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Form Description
IRB Proposal Form  Template IRB proposal form for all levels of review

Form A—Informed consent for adult participants (18 or over) 

Template Contains all federally mandated guidelines. Must be edited for specific study. Mandatory for study participants 18 or over. A signed copy of Form A is kept in researcher's files; another copy is given to the study participant or person giving informed consent. 
Form A—Informed consent for adult participants (18 or over)--APPROVED SIGNATURE WAIVER

Template Contains all federally mandated guidelines. Must be edited for specific study. Mandatory for study participants 18 or over; does not include section for signature. A copy of Form A is given to the study participant.

Form A—Informed consent for adult participants (18 or over)--FOR ONLINE STUDIES 

Template Contains all federally mandated guidelines. Must be edited for specific study. Mandatory for study participants 18 or over. Form A—FOR ONLINE STUDIES can be copied and pasted into the online platform (e.g., Qualtrics) and typically uses a radio button to indicate consent or lack of consent.  It includes a request that study participants keep or save a copy for their files.

Form A—Informed consent for parents/guardians of minors Template Contains all federally mandated guidelines. Must be edited for specific study. Mandatory for parents/guardians providing consent for minors to participate in a study. Can also be used for researchers to access identifiable student records per FERPA rules. A signed copy of Form A is kept in researcher's files; another copy is given to parents/guardians.
Form C—Statement of minor assent—elementary Example Edit or rewrite for specific study. For study participants under 18. This example is for early elementary students. Kept in researcher's files. 
Form C—Statement of minor assent—middle grades Example Edit or rewrite for specific study. For study participants under 18. This example is for middle grades students. Kept in researcher's files. 
Form C—Statement of minor assent—high school Example Edit or rewrite for specific study. For study participants under 18. This example is for high school students. Kept in researcher's files. 
Form D—Research using specialized equipment Form Mandatory only if subject(s) will be using any equipment which might subject him/her to the possibility of accidental harm or injury.
Form E—Research involving psychological intervention Form Mandatory if subject(s) will be exposed to any psychological intervention, such as deception, contrived social situations, manipulation of the participant's attitudes, opinion or self-esteem, psychotherapeutic procedures, or other psychological influences.
Form F—Research involving physiological intervention Form Mandatory if subject(s) will be exposed to any physiological treatments or intervention upon the body by mechanical, electronic, chemical, biological or any other means.
Form G—Research involving deception Form Mandatory if subject(s) will be exposed to deception.
Form H—Letter of institutional support Template Mandatory when working with a school, agency or other institution outside of The College at Brockport. Must be signed by supervisor or administrator and copied on that insitutution's letterhead. Often, institutions have their own template for this, but researchers may also use the one provided by the IRB.
Form J—Advisor certification of responsibility for student researcher  Form Mandatory for all undergraduate or graduate students serving as Principal Investigators. Must be filled out and signed by project advisor.

Form K—Project continuation and/or modification

Form Mandatory for all proposed changes to expedited and full board research protocols and/or for expedited and full board research projects after 12 months. The only modifications that can be made to exempt projects are adding/removing co-investigators or study sites. 

Form L—Close-Out Form

Mach Form Mandatory for all expedited and full board research protocols. If all research-related interventions or interactions with human subjects have been completed and all data collection and analysis of identifiable private information described in the IRB-approved protocol has been finished, the human subjects research study has been completed and the investigator should close the study with the IRB by submitting Form L.

Form M—Recruitment letter for adult participants (18 and over) 

Example Edit or rewrite for specific study. Necessary for most studies. Can also be presented as an e-mail, verbal script, or first page of an online study.

Form M—Recruitment letter for parents/guardians of minors)

Example Edit or rewrite for specific study. Necessary for most studies. Can also be presented as an e-mail, verbal script, or first page of an online study.

Form P—Event Reporting

Form Used for reporting Adverse Events, Unanticipated Problems, and Protocol Deviations. Serious events (by definition) need to be reported by the PI within 5 business days, Click here for more specific guidelines.

Class Projects (research for university courses)

Link It is no longer necessary to fill out a form for classroom projects as long as they are primarily being used as a teaching tool. Click here for more specific guidelines about IRB oversight. Click here for Class Projects Best Practices.

Institutional Authorization Agreement (IAA)[Brockport as Institution A—reviewer]

Form A mandatory agreement signed by both The College at Brockport and another institution. Necessary if Brockport is providing IRB review for a co-sponsored project with another institution or organization.

Institutional Authorization Agreement (IAA) [Brockport as Institution B—outside institution as reviewer]

Form A mandatory agreement signed by both The College at Brockport and another institutionNecessary if another institution or organization is providing IRB review for a co-sponsored project.

Last Updated 1/29/18

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