a written decision or documentation of an oral decision in a group setting to approve the proposed research or to decline further participation: Upload Document a written summary of advice received from a culturally informed advisory group or ad hoc committee (e.g., an urban community of interest): Upload Document If *Provide the rationale: ‘No’: SECTION 5.0 - INFORMED CONSENT INFORMATION *Is a waiver of the requirement to obtain informed consent being requested for this study? Yes No If *Provide justification: ‘Yes’: If Question 5.2 and 5.3 will appear: ‘No’: *Upload clean versions of all proposed consent forms (e.g., screening, main, optional): Upload Document Upload versions of any other materials that will be distributed to study participants (e.g., diaries, wallet cards): Upload Document *Does this study include assent form(s)? Yes No If *Upload all proposed assent ‘Yes’: Upload Document If 2.18.25 = question 5.4 will appear: ‘optional’, *Describe the processes used for obtaining and documenting informed consent for genetic testing: *Indicate how the results will be broadly communicated to participants and other stakeholders (e.g., advocacy groups, scientific community): TO PARTICIPANTS Each PI to provide debriefing at end of test session Group debriefing End of study letter Publication(s) Other No Plan If PI to provide debriefing at end of test session’: Attach copy of debriefing script, if available: ‘Each Upload Document If debriefing’: Attach copy of group debriefing, if available: ‘group
a written decision or documentation of an oral decision in a group setting to approve the proposed research or to decline further participation: Upload Document a written summary of advice received from a culturally informed advisory group or ad hoc committee (e.g., an urban community of interest): Upload Document If ‘No’: *Provide the rationale: SECTION 5.0 - INFORMED CONSENT INFORMATION *Is a waiver of the requirement to obtain informed consent being requested for this study? Yes No If ‘Yes’: *Provide justification: If ‘No’: Question 5.2 and 5.3 will appear: *Upload clean versions of all proposed consent forms (e.g., screening, main, optional): Upload Document Upload versions of any other materials that will be distributed to study participants (e.g., diaries, wallet cards): Upload Document *Does this study include assent form(s)? Yes No If ‘Yes’: *Upload all proposed assent Upload Document If 2.18.25 = ‘optional’, question 5.4 will appear: *Describe the processes used for obtaining and documenting informed consent for genetic testing: *Indicate how the results will be broadly communicated to participants and other stakeholders (e.g., advocacy groups, scientific community): TO PARTICIPANTS Each PI to provide debriefing at end of test session Group debriefing End of study letter Publication(s) Other No Plan If ‘Each PI to provide debriefing at end of test session’: Attach copy of debriefing script, if available: Upload Document If ‘group debriefing’: Attach copy of group debriefing, if available:
CTO-Provincial-Initial-Application-Form_Version-16-2016MAR14.docx