Date Received Institutional Review Board office: Research 1, 1735 NDSU Research Park Drive, Fargo, ND 58102 mail: NDSU Dept. #4000, PO Box 6050, Fargo, ND 58108-6050 p: 701.231.8995 f: 701.231.8098 e: w: IRB Application: Research Involving Existing Records/Data/Specimens This application is for research involving data, documents, records (e.g.., academic, medical, etc.), or biological samples or specimens that have already been collected (pre-existing). 1. Title of Project: 2. Principal Investigator: Dept. name: (PI must be an NDSU faculty or staff member; graduate students must list their advisor as PI) Campus address/phone: Email address: Role in this research: 3. Co-Investigator: Dept. name: Campus address/phone: Email address: Role in this research: 4. Research team: List any individual actively engaged in the research project (e.g. or obtaining private identifiable information or specimens for research purposes). May provide as a separate attachment. Name, Dept., Training date (IRB Affiliation E-mail Address Role in Research office only) Note: Investigators and all members of the research team are required to complete a course in the protection of human research participants every three years. Refer to the IRB page for information and a link ‘Training’ to the CITI online training.
Date Received Institutional Review Board office: Research 1, 1735 NDSU Research Park Drive, Fargo, ND 58102 mail: NDSU Dept. #4000, PO Box 6050, Fargo, ND 58108-6050 p: 701.231.8995 f: 701.231.8098 e: w: IRB Application: Research Involving Existing Records/Data/Specimens This application is for research involving data, documents, records (e.g.., academic, medical, etc.), or biological samples or specimens that have already been collected (pre-existing). 1. Title of Project: 2. Principal Investigator: Dept. name: (PI must be an NDSU faculty or staff member; graduate students must list their advisor as PI) Campus address/phone: Email address: Role in this research: 3. Co-Investigator: Dept. name: Campus address/phone: Email address: Role in this research: 4. Research team: List any individual actively engaged in the research project (e.g. or obtaining private identifiable information or specimens for research purposes). May provide as a separate attachment. Name, Dept., Affiliation E-mail Address Role in Research Training date (IRB office only) Note: Investigators and all members of the research team are required to complete a course in the protection of human research participants every three years. Refer to the IRB ‘Training’ page for information and a link to the CITI online training.
IRB_Application_Existing_data_records_or_specimens.docx