VS 6-22D Comparative Cervical Tuberculin Test Records

Tuberculosis

VS 6-22D FEB 1999

OMB: 0579-0146

Document [pdf]
Download: pdf | pdf
According
to Paperwork
the Paperwork
Reduction
of 1995,
agencyormay
notand
conduct
is anot
required
to re spond
a collection
of information
unless
it displays
According to the
Reduction
Act of 1995,Act
an agency
may an
not conduct
sponsor,
a personor
is sponsor,
not requiredatoperson
respond to,
collection
of information
unlessto,
it displays
a valid OMB
control number.
The valid
OMB
this information
collection
is 0579-0146.
The time number
required tofor
complete
this informationiscollection
is estimated
average
.42 hours
response,
including
the time forcollection
reviewing instructions,
searching
existing
acontrol
validnumber
OMBfor
control
number.
The valid
OMB control
this information
0579-0084.
Thetotime
required
toper
complet
e this
information
is estimated
to average
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


File Typeapplication/pdf
File TitleInForms - vs6-22d.wpf
Authorkhbrown
File Modified2013-01-30
File Created2006-07-26

© 2024 OMB.report | Privacy Policy