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 0579-0192. 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.
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OMB
APPROVED
0579-0192
EXP
DATE XX/XXXX
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UNITED
STATES DEPARTMENT OF AGRICULTURE
ANIMAL
AND PLANT HEALTH INSPECTION SERVICE
VETERINARY
SERVICES
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INFECTIOUS
SALMON ANEMIA PROGRAM
ENROLLMENT
FORM
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In
order to assist in the control of Infectious Salmon Anemia (ISA)
and to qualify for Federal indemnity, we,
_________________________________________, agree to participate
fully in the United States Department of Agriculture and Maine
Department of Marine Resources' Infectious Salmon Anemia Program.
We specifically agree to the following:
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ITEM 1: Establish
and maintain a veterinary client-patient relationship with an
APHIS’ accredited veterinarian. Companies are to inform the
ISA Program Veterinarian in writing of the name of their
accredited veterinarian retained for Veterinary Services at the
time of program sign up and within 15 days if there is a change.
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ITEM 2: Cooperate
with and assist in onsite disease surveillance, testing, and
reporting activities for ISA, which will be conducted by their
APHIS accredited veterinarian or State or Federal as directed by
the ISA Program Veterinarian.
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ITEM 3: Develop
and implement biosecurity protocols for use at all company leased
finfish sites and company vessels engaged in aquaculture
operations. A copy of the company's biosecurity protocols shall be
submitted to the ISA Program Veterinarian at the time of program
sign up and within 15 days of changes to the protocols are made.
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ITEM 4: Develop,
with the involvement of the company's APHIS accredited
veterinarian and the fish site health manager, a site specific ISA
Action Plan for the prevention, control, and management of ISA. A
copy of the action plan will be submitted to APHIS for review.
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ITEM 5: Participate
in the State of Maine's integrated pest management of sea lice on
salmonids. A copy of the integrated pest management plan will be
submitted in writing to the ISA Program Veterinarian at the time
of program sign up and within 15 days if changes to the plan are
made.
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ITEM 6: Submit
to the ISA Program Veterinarian complete and current fish
inventory information for all company leased finfish sites with
site and cage identifiers. Fish inventory information must include
the numbers, age, date of saltwater transfer, vaccination status,
and previous therapeutant history for all fish in each leased
finfish site.
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ITEM 7: Maintain
and make available upon request of the ISA Program Veterinarian,
mortality data for each leased finfish site and pen in production.
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ITEM 8: Cooperate
and assist APHIS in the completion of biosecurity audits at leased
finfish sites and company vessels involved in salmonid
aquaculture.
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Representative
of APHIS - VS (Signature)
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Date
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Owner
(Signature)
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Date
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Address
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