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| Exemption Request Forms | PDF Document | Word Document |
|---|---|---|
| Category 1 | ||
| Research conducted in educational settings, involving normal educational practices |  |
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| Guidelines to determine eligibility | ||
| Category 1 Description | ||
| Category 2 | ||
| Research involving the use of educational tests, survey procedures, interview procedures or observation of public behavior | |
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| Category 2 Description | ||
| Category 3 | ||
| Research using category 2 study procedures that is not exempt under Category 2 IF: (see Category 3 description) | |
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| Category 3 Description | ||
| Category 4 | ||
| Research involving the collection or study of existing data, documents, records, pathological or diagnostic specimens | |
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| Category 4 Description | ||
| Category 5 | ||
| Research and demonstration projects on public benefits and service programs (NOTE: This category applies only to activities conducted pursuant to a federal statutory authority). If you feel your research meets the criteria for category 5, please contact the IRB Administrator | ||
| Category 5 Description | ||
| Category 6 | ||
| Taste and food quality evaluation and consumer acceptance studies | |
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| Category 6 Description | ||
| Reviewed Research Application Forms -In .pdf format use the Tab key to navigate through the fields -Add additional pages if more space is required |
PDF Document | Word Document |
|---|---|---|
| Application Form | |
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| Revision of Protocol Form | |
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| Consent/Assent Templates -The Consent Form and Assent Form include special instructions in orange italics -Replace italics on form as needed (Tab key will not navigate through fields) |
PDF Document | Word Document |
|---|---|---|
| Consent Form (template only) | |
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| Consent Form Instructions | |
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| Sample Assent Form | |
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| Unanticipated Problem/Adverse Event Reporting | PDF Document | Word Document |
|---|---|---|
| Reporting Form | |
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| Decision Tree | |
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| HIPAA Forms | PDF Document | Word Document |
|---|---|---|
| Authorization for Release of PHI (Non-Purdue Covered Entities) | |
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| Authorization for Release of PHI (Purdue Components) | |
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| Request for Waiver of Authorization or Modification of Authorization | |
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| Activities Preparatory to Research Waiver | |
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| Use of Decendent's Information Certification | |
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| Data Use Agreement | |
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| Checklist for IRB Submissions -Investigators have developed these Research Tracking Forms which we have posted for your convenience -If you find these forms helpful, use them. |
PDF Document | Word Document |
|---|---|---|
| Research Group Management Checklist | |
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| Subjects Management Checklist | |
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| Miscellaneous Forms | PDF Document | Word Document |
|---|---|---|
| Participant Payment Disclosure Form | |
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Human Research Protection Program
Ernest C. Young Hall
10th Floor, Room 1032
155 S. Grant Street
West Lafayette, IN
47907-2114
