VS 6-22D Comparative Cervical Tuberculin Test Records

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control number.
The valid
OMB
this information
collection
is 0579-0146.
The time number
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this informationiscollection
is estimated
average
.42 hours
response,
including
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The valid
OMB control
this information
0579-0084.
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data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
.169 hours per responses, i ncluding the time for reviewing instructions, search existing data sources,. gathering and maintainin g the data needed, and completing and reviewing
USDA - APHIS - VETERINARY SERVICES

COMPARATIVE CERVICAL TUBERCULIN TEST RESULTS

BOVINE

NAME OF HERD OWNER (Last, First, Middle Initial)

FORM APPROVED -

CERVINE

OTHER _________________________
_________

OR

EXP. X/XX

ADDRESS (Including Zip Code)

COMPARATIVE TEST

PRIOR CFT OR SCT

NUMBER TESTED

DATE INJECTED

NUMBER TESTED

COMPARATIVE RETEST

OBSERVATION DATE

NEG.

2ND

1ST

OMB NO. 0579-0146
0579-0084

DATE INJECTED

SUS.

REA.

3RD

NAME OF VETERINARIAN

TITLE

DATE

17

16

15

14

Negative for M. bovis

13

Zone
12

A
V
I
A
N

(Tuberculin Response in Millimeters)

11

10

9

8

7

6

5

Reactor
Zone

4

3

2

1

0
0

1

2

Suspect
Zone for
Cervids
VS FORM 6-22D
(FEB 99)

3

4
5
6
the collection of information.

7

8

9

10

11

12

13

14

15

16

17

BOVINE
(Tuberculin Response in Millimeters)

COMPARATIVE CERVICAL TUBERCULIN TEST RESULTS
(Previous editions are obsolete.)

BOVINE

CERVINE OR

OTHER________

COPY DESIGNATIONS

PART 1 - STATE - FEDERAL OFFICE
PART 2 - TESTING VETERINARIAN
PART 3 - REGIONAL EPIDEMIOLOGIST