APHIS Form 2049 Veterinary Biologics Regulatory E-Submission Form Policy

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

VETERINARY BIOLOGICS
REGULATORY E-SUBMISSION FORM
POLICY, EVALUATION, AND LICENSING

OMB Approval
0579-0013
EXP DATE: XX/XXXX

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

Submission-Specific Folder ID on
submitted electronic media
(If more than one submission on a single disk)

Related Prior Open Submissions
(List only if current submission is a correction or
addendum)

USDA Veterinary Biologics
Establishment Number

(If no Establishment number has been assigned,
enter name of submitting company.)

All applicable Product Code(s)
(If product not yet coded, enter UNASGN. If not
product-related, enter NOTAPP)

Special Outline No.
(if applicable)

Date Submitted
Submission Type
Submission Subtype

(Multiple entries allowed if more than
one applies)

Tags

(Enter only if applicable.
Multiple entries are allowed if more
than one applies.)

Paperless

Brief Description

(Include study numbers, but be succinct; max 200
characters. Do not repeat information found in other
rows of this template.)

Direct submission to
Also notify

(Equivalent to "cc" recipient)

Related Prior Completed
(Reviewed) Submissions
Count of electronic files, by folder,
provided with this submission
Submitter's Signature
APHIS Form 2049
AUG 2016

Core Documents

Statistical Data

Sequence Data