SUNY Geneseo Institutional Biosafety Committee (IBC)

Coverpage for Biosafety Registration Form

Principal Investigator: Dept: Phone:

Alternate Contact: Phone:

Please review the entire form prior to completion and provide information as requested and relevant to the biologicals in use and currently possessed by your laboratory. Registration of all your non-exempt (see NIH Guidelines) recombinant DNA constructs and your biohazardous materials with the IBC is required by the NIH.Be sure to save a copy on your computer for future modifications.

For YES/NO questions, please place an “X” in the box next to the correct answer.

Useful references are the NIH Guidelines for Research Involving Recombinant and Synthetic Nucleic Acid Molecules (NIH Guidelines) and the 5th edition of CDC/NIH “Biosafety in Microbiological and Biomedical Laboratories” Questions can be referred to Harold Hoops () or Kevin Militello ().

Sign and submit this document with any supporting attachments to the IBC in the Dept of Biology and as a PDF or Word e-mail attachment ().

Do you need to fill out a laboratory registration form?

A.Does your research program currently involve possession and/or use of recombinant or synthetic nucleic acids that will be replicated in organisms (including bacteria)? (Note: modification and or replicating of nucleic acids exclusively in vitro is exempt.)

YES / NO

B.Do you anticipate adding projects that require possession and/or use of recombinant or synthetic nucleic acids that will be replicated in organisms (including bacteria) in the near future? (Note: modification and or replicating of nucleic acids exclusively in vitro is exempt.)

YES / NO

C)Does your research program currently involve biological toxins or organisms that fall under risk group 2, 3 or 4 of the NIH guidelines? (Risk group 2 agents are those that are associated with human disease which is rarely serious and for which preventative or therapeutic interventions are often possible. Risk groups 3 and 4 are for agents involved in more serious diseases. Contact the chairperson of the IBC and/or consult the NIH guidelines for more details.)

YES / NO

D)Do you anticipate adding projects that involve biological toxins or organisms that fall under risk group 2, 3 or 4 of the NIH guidelines?

YES / NO

If your answer to all of these questions is “NO”, please sign and date below. It is not necessary for you to fill out a laboratory registration form. However, if your lab decides to add research involving recombinant DNA, biological toxins or disease causing organisms be aware that you must fill out a laboratory registration form before initiating the projects. For some potential studies you must fill out the laboratory registration form in time for committee action BEFORE beginning the experiments.

Principal Investigator: Date:

If you answered “YES” to any of the four questions below, please fill out the full biosafety registration form.

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