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University of Alaska Fairbanks :: Center for Research Services :: Office of Research Integrity :: IRB :: Forms

 

IRB Forms

Common Forms

IRB Protocol Application: This form is to be used for all new submissions.

The protocol application can them be emailed with all necessary supplements to the Institutional Review Board (IRB).

TRAINING REQUIREMENT: Final IRB approval will be withheld until required research team members complete the IRB-approved course in human subject protections (CITI).

Certified Instructor Application: This form is designed to use for research methodology classes in which graduates or undergraduates will be expected to actually conduct "research activities" beyond the classroom activities.

Modification Request: This form must be used for all proposed changes to an approved IRB Protocol. Email the completed form and your modified IRB Protocol to the Institutional Review Board (IRB). NOTE: Requests to add personnel to an approved IRB Protocol will not be granted until the indvidual(s) complete the required training.

Continuing Review: All IRB Protocols must undergo continuing review at least every 365 days; they automatically become inactive on day 366. Principal investigators are responsible for ensuring that a signed continuing review form is received by the IRB in time to be reviewed at the meeting preceding the date it becomes invalid (this date is identified on your most recent approval letter). This form may also be used to close an IRB Protocol.

Adverse Event Report - this form must be submitted by the Principal Investigator whenever an adverse event related to an approved IRB Protocol occurs. Individuals other than the Principal Investigator may report questions or concerns about human subjects research on the Quality Improvement Reports (below).

Quality Improvement Program

Quality Improvement Report - this form may be submitted by anyone with concerns about human subjects research conducted at UAF or by UAF personnel at other locations.

Sample Document

These are intended to serve as examples, they may or may not be a reasonable starting point for your study depending on the type of research you plan to do.

The most common problem with consent/assent documents submitted to the IRB is that the text is written at too high of a grade level (you should strive for a 6-8 grade reading level for adult consent forms and an age appropriate level for minor assent forms). If you need help writing your consent documents contact the Research Integrity Administrator.

IRB Member Materials

Human Subject Regulations Decision Making Charts: These are issued by the Office of Human Research Protections (OHRP) and are intended as guidance for IRB Administrators and Members.

IRB Checklist: This is a worksheet to assist IRB members as they review IRB Protocols.

Federal Certificate of Confidentiality

Certificates of Confidentiality designed to protect researchers from having to turn their research and sources over to law-enforcement agencies. If the research has any component which may give the researcher access to illegal activities as a valid part of the research design a certificate of confidentiality is recommended.

OHRP Sample Agreements

IRB Authorization Agreement - This agreement allows one institution with a Federalwide Assurance (FWA) to rely on the IRB of another FWA institution for review and oversight of a specific project(s). Authorization Agreements must be executed by the UAF Institutional Official. Contact ORI for more information.

Individual Investigator Agreement - This agreement between a FWA holding institution and an unaffiliated individual researcher allows the institution to extend its FWA to include the unaffiliated individual. Individual Investigator Agreements must be executed by the UAF Institutional Official. Contact ORI for more information.

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This site was last updated December 6, 2007 by Kelly Hochstetler