General Info File No: Comments: Common Questions 1. Study Information # Question Answer I confirm that this End of Study Form is (1) submitted by the Principal Investigator or (2) is accompanied by a signed and dated Letter of Attestation 1.1 (http://bit.ly/1jS7EFX) from the PI. If (1) and/or (2) are not complete, the submission will not be reviewed, and resubmission will be required. Confirmation of Study 1.2 Completion/Termination 1.3 Date of Study Completion/Termination If 'Premature Study Termination' was 1.4 selected in 1.2, describe: 2. Study Summary # Question Answer Under which board was your submission 2.1 initially approved? Number of charts/samples and/or participants approved by the HSREB, since 2.2 initial approval was issued (for local participants ONLY) Number of charts/samples reviewed and/or participants consented, since initial 2.3 approval was issued (for local participants ONLY) Number of participants that were 2.4 prematurely withdrawn from the PI If there were participants who have been 2.5 prematurely withdrawn by the PI, please explain:
General Info File No: Comments: Common Questions 1. Study Information # Question Answer 1.1 I confirm that this End of Study Form is (1) submitted by the Principal Investigator or (2) is accompanied by a signed and dated Letter of Attestation (http://bit.ly/1jS7EFX) from the PI. If (1) and/or (2) are not complete, the submission will not be reviewed, and resubmission will be required. 1.2 Confirmation of Study Completion/Termination 1.3 Date of Study Completion/Termination 1.4 If 'Premature Study Termination' was selected in 1.2, describe: 2. Study Summary # Question Answer 2.1 Under which board was your submission initially approved? 2.2 Number of charts/samples and/or participants approved by the HSREB, since initial approval was issued (for local participants ONLY) 2.3 Number of charts/samples reviewed and/or participants consented, since initial approval was issued (for local participants ONLY) 2.4 Number of participants that were prematurely withdrawn from the PI 2.5 If there were participants who have been prematurely withdrawn by the PI, please explain: