D.Statement of AAALAC Accreditation (reference: PHS Policy on Humane Care and Use of Animals, par. IV.B.3). Are all of the facilities and programs covered by this review accredited by AAALAC?
____Yes _____No. If no, describe which portions of the facilities and program are not accredited below:
E. Minority Opinion(s). If part B is checked "yes", provide the typed minority opinion(s) here:
F. Communication with MEDICAL CENTER DIRECTOR. VHA Handbook 1200.7 paragraph 6.n(10)(a) stipulates that after a majority of all voting IACUC members approve the report and indicate their approval by signatures next to their typed names and roles on the committee, the report must be discussed with the Medical Center Director by the VMO/VMC, the IACUC Chair, and the ACOS/R&D (other IACUC members may also attend), and the Medical Center Director must sign the reporting indicating that he/she has reviewed it. Note: the Director's signature does not imply that he/she agrees with the report, . A discussion of disputed items may be provided in a cover memo.
Cetification: By my signature, I acknowledge receipt of this report, and verify that I have personally discussed its contents with the IACUC.
Typed Name of Director
A signed copy of the complete report (including Forms 1, 2, 3) must be sent through the ACOS/R&D and Medical Center Director to the CVMO within 60 days of the self-assessment date. The R&D Committee should review the approved report as an item of business, but R&D approval is not required before submission of the final document to the CVMO. Send a Xerox copy with all signatures to Dr. Michael Fallon, CVMO, Atlanta VA Medical Center, Research Service-151V, 1670 Clairmont Road, Decatur, GA 30033. The original must be retained for at least three years.
Form 4 (Template for Minutes), Page 14