Chimpanzee Research Use Form

Chimpanzee Research Use Form (OD)

Documents and Forms

Document Name Document Type
Form 1 Chimpanzee Research Use Form Form and Instruction
1 Use Form Attach 9_CRU Form Sample w screen shots.pdf Form and Instruction
1 Use Form Attach 9_CRU Form Sample w screen shots.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Chimpanzee Research Use Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Use Form	Attach 9_CRU Form Sample w screen shots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
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.