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NATIONAL VETERINARY ACCREDITATION PROGRAM …

VS Form 1- 36A DEC 2013 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 0579-0297 . The time required to complete this collection of information is estimated to average .5 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 0579-0297 Exp. Date: 2/2016 UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE VETERINARY SERVICES NATIONAL VETERINARY ACCREDITATION PROGRAM APPLICATION FORM 1. Initial ACCREDITATION State: _____ License Number:_____2.

Instructions for Completing VS Form 1-36A, National Veterinary Accreditation Program (NVAP) Application. Block 1. Initial Accreditation: Check this block if you are applying for initial accreditation. Enter the two-letter State abbreviation and your complete veterinary license number for this State. Complete blocks 1, 7, 9

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