Annual Review Form

AACUC Continuing Review Form Version 6/12

TEXAS A&M AGRILIFE RESEARCH AGRICULTURE ANIMAL CARE AND USE COMMITTEE

CONTINUING REVIEW FORM

INSTRUCTIONS

Effective May 1, 2012, the Agriculture Animal Care and Use Committee (AACUC) will require Continuing Reviews only for Animal Use Protocols (AUP’s) that are USDA regulated. Rats and mice bred for research, birds, and farm animals not used in biomedical research are exempt from USDA regulations and will not require Continuing Review.

The Continuing Review must be submitted and approved by the AACUC each anniversary of the AUP approval date. Please be aware that under AACUC procedures you must submit a continuing review for approval every year for ongoing work on this protocol. This form must be submitted 30 days prior to the first of the month of your anniversary date. Example: AUP approval date is 7/6/12. Continuing Review is due 6/1/13. This allows the AACUC staff time to receive and process your Continuing Review before the AACUC meeting. Continuing Reviews must be approved by the AACUC before the anniversary date or work on the protocol will be terminated.

HAND WRITTEN forms will NOT be accepted . Submit the form electronically to [email protected]. Please answer every question even if it is N/A.

If you have any questions, please contact the AACUC office at (325) 653-4576; ext. 227. AACUC CONTINUING REVIEW FORM VERSION 6/12 PAGE 1

Investigator:

Dept./Unit:

AUP#: Initial Approval Date of AUP:

Title:

1. Record of Animal Use Total Number Number of Animals Species Approved for Use * Used to date

*Includes breeding animals (breeding animals considered used when assigned to AUP: count each animal only once during the duration of this AUP) and any additional approved through amendment to AUP.

2. Record of Breeding Colonies If animals were produced by breeding, please provide the following information for each species (“Number of Offspring Produced (Current Year)” must be included in the “Number of Offspring Used”). Number of Offspring Number of Number of Species Produced (Current Year) Offspring Used* Offspring Transferred

*Includes unused offspring that were euthanized.

3. Protocol Status (Please mark the appropriate status of this project.) Request Protocol Continuance A. Active – project ongoing. B. Currently inactive – project was initiated but is presently inactive. C. Inactive – project was never initiated but anticipated start date is . D. Inactive – project pending sponsor award. E. AUP is expiring. A new AUP Has been submitted for AACUC consideration. Date Submitted: .

Request Protocol Termination F. Inactive – project never initiated. G. Currently inactive – project initiated but project has not/will not be completed. H. Completed – no further activities with animals will be done. IF G or H: No animals remain in TAMU facilities on this AUP number, OR Remaining animals on this AUP have been transferred to AUP # . Transfer approval date: . AACUC CONTINUING REVIEW FORM VERSION 6/12 PAGE 2

4. Problems/Adverse Events (Describe any unanticipated adverse events, morbidity or mortality encountered. Please indicate if animals have been used during the year.) None Yes. Describe circumstances, causes (if known), and resolution of problem.

5. Has the funding source for this project changed since your last approval for this AUP? No Yes. What is the new funding source?

6. Alternatives to Potentially Painful Procedures (Since your last approval for this AUP, are you aware of any alternative procedures or techniques that would allow you to: a) reduce the number of animals used or b) refine your procedures to reduced pain and/or distress?) No. N/A – no painful procedures used in this AUP Yes. If you are not currently employing these alternatives in your research, please provide a brief description/justification.

7. Alternatives to Use of Animals (Since your last approval for this AUP, are you aware of any alternatives to the use of animals for your experiments?) No Yes. If you are not currently employing these alternatives in your research, please provide a brief description/justification.

NOTE: Changes to an approved AUP must be reviewed and approved by the AACUC. Submit amendments to [email protected]. Amendment forms are available upon request.

8. Certification of the Principal Investigator Signature certifies that the Principal Investigator understands the requirements of the PHS Policy on Humane Care and Use of Laboratory Animals, applicable USDA regulations and the Institution’s policies governing the use of vertebrate animals for research, testing, teaching, or demonstration purposes. Signature certifies that the investigator will continue to conduct the project in full compliance with the aforementioned requirements. Signature further certifies that the proposed work does not unnecessarily duplicate previous experiments.

Principal Investigator Signature Date

AACUC CONTINUING REVIEW FORM VERSION 6/12 PAGE 3

FOR COMMITTEE ACTION ONLY

Approved by AACUC on (Date)

John Walker, Chair Agriculture Animal Care and Use Committee Texas A&M AgriLife Research AACUC CONTINUING REVIEW FORM VERSION 6/12 PAGE 4