Required Forms for Initial Submission |
| Institutional Application for non-clinical trials | *Required for all submissions |
| Inst M - Personnel Form | *Required for all submissions (except for VA only studies) |
| Form B-3 - Exempt Request - General Information Sheet | *Required for all submissions |
| Form M - Proposed data collection instrument(s) | *Required If Applicable This is not an IRB template. Include the proposed data collection instrument(s) [used to record data (i.e., CRF, Excel spreadsheet, survey, questionnaire)] with your submission. |
| Form A - Signature Assurance Sheet | *Required for all submissions Please note: Assure that both the PI and the PI’s chair sign this form or we will not be able to accept the submission. The PI cannot be the same as the chair due to the that presents. How to digitally sign Adobe forms. |
Billing / Payment Forms - Submit as applicable |
| Billing Grid | This is not an IRB template. Submit if any are being used to provide conventional patient care or procedures. |
| Participant Payment Plan Form | Submit if you plan to pay subjects. |
| Study Budget | This is not an IRB template. Include (if applicable) with your submission. |
| Agreement | This is not an IRB template. Include (if applicable) with your submission. |
Related Forms - Submit as applicable |
| Form D-IS (Information Sheet) | Submit this form if applicable to your .
Template to use when developing information sheet. Differs from in that it does not contain a signature section. |
| Telephone Script | This is not an IRB template. Include (if applicable) with your submission. |
HIPAA (Health Insurance Portability and Accountability) - Submit as applicable |
| Form J - HIPAA Waiver of | Submit this form if applicable to your . |
Collaboration - Submit as applicable |
| Form K-2 - Intent to Rely Form | Submit this form if applicable to your .
This form should be to document centralized IRB review under a Broad or Reciprocal agreement. This form helps to ensure any outstanding concerns or requirements by the Deferring Site are addressed before the study is approved by the . |
Advertisements Technology Instruments - Submit as applicable |
| Form L - Proposed advertisement(s) | This is not an IRB template. Include the proposed advertisements (any type for recruiting) (if applicable) with your submission.
See Guidelines for Advertising |
| Form L-1 - Find a Study Website | Submit this form if applicable to your .
Complete if you wish the study to be posted on the Find a Study website. |
| Form NN - Use of Technology in | Submit this form if applicable to your . |
| Form NN - Use of Technology in (Redcap) | Submit this form if applicable to your .
This is a PRE-POPULATED form for eConsent using UTHSA Redcap. |
| Schedule of Events | This is not an IRB template. Include (if applicable) with your submission. |
Other Materials - Submit as applicable |
| Form AA - Grant Application | This is not an IRB template. Include (if applicable) with your submission. |
| Form BB - 's | Not often used in Exempt submissions. This is not an IRB template. Include the (if applicable) with your submission. |
| Form BC - Template Form | Not often used in Exempt submissions. Submit this form if applicable to your . |
| Form HH - Mays Cancer Center Review Committee | This is not an IRB template. Include (if applicable) with your submission. |
| Form X - Related (COI) Report | Submit this form if applicable to your .
See HOP Conflicts of Interest in Scholarly, Research, and Clinical Activity, HOP Conflict of Commitment, and HOP Institutional Conflict of Interest Policy as applicable. |
| Letters of Support or Memorandum of Understanding for Off-site | This is not an IRB template. Include (if applicable) with your submission. |
