VS 5-10 Terminal Feedlot Approval (Draft)

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 .25 hours 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-XXXX EXP: XX/XX/XXXX
UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE VETERINARY SERVICES		TERMINAL FEEDLOT APPROVAL
REQUESTER INFORMATION
1. OWNER NAME	2. FACILITY NAME (if different than Item 1)		3. DATE PREPARED
4. PREMISES ADDRESS		5. PREMISES ID NUMBER
		6. TELEPHONE NUMBER
		7. EMAIL ADDRESS
8. MAILING ADDRESS (if different than Item 5)
9. CONTACT NAME FOR FACILITY (if different than owner)		10. TELEPHONE NUMBER
		11. EMAIL ADDRESS
12. MAILING ADDRESS (if different than Item 6)
TYPE OF APPROVAL
13. SPECIES
INSTRUCTIONS: The requester must complete Items 13 and 14, select and complete the appropriate option in Item 15, and sign Item 16. The authorized State or Federal inspector must complete Items 17 through 22. The approval is not valid without the State or Federal inspector’s signature.
14. GENERAL REQUIREMENTS Inspector observes that: Only castrated male sheep and goats are maintained in the same enclosure with female sheep and goats. Enclosures are adequate to contain sheep and goats or if only sheep will be maintained sheep. If only part of a facility is approved as a terminal feedlot a diagram or description of the terminal facility is attached that clearly indicates what enclosures are included in the terminal feedlot. Records of all sheep and goats entering and leaving the terminal feedlot are maintained for 5 years after the sheep and goats leave the feedlot meet the requirements of 9 CFR § 79.2, including either a copy of the required owner/hauler statements for sheep and goats entering and leaving the facility or the information required to be on the statements. If the facility is new a records system is in place that will meet the requirements. Owner agrees to: Only castrated male sheep and goats will be maintained in the same enclosure with female sheep and goats. Only move sheep and goats in the terminal feedlot to another terminal feedlot or directly to slaughter. Maintain records of all sheep and goats entering and leaving the terminal feedlot will be maintained for 5 years after the sheep and goats leaves the feedlot that meets the requirements of 9 CFR § 79.2, including either a copy of the required owner/hauler statements for sheep and goats entering and leaving the facility or the information required to be on the statements. Make records available for inspection and copying by an APHIS or State representative upon request. Approval may be removed by written notice from APHIS or the state for non-compliance with any requirement or refusal to allow inspection of the records or the facility to determine compliance.

VS FORM 5-10

NOV 2018

15. OPTIONS (select only one) Option 1 -- Dry lot sheep and goats of unknown pregnancy status permitted: Inspector observes that: Sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the terminal feedlot by at least 30 feet at all times or are separated by a solid wall through, over, or under which fluids cannot pass and contact cannot occur. Owner agrees to: Maintain the terminal feedlot as a dry lot. Sheep and goats in the terminal feedlot will be maintained separated from all other sheep and goats not in the terminal feedlot by at least 30 feet at all times or are separated by a solid wall through, over, or under which fluids cannot pass and contact cannot occur All organic material will be remove from an enclosure prior to it being used to contain sheep or goats that are not in slaughter channels and disposed of in a manner such that sheep and goats will not come into contact with it. Option 2 -- Dry lot non-pregnant sheep and goats only: Inspector observes that: Terminal feedlot is a dry lot where all sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the terminal feedlot such that physical contact cannot occur including through a fence. Only sheep and goats that either are not pregnant based on the sheep and goats being male, an owner certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats are under 6 months of age at time of receipt are in the terminal feedlot. Owner agrees to: Maintain the terminal feedlot as a dry lot. Ensure that all sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the terminal feedlot such that physical contact cannot occur including through a fence. Only maintain sheep and goats that either are not pregnant based on the sheep and goats being male, an owner certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats are under 6 months of age at time of receipt are in the terminal feedlot. Option 3 -- Pasture non-pregnant sheep and goats only, pastures may only be approved by the State: State Inspector observes that: Terminal feedlot is a pasture where all sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the terminal feedlot such that physical contact cannot occur including through a fence Only sheep and goats that either are not pregnant based on the sheep and goats being male, an owner certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats are under 6 months of age at time of receipt are in the terminal feedlot. Owner agrees to: Ensure that all sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the terminal feedlot such that physical contact cannot occur including through a fence Only maintain sheep and goats that either are not pregnant based on the sheep and goats being male, an owner certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats are under 6 months of age at time of receipt are in the terminal feedlot.
16. Signature of APPLICANT
APPROVAL
17. TERMINAL FEEDLOT IS APPROVED AS : Terminal Feedlot Option 1: sheep and goats of unknown pregnancy status permitted Terminal Feedlot Option 2: dry lot non-pregnant sheep and goats only Terminal Feedlot Option 3: pasture non-pregnant sheep and goats only
18. Signature of STATE OR FEDERAL INSPECTOR	19. name and title of inspector	20. Date
21. inspector’s telephone number	22. inspector’s email address

VS FORM 5-10 (Reverse)