According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless 

it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0036. The time required to complete this information 

collection is estimated to average 2 hours 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.

OMB APPROVED

0579-0036

This report is required by law (7 U.S.C. 2143 and 9 C.F.R. § 2.36). Failure to report according to the regulations can result in an order to 

cease and desist.

Interagency Report Control 

No. 0180-DOA-AN Fiscal Year:

UNITED STATES DEPARTMENT OF AGRICULTURE 1. REGISTRATION NUMBER:

ANIMAL AND PLANT HEALTH INSPECTION SERVICE Customer Number:

2. HEADQUARTERS RESEARCH FACILITY (Name and Address, as registered with USDA,

include ZIP Code)

ANNUAL REPORT OF RESEARCH FACILITY

(TYPE OR PRINT) 

Telephone:

3. REPORTING FACILITY (List all locations where animals were housed or used in actual research, testing, teaching, or experimentation, or held for these purposes. Attach additional sheets if

necessary.)

FACILITY LOCATIONS (Sites) See Attached Listing 

REPORT OF ANIMALS USED BY OR UNDER CONTROL OF RESEARCH FACILITY (Attach additional sheets if necessary or use APHIS FORM 7023A.)

A.

Animals Covered By 

The Animal

Welfare Regulations

B.

Number of animals 

being bred, 

conditioned, or held 

for use in teaching, 

testing, experiments, 

research, or surgery 

but not yet used for 

such purposes.

C.

Number of animals 

upon which 

teaching, research, 

experiments, or 

tests were 

conducted involving 

no pain, distress, or 

use of pain-relieving 

drugs.

D. Number of animals upon 

which experiments, 

teaching, research, 

surgery, or tests were 

conducted involving 

accompanying pain or 

distress to the animals 

and for which 

appropriate anesthetic, 

analgesic, or 

tranquilizing drugs were 

used.

E. Number of animals upon which teaching,

experiments, research, surgery, or tests were 

conducted involving accompanying pain or 

distress to the animals and for which the use of 

appropriate anesthetic, analgesic, or 

tranquilizing drugs would have adversely 

affected the procedures, results, or 

interpretation of the teaching, research, 

experiments, surgery, or tests. (An explanation 

of the procedures producing pain or distress on

these animals and the reasons such drugs 

were not used must be attached to this report.)

F.

TOTAL NUMBER 

OF ANIMALS

(Cols. C + D + E)

4. Dogs

5. Cats

6. Guinea Pigs

7. Hamsters

8. Rabbits

9. Non-human Primates

10. Sheep

11. Pigs

12. Other Farm Animals

13. Other Animals

ASSURANCE STATEMENTS

1.) Professionally acceptable standards governing the care, treatment, and use of animals, including appropriate use of anesthetic, analgesic, and tranquilizing drugs, prior to, during, and following 

actual research, teaching, testing, surgery, or experimentation were followed by this research facility.

2.) Each principal investigator has considered alternatives to painful procedures. 

3.) This facility is adhering to the standards and regulations under the Act, and it has required that exceptions to the standards and regulations be specified and explained by the principal investigator 

and approved by the Institutional Animal Care and Use Committee (IACUC). A summary of all such exceptions is attached to this annual report. In addition to identifying the IACUC approved 

exceptions, this summary includes a brief explanation of the exceptions, as well as the species and number of animals affected. 

4.) The attending veterinarian for this research facility has appropriate authority to ensure the provisions of adequate veterinary care and to oversee the adequacy of other aspects of animal care and 

use.

CERTIFICATION BY HEADQUARTERS RESEARCH FACILITY OFFICIAL 

(Chief Executive Officer (C.E.O.) or Legally Responsible Institutional Official (I.O.)) 

I certify that the above is true, correct, and complete (7 U.S.C. Section 2143). 

NAME AND TITLE OF C.E.O. OR I.O. (Type or Print) NAME AND TITLE OF C.E.O. OR I.O. (Type or Print) DATE SIGNED

APHIS FORM 7023 

JUL 2020
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless 

it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0036. The time required to complete this information 

collection is estimated to average 2 hours 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.

OMB APPROVED

0579-0036 

This report is required by law (7 U.S.C. 2143 and 9 C.F.R.§2.36). Failure to report according to the regulations can result in an order to 

cease and desist.

Interagency Report Control 

No. 0180-DOA-AN

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE 

CONTINUATION SHEET FOR ANNUAL 

REPORT OF RESEARCH FACILITY

(TYPE OR PRINT) 

1. REGISTRATION NUMBER

2. HEADQUARTERS RESEARCH FACILITY (Name and Address, as registered with USDA,

include ZIP Code) 

REPORT OF ANIMALS USED BY OR UNDER CONTROL OF RESEARCH FACILITY (Attach additional sheets if necessary or use this form.)

A.

Animals Covered By 

The Animal

Welfare Regulations

B.

Number of animals 

being bred, 

conditioned, or held 

for use in teaching, 

testing, experiments, 

research, or surgery 

but not yet used for 

such purposes.

C.

Number of animals 

upon which 

teaching, research, 

experiments, or 

tests were 

conducted involving 

no pain, distress, or 

use of pain-relieving 

drugs.

D. Number of animals upon 

which experiments, 

teaching, research, 

surgery, or tests were 

conducted involving 

accompanying pain or 

distress to the animals 

and for which 

appropriate anesthetic, 

analgesic, or 

tranquilizing drugs were 

used. 

E. Number of animals upon which teaching, 

experiments, research, surgery, or tests were 

conducted involving accompanying pain or 

distress to the animals and for which the use of 

appropriate anesthetic, analgesic, or 

tranquilizing drugs would have adversely 

affected the procedures, results, or 

interpretation of the teaching, research, 

experiments, surgery, or tests. (An explanation 

of the procedures producing pain or distress on 

these animals and the reasons such drugs 

were not used must be attached to this report.)

F.

TOTAL NUMBER 

OF ANIMALS 

(Cols. C + D + E) 

12. AND/OR 13. Other 

(List by species) 

ASSURANCE STATEMENTS

1.) Professionally acceptable standards governing the care, treatment, and use of animals, including appropriate use of anesthetic, analgesic, and tranquilizing drugs, prior to, during, and following 

actual research, teaching, testing, surgery, or experimentation were followed by this research facility. 

2.) Each principal investigator has considered alternatives to painful procedures.

3.) This facility is adhering to the standards and regulations under the Act, and it has required that exceptions to the standards and regulations be specified and explained by the principal investigator 

and approved by the Institutional Animal Care and Use Committee (IACUC). A summary of all such exceptions is attached to this annual report. In addition to identifying the IACUC approved 

exceptions, this summary includes a brief explanation of the exceptions, as well as the species and number of animals affected. 

4.) The attending veterinarian for this research facility has appropriate authority to ensure the provisions of adequate veterinary care and to oversee the adequacy of other aspects of animal care and 

use. 

CERTIFICATION BY HEADQUARTERS RESEARCH FACILITY OFFICIAL 

I certify that the above is true, correct, and complete (7 U.S.C. Section 2143). 

SIGNATURE OF C.E.O. OR I.O. NAME AND TITLE OF C.E.O. OR I.O. (Type or Print) DATE SIGNED 

APHIS FORM 7023A 

JUL 2020
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a 

collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 

0579-0036. The time required to complete this information collection is estimated to average .5 hours 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.

OMB APPROVED

0579-0036

Interagency Report Control No. 0180-DOA-AN

Fiscal year: 

UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE

Annual Report of Research Facility 

Column E Explanation

(TYPE OR PRINT)

This information is required by law (7 U.S.C. 2143 and 9 C.F.R. §2.36). Failure to report according to the regulations can result in an order to 

cease and desist. 

1. REGISTRATION NUMBER 2. Research Facility Headquarters address

3. Number of animals used in the study. 4. Species (common name) of animals used in

the study.

5. Explain the procedure producing pain and distress.

6. Provide the scientific justification for not providing the appropriate anesthetics, analgesics,

or tranquilizing drugs during procedures where the animal experienced accompanying pain or

distress greater than momentary or slight.

7. What, if any, Federal regulations require this procedure? Cite the agency, the Code of

Federal Regulations (CFR) title number, and the specific section number (e.g., APHIS, 9 CFR

113, 102):

Agency CFR

APHIS FORM 7023B