APHIS FORM 2048 Inspection and Compliance E-Submission 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 0579-0013. The time required to complete this information collection is estimated to average 0.50 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 Approval 0579-0013 EXP DATE: xxxx
U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE VETERINARY SERVICES, CENTER FOR VETERINARY BIOLOGICS (CVB) 1920 DAYTON AVE, AMES, IA 50010 CENTER FOR VETERINARY BIOLOGICS INSPECTION AND COMPLIANCE E-SUBMISSION FORM		Completion of this form facilitates electronic submission of data to CVB Inspection and Compliance.
IMPORTANT: Submit electronically to: INSERT CVB GROUP EMAIL ADDRESS HERE
USDA Veterinary Biologics Establishment Number	Click here to enter text.
All Product Code(s) And Serial Numbers (If Applicable)	Click here to enter text.
Veterinary Biologics Investigation (VBI) Number (If Applicable)	Click here to enter text.
Date Submitted	Click here to enter a date.
Submission Type
Submission Subtype (Multi-select if more than one applies)
Brief Description (include pertinent information, but be succinct; max 200 characters. Do not repeat information found in other rows of this form.)	Click here to enter text.
Direct submission to	Click here to enter text.
Related Submissions (If applicable)	Click here to enter text.
Number of attachments provided with this submission	Enter count
Submitter Signature

APHIS Form 2048

JUL 2014