OMB No: 0925-0705, Expiration date: 07/31/2026
Privacy Notice
This collection of information is authorized by 42 U.S.C. 241, 282, 282b, 284a, and 48 CFR Subpart 15.3. Certain information provided through this form may be used by NIH to identify and contact the submitter about the proposed research. Unless otherwise specified in a written agreement between NIH and the submitter, all information, including proprietary information, submitted through the form, attached to it, or referenced in it may be accessed by the NIH and/or the Council. NIH staff and contractors who have signed confidentiality and non-disclosure statements will use the information for administrative purposes, e.g., reviewing materials for completeness, routing materials, and managing subsequent steps related to discussions about the proposed research.
Burden Disclosure Statement
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0705). Do not return the completed form to this address.
Purpose
The purpose of this form is to obtain information needed by the NIH to assess whether the proposed research satisfies the NIH’s policy for research involving chimpanzees, as announced in the Federal Register and NIH Guide. These announcements inform the research community that NIH will support only “noninvasive” research involving chimpanzees.
The NIH will consider the information submitted through this form prior to the agency making funding decisions or otherwise allowing the “noninvasive” research to begin. Completion of this form is a mandatory step toward receiving NIH support or approval for such research. Failure to complete this form by the due date may delay consideration by the NIH.
Who Can Submit the Form
Only applicants and offerors notified by the NIH are required to complete this form. If the NIH has contacted you about completing this form, it is because you have requested that the agency support or otherwise approve a grant, contract, intramural project, or 3rd party research activity involving chimpanzees or chimpanzee biomaterials, and the agency requires additional information before making funding decisions or otherwise allowing the research to begin. The NIH requires applicants and offerors to complete the form when the proposed research:
The form may be submitted by the Signing Official for an organization or his/her designee. The Signing Official is the individual, named by the applicant or offeror’s organization, authorized to act for the applicant or offeror and to assume the obligations imposed by applicable Federal laws, regulations, requirements, and conditions.
What Information Gets Considered
Applicants and offerors are required to describe their proposed research and how it satisfies the agency announcement in NIH Guide NOT-OD-16-095. Depending on the nature of the research, the NIH will determine if the activity is “noninvasive” (e.g., observational research or research involving stored biospecimens), or if the research is “invasive.” Consideration is based solely on the information provided in the Noninvasive Determination section of this form. Although attachments may be submitted, they are optional. The NIH may consult attached materials at its discretion. All information pertinent to their consideration must be entered into the Noninvasive Determination text boxes.
How and When to Submit the Form and How to Revise Submitted Information
Unless otherwise specified by the NIH, applicants and offerors have 15 calendar days to submit the completed report after they have been contacted by the NIH. Information must be submitted electronically via the Chimpanzee Research Use Reporting System.
Questions about the online form can be emailed to the [email protected]. If the applicant or offeror notices that the report requires a change after it has been submitted, contact the NIH’s Division of Program Coordination, Planning, and Strategic Initiatives at [email protected]. Submissions that are incomplete by the due date may delay consideration by the NIH.