Form VS 6-38 VS 6-38 Accredited Area Surveillance for Tuberculosis

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 0579-0146. The time required to complete this information collection is
estimated to average 35 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
0579-0146
Exp. xx/xx/xxxx

The information in this report is needed for effective monitoring and management of the Tuberculosis Federal-State Cooperative Program (9 CFR Part 77).
UNITED STATES DEPARTMENT OF AGRICULTURE
STATE
STATE CODE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES
YEAR

ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS
SECTION I – BOVINE POPULATION AND HERD STATUS
TOTAL HERDS
A

TYPE OF BOVINE

SECTION II – BOVINE POPULATION AND HERD STATUS

TOTAL BOVINE
B

TYPE OF BOVINE

1. Dairy

9. Deer

2. Beef

10. Elk

3. Total Bovine Population
(Lines 1+2)

11. All Other

4. Accredited Herds

12. Total Cervine
Population (Lines 1+2+3)

5. Herds Under Quarantine

13. Accredited Herds

6. M.bovis Confirmed or
Suspicious Herds

14. Qualified Herds

7. Total No. Herds
Quarantined During Year

15. Monitored Herds

8. Total No. Herds Released
From Quarantine During Year

16. Herds Under
Quarantine

SECTION III – SLAUGHTER WITHIN THE STATE
TOTAL
BOVINE
A

TOTAL
CERVINE
B

TOTAL HERDS
A

TOTAL BOVINE
B

17. M.bovis Confirmed or
Suspicious Herds
18. Total No. Herds
Quarantined During Year
19. Total No. Herds
Released From
Quarantine During Year

20. No. Slaughtered

21. No. of VS 6-35s

BREAKDOWN OF 20A (Total Bovine)

22. Rate of VS 6-35
Submissions (Line 14 (divided
by) Line 13 x 100,000)
29. BREAKDOWN OF ITEM 20A
Federal Slaughter
State Slaughter

23.
24.
25.
30.
Both

Mature
All Other
TOTAL
BREAKDOWN OF ITEM 20B
Federal Slaughter
State Slaughter

BREAKDOWN OF 20B (Total Cervine)
26. Mature
27. All Other
28. TOTAL
Both

SECTION IV – NAMES OF M.bovis CONFIRMED OR SUSPICIOUS HERDS (List each Herd shown in Item 6A and 17A)

ACCREDITATION REQUEST
We certify that this area is being maintained under and complies with provisions of:
The Uniform Methods and Rules governing Modified Accredited Status

APPROVAL (Staff Use Only)
This area is approved as a tuberculosis:
The Uniform Methods and Rules governing Modified Accredited Status

The Uniform Methods and Rules governing Accredited Free Status
SIGNATURE OF STATE OFFICIAL

The Uniform Methods and Rules governing Accredited Free Status
NAME OF STATE OFFICIAL (Please print or type)
DATE

SIGNATURE OF FEDERAL PRIVATE PRACTITIONER IN CHARGE

NAME OF FEDERAL V-I-C (Please print or type)

DATE

SIGNATURE OF VETERINARY SERVICES OFFICIAL

NAME OF V-S-O (Please print or type)

DATE

VS FORM 6-38
JUNE 2009

SECTION V – SPECIAL RETESTS OF HIGH RISK HERDS (UM&R, PART X)
TESTS OF HERDS WITH M. bovis INFECTION CONFIRMED BUT HERD NOT DEPOPULATED
HERD OWNER

QUARANTINE
RELEASE

1ST, 1 YR
RETEST

2ND, 1 YR
RETEST

3RD, 1 YR
RETEST

4TH, 1 YR
RETEST

5TH, 1 YR
RETEST

1ST, 3 YR
RETEST

2ND, 3 YR
RETEST

TESTS OF HERDS WITH HISTORY OF LESIONS SUSPICIOUS M.bovis, BUT NOT CONFIRMED

HERD OWNER

QUARANTINE RELEASE

1ST ANNUAL RETEST

2ND ANNUAL RETEST

OTHER

REPORT OF PREMISES WHERE A TUBERCULOSIS HERD WAS DEPOPULATED
HERD OWNER

VS FORM 6-38 (Reverse)
JUNE 2009

DATE
RESTOCKED

1ST RETEST
(in 6 months)

2ND RETEST 1 YEAR
AFTER 1ST

3RD RETEST 3
YRS AFTER 2ND

4TH RETEST 3 YRS
AFTER 3RD