Have there been any changes in research methodology since the last IRB? ____ Yes ( if yes, provide documents and explanation of changes in additional pages) ___ No V. Participant Original number of Participants approved by IRB: _____ Enrollment: Number of participants who consented to participate: _____ Number of participant’s withdrawals originally approved by IRB: ( also, provide information about reasons for withdrawals) Have you asked any participant to withdraw from the research? If so, why? VI. Principal Investigator’s Certification & Signature: ( if a graduate student the Research Advisor must also sign) I certify that the information provided in this continuing review application is complete and correct. I understand that as Principal Investigator, I am responsible for the conduct and ethical performance of this project (including complying with intellectual property, conflict of interest, plagiarism, data management and related regulations), the protection of the rights and welfare of human subjects, and strict adherence to any stipulations imposed by the IAUPR Institutional Review Board. Signature: ______________________ Date:_________ Signature of Research Advisor: __________________ Date: ____________
Have there been any changes in research methodology since the last IRB? ____ Yes ( if yes, provide documents and explanation of changes in additional pages) ___ No V. Participant Enrollment: Original number of Participants approved by IRB: _____ Number of participants who consented to participate: _____ Number of participant’s withdrawals originally approved by IRB: ( also, provide information about reasons for withdrawals) Have you asked any participant to withdraw from the research? If so, why? VI. Principal Investigator’s Certification & Signature: ( if a graduate student the Research Advisor must also sign) I certify that the information provided in this continuing review application is complete and correct. I understand that as Principal Investigator, I am responsible for the conduct and ethical performance of this project (including complying with intellectual property, conflict of interest, plagiarism, data management and related regulations), the protection of the rights and welfare of human subjects, and strict adherence to any stipulations imposed by the IAUPR Institutional Review Board. Signature: ______________________ Date:_________ Signature of Research Advisor: __________________ Date: ____________
continuing-review-form-2013-FINAL.docx