Institutional Review Board

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Alphabetical List of IRB Forms

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Application for Research Involving Children
Application for Research Involving Prisoners
Application for Research Involving Pregnant Women, Human Fetuses, and/or Neonates

Application for Research With Cognitively Impaired Persons
Authorization on Use or Disclosure of Health Information
Certification of Responsibility of a Graduate Research Assistant or Graduate Teaching Assistant Employed on Grants, Contracts, and Other Sponsored Projects
Checklist for Monitoring Approved Exempt Protocols
Checklist for Post-Approval Monitoring of Expedited and Full Board Protocols (Long Form)
Completeness of IRB Application
Decision- Making Capacity Assessment
Exemption Eligibility Checklist
Human Research Determination Checklist (DHHS and FDA)

Investigator Statement of Financial Interest
IRB Application Study Personnel and Study Responsibility Page (Page 2, IRB Application)
IRB Checklist for Reviewers and Investigators
IRB Member Disclosure of COI
IRB Members’ Pledge of Confidentiality of IRB Deliberations and Protocol Content
IRB Renewal Application
Job Description of IRB Chair and Vice Chair
Job Description for IRB Members
Log of Study Problems
Modification of an Approved Protocol
Notification to IRB of Emergency Use of a Test Article
Observation of Consent Process
PI Statement of Conflict of Interest
Post-Approval Monitoring Checklist (Short Form)
Question/Suggestion for HRPP/IRB
Report of Attempt to Exert Undue Influence
Report of Complaint or Concern About a Research Study
Report of Study Problem
Request for Approval Form (Page 1, IRB Application)
Request for Study Closure
Request for Partial Waiver of Patient Authorization to Use PHI for Recruitment or Screening
Request for Waiver/Alteration of Informed Consent
Request for Waiver of Written Documentation of Informed Consent
Signature Assurance Sheet

Request for Study Closure
Survey for Participants in UA-Sponsored Research Study
Research Staff Satisfaction with Study Conduct
Translator’s Declaration


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