Form CDC 75.10 CDC 75.10 Application for Registration as an Importer of Nonhuman

DEPARTMENT OF HEALTH & HUMAN SERVICES PUBLIC HEALTH SERVICE
CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL CENTER FOR
PREVENTION SERVICES DIVISION OF QUARANTINE (EO3)
ATLANTA, GEORGIA 30333

Form Approved
OMB No. 0920-1383
Expiration Date: 1/31/2026

APPLICATION FOR REGISTRATION AS AN IMPORTER OF NONHUMAN PRIMATES*
Organization
Name: Phone:
Address:

Applicant (person responsible for ensuring regulations in 42 CFR 71.53 are met)
Name:

Title:

Email Address: Phone:

Other points of contact for CDC
Name:

Title:

Email Address: Phone:

Name:

Title:

Email Address: Phone:

Name:

Title:

Email Address: Phone:

1. E
 stimated number of nonhuman primates to be imported or to be received
within 31 days of importation in the period covered by this registration:
2. If currently registered, number of nonhuman primates imported
or received within 31 days of importation in the previous 2-year period*
3. Animal Holding Facilities:
a. Attach sketch of facility indicating rooms or area where newly acquired nonhuman primates are held and the
relationship of these rooms or areas to offices, laboratories and other animal rooms in the same building.
b. Air handling procedures in rooms or areas where newly acquired primates are held:
(1) Air pressure in holding rooms
is higher than
same as
adjacent corridors and other immediately adjoining areas.
(2) Is exhaust air filtered?

lower than

Yes No

If yes, specify the type of filtration:
Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid
OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1383.
CDC 75.10

CS337508-D

3/7/2023

c. Usual number of animals per cage in the quarantine area:
Prosimians:

Old World Species:

New World Species:

Great Apes:

d. Waste disposal procedures for animal feces:

e. Waste disposal procedures for liquid waste (provide a description of how potentially contaminated
liquid waste is treated/disinfected):

f. Waste disposal procedures for animal carcasses:

4. Have you developed standard operating procedures for:
a. Animal transport to your facility. . . . . . . . . . . . . . . . . . . . . . . .

Yes . . . . . No

b. Intake procedures for arriving animals . . . . . . . . . . . . . . . . . . Yes . . . . . No
c. Animal husbandry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
d. Laundry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
e. Worker protection/use of personal protective equipment. . . Yes . . . . . No
f. Necropsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
g. Considerations for B virus exposures. . . . . . . . . . . . . . . . . . . Yes . . . . . No
h. Statement of intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
i. Communication with CDC. . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
j. TB testing of NHPs in quarantine . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
k. Outdoor quarantine space (if applicable)?. . . . . . . . . . . . . . . . Yes . . . . . No
l. Group housing (if applicable)?. . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . No
5. Are newly acquired nonhuman primates held in rooms or areas with dedicated air-handling systems?
Yes No
6. A
 re all animals that died during the quarantine period necropsied?
Yes No
7. Is entry to the area where newly acquired nonhuman primates are held restricted to only those personnel who are
essential to its operation?
Yes No
8. Is a veterinarian retained to provide or supervise care of nonhuman primates?
Name: Phone:
Address:

Yes No

9. Personnel Health Program
a. Are all employees given a pre-employment tuberculin test?

Yes No

b. Routine interval between tuberculin tests of employees after employment:
Number of months:
c. Do you have a respiratory control program, as required by
OSHA 29 CFR 1910.134 Respiratory Protection - Standards?

Yes No

d. Are workers fit-tested and trained annually?

Yes No

e. Is an occupational health clinic or physician retained to
supervise health care programs?

Yes No

Name: Phone:
Address:

10. Assurance Statement
As a condition of registration I, (we) assure the Director, Centers for Disease Control and Prevention that I (we)
will import live nonhuman primates into the United States only for bona fide scientific, educational, or exhibition
purposes. I (we) shall not subsequently sell, resell, or otherwise distribute the nonhuman primates to any other person
or organization without clear evidence that these animals will be used solely for bona fide scientific, educational, or
exhibition purposes. I (we) understand that “nonhuman primates” are defined as all nonhuman primates of the Order
Primates including but not limited to animals commonly known as monkeys, chimpanzees, orangutans, gorillas,
gibbons, apes, baboons, marmosets, tamarins, lemurs, and lorises.
1
 1. Applicant Signature (must match applicant’s name listed above) Date:

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