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IACUC Amendment Form (state and local)
NPS Institutional Animal Care and Use Committee (IACUC) General Submission, Exhibitor, Annual Review, and Amendment Forms
OMB: 1024-0265
IC ID: 205456
OMB.report
DOI/NPS
OMB 1024-0265
ICR 201907-1024-001
IC 205456
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0265 can be found here:
2023-05-17 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 10-1301A
IACUC Amendment Form (state and local)
Form
10-1301A IACUC Amendment Form
NPS-Form-10-1301A-NPS-IACUC-Amendment-Form_AP_032219.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
IACUC Amendment Form (state and local)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
10-1301A
IACUC Amendment Form
NPS-Form-10-1301A-NPS-IACUC-Amendment-Form_AP_032219.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Conservation, Marine and Land Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
0
0
0
10
Annual IC Time Burden (Hours)
3
0
0
0
0
3
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.