Appendix A: Summary of Activities for Research “Collaborative” *When PI has a dual appointment at both the VA and the affiliate University ACTIVITIES FOR VA ACTIVITIES FOR Explain how VA and RESEARCH NON-VA NON-VA RESEARCH RESEARCH activities of These activities MUST be approved by ACTIVITIES Dual-Appointment the VA R&D Committee These activities MUST personnel are NOT be approved by the distinguished VA Site Non-VA Site VA R&D Committee YES YES YES Advertising YES YES YES Recruitment Research-related medical procedures to be performed (LIST) Other interventions or interactions with living individuals to be performed (LIST) Clinics, labs, other units to be used (LIST) YES YES YES PHI Use YES YES YES PHI Disclosure Data Coordinating Center Members of Research Team (LIST) SIO OFFICE USE ONLY: This form has been reviewed by
Appendix A: Summary of Activities for “Collaborative” Research *When PI has a dual appointment at both the VA and the affiliate University RESEARCH ACTIVITIES ACTIVITIES FOR VA RESEARCH These activities MUST be approved by the VA R&D Committee ACTIVITIES FOR NON-VA RESEARCH These activities MUST NOT be approved by the VA R&D Committee Explain how VA and NON-VA activities of Dual-Appointment personnel are distinguished VA Site Non-VA Site Advertising YES YES YES Recruitment YES YES YES Research-related medical procedures to be performed (LIST) Other interventions or interactions with living individuals to be performed (LIST) Clinics, labs, other units to be used (LIST) PHI Use YES YES YES PHI Disclosure YES YES YES Data Coordinating Center Members of Research Team (LIST) SIO OFFICE USE ONLY: This form has been reviewed by
COLLABORATIVE_RESEARCH_WORKSHEET.docx