This section contains all of the forms and consent templates that apply to investigators from:

  • Business
  • Education
  • Engineering
  • Humanities & Sciences
  • Law

*Please note that when creating a protocol for IRB submission, these investigators need to select the Non-Medical eProtocol Application category.

* Any study that involves the collection and analyses of human biological specimens and/or Protected Health Information (PHI) will need to be submitted on the Medical eProtocol application.

For questions, please contact the Non-Medical IRB Panel Staff

Templates:

Consents         See consent template updates for recent changes
Consent	doc 02/23/16
Research Information Sheet - Use for Waiver of Documentation	doc 1/7/15
Parent or Legally Authorized Representative Permission	doc 02/23/16
Video Use Consent	doc 02/23/16
Assents, phone screens, scripts         See consent template updates for recent changes
Assent – under 18	doc 1/7/15
Assent – adults (18+) unable to provide consent i.e., LAR provides consent	doc 1/7/15
Telephone Screening of Potential Subjects   • Sample Phone Screen Level 1a   • Sample Phone Screen Level 1b	• Guidance • Screen1a • Screen1b
Oral Consent Script	doc 12/16/13

Other Forms:

HS Research Determination; Other
Human Subject Research (HSR) Determination Form	pdf
Letter of Agreement - for research in cooperation with other organizations	doc

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Scientific Review
Review of Scientific and Scholarly Validity, and Oversight (by Academic Sponsor)	doc
Review of Scientific and Scholarly Validity (by Dept Chair or School Dean)	doc

 

eProtocol Forms:

Required Attachments
International Research Supplemental Questions – research outside the US	doc
DOE-supported research: Protection of Personally Identifiable Information (PII)    [Form APP-14]	doc
Sample eProtocol Application Forms
New, Modification, Continuing Review   (These are for informational purposes only)	• New:     -Regular     -Expedited     -Exempt • Mod • ContRev
eProtocol is used to submit:   • New Protocol applications - see examples above.       - Complete and attach supplemental required attachments as needed (see above)   • Modifications to approved protocols (need prior IRB approval to implement).   • Continuing Review applications.   • Reports unanticipated problems, events/information requiring prompt reporting.   • Final Reports (not required for Exempt research).

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