Work has ended on this project for the following reason(s):
Project completed – no further contact with human subjects is planned
Project never began and no human subjects were ever enrolled or tested
Project cancelled after it began for the reason(s) Please Describe.
Please provide a brief summary of the results found from this study:
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)
Reminder: The principal investigator is required by University and Federal Regulations to maintain
records of all correspondence relating to the use of human subjects in research. Copies of the SUU
IRB submission forms, notices of approval, and signed informed consent documents etc... must be
maintained in the investigator's records (or faculty supervisor if PI is a student). Copies of these
research records must be kept for three years after the close of a study, regardless of the reason for
closing the study. Studies that involve drugs or devices seeking FDA approval must be kept for two
years after the FDA has taken final action on the marketing application. All records of human
subject research are subject to inspection by federal authorities and the IRB.
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.
