Harvard Medical Area Page 1 of 1 Protocol # Revised 6/27/2012 Harvard Medical Area (HMA) Standing Committee on Animals – “Established in 1907” 180 Longwood Avenue, Suite 113 Boston, MA 02115 Tel: 617-432-3192 Fax: 617-432-3169 http://www.hms.harvard.edu/orsp/ iacuc@hms.harvard.edu H. TRANSGENIC/KNOCKOUT ANIMALS 1. Will your study involve transgenic or knockout animals? Yes____ No____ 2. If “YES”, complete the following: a. Describe the phenotype: b. Describe any pain or distress associated with the phenotype expressed and your proposed procedure(s) to avoid or alleviate pain: c. Identify who will check the animals and how often, if pain or distress is anticipated: d. Define the duration of survival after expression of the phenotype: e. Describe the criteria you will use to determine pain and distress in the animals and your plan for monitoring the animals: f. The construction of transgenic animals must be approved by the Committee on Microbiological Safety or Partners Healthcare Institutional Biosafety Committee (PIBC). COMS or PIBC Registration Registration # Contact the Biosafety Officer at 617-432-4727 (HMS/HSPH) or 617-964-8550 (NRB/HIM) or 617-525-7341 (BWH) for appropriate registration. g. If receiving animals from an outside source, identify the origin of the animals, or their COMS Registration Number, if on another HMA protocol. Origin: COMS/PIBC #: Page 1 of 1