ࡱ> g U[bjbjVV klr<r<@A88888$\\\PPt\rq(&4yp{p{p{p{p{p{p$sLv\p8&&p88H,q4!4!4!F88yp4!yp4!4!.bHi0Z ^1e@epBq0rqqevhviv8iT4!pp4!rqv :  IACUC USDA ANNUAL RENEWAL FORM Instructions: This form is required for IACUC protocols that involve USDA covered animals. Protocol approvals are valid for three (3) years but have to be renewed at the end of the first year and again at the end of the second year, in accordance with USDA regulations. At the end of the third year, if work is still in progress, then a complete protocol application has to be submitted to the IACUC. If significant changes are proposed as part of the annual renewal, such changes may require full committee review and approval before being instituted into your previously approved protocol. Notification of any changes should be made to the IACUC by submitting the Protocol Amendment Form and appropriate revised appendices of the Animal Use Protocol Form. If there are no significant changes, annual renewal of your protocol is accomplished by completing and signing this form, obtaining the signature of the University Veterinarian and submitting the form to the IACUC office. Please return the form to the IACUC office at least 2 weeks prior to your protocols expiration date. Failure to complete and return this form by the deadline date will result in the suspension of your protocol and your ability to order animals through Veterinary Services. If the protocol has been terminated, please complete number one (1) below and return the form to the IACUC office (SU-80, Room 106) Please feel free to contact the IACUC office at 7-0777 if you have questions. IACUC USDA ANNUAL RENEWAL FORM Study Information: IACUC Number:  FORMTEXT       Principal Investigator:  FORMTEXT       Study Title:  FORMTEXT       Review Period: From  FORMTEXT       To  FORMTEXT       Project Status (check one): Project Continuing Project to be Terminated  FORMCHECKBOX Work has not begun  FORMCHECKBOX Withdrawn (work will not be done)  FORMCHECKBOX Work on project in progress  FORMCHECKBOX Work completed Record of Animal Usage: Species Total No. Approved From VS Records - Total No. Ordered for or Transferred to this Protocol as of (Date):  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       If there is a discrepancy between these numbers and your records, please describe:  FORMTEXT       Have there been revisions or amendments to protocol during the past year, including changes in personnel performing procedures on animals noted?  FORMCHECKBOX No  FORMCHECKBOX  Yes If YES, indicate below. Delete any personnel no longer associated and include qualifications/ training of new personnel.  FORMTEXT       Are changes in the animal research protocol planned for the coming year?  FORMCHECKBOX  No  FORMCHECKBOX  Yes if YES, submit a request for amendment to the IACUC, including a full description and justification for the proposed changes. Have there been any unanticipated problems affecting animal use, welfare, morbidity, or mortality?  FORMCHECKBOX No  FORMCHECKBOX  Yes If YES, provide a summary of the problems, the cause(s), if known, and how these problems were resolved.  FORMTEXT       Since the last IACUC approval, have alternatives to the use of animals become available that could be substituted to achieve your specific project aims?  FORMCHECKBOX No  FORMCHECKBOX Yes If YES, explain why the alternative to animal use is not feasible for your project.  FORMTEXT       Since the last IACUC approval, have alternatives which are potentially less painful or distressful to animals become available that could be used to achieve your specific project aims?  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FORMTEXT       Since the last IACUC approval, have all staff listed as involved in euthanasia procedures completed training by Veterinary Services, as required by the AVMA Guidelines on Euthanasia?  FORMCHECKBOX No  FORMCHECKBOX Yes If NO, this training must be completed and is available at Veterinary Services. Please note, continuing approval will not be granted until training has been completed by all investigators and staff listed as involved in euthanasia procedures. I certify that there have been no changes in the protocol since it was originally approved or renewed as indicated on the above date. If there have been changes I have submitted the amended protocol for review and approval. As required by federal regulations, the activities described do not unnecessarily duplicate previous procedures. 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