de-identified data only, INVESTIGATOR FOR COI Specimen shipment, etc. PURPOSES. SUNY Downstate Yes No Yes No Yes No NYC +HH, KC Other: SUNY Downstate Yes No Yes No Yes No NYC +HH, KC Other: SUNY Downstate Yes No Yes No Yes No NYC +HH, KC Other: SUNY Downstate Yes No Yes No Yes No NYC +HH, KC Other: SUNY Downstate Yes No Yes No Yes No NYC +HH, KC Other: SUNY Downstate Yes No Yes No Yes No NYC +HH, KC SUNY Downstate Yes No Yes No Yes No NYC +HH, KC Other: a. b. c. d. e. f. Name & degree Role(s) on Project. of employment Will this person be Is this person an Will this person aid Examples: Principal obtaining verbal or for the “Investigator the shipment of REMINDER: is also required for Investigator, written Informed purposes of COI hazardous materials all NYC H+H research. Coordinator, Consent/Authorization reporting”? (e.g., dangerous Consultant, Fellow, goods, specimens) to Resident, Student, be transported by a Research Staff, Healthcare public carrier? THE PI IS ALWAYS Operations only, Access to CONSIDERED AN INVESTIGATOR FOR COI PURPOSES.
de-identified data only, Specimen shipment, etc. INVESTIGATOR FOR COI PURPOSES. SUNY Downstate NYC +HH, KC Other: Yes No Yes No Yes No SUNY Downstate NYC +HH, KC Other: Yes No Yes No Yes No SUNY Downstate NYC +HH, KC Other: Yes No Yes No Yes No SUNY Downstate NYC +HH, KC Other: Yes No Yes No Yes No SUNY Downstate NYC +HH, KC Other: Yes No Yes No Yes No SUNY Downstate NYC +HH, KC Yes No Yes No Yes No SUNY Downstate NYC +HH, KC Other: Yes No Yes No Yes No a. Name & degree b. Role(s) on Project. Examples: Principal Investigator, Coordinator, Consultant, Fellow, Resident, Student, Research Staff, Healthcare Operations only, Access to c. of employment REMINDER: is also required for all NYC H+H research. d. Will this person be obtaining verbal or written Informed Consent/Authorization e. Is this person an “Investigator for the purposes of COI reporting”? THE PI IS ALWAYS CONSIDERED AN INVESTIGATOR FOR COI PURPOSES. f. Will this person aid the shipment of hazardous materials (e.g., dangerous goods, specimens) to be transported by a public carrier?
ApplicationforProgressReport07.18.2017.docx