CSULB
Institutional Animal Care and Use Committee
Request
for Modification of an Approved Project
INSTRUCTIONS: During the conduct
of an approved project it may become necessary to modify or deviate
from the approved protocol. Such changes must be communicated to
the IACUC for approval prior to the implementation of the change by
use of the Request for Modification of an Approved Protocol Using
Animal Subjects (see form, below).
The form
must be typed. Please answer each question using as much
additional space as necessary.
PROCESS:
-
The Request for Modification of an Approved Protocol Using
Animal Subjects must be typed and submitted to the Attending
Veterinarian either by e-mail (john.young@cshs.org)
or by fax (310-423-0290) and the Office of University Research
(research@csulb.edu),
fax (562-985-8665).
-
The Veterinarian will either forward the Request for Modification to the IACUC Chair with approval and comments or return it to the applicant for change.
-
When the Chair and the Veterinarian both approve, the Chair will send the approved Modification to the Office of University Research indicating approval.
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This entire process should take approximately 48 hours, two working days, time taken to make additional changes requested by the Veterinarian or Chair to a Modification request excepted.
NOTES:
-
Significant modifications require full IACUC review and approval prior to implementation.
-
A change in species requires submission of a new Application for Use of Animal Subjects.
-
Modification of radiation exposure, radioactive materials, carcinogens, or biohazards (including Recombinant DNA) requires new submission of the Radiation & Environmental Safety forms.
REQUEST FOR MODIFICATION
of a Currently Approved Project
Name of Principal Investigator:
Title of Project
as Approved:
IACUC Number Assigned:
I. Briefly summarize
the proposed modification to the previously approved application.
- If you are requesting a modification to Personnel, Surgical Procedures (including Anesthesia), Non-surgical Procedures, Euthanasia, or Animal Numbers, please include all information requested in the appropriate sections of the full Application.
You may copy out of the Application for Use of Animal Subjects the appropriate sections, complete them, and insert them here.
II. Does this modification reflect a change of scope or objective in your research? (y/n)
- If yes, please note that IACUC approval of this Request for Modification does not constitute approval of an external funding agency, nor of the college or University with respect to facilities, equipment, etc. If this project is externally funded, your funding agency may require that you submit the modification for approval at the agency.
__________________________________________________________
Signature of Principal
Investigator and Date
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