Annual Report to OLAW
Institution: |
Assurance Number:�
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Reporting Period: |
This institution's
Institutional Animal Care and Use Committee (IACUC), through the Institutional
Official, provides this annual report to the Office of Laboratory Animal Welfare
(OLAW).
I.
Program Changes (select A or B)
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A. There have been no changes in this institution's program for
animal care and use as described in the Assurance. (skip to Item II.) |
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B. Change(s) in this institution�s program for animal care and use as
described in the Assurance have occurred during this reporting period. (FAQ 6) |
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Select all that apply: |
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This institution�s
AAALAC accreditation status has changed (PHS
Policy IV.A.2.). |
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AAALAC Accredited � Category 1 |
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Non-Accredited
� Category 2 |
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This institution�s program for animal care and
use has changed (PHS
Policy IV.A.1.a-i.). (attach a full
description of the changes) |
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The individual designated by this institution as
the Institutional Official has changed. (provide
name, title(s), address, e-mail, phone, and fax numbers in Item V.) |
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The membership of this institution�s IACUC has
changed. (provide current roster of
members in Item VI.) |
II.
Semiannual Evaluations
This IACUC has conducted semiannual evaluations of
the institution�s program and inspections of the institution�s facilities
(including satellite facilities) on the dates below. Reports of the evaluations
and inspections have been submitted to the Institutional Official. The reports
include any deficiencies (significant or minor) that were identified and a plan
and schedule for correction of each.
A.
Program Evaluations
Two dates (month/day/year) must be provided to satisfy the PHS Policy
requirement that evaluations be done at 6 month intervals. If the IACUC
conducted more than 2 evaluations of the program during the reporting period,
please attach a list showing the dates.
Date 1: |
Date 2: |
B.
Facility Inspections
Two dates (month/day/year) must be provided to
satisfy the PHS Policy requirement that facility inspections be done at 6 month
intervals. If the IACUC conducted more than 2 inspections of each site during
the reporting period, please attach a list showing the dates.
Date 1: |
Date 2: |
III.
Minority Views (select A or B)
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A. There were no minority
views during this reporting cycle. |
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B. Any minority views submitted by members of the IACUC regarding reports
filed under PHS
Policy IV.F. for this reporting cycle are attached. |
IV.
Signatures
IACUC Chairperson |
Institutional Official |
Name: |
Name: |
Signature: |
Signature: |
Date: |
Date: |
V.
Change in Institutional Official
Name: |
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Title: |
Degree/Credential: |
Address: (street,
city, state, zip code) |
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E-mail: |
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Phone: |
Fax: |
VI.
Change in IACUC Membership (current roster)
IACUC Chairperson |
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Name: |
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Title: |
Degree/Credential: |
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Address: (street, city, state, zip code) |
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E-mail: |
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Phone: |
Fax: |
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Name of Member/ Code* |
Degree/ Credentials |
Position Title** |
PHS Policy Membership Requirements*** |
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* Names of
members, other than the chairperson and veterinarian, may be represented by a
number or symbol in this report to OLAW. Sufficient information to determine
that all appointees are appropriately qualified must be provided and the
identity of each member must be readily ascertainable by the institution and
available to authorized OLAW or other PHS representatives upon request. |
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** List specific
position titles for all members, including nonaffiliated (e.g., banker,
teacher, volunteer fireman; not �community member� or �retired�). |
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*** PHS Policy Membership
Requirements: |
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Veterinarian |
veterinarian with training or
experience in laboratory animal science and medicine or in the use of the
species at the institution, who has direct or delegated program authority and
responsibility for activities involving animals at the institution. |
Scientist |
practicing scientist experienced in
research involving animals. |
Nonscientist |
member whose primary concerns are in
a nonscientific area (for example, ethicist, lawyer, member of the clergy). |
Nonaffiliated |
individual who is not affiliated with
the institution in any way other than as a member of the IACUC, and is not a
member of the immediate family of a person who is affiliated with the
institution. This member is expected to represent general
community interests in the proper care and use of animals and should not be a
laboratory animal user. A consulting veterinarian may not be considered
nonaffiliated. |
[Note: all members must be appointed by the
CEO (or individual with specific written delegation to appoint members) and
must be voting members. Non-voting members and alternate members must be so
identified.] |