CONTINUING REVIEW OF APPROVED
RESEARCH FORM
Southern Utah University
Institutional Review Board
CONTINUING REVIEW OF APPROVED RESEARCH FORM
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Name of Principal Investigator E-mail
Phone Number Department
College/School
Faculty Supervisor (If Applicable) E-mail
Phone Number Department
College/School
Project Title
Original Approval Date
Status of Research Project was:
Exempt Expedited Full-board Review
PROTOCOL SUMMARY: Summarize in 100-250 words what you set out to find and how
you went about doing it.
Status Report: Check All that Apply
All date have been collected
Data are still being collected
Some of the date have been analyzed
None of the data have been analyzed
The results are in the process of being prepared for presentation or publication
The results of the study have been presented or published
The results of the study will not be presented or published
Total number of subjects tested to date Number of subjects who remain to be tested
Problems/Adverse Events
No problems/adverse events have occurred
One or more problems/adverse events have occurred
If There Were Problems/Adverse Events
All have been reported to the SUU IRB
One of more problems have not been reported to the SUU IRB (Please complete and
attach the Human Subjects Incident Report Form)
Have any unanticipated problems surfaced which could affect the risk to participants or others?
No Yes
If Yes, please describe 1, what these problems are; 2, in what way they could affect risk levels;
and 3, for whom:
Relevant Literature/Findings:
Describe any recent literature or findings since the last IRB review which may affect participants’
willingness to participate, risks, and/or vulnerability status. If any of the proposed changes
increase the risk level and/or increase participants vulnerability status, you must provide explicit
rationale and justification for the change, and a means by which the effect of these changes
may be minimized. This information must be included in the informed consent document/script.
Changes to Project:
Indicate which of the following changes (modifications or addendum) you would like to make, if
any.
No changes requested
Project personnel-If new PI or Faculty Supervisor IRB Training Certificate must be
attached or on file.
Test Location- If off campus permission letter from site must accompany this application
Testing material or apparatus
Incentives/compensation for participation
Procedures
Informed consent
Other: please describe
For each change requested above, indicate what/how you proposed initially (i.e. that which was
approved) and the modifications/addendum you would now like to make. For each change,
address what if any impact the change might have on a) risks and benefits to the participants
and others, and b) the vulnerability status of participants.
Informed Consent:
Paste or attached a printed clean copy of the currently approved informed consent document/script
and the proposed document/script.
If informed consent requirements were previously waived by the IRB committee, summarize the
reason(s) below.
The information provided in this report is accurate to the best of my knowledge. I assure the IRB
that my work involving human participants has been conducted in accordance with policy 6.20 of
Southern Utah University, and within the previously approved protocol and conditions, if any,
imposed by the IRB.
I agree with the above statement
Principal Investigator's Signature (Typed Signature) Date
Faculty Supervisor's (Typed) Signature (If Applicable)
Please submit this form via email to irb@suu.edu along with any applicable
attachments or supplemental materials.