IACUC Field Study Form (State and Local)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0265 can be found here:

Documents and Forms

Document Name Document Type
Form 10-1304 IACUC Field Study Form (State and Local) Form
10-1304 IACUC Field Study Form NPS-Form-10-1304-NPS-IACUC-Field-Study-Form_AP_032219.pdf Form

Information Collection (IC) Details

IC Title:	IACUC Field Study 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	10-1304	IACUC Field Study Form	NPS-Form-10-1304-NPS-IACUC-Field-Study-Form_AP_032219.pdf		Yes	Yes	Fillable Fileable

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	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	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.