NPS Institutional Animal Care and Use Committee (IACUC) General Submission, Exhibitor, Annual Review, and Amendment Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
IACUC Annual Review Form (private)	Form and Instruction	New	Available
IACUC Annual Review Form (state and local)	Form and Instruction	New	Available
IACUC Amendment Form (private)	Form and Instruction	New	Available
IACUC Amendment Form (state and local)	Form and Instruction	New	Available
IACUC Exhibitor Submission Form (private)	Form and Instruction	New	Available
IACUC Exhibitor Submission Form (state and local)	Form and Instruction	New	Available
IACUC General Submission Form (private)	Form and Instruction	New	Available
IACUC General Submission Form (state and local)	Form and Instruction	New	Available
30 Day FRN.pdf	Supplementary Document	Uploaded 2013-02-11	Available
IACUC 60 day FRN.pdf	Supplementary Document	Uploaded 2013-01-17	Repair queued
IACUC Supporting_Statement_A _2-1-2013.doc	Supporting Statement A	Uploaded 2013-02-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205460	IACUC Annual Review Form (private)	Form and Instruction	New
205459	IACUC Annual Review Form (state and local)	Form and Instruction	New
205458	IACUC Amendment Form (private)	Form and Instruction	New
205456	IACUC Amendment Form (state and local)	Form and Instruction	New
205455	IACUC Exhibitor Submission Form (private)	Form and Instruction	New
205453	IACUC Exhibitor Submission Form (state and local)	Form and Instruction	New
205407	IACUC General Submission Form (private)	Form and Instruction	New
205405	IACUC General Submission Form (state and local)	Form and Instruction	New

ICR Details

OMB Control No: 1024-0265	ICR Reference No: 201301-1024-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: NPS Institutional Animal Care and Use Committee (IACUC) General Submission, Exhibitor, Annual Review, and Amendment Forms
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/22/2013
	Date Received in OIRA: 02/11/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved
Responses	190	0	0
Time Burden (Hours)	348	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: All research, teaching, and exhibition projects involving animals taking place on NPS territories must be approved by the NPS IACUC prior to their commencement. Principal Investigators (PI) are required to submit the completed General Submission, Exhibitor, Annual Review, and/or Amendment Forms as required for approval to the NPS IACUC Office.

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Authorizing Statute(s): PL: Pub.L. 89 - 544 1 Name of Law: ¿ Animal Welfare Act (AWA) of 1966
   US Code: 16 USC a-1 Name of Law: NPS Organic Act
   US Code: 7 USC 2131-2159;§2.31, d, 1 Name of Law: Animal Welfare Act Regulations
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 59222	09/26/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 9729	02/11/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
IACUC General Submission Form (private)	N/A	IACUC General Submission Form
IACUC Amendment Form (private)	N/A	IACUC Amendment Form
IACUC Annual Review Form (state and local)	N/A	IACUC Annual Review Form
IACUC Annual Review Form (private)	N/A	IACUC Annual Review Form
IACUC General Submission Form (state and local)	N/A	IACUC General Submission Form
IACUC Exhibitor Submission Form (state and local)	N/A	IACUC Exhibitor Submission Form
IACUC Exhibitor Submission Form (private)	N/A	IACUC Exhibitor Submission Form
IACUC Amendment Form (state and local)	N/A	IACUC Amendment Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	190	0	0	190	0	0
Annual Time Burden (Hours)	348	0	0	348	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This collection is currently in use without a valid OMB Control Number.

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Annual Cost to Federal Government: $196,563

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/11/2013

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