VS 16-4A Export Certificate for Animal Products (Continuation Pag

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 0579-0256. The time
required to complete this information collection is estimated to average 10 minutes 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.
Page Number:

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

EXPORT CERTIFICATE FOR
ANIMAL PRODUCTS

Date:
Certificate Number:

CONTINUATION PAGE
Initials of Endorsing Official:

This is a continuation page which must be used in conjunction with VS Form 16-4.

VS Form 16-4A
JUL 2022

FOR OFFICIAL USE ONLY

OMB Approved
0579-0256