The National Animal Health Monitoring System′s Dairy 2014 study collected information via face-to-face interviews from 17 states. An objective of the study was to describe dry-off procedures on US dairy operations. Size categories were created based on number of lactating and dry cows: small (30–99 cows), medium (100–499 cows), and large (500 or more cows). During 2013, the operation average dry period length was 57.1 d. Almost all operations (98.8%) dried off at least some cows based on a set schedule, and 81.3% of operations dried off at least some cows based on a minimum milk-production level. Overall, 88.1% of cows were dried off on a set schedule and 11.9% were dried off based on milk production. Almost 3-fourths of operations (73.6%) abruptly stopped milking some cows at dry-off, while 47.5% of operations gradually stopped milking some cows at dry-off. However, only 10.2% of cows experienced gradual cessation of lactation, while 89.8% experienced abrupt cessation. At dry-off, 15.0% of operations performed a California Mastitis Test; 65.7% reduced the quality/energy content of feed; 10.9% restricted access to feed; and water was restricted on 3.9% of operations. More than 3-fourths of operations (80.3%) treated all cows with dry-cow intramammary antibiotics and, overall, 93.0% of cows were treated. Cephapirin benzathine was the single most commonly administered antibiotic (31.6% of cows dry-treated). Alcohol pads were used to clean teat ends before administering dry-cow antibiotics on 90.3% of operations. Dry-cow intramammary antibiotics were not used on 9.2% of operations. Internal teat sealants were used on 37.3% of operations, while external teat sealants were used on 14.5%. The percentage of operations using sealants on all cows increased as herd size increased. The operation average cost of antibiotics and sealants used at dry-off was $13.09 per cow. Gradual cessation of milking, which may reduce new intramammary infections during dry-off, is infrequently practiced in the US. Most cows are treated with antibiotics at dry-off, but this practice may be examined due to pressure to reduce antibiotic use in livestock and poultry.