Proposal Development
Sponsored Programs
Research Compliance
Federal Relations
Forms, Templates, Examples
Institutional Review Board (IRB) Forms, Templates & Examples
Forms
Application for IRB Review (RA-108) |
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Additional Researchers Addendum (RA-108a) |
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Continuation / Closure Report (RA-109) - Continuations approved no more than 30 days prior to expiration |
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Amendment Request (RA-110) |
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Permission to Gather Personal Health Information (HIPAA) |
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Word |
Statement of Confidentiality, signed by PI when using online survey software - submit with IRB application | ![]() |
Word |
Unanticipated Problem / Adverse Event Report (RA-111) | ![]() |
Word |
Foreign Site Study Appendix (RA-112) | ![]() |
Word |
Data Use Agreement form - use for secondary data analysis with PHI |
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Word |
Data Use Agreement form - FERPA |
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Word |
Templates & Examples
Informed Consent (45 CFR 46.117) |
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Parental Permission (45 CFR 46.408(b)) |
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Minor's Assent (45 CFR 46.408(a)) | ![]() |
Word |
Limits of Confidentiality |
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Examples of Approved UM Checklists/Applications | ![]() |