Rev. November 16, 2017
TowsonUniversityInstitutionalReviewBoard
AnnualReviewNotice
PrincipalInvestigator:__________________________________Protocol#______
_____________
ProtocolTitle:_____________________________________________________________________
LastApprovalDate:__________________ExpirationDate:______________________
Note: A progress report must be submitted with this form. PrincipalInvestigatorsarerequiredto
assuretheconfidentialityofalldataandanybreachofconfidentialitymustbereportedtotheIRB.
ProjectStatus(Checkallitemsthatapply):
a.
INACTIVEnofurthercontactwithhumanparticipantsorrecordsarerequired:
____Originaldataand/orresearchmaterialhavebeendestroyed
____Thelinkagesbetweenexistingdataandoriginalsourceofinformationhavebeen
destroyed.Noindividualscanbeidentifiedfromexistingdata.
____Thedatawithidentifierswillberetainedsubmitaseparatememorandu
mindicatingwhy
suchdatawillberetaine d, whereandforhowlong.Annualreportswillberequired.
b.
ACTIVEcontactwithhumanparticipantsisstillrequired
____subjectinterviewsarestillrequired
____dataarestillbeingcollectedfromrecordsorothersources
____dataarestillbeinganalyzed
____originalproceduresforprotectinghumansubjectsarestillineffect.Attachthecurrent
informedconsent.
YesNo Attachadditi
onalinformationforallitemsmarked“Yes”

Evidencefromyourexperiencetodateorfromrecentliteratureindicatestheexistenceof
risksdifferentfromthosepreviouslydescribed
Hasthestudyhasbeenactiveforthreeyears?
Havetherebeenanywithdrawalofparticipantsfromtheresearch?
Havetherebeenanycomplaintsabouttheresearch?
Whatisthenumberofsubjectsaccruedthisyear?
Whatisthenumberofsubjectsaccruedsincethestudybegan?
InvestigatorSignature:__
______________________________Date:__________________________
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