Information Collection Request

Chimpanzee Research Use Form (OD)

ICR 202305-0925-004 · OMB 0925-0705 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0925-0705 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 1 Chimpanzee Research Use Form	Form and Instruction	Modified	Repair queued
Attach 8_NIH Notice Noninvasive Only1.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 7_FWS Designation1.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 6_NIH Statement.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 5_NOT-OD-14-024.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 4_Announcement of NIH Decision.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 3_WORKING GROUP REPORT.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 2_NIH Guide Notice NOT-OD-12-025.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Attach 1_IOM Report.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Chimp 30day notice.pdf	Supplementary Document	Uploaded 2023-05-30	Repair queued
Supporting_StatementA_CHIMP.docx	Supporting Statement A	Uploaded 2023-05-30	Repair queued
Privacy Memo OD DPCPSI Chimpanzee Research Use Form CRUF 2023 Signed.pdf	Supplementary Document	Uploaded 2023-05-18	Repair queued
PIA Chimpanzee Research Use Reporting System 5-12-2023 SOP.pdf	Supplementary Document	Uploaded 2023-05-18	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
212595	Chimpanzee Research Use Form	Form and Instruction	Modified

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/NIH
OMB Control No	0925-0705
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202007-0925-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31