Meeting the Information Requirements of the Animal Welfare Act Workshop Registration Form(Private)

OMB control number 0518-0033.

Meeting the Information Requirements of the Animal Welfare Act

2015-16 Workshop Registration

_______ October 28-29, 2015

_______ March 9-10, 2016

_______ May 11-12, 2016

_______ October 12-13, 2016

In the event a workshop session is cancelled by AWIC, registrants will be notified as soon as possible.

Please note: You will receive confirmation of your registration request. If your confirmation is not received within 2 weeks, please contact the Center.

Name

Title/Position

Organization Name

Mailing Address

Phone

E-mail

Are you an IACUC member? ___Yes ___No

If so, what is your role? __________________________

Are you a principal investigator? ___Yes ___No

Are you an experienced database searcher? ___Yes ___No

What would you like to learn from the workshop?

For more information, contact:

Animal Welfare Information Center

U.S. Department of Agriculture

Agricultural Research Service

National Agricultural Library

10301 Baltimore Avenue

Beltsville, MD 20705-2351

Email: awic@ars.usda.gov

Phone: (301) 504-6212

Fax: (301) 504-5181

Last Modified September 10, 2016

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0518-0033. The time required to complete this information collection is estimated to average 5 minutes per response due to the averaging of check boxes and text fields..