INSTITUTIONAL REVIEW BOARD (IRB) FORMS

 

FORMS FOR INITIAL IRB SUBMISSIONS

The chart below provides guidance for your initial IRB submissions.  You can access the applicable forms by clicking the link.  The forms are available as Microsoft Word documents.  All other IRB forms are available in the list below the chart.   

 

 

Name of Form 

Form Number 

Exempt Submission 

Expedited Submission 

Full IRB Submission 

Application for Initial Review (IRB Approval Form)  

FRM-301

 

X

X

Research Description Form  

FRM-801

X

X

X

Exempt Research Checklist and Form 

FRM-305

X

 

 

Expedited Research Categories 

FRM-304

 

X

 

Research Proposal Submission Checklist 

FRM-901

 

 

X

**Protocol

 

X

X

X

Sponsor’s Investigator Brochure

 

 

 

  X*

Copy of Device Designation and Number

 

 

 

  X*

Affiliated Investigator Agreement 

FRM-1001

X

X

X

Unaffiliated Investigator Agreement 

FRM-1002

X

X

X

Copy of form FDA-1572

 

 

 

  X*

HIPAA Authorization with study title 

TMP-509

 

X

X

Informed Consent Template 

TMP-502

 

X

X

Curriculum Vitae

 

X

X

X

 

 

 

 

 

 

 

 

 

 

 

 

 

* When applicable

**Written presentation of your proposed study

  

SPECIAL SUBMISSION FORMS

Reportable New Information (Unanticipated Problems and Protocol Deviations) FRM-601 

Modification (Amendment) of Approved Research FRM-501 

Continuing Review Progress Report FRM-401 

Final Continuing Review Progress Report FRM-401 

Pediatric Research:

     Assent Form Template TMP-512 

Emergency Use:

    Emergency Use Submission Form FRM-303 

    Informed Consent Template for Emergency Use TMP-506 

    Informed Consent Template for Emergency Device Use TMP-511 

Compassionate Use:

    Compassionate Use Submission Form FRM-302 

    Informed Consent Template for Compassionate Device Use TMP-510 

 

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