma……………………...……… v4031/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Blood meal, serum albumin, or other blood
v4032/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
products………………………………………......
Mucosal products such as dried porcine
v4033/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
soluble or PEP products…………...…...………
Fish meal………………………………………… v4034/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Feather meal………………………..…………… v4035/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Meat meal or meat-and-bone meal…………… v4036/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Soybean meal or other vegetable protein
v4037/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
source……………………………………………..
Other protein sources (Specify: ___________) v4038/a/oth 1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Bakery/food manufacture byproducts (not
v4039a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
table waste) …………………………………...…
Vitamin Mineral Mix…………………………….. v4040/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
Distiller’s dried grain and solubles (DDGS)….. v4041/a
1 Yes 3 No 4 DK
1 Yes 3 No 4 DK
i. If Yes, what is the average percentage of DDGS in the diet?........................................v4042 _______________%
15. How many different rations were routinely fed to grower/finisher aged pigs? ......................
v4043
_____ rations
16. How many of the different rations fed routinely to grower/finisher aged pigs were: (Enter Zero if None in a
category)
a. Meal/mash? .........................................................................................................................v4044 _____ rations
b. Pellet?..................................................................................................................................v4045 _____ rations
c. Liquid? .................................................................................................................................v4046 _____ rations
d. Other? (Specify: ________________________________________________) v4047oth…… v4047 _____ rations
e. Total rations (should equal answer to Item 15) ................................................................ v4048 _____ rations
17. On average, what was the total amount of feed (on an as-fed basis) a pig consumed as a grower/finisher
aged pig? ....................................................................................................................................................................................................................... v4049 ______ lb/pig
18. During the last 6 months, how many shipments of grower/finisher aged pigs left this site to go to the following
destinations? For each shipment indicate the distance and state characteristics.
Distance
Distance
Number of
If shipped out
Number
of State,
to closest to farthest shipments that
of
destination destination crossed State destination State(s)
shipments
(miles)
(miles)
lines
(2 letter code)
Destination
a. Slaughter as market hogs
v4050/a/b/c/d
b. Slaughter as culled pigs
v4051/a/b/c/d
c. Breeding herd at another site
v4052/a/b/c/d
d. Auction/livestock market
v4053/a/b/c/d
e. Other (Specify: ____________) v4054oth
v4054/a/b/c/d
VS Form 21-203
October 2021
- 16
Section 5—Site Demographics
1. In all the hog rearing facilities on this site today, what type of pigs live in each facility, how many pens are in that
building and what is the approximate number of pigs in the building? (Check all that apply for each facility before
filling in numbers.)
Note: Each facility or singular structure may have different age groups within it. For example, if a site has 3
buildings, there may be sows, gilts and preweaned pigs in one facility, developing gilts in another, and
nursery/growers in the last. In this case only fill in the first three rows - Facility 1, 2 and 3.
Types of Pigs
Grower/
Sows and Developing Preweaned Nursery finisher aged
gilts
gilts
pigs
aged pigs
pigs
Facility
Number
1
v500/a/b/c/
d/e/f
1
1
1
1
1
2
v501/a/b/c/
d/e/f
1
1
1
1
1
3
v502/a/b/c/
d/e/f
1
1
1
1
1
4
v503/a/b/c/
d/e/f
1
1
1
1
1
5
v504/a/b/c/
d/e/f
1
1
1
1
1
6
v505/a/b/c/
d/e/f
1
1
1
1
1
7
v506/a/b/c/
d/e/f
1
1
1
1
1
8
v507/a/b/c/
d/e/f
1
1
1
1
1
9
v508/a/b/c/
d/e/f
1
1
1
1
1
10
v509/a/b/c/
d/e/f
1
1
1
1
1
VS Form 21-203
October 2021
Number of
Pens in
Facility
Approximate
Number of
Pigs in Facility
- 17
Section 6—Office Use Only
State FIPS: __________ Operation #: _________ Site #: _________ Interviewer: ___________ Date:
/
/
2 digits
4 digits
2 digits
Initials
mm/dd/yy
1. Total time for interview including time to discuss the program and complete the questionnaire.
If more than one data collector present, enter the combined time
VITIME _______ min
2. Total travel time round-trip. If more than one data collector present, enter the combined travel time.
VTTIME _______ min
3. Data collector(s) (Enter the number for each category.)
_____ Federal VMO
_____ Federal AHT
_____ State personnel
_____ Other (Specify in margin)
VVMO/VAHT
VST/VOTH
4. Enter response code 99 if questionnaire is completed or enter one code (00–07) that best describes the reason
why the site contact is not participating
VRCO ______ code
99 = Survey completed
00 = Inaccessible after 5 contact attempts
01 = Poor time of year to contact or no time available to participate
02 = Doesn’t want anyone on operation
03 = Bad experience with government veterinarian(s)
04 = Doesn’t want to do another survey or divulge information
05 = Told NASS they didn’t want to be contacted by VS
06 = Ineligible (no longer in operation)
07 = Other (explain in the comments section below)
5. Will oral fluid samples be taken?
VORL
1 Yes 3 No
6. Will fecal samples be taken?
VFEC
1 Yes 3 No
7. Which of the following best describes interviewee’s position with this site?
VPOS ____ code
1 = Independent producer/owner of operation
2 = Farm manager/herdsman
3 = Company Veterinarian
4 = Private or Other Veterinarian
5 = Other-include combination of respondents if applicable (Specify:____________________________) VPOSoth
8.
Producer data quality
VPDQ
1 Good 2 OK 3 Poor
9. Comments regarding this questionnaire or operation:
VMO or AHT Signature: ___________________________________________________
TO BE COMPLETED BY COORDINATOR:
10. Field data quality
VS Form 21-203
October 2021
VFDQ
1 Good 2 OK 3 Poor
- 18
| File Type | application/pdf |
| Author | chaley |
| File Modified | 2021-02-01 |
| File Created | 2021-02-01 |