VS 16-29 Approved Establishment Request And Agreement To Handle R

Clear Form
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control number. The valid OMB control numbers for this information collection are 0579-0245, 0579-0040, 0579-0307, and 0579-0015. The time required to
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OMB Approved
0579-0245, 0579-0040,
0579-0307, and 0579-0015

APPROVED ESTABLISHMENT REQUEST AND
AGREEMENT TO HANDLE RESTRICTED
ANIMAL BYPRODUCTS
(HUNTING TROPHIES & MUSEUM SPECIMENS)

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

(Form to be completed annually)

1. Date of agreement

2. Agreement type





3. Approval Number

Initial
Renewal
Update

4. Name of approved establishment

5. Physical address of establishment

6. Mailing address of establishment

7. Phone number of establishment

8. Email address of establishment

 Same as physical address

9. Name and title of authorized establishment official

10. Name and title of person responsible for treating restricted trophies

11. Specific restricted trophies to be handled (check all applicable processing methods to be used)
Trophy – Ruminant

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Ruminant – bones, skulls, horns, ivory, antlers, etc.

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2. Clean and soak in 5% hydrogen peroxide (H2O2) for 2 hours
3. Other ___________________________________________________________________________________

Ruminant – antlers in velvet

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1. Rolling boil for 20 minutes

1. Dry heat at 360°F (180°C) for 6 hours
2. Soak in 10% formalin for 4 hours
3. Rolling boil for 20 minutes
4. Other ___________________________________________________________________________________

Ruminant – hides



1. Send to commercial tannery that is an approved establishment. List name and approval number
________________________________________________________________________________________

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
VS Form 16-29
FEB 2020

2. Soak in a pickling solution of acid (oxalic, sulfuric, citric) at pH <2 for at least 1 hour
3. Soaking with agitation in a lime solution (or sodium carbonate) at pH > 12 for 48 hours
4. Normal tanning procedure (in-house) with pH <2 for 1-3 hours or a liming step pH >12
5. 1.7 Molar salt soak for 24 hours at pH 8-10
6. Other ____________________________________________________________________________________
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

Ruminant – wool/hair

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1. Industrial scouring which consists of the immersion of wool in a water-soluble detergent held at 60-70°C
2. Other ___________________________________________________________________________________

Trophy – Swine



Swine – bones, tusks, etc.




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1. Rolling boil for 20 minutes
2. Clean and soak in 5% hydrogen peroxide (H2O2) for 2 hours
3. Other ____________________________________________________________________________________

Swine – hides








1. Send to commercial tannery that is an approved establishment. List name and approval number
__________________________________________________________________________________________
2. Soak in a pickling solution of acid (oxalic, sulfuric, citric) at pH <2 for at least 1 hour
3. Soaking with agitation in a lime solution (or sodium carbonate) at pH > 12 for 48 hours
4. Normal tanning procedure (in-house) with pH <2 for 1-3 hours or a liming step pH >12
5. 1.7 Molar salt soak for 24 hours at pH 8-10
6. Other _____________________________________________________________________________________

Trophy – Avian

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Avian – other than ostrich

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
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1. Send to commercial tannery that is an approved establishment. List name and approval number
___________________________________________________________________________________________
2. Normal tanning (in-house), which includes a degreasing step
3. Degrease cape or skin with organic solvent (e.g. acetone) prior to mounting
4. Other ______________________________________________________________________________________

Avian – ostrich






1. Send to commercial tannery that is an approved establishment. List name and approval number
____________________________________________________________________________________________
2. Normal tanning (in-house)
3. Degrease cape or skin with organic solvent (e.g. acetone) prior to mounting

4. Other _______________________________________________________________________________________
Trimmings – Any Species



Disinfection of trimmings that have not been treated by another approved method

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1. Rolling boil for 20 minutes
2. Incineration
3. Soak in bleach solution (1/4 cup household bleach into 1 – 2 gallons of water) for a minimum of 2 hours
4. Soak in phenol compounds (1-Stroke EnvironTM, Tektrol) for a minimum of 2 hours. Mix according to the label. (AVIAN ONLY)
5. Soak in oxidizing agents (e.g. Virkon-S) for a minimum of 2 hours. Mix according to the label.

6. Other _______________________________________________________________________________________
Trophy – Museum



Museum pieces

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

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VS Form 16-29
FEB 2020

1. Dermestid beetles
2. Soak in 10% formalin for 4 hours
3. Normal mounting or tanning
4. Other __________________________________________________________________________________________

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Trophy – Other



Other (describe trophy and treatment) _______________________________________________________________________________

12. Storage before treatment

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Separate area within same building
Off site (list address)

____________________________________________________

Outbuilding
Other (please explain)

_____________________________________________________________

13. List products used to clean and disinfect contaminated areas per written protocol (check all that apply)

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Soap and hot water
Bleach
1-Stroke EnvironTM

Sodium Hydroxide
4% Sodium Carbonate
Other

____________________________________________

Virkon-S

14. Briefly describe disposal methods for water and waste (e.g. inner packing, scraps, etc.). If burning materials, include backup plan for when burn
bans are in effect.

15. I understand the following conditions:
a)

The authorized establishment official listed in box 9 is responsible for handling the restricted imports in accordance with USDA regulations
and requirements. They may designate an alternate responsible person by listing this person in box 10.

b)

Any restricted trophy shipped to and received at the approved establishment will be unloaded, handled, and treated in accordance with
provisions of 9 CFR 94, 95, or 96 and as directed by a USDA inspector. The establishment will only treat materials for which it has USDA
approval as listed in box 11. If the establishment receives a shipment for which they do not have approval from USDA, they will notify USDA
immediately for further guidance.

c)

Approved establishments will either disinfect or process restricted imports within 30 days after receipt. The approved establishment must
notify the appropriate USDA office (contact information will be provided during the inspection) if unable to process the restricted
material within 30 days of receipt. The approved establishment must notify USDA upon completion of processing of restricted imports, by
submission of a completed VS Form 16-78, within 5 business days of treatment.

d)

The approved establishment must notify the appropriate USDA office if they have received a completed VS Form 16-78 from Customs and
Border Protection (CBP) but the shipment has not arrived within 30 days. The approved establishment must also notify the appropriate
USDA office immediately upon receipt of a restricted shipment unaccompanied by a VS Form 16-78.

e)

Officials of the approved establishment will maintain the identity of the restricted imports and keep records to show the disposition of each
shipment is in accordance with USDA requirements. These records include, but are not limited to, copies of VS Form 16-78, arrival documents
(packing slip, shipping documents, etc.), treatment records, and records showing traceability to final dispensation of the consignment. The
establishment must keep these records for a minimum of three years after disposition of the shipment. The establishment must give access
to representatives of USDA to the approved establishments’ records in connection with the restricted import in order to determine disposition
of the restricted imports is in accordance with this agreement.

f)

If restricted imports are moved to a secondary establishment for processing, the approved establishment will retain responsibility for ensuring:
the secondary establishment is approved to receive and treat the particular item, the secondary establishment is accepting of the shipment,
USDA approves the transfer prior to it occurring, the trophies are moved in closed transport vehicles, the transfer is documented, and
appropriate paperwork accompanies the shipment and is sent to USDA.

g)

Any personnel handling restricted imports must receive annual training on biosecurity and processing of restricted materials. The approved
establishment must document the training.

VS Form 16-29
FEB 2020

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h)

Establishment must have effective written procedures for treatment processes and biosecurity.

i)

Establishment must have a written protocol for cleaning and disinfecting processing areas and any areas contaminated by restricted
product, e.g. vehicles or storage areas, when required.

j)

If containers are leaking or broken on arrival at the approved establishment, the establishment will disinfect the transport vehicle using
authorized disinfectants and repackage or repair the container to prevent leakage prior to further movement or storage.

k)

The approved establishment will maintain in sanitary condition any premises on or in which any restricted import is stored, handled, or
processed. The establishment will take practical precautions to exclude insects, rodents, or other animals from the premises. Clothing and
shoes worn by persons who handle restricted imports, or who work in areas where these imports are handled, should be disposable or
changed after working with restricted imports.

l)

Secure storage facilities must be available at the approved establishment, or restricted imports must be held under lock or seal at the
establishment in the conveyance used to transport them.

m)

The approved establishment will retain responsibility for ensuring they receive a USDA inspection at least once every 365 days and maintain
all required approvals. USDA must receive notification prior to any changes in the physical location of the establishment or if the
establishment official authorized to sign this agreement is changed; such changes will require a new, signed agreement.

16. Acknowledgement of Approved Establishment

I, the undersigned, hereby declare that I am an authorized representative of the company listed in boxes 4 and 5. The above is true and accurate to
the best of my knowledge. I understand USDA must receive notification prior to any changes to the information supplied in this document (e.g. use
of alternative treatment methods or approval to receive additional types of trophies). Such changes to my approval may require an additional inspection
and, thus, incur additional user fee charges. I have read and understand the conditions listed in box 15. With my signature, I agree to comply with all
conditions on this agreement. I understand that failure to comply with all conditions, or failure to maintain adequate documentation, may result in the
revocation of the establishment’s approval. I understand that I am responsible for payment of all associated user fees per 9 CFR 130.11. I understand
that USDA may subject the establishment to unannounced inspections and additional user fees may apply for those inspections.

17. Authorized Establishment Official
Printed Name:

Title:

Signature

Date:

18. VS Inspector
Printed Name:

Title:

Signature:

Date:

19. Service Center Veterinarian in Charge or Designee
Printed Name:

Title:

Signature:

Date:

20. Approving Import Products Staff Veterinarian
Printed Name:

Title:

Signature:

Date:

VS Form 16-29
FEB 2020

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