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Social and Behavioral Committee (IRB-C) Forms
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If you have any questions or comments, contact:
David Blanco
Project Coordinator
Social & Behavioral Committee (IRB-C)
Email: cdb36@georgetown.edu
Phone: (202) 687-6553
Fax: (202) 687-4847
Submit completed IRB forms to:
IRB Office
Medical-Dental Building, Room SW 104
3900 Reservoir Road NW
Washington, DC 20057-1005
Expected review time:
All expedited review submissions* take 2-3 weeks from the date of the receipt of a complete application. They are processed and sent for review on a rolling basis so they do not depend on meeting dates or deadlines in any way. Note that this time frame re-starts with each separate expedited review submission (for example, an initial review application and a response to contingencies are two separate submissions).
* Includes initial applications, exemption requests, responses to contingencies, and amendments or modifications.
Full board review submissions take anywhere from 4-8 weeks depending on how close to the submission deadline an application is received. If a full board submission is approved with contingencies, the response submission will be reviewed via an expedited review process; a full board submission that is deferred will be sent to a subsequent full board meeting.
Please plan your submissions accordingly. Do not assume that the IRB will not have contingencies when calculating approximate approval time.
If you have a specific date by which you need approval, include a memo with your submission that provides and explains the deadline. However, if you fail to allow enough time for review, the IRB cannot guarantee approval before that deadline.
In exceptional situations, the IRB may fast-track an expedited review but this is not standard practice nor should you assume that this will be done for any given submission; if you unexpectedly require urgent IRB approval, please contact David at cdb36@georgetown.edu to explain the situation and request assistance. Note that a failure to properly plan does not constitute exceptional circumstances.
NOTE: No handwritten forms will be accepted.
ALL FORMS MUST BE TYPED.
Is IRB review required? Informational Worksheet This is an informative worksheet to help you determine whether your project requires IRB review.
Do not submit this form to the IRB. |
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IRB-C Application Forms
| Human Subjects Protection Training
Note: Proof of training must be submitted for everyone working on the study who will have access to participants or to study data (including student research assistants) at initial and continuing reviews. |
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IRB-C Informed Consent Form Templates
You should use an informed consent form (ICF) when you plan to document informed consent, that is, to collect signed ICFs from all participants. If you plan to collect participant names or identifying information at any point during the research, you should use one of the below ICF templates.
You should also use a (parental) ICF if you plan to conduct research with minors. When you use a parental ICF, you should also use a minor assent form (AF). Templates for parental ICFs and minor AFs are also below.
If you are conducting research that involves both interview and survey research (or neither), you should still use the below ICF templates as a guide but modify them as necessary to be relevant to your research.
ICF Interview (Not Anonymous)
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ICF Survey (Not Anonymous)
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ICF Greater than minimal risk
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Parent for Minor ICF Interview (Anonymous)
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Minor AF Interview (Anonymous)
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Parent for Minor ICF Interview (Not Anonymous)
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Minor AF Interview (Not Anonymous)
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Parent for Minor ICF Survey (Anonymous)
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Minor AF Survey (Anonymous)
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Parent for Minor ICF Survey (Not Anonymous)
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Minor AF Survey (Not Anonymous)
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Parent for Minor ICF Greater than minimal risk
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Minor AF Greater than minimal risk
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IRB-C Informed Consent Script Templates
You should use an informed consent (IC) script when you do not plan to document informed consent. If you use an IC script, you need to request a waiver of IC documentation, that is, a waiver of the requirement to collect signed ICFs from all participants. If you do not plan to collect participant names or identifying information at any point during the research, you should (1) request a waiver of IC documentation in your C-1 form and (2) use one of the below IC script templates.
The IRB may waive the requirement for documentation of informed consent (i.e. for the investigator to obtain a consent form) if either:
(1) The only record linking the subject and the research would be the consent document and the principal risk would be potential harm resulting from a breach of confidentiality; or
(2) That the research presents no more than minimal risk of harm to subjects and involves no procedures for which written consent is normally required outside of the research context.
More information about waivers of IC documentation can be found at 45 CFR 46.117(c).
If you are conducting research that involves both interview and survey research (or neither), you should still use the below IC script templates as a guide but modify them as necessary to be relevant to your research.
IC script Interview (Anonymous)
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IC scrip Survey (Anonymous)
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IRB of Record Forms
If another institution is going to the primary reviewing IRB (i.e. the IRB of Record) for your study, you should fully fill out and submit 2 copies of the below IRB of Record form. Further instructions are found on the form itself.
If you are working with another institution but the GU IRB will be the IRB of Record, contact the other institutions IRB to find out what their requirements are for such a procedure.
Though it depends on the exact institution with which you will be working, it is possible that you will also need to submit 2 copies of the FWA Authorization Agreement below.
IRB of Record Form
Updated June 7 2011 |
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FWA Authorization Agreement
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