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pdfAnimal and
Plant Health
Inspection
Service
Goat 2009
Blood Collection Record
National Animal Health
Monitoring System
2150 Centre Ave, Bldg B
Fort Collins, CO 80526
Form Approved
OMB Number 0579-???
Expiration date: xxx
Veterinary
Services
Instructions:
1) Sample a maximum of 51 goats greater than 2 years of age.
1 to 19 goats - collect from all
20 to 50 goats - collect up to 35 samples
51 to 100 goats - collect up to 45 samples
101 or more goats - collect 51 samples
2) Collect 1 purple top and 1 red top tube of blood using the provided 18 gauge 1-inch vacutainer
needles and tubes.
3) Write the State, Operation, Kit, and Animal ID on the tube label.
4) Record the tube number and Goat ID from the tube label to this starting on the next page and
complete the information for each sample.
5) Ship with ice packs to the laboratory within 24 hours. Include the yellow copy of this form with
the samples. Send the original to NAHMS and the pink copy to your Coordinator.
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-XXXX. The time required to complete this information collection is estimated to average 4 hour
per response, including the time to review instructions, search existing data resources, gather the data needed, and complete
and review the information collected.
NAHMS-223
Nov 2008
Goats 2009 – Blood Collection Record
State FIPS:
Operation #:
2 digits
4 digits
Date:
mm/dd/yy
Kit #:
Total Goat
Inventory
TODAY:
Printed on labels
Total Goats
Over 2 Years
of Age:
Tube #
from
label
Goat ID
BREED CODES:
1 – Alpines
2 – Angora
3 – Boer
4 – Kiko
5 – La Mancha
Breed
Code
Body Score
1 = Thin, 2 = Normal
3 = Fat
Was this animal
ever vaccinated
for sore mouth?
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
Age in
Years (must
be > 2)
Gender
6 – Nubian
7 – Oberhasli
8 – Pygmy Goat
9 – Saanens
10 – Spanish
11 - Tennessee Fainting Goat
12 – Toggenburgs
13 – Other – PLEASE SPECIFY
in box or margin above
Comments
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Goats 2009 – Blood Collection Record – continued
State FIPS:
Operation #:
Page 2
Kit #:
Continue blood collection if you have more than 19 goats that are 2-years old or more.
Collect up to 35 samples if your herd size is 20 to 50 goats.
Tube #
from
label
Goat ID
Breed
Code
Body Score
1 = Thin, 2 = Normal
3 = Fat
Was this animal
ever vaccinated
for sore mouth?
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
Age in
Years (must
be > 2)
Gender
Comments
Continue blood collection if you have more than 50 goats that are 2-years old or more.
BREED CODES:
1 – Alpines
2 – Angora
3 – Boer
4 – Kiko
5 – La Mancha
6 – Nubian
7 – Oberhasli
8 – Pygmy Goat
9 - Saanens
10 – Tennessee Fainting Goat
11 - Toggenburgs
12 – Other – PLEASE SPECIFY
in box or margin above
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Goats 2009 – Blood Collection Record – continued
State FIPS:
Operation #:
Page 3
Kit #:
Continue blood collection if you have more than 50 goats that are 2-years old or more.
Collect 45 total samples if your herd size is 51 to 100 goats.
Tube #
from
label
Goat ID
Breed
Code
Body Score
1 = Thin, 2 = Normal
3 = Fat
Was this animal
ever vaccinated
for sore mouth?
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
Age in
Years (must
be > 2)
Gender
Comments
36
37
38
39
40
41
42
43
44
45
Continue blood collection if you have more than 100 goats that are 2-years old or more.
Collect 51 total samples if your herd size is more than 100 goats.
BREED CODES:
1 – Alpines
2 – Angora
3 – Boer
4 – Kiko
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
1 M
2 F
1 T
2 N
3 F
1 Yes
3 No
5 – La Mancha
6 – Nubian
7 – Oberhasli
8 – Pygmy Goat
9 - Saanens
10 – Tennessee Fainting Goat
11 - Toggenburgs
12 – Other – PLEASE SPECIFY
in box or margin above
46
47
48
49
50
51
| File Type | application/pdf |
| File Title | Perpiparturient Cow Clinical Evaluation Record |
| Author | APHIS:USDA |
| File Modified | 2009-03-02 |
| File Created | 2009-02-20 |