IRB Forms:
Pellissippi State Review System for Human Subjects Research


Contact the Institutional Research Office for guidance on which form to use. Forms A and B-1 are only for projects in categories listed by the federal government.

Form Type Use Resources
Form A Exempt Research

Project meets all conditions: 1. Less than Minimal Risk

2. No Vulnerable Subjects

3. Eligible Category

Instructions

Exempt Categories

Form B:
Option B-1

Expedited Review

Project meets both conditions:

1.Less than Minimal Risk

2. Eligible Category

Instructions

Federal Categories (includes collection of data from voice, video, digital, or image recordings made for research purposes)
B
Option B-2 		Full Committee Review

1. More than minimal risk

and/or

2. Not in a federal category for exempt or expedited review

Instructions
Form C Continuing Review Required for mandatory annual oversight of all projects approved on Form B. (Instructions on form)
Form D Project Status Report: Changes and/or Close Out   Instructions

Informed Consent Forms

Sample Informed Consent Document (for adult participants 18 years of age or older)

Sample Parental Permission Form

Sample Child Assent Form

Recorded Media Addendum to Informed Consent

For IRB Members

Confidentiality Form

Template for Recording Minutes of IRB Meetings

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Updated: 11-24-09 (SML)
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