● The Request for Review form also serves as a Request for Determination form.
● The Request for Review form must be typed.
● Answer all questions completely on the request form.
● The Request for Review form must be signed by the Principal Investigator. If the Principal Investigator is a student, the student’s advisor must also sign it.
● If the proposed research is externally funded, provide the grant or contract title and funding agency.
● Attach the PI’s Human Research Training Completion Certificate. If PI is a student, attach the advisor’s Human Research Completion Certificate.
For studies where information is collected from subjects using questionnaires, interviews, or surveys.
Attachment list
● Consent Forms and/or Assent Forms (for children between the ages of 7 and 17) – *If no consent form will be used, clearly explain how the informed consent process will work. If a waiver of the consent form will be requested, clearly explain the circumstances for the request according to the federal regulations available in the Code of Federal Regulations, 45 CFR 46.116, http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html#46.116.
● Site Letter of Permission of Support (if any of the research is conducted at a location other than Philander Smith College)
● Recruiting Material (recruiting scripts, flyers, announcements, etc.)
● Questionnaire, survey, etc. – If the survey will be administered electronically, submit screenshots of the finished questionnaire(s)/ survey instrument(s).
● Collection of data may not begin until the PSC HSRB gives formal approval.
● The submission (protocol and as many of the attachments as possible) must be in digital pdf format and be searchable. Scans do not fit this criteria.
For more information, contact the IRB Administrator at ________, HSRB@philander.edu.
