OMB control number 0518-0033.
Meeting the Information Requirements of the Animal Welfare Act
2018/2019 Workshop Registration
_______
October 11-12, 2018
_______ March 13-14, 2019
_______ May 15-16, 2019
_______ October 2-3, 2019
In the event a workshop session is cancelled by AWIC, registrants will be notified as soon as possible.
Please note: You will receive confirmation of your registration request. If your confirmation is not received within 2 weeks, please contact the Center.
When
you register for the workshop using this form, you are voluntarily
providing the information. We use this information to correspond with
you about the workshop and to follow-up on any questions. If
provided, personally identifiable information is maintained in a
spreadsheet that is regularly purged after 410 days.
Name:
Title/Position
(Current Profession):
Organization
Name:
Years
Working in a Research Setting Involving Animal Work:
Highest
Level of Education:
Work
Address: city, state, country
Work
Phone:
E-mail:
Are you an IACUC member? ___Yes ___No
If so, what is your role? __________________________
Are you a principal investigator? ___Yes ___No
Are you an experienced database searcher? ___Yes ___No
What would you like to learn from the workshop?
For more information, contact:
Animal Welfare Information Center
U.S. Department of Agriculture
Agricultural Research Service
National Agricultural Library
10301 Baltimore Avenue
Beltsville, MD 20705-2351
Email: [email protected]
Phone: (301) 504-6212
Fax: (301) 504-5181
Last Modified March 15, 2018
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 0518-0033. The time required to complete this information collection is estimated to average 5 minutes per response due to the averaging of check boxes and text fields.. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | sandra.ball |
File Modified | 0000-00-00 |
File Created | 2021-01-20 |