Annual Review and Progress Report (ARPR)

Annual Review and Progress Report (ARPR)

Midwestern State University Institutional Animal Care and Use Committee (IACUC)
All investigators engaging in research involving the use of animals are required to submit an annual review/status report. Please complete this report and submit it to the chair via e-mail or interdepartmental mail.

NOTICE: This protocol is due for an annual review. Submission of the annual review form is required to continue approval of this protocol. Therefore, you must submit this report to the IACUC before your annual expiration date.
1. Date notice sent:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
1. Principal Investigator:
Department:
3. Title of Project:
4. IACUC current approval number:
5. Date of last approval/review:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
6. Is this project involving the use of live animals active?
If no, do you request termination of this approved protocol?
7. Check applicable statements below.
Where will you forward the Protocol Amendment form:
Signature confirming termination:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
8. Funding source(s):
9. Date project started:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Expected date of completion:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
**PLEASE NOTE: INFORMATION IN #10-13 IS REQUIRED FOR ALL PROTOCOLS**
10. Species of animal(s) used in project (common name):
11. Number of animals used on this project since last ARPR:
12. Total number of animals to be used in the project:
13. Provide a brief Status/Progress report indicating what has been accomplished to date:
14. As Principal Investigator of this project, I certify that it conforms to all federal, state, and institutional laws and guidelines concerning the use of live animals. MSU’s Institutional Animal Care and Use Committee will be notified of any noncompliance or departures from the approved protocol.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please submit this completed form before your annual expiration date.

Failure to respond could result in freezing of funds for this project.
Should be Empty: