APHIS Form 2048 Center for Veterinary Biologics Inspection and Complianc

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 0.5 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.

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES
CENTER FOR VETERINARY BIOLOGICS (CVB)
1920 DAYTON AVE, AMES, IA 50010

USDA Veterinary Biologics
Establishment Number
All Product Code(s) and
Serial Numbers (If Applicable)
Veterinary Biologics Investigation
(VBI) Number (If Applicable)
Date Submitted
Submission Type
Submission Subtype

(Multiple entries allowed 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.)

Direct submission to
Related Submissions (Mail Log #)

(If applicable)

Number of attachments provided
with this submission
Submitter's Signature, Date signed
APHIS Form 2048
AUG 2016

CENTER FOR VETERINARY BIOLOGICS
INSPECTION AND COMPLIANCE
E-SUBMISSION FORM

OMB Approved
0579-0013
EXP DATE: XX/XXXX

This form is intended for
use with the NCAH
Portal. Refer to the CVB
Website for more
information.