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pdfNational Animal Health
Monitoring System
2150 Centre Ave, Bldg B
Fort Collins, CO 80526
Beef Cow-Calf 2017
Fecal Collection Record
Animal and
Plant Health
Inspection
Service
Form Approved
OMB Number 0579-0326
Expires:
Veterinary
Services
NAHMS ID:
(6 digits)
# of people involved:
____ Fed VMO ____ Fed AHT
____ State VMO ___ State AHT
____ Producer
____ Others—specify:
Cow Samples
Area
Area near water source
Area near feeding grounds
Alleyway leading to pasture/field
Outside calving pen (pen for cows due to calve
soon; may contain recently calved cows.)
Calving barn (indoor area for cows due to calve
soon; may contain recently calved cows)
Open field or pasture
Pen with dirt or concrete floor
Other—specify:
Calf Samples (if collected)
Primary collector
name and phone:
Date:
(mm/dd/yy)
Place label here:
______-______-________
Check the appropriate area for the sample
Sample 1 Sample 2 Sample 3 Sample 4 Sample 5
Sample 6
Check the appropriate area for the sample
Area
Sample 1 Sample 2 Sample 3 Sample 4 Sample 5 Sample 6
Area near water source
Area near feeding grounds
Alleyway leading to pasture/field
Outside calving pen (pen for cows due to calve
soon; may contain newborn calves)
Calving barn (indoor area for cows due to calve
soon; may contain newborn calves)
Outdoor creep pen (an outdoor area where only
calves can access)
Indoor creep (an indoor area where only calves
can access)
Other—specify:
Do not freeze samples.
SEND YELLOW COPY OF THIS PAGE along with the samples within 24 hours of collection to the Kim Cook lab
at ARS in Athens, GA.
SEND WHITE COPY OF THIS PAGE and the Biologic Agreement to your NAHMS 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 0579-0326. The time required to complete this information collection is estimated to average 0.5
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.
NAHMS-404
AUG 2017
National Animal Health
Monitoring System
Animal and
Plant Health
Inspection
Service
Beef Cow-calf 2017 Fecal Supplemental
Collection Record
2150 Centre Ave, Bldg B
Fort Collins, CO 80526
Form Approved
OMB Number: 0579-0326
Expires:
Veterinary
Services
NAHMS ID:
(6 digits)
# of people involved:
____ Fed VMO ____ Fed AHT
____ State VMO ___ State AHT
____ Producer
____ Others—specify:
Primary collector
name and phone:
Date:
(mm/dd/yy)
Place label here:
______-______-________
INSTRUCTIONS:
Obtain the following information as instructed. Send this Collection Record to your NAHMS Coordinator.
Do NOT send this Collection Record to the ARS lab along with the fecal samples.
Question
Date when calving began in most current calving season If no
distinct calving season, put “NO SEASON” in column.
Number of beef calves born from January 1, 2018, through the date
of sample collection. If no calves born yet this season, put “NONE”
in column.
Since January 1, 2018, what has been the average stocking rate of
cow-calf pairs on pasture or on fields with a forage source?
[Check one only.]
What is the average cow weight (exclude heifers)?
Response
date
head
Drylot operation—no pasture access
Less than 1 acre/cow-calf pair
1 to less than 3 acres/cow-calf pair
3 to less than 6 acres/cow-calf pair
6 to less than 15 acres/cow-calf pair
15 or more acres/cow-calf pair
lb
Since January 1, 2018, how many new additions (e.g., purchased
cattle) have been added to pens containing cow-calf pairs or cows
due to calve?
head
Number of cows that died since January 1, 2018
head
Number of calves that died since January 1, 2018
head
Ingredients fed in last 7 days
Alfalfa,hay
Grass hay (good or acceptable quality)
Grass hay (mature or poor quality)
Straw
Corn stalks (baled)
Specify if fed and other information as requested
Yes No
Yes No
Yes No
Yes No
Yes No
Crop residue (foraging in field)
Corn (shelled or ground ear corn)
Other grain (specify in column)
Corn silage
Other silage (specify in column)
Protein supplement type (specify primary protein
supplement type in column e.g., soybean meal) and
crude percent protein in column
Yes
Yes
Yes
Yes
Yes
Other roughage (specify in column)
Other ingredients (specify in column)
No
No
No Specify(______________________)
No
No Specify(______________________)
Yes No
Type__________ % protein______
Yes No
Yes No
Yes No
Specify:
Specify:
Specify:
Yes
Yes
Yes
Yes
Yes
Specify:
Specify:
Specify:
Specify:
Specify:
No
No
No
No
No
Were any antimicrobials given in feed for cows or calves in the last 3 weeks (includes
antibiotics such as chlortetracycline given in mineral blocks, or loose mineral)? .........
1 Yes
3 No
[If Yes, COMPLETE the table below.]
Antimicrobials in feed, mineral block,
or loose mineral in last 3 weeks
Cows
Date first
offered
Date last
offered*
Calves (e.g., in creep feed)
Date first
offered
Date last
offered*
Chlortetracycline (Aureomycin®, CTC, Pennchlor™)
Chlortetracycline with sulfamethazine ( Aureo S 700®,
AS700, Aureomix S 700)
Decoquinate (Deccox™)
Laidlomycin (Cattlyst®)
Lasalocid (Bovatec™)
Monensin (Rumensin®)
Neomycin (Neomix®)
Neomycin with oxytetracycline (Neo-Terramycin®)
Oxytetracycline (OTC, Terramycin®)
Tilmicosin (Pulmotil®, Tilmovet®)
Bacitracin (BMD®)
Bambermycin (Gainpro™)
Tylosin (Tylan®)
Virginiamycin (V-Max®)
Other (specify: _________________________)
*If still feeding, enter today’s date.
Were any antimicrobials given in water to cows
or calves in the last 3 weeks? ................................................................................
[If Yes, COMPLETE the table below.]
1 Yes
3 No
Antimicrobials given in water
in last 3 weeks
ENTER DATES
Cows
Date first
offered
Calves
Date last
offered*
Date first
offered
Date last
offered*
Chlortetracycline (Aureomycyn, Chloronex,
Chlortet-Soluble-O, CTC, Pennchlor)
Oxytetracycline (Terramycin soluble powder,
Oxy-Sol, Oxytet 343, Pennox 343, Tetroxy 343)
Tetracycline (Duramycin 10, Tetramycin,
Tetramed 324, Tet-Sol 324)
Neomycin (Neosol, NeoMed)
Spectinomycin (Spectam, SpectoGard)
Sulfadimethoxine (Sulfadimethoxine 12.5% oral
solution, Sulforal, Sulfasol, Di-Methox 12.5%)
Sulfamethazine (SMZ-Med 454 soluble powder,
Sulfa, Sulmet solution, Sulmet soluble powder)
Other (specify: _________________________)
*If still adding to cattle water, enter today’s date.
Were any antimicrobials given by injection
or bolus to cows or calves in the last 3 weeks? ...........................................................
[If Yes, COMPLETE the table below.]
1 Yes
3 No
Antimicrobials given by injection
or bolus in last 3 weeks
Cows
Number
treated
Injections
Tilmicosin (Micotil®)
Calves
Date last
treated
Number
treated
Date last
treated
Florfenicol (Nuflor®, Norfenicol®)
Florfenicol with flunixin meglumine (Resflor
Gold®)
Ceftiofur (Naxcel®, Excenel®, Excede®)
Oxytetracycline (Oxy-Tet100™,
LA200®, Biomycin®, Tetradure™ 300,
Noromycin® 300, 300 Pro LA®)
Penicillin (Aquacillin, Norocillin®)
Amoxicillin (Amoxi-Inject®)
Ampicillin (Polyflex®)
Tulathromycin (Draxxin®)
Gamithromycin (Zactran®)
Tildipirosin (Zuprevo™)
Enrofloxacin (Baytril® 100, Enroflox® 100)
Danofloxacin (Advocin™)
Other (specify ________________)
Bolus or tablet
Oxytetracycline (Terramycin® Scour Tablets)
Trimethoprim/
sulfamethoxazole (SMZ/TMP tablets, Bactrim®
tablets, Tribrissen® tablets)
Sulfadimethoxine (Agribon Bolus, Albon® Bolus,
Albon® S.R.)
Sulfamethazine (Sulmet® Oblets, Sustain III®
Bolus, SulfaSURE™ SR Bolus, Sulka-S™ Bolus
Other (specify ________________________)
Total time to collect the data and to collect/prepare the samples for shipping.
If more than one collector present, enter the combined time.
Do not include producer or other operation help. .............................................................. FECTIME
________ hours
Total travel time (round trip).
If more than one data collector present, enter the combined time. .................................. FECTTIME
________ hours
Collector(s): [Enter the number for each category.]
____ Federal VMO
____ Federal AHT
____ Producer or other operation help
FECVMO/FECAHT/FECST/FECPROD/FOTH
____ State personnel
____ Other (specify: _____________________________)
Send this Supplemental Collection Record to your NAHMS Coordinator.
File Type | application/pdf |
File Title | Perpiparturient Cow Clinical Evaluation Record |
Author | APHIS:USDA |
File Modified | 2017-08-25 |
File Created | 2017-08-25 |