Aphis 2008 Veterinary Biologics Production And Test Report

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 0579-0013. The time required to complete this information collection is estimated to average 1 hour 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 0579-0013 EXP. DATE XX/XXXX

This report is required to determine if tests conducted on each serial and each subserial are satisfactory prior to release of the serial or subserial (9CFR 116)

U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE VETERINARY BIOLOGICS PRODUCTION AND TEST REPORT

NOTE: Submit an original and one copy for every serial or subserial which reaches any stage of identification and testing.

1. PAGE OF

2. LICENSE OR PERMIT NUMBER

3. NAME & MAILING ADDRESS OF LICENSEE OR PERMITTEE (Include ZIP code)

4. FILL DATE

5. PRODUCT CODE NUMBER

6. EXPIRATION DATE

7. SERIAL OR SUBSERIAL NUMBER

8. TRUE NAME OF PRODUCT

9. TEST DATA (For additional test data use VS Form 2008A)

TEST REFERENCE (A)

TEST DATES

RESULTS (D)

INSERT CODE S - SATISFACTORY U - UNSATISFACTORY I - INCONCLUSIVE NT - NO TEST (E)

STARTED (B)

CONCLUDED (C)

10. INVENTORY FOR RELEASE (Use a separate line for each size container)

11. REMARKS

NO. OF CONTAINERS (A)

CONTAINER SIZE (DOSES, ML OR UNITS) (B)

TOTAL DOSES, ML OR UNITS (C)

TOTAL

TOTAL

12. DISPOSITION BY FIRM

ELIGIBLE FOR RELEASE DESTROYED TO BE REPROCESSED AND RETESTED

OTHER (Explain)

13. SIGNATURE (Authorized Firm Representative)

14. TITLE

15. DATE

16. DISPOSITION BY APHIS

NOT TO BE TESTED TESTS COMPLETED, SATISFACTORY

TESTS COMPLETED, UNSATISFACTORY (Explain) OTHER (Explain)

17. SIGNATURE (Authorized APHIS Representative)

18. TITLE

19. DATE

APHIS FORM 2008 Previous editions are obsolete.

OCT 2011