According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number Ttie valid 0MB 

 control number for this information is 0579-0084 The time required to complete this information collection is estimated to average 2 hours per responses, including the time for reviewing 

 instructions, search existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information 



USDA - APHIS - \ 



COMPARATIVE CERVICAL TUBERCULIN TEST RESULTS 



/ETERINARY SERVICES 



□ BOVINE □ CERVINE OR D OTHER 



FORM APPROVED - 

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NAME OF HERD OWNER 



(Last, First. Middle Initial) 





ADDRESS (Including Zip Code) 



COMPARATIVE TEST 



PRIOR CFT OR SCT 



NUMBER TESTED 



DATE INJECTED 



NUMBER TESTED 



DATE INJECTED 



COMPARATIVE RETEST 

 D 1ST n 2ND 



n 3RD 



OBSERVATION DATE 



NEG. 



SUS. 



REA. 



NAME OF VETERINARIAN 



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(Previous editions are obsolete ) 



PART 1 - STA7B - FEDERAL OFFICE 

 16-21 



