REVISIONS TO OUTLINES OF PRODUCTION AND SPECIAL OUTLINES FOR

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                                                                      REVISIONS TO OUTLINES OF PRODUCTION
                                                                 AND SPECIAL OUTLINES FOR VETERINARY BIOLOGICS
                                                                         (LICENSED IN THE UNITED STATES)
Manufacturer
Name                                                                           USDA Est. Lic. No. Street Address


City                                            Province / State                              Postal/Zip Code                    Telephone


                                                                   OUTLINE OF PRODUCTION
                                                              Page(s)                   APHIS Form                 Summary of                              Supporting Data
         New Outline           Complete Revision
                                                              Revision(s)               2015 included              Changes included                        included
 USDA Product Code                                                                        VBS File Number


 Assigned Name
 of Product


       Stand Alone Product               OP Referred to in Other OPs as listed

USDA Code                         VBS File                                                 USDA Code                        VBS File

USDA Code                         VBS File                                                 USDA Code                        VBS File

USDA Code                         VBS File                                                 USDA Code                        VBS File

       MAJOR REVISIONS TO OPs AS PER VBS MEMORANDUM 2000-02                                        (Require review and approval by VBS)

       Section I.A.        Section II.C.         Section IV.A.          Section IV.B.         Section IV.I.         Section V.            Section VI.C.          Section VI.D.


       MINOR REVISIONS TO OPs AS PER VBS MEMORANDUM 2000-02                                        (All minor revisions within one year can be submitted together and
                                                                                                   will be filed without review)
       If submitting only minor revisions to OP, please check this box. By checking this box and signing below, you certify that this submission does not contain
       any major revision items, and therefore it can be filed without review, as described in the VBS Memorandum No. 2000-02.


                                                                         SPECIAL OUTLINES
                                                                            Page(s)               APHIS Form                 Summary of                    Supporting Data
         New Outline                     Complete Revision
                                                                            Revision(s)           2015 included              Changes included              included

 SO File No.
                                             Title
 Special Outline No.

           This S.O. describes mode of preparation and/or
A.                                                                                                            B.      Other Special Outlines (will be filed without review.)
           potency testing of bulk or final veterinary biologics
              (Requires VBS review and approval)

 If S.O. falls under "A.", give a list
 of Product Code(s) it refers to:


MANUFACTURER OR OFFICIAL REPRESENTATIVE

Name                                                                                      Title



                                                            Signature                                                               Date (YYYY-MM-DD)

FOR OFFICIAL USE ONLY
VBS
       Filed as          Filed with
       Satisfactory      Comments


Name
                                                                                                     Signature                                           Date (YYYY-MM-DD)
                           Information may be accessible or protected as required            Les renseignements peuvent être accessible ou protégés
                           under the provisions of the Access to Information Act.            selon ce que prescrit la Loi sur l'accès à l'information.

CFIA / ACIA 5212 (2002/06)