NSW Population & Health Services Research Ethics Committee Submission Checklist (Version 11, July 2016) Submission Checklist Required Documents Submitted Cover letter, listing all submitted documents with date and version numbers and ☐ signed by the Principal Investigator (date and version numbers MUST be provided on all documents) National Ethics Application Form * OR Request for an Amendment to an Approved Research Project form ☐ Please note: Unsigned forms will not be accepted A detailed research protocol* including appendices (OR tracked protocol for an Amendment) ☐ Please note: Protocols submitted without track-changes and appropriate version control will not be accepted ☐ Data Linkage Flow Chart (where applicable) Variable list(s) for each data collection including Data Custodian signoff ☐ For projects involving data linkage through the CHeReL, please provide the Completed CHeReL Application for Data form; A signed CHeReL Technical Feasibility Letter (Information and forms available from ). ☐ Please note: Applications without evidence of support from Data Custodians and/or the linkage provider WILL NOT be put forward to the HREC ☐ NSW Privacy Form* All documentation relevant to the project, such as Participant Information and Consent ☐ form(s), survey tools, and questionnaires (where applicable) Correspondence with other HREC(s) in Australia (where applicable) Please note: If your project is an extension or addendum to a project which already ☐ has approval from another HREC, ALL documentation reviewed by the original HREC must be provided (including original approved participant information and consent documents and HREC letter of approval). * Links to these forms can be found on the Cancer Institute website:
NSW Population & Health Services Research Ethics Committee Submission Checklist (Version 11, July 2016) Submission Checklist Required Documents Submitted Cover letter, listing all submitted documents with date and version numbers and signed by the Principal Investigator (date and version numbers MUST be provided on all documents) ☐ National Ethics Application Form * OR Request for an Amendment to an Approved Research Project form Please note: Unsigned forms will not be accepted ☐ A detailed research protocol* including appendices (OR tracked protocol for an Amendment) Please note: Protocols submitted without track-changes and appropriate version control will not be accepted ☐ Data Linkage Flow Chart (where applicable) ☐ Variable list(s) for each data collection including Data Custodian signoff For projects involving data linkage through the CHeReL, please provide the Completed CHeReL Application for Data form; A signed CHeReL Technical Feasibility Letter (Information and forms available from ). Please note: Applications without evidence of support from Data Custodians and/or the linkage provider WILL NOT be put forward to the HREC ☐ ☐ NSW Privacy Form* ☐ All documentation relevant to the project, such as Participant Information and Consent form(s), survey tools, and questionnaires (where applicable) ☐ Correspondence with other HREC(s) in Australia (where applicable) Please note: If your project is an extension or addendum to a project which already has approval from another HREC, ALL documentation reviewed by the original HREC must be provided (including original approved participant information and consent documents and HREC letter of approval). ☐ * Links to these forms can be found on the Cancer Institute website:
submission-checklist-July-2016.docx