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According to the paperwork reduction Act of 1995, no persons are required to
ICR 202607-0579-003 · OMB 0579-0036 · Object 170739300.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | According to the paperwork reduction Act of 1995, no persons are required to |
| Author | Government User |
| Last Modified By | Acrobat PDFMaker 21 for Word |
| File Modified | 2021-05-27 |
| File Created | 2021-05-26 |
| Conversion State | complete |
Extracted Text
Clear Form 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 0579-0036. The time required to complete this information collection is estimated to average 30 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. OMB APPROVED 0579-0036 A record of dog and cat acquisition is required by law (7 U.S.C. Section 2140). Dealers and exhibitors shall use this form (9 C.F.R. Section 2.75). Research facilities may use this form (9 C.F.R. Section 2.35). Failure of a dealer or exhibitor to maintain this record can result in an assessment of a civil penalty of not more than $10,000 (7 U.S.C. Section 2149). UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE 1. SELLER’S INVOICE NUMBER OF CONTINUATION SHEET FOR RECORD OF DISPOSITION OF DOGS AND CATS SALE EXCHANGE OR TRANSFER 2. PAGE 3. DATE OF DISPOSITION DONATION 4A. SELLER OR DONOR (name and address) 5A. BUYER OR RECEIVER (name and address) 4B. DEALER’S LICENSE NUMBER OR RESEARCH FACILITY REGISTRATION NUMBER 5B. USDA LICENSE NUMBER OR RESEARCH FACILITY REGISTRATION NUMBER (if any) 13. IDENTIFICATION OF ANIMALS BEING DELIVERED (* See reverse for breed abbreviations for dogs and cats. If mixed breed, list 2 dominant breeds) COMPLETE ITEMS A THRU G FOR EACH ANIMAL A. B. C. DOG IDENTIFICATION NUMBER CAT “X” M OR F M AGE OR DATE OF BIRTH E. F. WEIGHT BREED OR TYPE * G. M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F APHIS FORM 7006A MAY 2021 D. F Previous edition may be used. DESCRIPTION OF ANIMAL (color, distinctive marks, hair, tail, tattoos, etc.) BREED ABBREVIATIONS – DOGS (Column F) Afghan Hound Airedale Terrier Akita American Bull Terrier Basenji Basset Hound Beagle Bedlington Terrier Bichon Frise Black and Tan Coonhound Bluetick Boston Terrier Boxer Bullmastiff Cairn Terrier Catahoula Chihuahua Chinese Crested Dog Chow-Chow Cocker Spaniel Collie Coonhound (Specify) Dachshund Dalmatian Doberman Elkhound English Bulldog - AH - AD - AK - AB - BS - BH - BE - BL - BF - BT - BK - BO - BX - BM - CT - CU - CA - CD - CC - CK - CL - CH - DH - DL - DB - EH - EB English Setter Eskimo Dog Foxhound Fox Terrier French Bulldog German Shepherd German Short Haired Pointer Golden Retriever Gordon Setter Great Dane Great Pyrenees Greyhound Husky Irish Setter Jack Russell Terrier Keeshond King Charles Spaniel Komondor Labrador Retriever Lhasa Apso Malamute Mastiff Maltese Miniature Pinscher Newfoundland Old English Sheepdog Pekingese - ES - ED - FH - FT - FB - GS - SH - GR - GO - GD - GP - GH - HK - IS - JR - KH - KC - KM - LR - LA - MM - MA - MT - MP - NF - OE - PK Pomeranian Poodle Pug Redbone Coonhound Rhodesian Ridgeback Rottweiler Saint Bernard Samoyed Schipperkee Schnauzer Scottish Terrier Shar-pei Shetland Sheepdog Shih-tzu Silky Terrier Spitz Springer Spaniel Staffordshire Bull Terrier Walker Weimaraner Welsh Corgi Whippet Yorkshire Terrier Other (specify) DOGS, CROSSBREED Hound Crossbreed Terrier Crossbreed Shepherd Crossbreed Spaniel Crossbreed - HX - TX - SX - PX BREED ABBREVIATIONS – CATS (Column F) Abyssinian Burmese Domestic Long Hair Domestic Short Hair Himalayan Maine Coon APHIS FORM 7006A (REVERSE) - AB - BU - DL - DS - HM - MC Manx Persian Russian Blue Rex Siamese - MX - PR - RB - RE - SI Other (specify) - PM - PO - PU - RB - RR - RW - SB - SM - SK - SN - SC - SP - SS - SI - ST - SZ - SR - SA - WK - WI - WC - WH - YT