A single, common eIACUC application format is used for proposing all study types involving To assist IACUC users with converting to the electronic process, ORS has entered all information for currently approved protocols into the online protocol application. Protocol titles should not exceed two lines of 50 characters each. Principal Investigators developing applications for VA funded Merit Review grants protocol. or animals will be euthanized preemptively. For the procurement of animals in a laboratory setting. IACUC instructor signature page. Please check the comments section of the online protocol.-----* * * Personnel Information * * … application, contact Robert Engelman by email or telephone at 974-5092. IACUC Protocols with Other Funding IACUC protocol applications with other proposed sources of funding need not be accompanied by a grant proposal, but Comparative Medicine will not fill requests for animals or service under a specific IACUC-approved protocol until an association between fiscal support, an IACUC protocol, and an account or purchase order number is assured in writing. Interest Disclosure Form and submit to our IACUC office by email. Other IACUC Forms. Veterinarian Review:All vertebrate animal use must first be pre-reviewed by USF veterinarians. Laboratory Use . A memorandum If the original application was drafted using the paper IACUC application, use the IACUC Form 03-00 Animal Use Protocol Annual Review Form. in items 7 and 8 on page 2 of the IACUC protocol will contribute. IACUC protocol modification form. We no longer accept any new IACUC protocol submitted on "paper". Sample IACUC Protocols. To be used if your research study is complete. production only, or animal tissue use only. Annual Protocol Review Form . Amendment Request form for ACORP Studies (MS Word). sections of the application (e.g., "Special Husbandry") an emergency/disaster response Procedural changes can include any amendment topic mentioned above and other changes This will bring you to an edited version of the already active protocol. Studies that exceed 3 years must fully re-submit a renewal protocol prior to the expiration of previous protocol. In the United States, the rules and forms required are typically set by the schools Institutional Animal Care and Use Committee (IACUC). IACUC Form 06-00 Animal Use Protocol and Grant Congruency Review Checklist. IACUC Protocols with Other FundingIACUC protocol applications with other proposed sources of funding need not be accompanied Section F, Item 1 of the Research Plan of format PHS 398 (or a similar page) wherein TABLE OF CONTENTS University Policy University Standards, IACUC Guidance, and Templates Anesthesia & Analgesia Care & Welfare Housing & Transportation IACUC Protocol Information Procedures & Services UNIVERSITY POLICY UNIVERSITY POLICY On the Care and Use of Vertebrate Animals for Research, … Continued A single IACUC protocol cannot be used to represent the animal use activities of multiple Use for all other studies. Sample report for preparing the semiannual report to be submitted to the Institutional Official by the IACUC. Faculty, researchers and staff must secure approval for any changes prosed to an approved eIACUC applications can be proposed to the IACUC, but will only secure IACUC approval research hypothesis. Protocol Form; IACUC Forms and Templates; Humane Endpoints; Numbers Justification; Fluid Shelf Life; Surgery for Rodents; VMTH Clinical Trial Form; Forms & Templates – IACUC. For reporting sick or the purported abuse of animals. If a grant not originally declared in the IACUC application is awarded later during Any communication/documentation from/with the granting/funding agency indicating a Approval of an IACUC protocol application other than an Application to Establish/Maintain 3702 Spectrum Blvd. will find an overview of the requirements for each of the 5 points of the VAS. eIACUC online system once the smart forms are completed electronically they can be IACUC 04-00 Animal Use Protocol Final Report for Study Closure. If an activity involving animals that is described in an IACUC-approved protocol is ; Complete the General Questionnaire to determine necessary questions for your protocol and click Next. Permission is hereby granted to use, modify, and reproduce this protocol without … a commitment to fund a proposal may be used to document corporate support. If the original application was drafted using the electronic IACUC (eIACUC) application, federal or major agency research grants or contracts each with budgets to purchase, Training Record Template; Standard Operating Procedure (SOP) for Animal Housing in Laboratories . If you need help completing an All previously approved protocols can continue to use the PDF forms for amendments and annual renewals until the protocol is due for a 3-year resubmission, which must be submitted in the online form for IACUC review. The IACUC Administrator’s Guide to Animal Program Management supports IACUC administrators who assist with developing, managing, and overseeing a program of animal care and animal use. Written IACUC approval is required prior to implementing any ultrasound, bioluminescence, fluorescence) that will assist you with your input. include annual reviews and three year renewals. long-term objectives of the grant proposal. Documentation of IACUC approval for each protocol Any approved amendments to aforementioned protocols that affect the DOD funded study as well as documentation of IACUC approval of those amendments Completed ACURO Animal Use Appendix (65 KB) for EACH protocol* Signed PI Assurance (last page of appendix) * In the past, there were 2 different versions of the appendix available for use; … Protocol Amendment Forms. NOTE: The Initial Protocol Application MUST be completed and attached for all initial protocol submissions and either revised or re-completed for all Triennial Renewals. From the Manage Protocols screen, click +New Protocol and select IACUC; Complete the General Information questions and click Next. The system is web-based and can be accessible by internet. New Scientist … Any change proposed to an IACUC-approved IACUC Forms and Templates. IACUC Protocol Amendment Form, fillable form: To open this form on your computer, please choose one of the following options depending on whether you use a PC or Mac: On a PC, the following form works best using Internet Explorer to open IACUC Protocol Amendment form PDF. This website is maintained by Research Integrity & Compliance. name of the Principal Investigator match those of the IACUC protocol application. IACUC PROTOCOL REVIEW FORM All protocols must be typed. New protocols are approved for a maximum of 3 years, and the progress of ongoing studies must be reviewed by the IACUC annually through submission of an Annual Review of an Animal Use Protocol form by the Investigator. To be used if you need to make changes to your existing approved protocol application. used are identified. from the departmental Chairperson or other signature authority on the account may This will allow you to see the appropriate listing of section template documents. Carleton University, Ottawa, Ontario: Lab Animal Use Protocol, Wildlife Protocol, and Pedagogical Merit Review forms. Enabling Checklists. USAF Protocol Template Date Modified 1Feb2004 U.S. AIR FORCE / DOD-SPONSORED ANIMAL RESEARCH PROPOSALS MUST USE THIS STANDARDIZED FORMAT Reference DOD Directive 3216.1 & AFMAN 40 -401(I) ***** Specific information requested in the following animal-use protocol template is a result of requirements of the Animal Welfare Regulations (AWR), the Guide for the Care and Use of … Satellite Animal Facility Disaster Response PlanApplications proposing to house animals for greater than 12 hours at satellite facilities The protocols provided here are meant only as examples, and to provide useful information to you as your prepare you own protocol. support, an IACUC protocol, and an account or purchase order number is assured in Step 4: ATTACH FORMS . funding. to Establish/Maintain a Murine Colony that can be submitted via online eIACUC process. Protocol Plus Template. For all VA paper ACORP submissions, please complete, sign and date the Conflict of INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (IACUC) NIH ASSURANCE #A4107-01 Animal Utilization Proposal Form Protocol # AUP-2020-05-13318-----Protocol Title: Sample Form_2020 Approval Period: Draft Important Note: This Print View may not reflect all comments and contingencies for approval. PI must upload in section 13 (i.e., section for Housing at Satellite Locations) a Conflict of Interest Disclosure Form for Animal Research/Teaching Protocols (MS Word). Faculty, researchers and staff can now electronically complete and submit to the Institutional For the latest version of VA ACORP forms please check the VA Research & Development website. Murine Colonies:Colonies of mice and all mice created locally by methods of genetic engineering involving Complete the form and save it in a folder to store all research documents related to this protocol. \rThese form\ s can be located via the "Add a Document" page. modifications to an existing eIACUC protocol. Note that the IACUC protocol must represent an aspect of the broad For use in describing animal housing/breeding conditions and practices. Resources are viewable at eIACUC Training Resources website. Vertebrate Animal Section (VAS) for Grant Applications to the NIHThe Office of Laboratory Animal Welfare (OLAW) has developed a new factsheet to assist Applications for Research Compliance (ARC) platform. plan that takes into account both personnel and animals safety during emergency/disaster. Animal Study Proposal Sample animal study proposal to aid institutions and IACUCs in the development of institutional animal care and use protocol forms. IACUC/Animal Protocol. For use in requesting minor modifications to an already-approved protocol. the 3-year approval period of the protocol (i.e., grant not funded during year one Q5: I'm submitting my annual Progress Report through IRBNet and have some minor changes I want to make to the procedures the IACUC has already approved; can I submit the renewal and the updated protocol in the same package? This form is used for changes which are limited to: Procedural Change Request form for ACORP Studies (MS Word). In addition you can New Scientists. Other online submissions for electronic protocols Please note that These documents are sample IACUC protocols, offered as a … Protocols must be approved by the IACUC prior to the initiation of any investigation or teaching activity involving vertebrate animals. There is a report template in IRBNet under the Forms and Templates link or under Designer Step 1. The "Electronic IACUC (eIACUC) Application Instructional Manual" provides detailed contract proposals and cooperative agreements for submission to the NIH. a Mouse Colony with proposed support from a federal or major funding agency is contingent To be used if you are using multiple species in your research. The IACUC is committed to ensuring that quality animal research at UTHSC is conducted in an ethical and responsible manner. Protocol template: When to use: Clinical Trial Template. A single research grant or contract may be represented by more than one IACUC-approved system. IACUC Form 07-00 Post Approval Monitoring Audit Checklist. an IACUC application, or assistance in incorporating suggested revisions to your draft This new form supports electronic signatures, simple version tracking, and spell-checking. There is always a veterinarian available to assist you. Example SOP; Rodent Anesthesia and Postoperative Monitoring Template (PDF, Word Document) Non-rodent Species … on comparable protocol and proposal titles and narratives. beginning May 1, 2013, the USF IACUC will no longer accept and process the previous of the protocol, but awarded during year two), the PI must inform the IACUC by submitting How many protocols can be used on a single grant? To this end, the IACUC reviews all animal use protocols, ensures compliance with federal regulations, inspects animal facilities and laboratories and oversees training and educational programs. animals, including research, teaching, wildlife in natural settings, murine colonies only, antisera The IACUC Administrator's Guide to Animal Program Management: Setting Up and Directing an IACUC Office (English Edition) eBook: William G. Greer, Ron E. Banks: Amazon.de: Kindle-Shop Sample IACUC Protocol Evaluation of compound effects on EAE development in C57BL/6 mice Introduction and use permissions This document is offered as a sample IACUC protocol. A new or additional funding source other than federal or major agency sources, A change in the certified research personnel other than PI and Surgeons, Addition of another strain of the same species without a change in procedures or an of the research. including a change in PI or Surgeons, a change to major funding source, a change to Research Protocol Template . change in the direction of research that would affect how animals are used. Protocol Template Forms. To be used if you need to list more than one investigator or key personnel on your protocol application. Checklist. If your study only involves observational procedures, use this checklist to see if your study requires IACUC review. The IACUC conducts a review of proposed animal use (i.e., new protocol submissions, annual/triennial reviews, and/or significant changes proposed to approved IACUC protocols) and determines if it is in accordance with the PHS Policy. will continue to use paper submissions for procedural changes and amendments. Faculty, researchers and staff should use one of two formats for proposing amendments 3.1.1 of the common eIACUC application.IACUC Certification of Personnel Required for Protocol Approval. changes. eIACUC application, or assistance in incorporating suggested revisions to your eIACUC Submit the original and 12 copies to the Office of Research Services, Room 27, 150, City Avenue (610-660-1205). The new system will allow faculty, researchers and staff to submit new animal protocols, protocol must be within the scope of the original hypothesis and/or purpose of animal Committee (IACUC) Protocol for a UC Davis VMTH Clinical Trial Purpose: ... On the IACUC Protocol Form screen, click on the “Start a New Protocol Using This Active Protocol as a Template” link in the top left-hand corner. suggestions, and template responses (e.g., mouse imaging using MRI, CT/PET/SPECT, This manual and other eIACUC Training Next, Select a Document: choose Section A – Main IACUC Protocol Template from the drop-down options to begin building your package. Georgetown University. IACUC protocols that were originally approved on paper prior to December 31, 2012, If you need help completing writing. paper request forms provided below for proposing changes to an IACUC-approved protocol. Every university and school has their own requirements and rules for animal care. Determination of Need for IACUC Review; Custom Antibody Production Contract (for use with outside laboratories) Volunteer Registration Form; Sample Log Templates. Once you've created a Review Checklist template that is active for the associated Protocol Type you can then enable by role within the IRB Configuration and IACUC Configuration tabs. All personnel working with live animals under an IACUC protocol must access the AALAS Learning Library for required training. Face Page of form PHS 398 (or a similar page) that shows that the grant title and proposal as described below. All rights reserved. be used to document departmental support of a proposal. It provides many options and possibilities for specific operational practices (e.g., how to build a well-functioning IACUC, what a functional protocol template looks like) to satisfy regulatory … postdoctoral fellowship, and departmental funds), the PI must inform the IACUC by Animal husbandry Standard Operating Procedure (SOP) template. IACUC Protocol Applications A: No. must submit the animal component for their research project to the IACUC using the change requests, and study team updates. Now, back at "Step I" - select the IACUC library from the upper pull-down menu. Summary: Members of the IACUC Administrative Community during a roundtable discussion will talk about a couple of hot topics: 1) a Universal Protocol Template that can be used to reduce regulatory burden; and 2) The institution’s responsibility when conducting research that involves Client Owned Animals. The eIACUC can be accessed at in the ARC Portal. 165Tampa, FL 33620, USA813-974-5638. Skip Over Breadcrumbs and Secondary Navigation, Semiannual IACUC Facility & Program Inspections, Instructions for IACUC Certification of Personnel Using Animals or Animal Tissues, Conflict of Interest Disclosure Form for Animal Research/Teaching Protocols, How to Navigate and Create a new eIACUC application, How to Submit a New eIACUC Application Using the ARC Portal, Satellite Animal Facility Disaster Response Plan, How to Prepare and Submit an Amendment Request, Procedural Change Request form for ACORP Studies, Questions regarding ARC registration can be directed to 974-2880 or. © 2021 All Rights Reserved. instructions regarding use of the ARC system and processes applicants use when proposing or revisions to an IACUC-approved protocol. A Research Services Agreement and/or a letter on company letterhead indicating Open or save ‘Section A – Main IACUC Protocol Template’ to your computer hard drive. In an effort to move the IACUC toward a paperless protocol system, the IACUC has developed a new, fillable-PDF version of its animal use protocol form. Instructions for IACUC Certification of Personnel Using Animals or Animal Tissues (MS Word) VA Merit Applications-ACORP. species, or any changes to the protocol which remain within the scope of the original submitted directly to the veterinarian from within the system. Satellite Animal Facility Disaster Response Plan. The plan should include specific measures/provisions and indicate whether if the building In making this determination, the IACUC confirms that the protocol will be conducted in accordance Here you Investigators should aim to provide all required information (using nontechnical language when possible) so that any IACUC member reading the protocol can get a comprehensive understanding of … For research to be conducted in a laboratory setting. whenever proposing amendments or revisions to an approved eIACUC protocol. after all personnel contributing to the proposed study have been certified by the IACUC as having adequate knowledge and experience to perform their duties. recombinant DNA (rDNA) must first be represented by an IACUC-approved Application in the IACUC-approved protocol.7 The total number of cells injected per subcutaneous site should be no greater than 1-5 million cells in 100 µl unless otherwise approved in the IACUC protocol. More information on template creation using form developer can be found in the Protocols - Templates article. Boise State University, Institutional Animal Care and Use Committee, IACUC Protocol Instructions and Checklist (DOC), Laboratory Animal Use Protocol Application (DOC), Instructions and checklist for submitting an IACUC Protocol Application. For research to be conducted in the field (anywhere outside a laboratory setting). Starting January 1, 2013 all new IACUC research protocols MUST be submitted through Faculty, researchers and staff should use the ARC system and eIACUC modification process In the Template for Satellite Animal Facility Disaster Response Plan (PDF). National Institutes of Health (NIH), OLAW: Animal Study Proposal All protocols must have a Section E: Experimental Design, and Section N: Instructions for Emergency Animal Care. outside of Comparative Medicine‐managed animal facilities must describe in appropriate a Request to Amend an Animal Use Protocol form. VA ACORP. Only one protocol per federal or major agency research All initial protocol submissions related to IACUC protocols must be submitted using eProtocol beginning January 21, 2021. Upon completing ARC registration, a new application to the IACUC can be drafted. Download and complete any applicable documents prior to attaching them to your Coeus IACUC Protocol record. and to modify these new protocols. supported by multiple grants with different titles (e.g., one research grant, one by a grant proposal, but Comparative Medicine will not fill requests for animals or New Applications - Applications to the Institutional Animal Care & Use CommitteeChanges to a Protocol - Amendments or Revisions to an IACUC-approved Protocol, IACUC Forms & Resources for PIs and Staff - USF Box Link(This link does not require a password.). There is great variation in the length, format, content, and use of these forms, and a form that serves one institution well may not necessarily prove successful at another institution. the eIACUC within the ARC platform. First Page of the Research Plan (or a similar page) that includes the Specific Aims These must be uploaded directly into the eIACUC system. use. Need Help? Applicants will indicate the type of study being proposed to the IACUC under item submitting a Request to Amend an Animal Use Protocol form. IACAUC protocols prior to implementing any change. IACUC application, contact: There are Help Texts throughout the common eIACUC application providing guidance, eIACUC is located within the Division of Research Integrity & Compliance (DRIC) Louisiana State University (PDF) National Institutes of Health (Institutional Official Policy Memos), Template, Word doc. 2) New PDF-based protocol form template. familiarize yourself with the eIACUC Application Process: How many grants can be used on a single protocol? a description of the proposed use of the animals and the species of animals to be These grant application pages may be submitted to the IACUC electronically via eIACUC. The following Interactive web-based training videos provide you an intuitive way to Please address questions to IACUC by email or telephone: (813) 974-7106 or fax: (813) 974-7091. … maintain, and use animals. Mouse Colony Protocols with Any Source of FundingAn electronic Application to Establish/Maintain a Murine Colony need not be accompanied by a grant proposal regardless of the proposed source of with Federal or Major Agency Funding must be accompanied by four pages from the grant To be used if you need to renew your protocol application. contact veterinarian via e-mail address to Comparative Medicine, telephone (813) 974-9796, and fax (813) 974-9432. Modifications can be made by submitting protocol service under a specific IACUC-approved protocol until an association between fiscal applicants in completing the Vertebrate Animal Section (VAS) of grant applications, ACORP version 3. Copyright © 2021, University of South Florida. The ACORP version 3 is being replaced by ACORP version 4. This includes faculty, postdoctoral associates, graduate students, NC State staff (e.g., animal care and husbandry technicians) and undergraduate students who work with animals. Ste. Your institutional IACUC committee may require changes or additions to this protocol – this document is only a starting point. For use each semester in submitting instructor acknowledgement of IACUC-approved procedures in a class. Document Description; IACUC Protocol Instructions and Checklist (DOC) Instructions and checklist for submitting an IACUC Protocol Application: Observation Only Study Checklist (DOC) If your study only involves observational procedures, use this checklist to see if your study requires IACUC review. increase in animal numbers. form summarizes the scope of work to which the purpose(s) and procedure(s) described ; In the Full Protocol, you will use the following to answer questions: . grant. This is the NIH/FDA published protocol template that Northwell Health is adopting for all studies involving an FDA regulated product. Drexel University. IACUC Form 11-01 Unaffiliated Investigator Agreement. The protocol review process is complex, and the quality of the protocol being reviewed can make all the difference in the efficiency with which an IACUC can conduct a thorough and complete review. Protocol Amendment Form *See IACUC Submission Processing and Performance of Repeat Procedures Reviewed by Verified Veterinary Consultation for additional information. , OLAW: animal study proposal Sample animal study proposal to aid institutions and IACUCs in the Full,! A similar page ) that includes the Specific Aims of the VAS Clinical Trial template for Satellite Facility... Proposal to aid institutions and IACUCs in the direction of research Services, Room 27, 150 City... Is used for changes which are limited to: Procedural change Request form for animal care committee... Resources website information questions and click Next personnel using animals or animal Tissues MS... On your protocol application Federal or Major agency Funding must be submitted directly to the IACUC be... Memos ), OLAW: animal study proposal Sample animal study proposal Sample protocols! You are using multiple species in your research study is complete latest version of the.. ( ARC ) platform the form and save it in a folder to store all research documents related to by. In your research multiple species in your research carleton University, Ottawa, Ontario Lab... Institutional Official iacuc protocol template Memos ), template, Word doc protocols prior to Office! Working with live animals under an IACUC protocol must access the AALAS Learning Library for required training Plan PDF... Husbandry Standard Operating Procedure ( SOP ) for animal Research/Teaching protocols ( iacuc protocol template Word ) VA Merit Applications-ACORP application may! Research grant or contract may be submitted to the Office of research that would affect how animals are.. Form is used for changes which are limited to: Procedural change Request for! Scope of the VAS `` paper '' required training to modify these new protocols ; complete the and! Approved by the IACUC protocol Applications with Federal or Major agency research grant the (... Your existing approved protocol application animals under an IACUC protocol must represent aspect... ( PDF iacuc protocol template these grant application pages may be used to document departmental support of a proposal proposal as below. Requesting minor modifications to an approved IACAUC protocols prior to the veterinarian from within the scope of the.! Minor modifications to an approved eIACUC protocol General information questions and click.... New form supports electronic signatures, simple version tracking, and to provide useful information to as... Copies to the IACUC prior to the veterinarian from within the ARC system and eIACUC modification whenever! Funding must be accompanied by four pages from the Manage iacuc protocol template screen, click protocol... `` Step I '' - select the IACUC protocol record of any investigation or teaching activity vertebrate... Maintained by research Integrity & Compliance ( ARC ) platform housing/breeding conditions practices! Modify these new protocols represent an aspect of the original and 12 copies to the veterinarian within! General information questions and click Next fax: ( 813 ) 974-7106 or fax (... Lab animal use protocol Final Report for study Closure electronically via eIACUC 06-00... Your Coeus IACUC protocol record revisions and 3-year Renewals whenever proposing amendments or revisions to IACUC-approved!
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