Fillable Instructions: This form should be completed when all (Broward College)

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Instructions: This form should be completed when all (Broward College)

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The Instructions: This form should be completed when all (Broward College) form is 2 pages long and contains:

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  • 4 check-boxes
  • 19 other fields

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Instructions: This form should be completed when all aspects of the research proposal have been concluded. This means
data collection has ceased, participants are no longer being enrolled, no follow-ups with participants are planned, data is
no longer being coded or analyzed, and manuscript preparation that requires the use of personal indefinable information
is complete.
Section I General Study Information
Title of Study:
IRB Protocol #:
Approval Date:
Name of Primary Investigator (PI):
Email:
Phone:
Name of Co-Investigator (if applicable):
Email:
Phone:
Section II Research Status
Total number of participants who enrolled in the study:
Total number of participants who withdrew from the study:
Total number of participants data/information was collected from:
Since the last IRB review, have any unanticipated problems or adverse events occurred that have not been reported
to the IRB?
☐
Yes
☐
No
If yes, please summarize these events:
Since the last IRB review, has any relevant information been revealed that may have altered the level of risk to
participants?
☐
Yes
☐
No
If yes, please explain:
IRB RESEARCH CLOSURE FORM
IRB-RCF – (9/14) Page 1 of 2
Section III Research Progress
Please provide a brief summary of the study results (you may attached a final report, if available):
Section IV CERTIFICATION
I certify that the approved research protocol is complete and should be closed. I understand that the closure of this
research protocol means that no further data collection, follow-up with participants, coding of data, data analysis,
and manuscript preparation that requires personal indefinable information may be conducted. I agree to retain all
research materials for at least 3 years after closure of the research project and acknowledge that these documents
may be subject to review by the IRB, if deemed necessary.
PI name:
PI signature:
Date:
Supervisor name (if applicable):
Supervisor signature (if applicable):
Date:
Completed IRB Research Closure Forms should be submitted to irb@broward.edu
.
IRB-RCF – (9/14) Page 2 of 2
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Instructions: This form should be completed when all (Broward College)

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Completed 18 August 2020

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