Institutional Review Board (IRB)
Office of Regulatory & Research Compliance
MSC 309 - (Phone) 437-3850 (Fax) 437-3855
orrc@albany.edu
External Investigator Agreement
University at Albany - FWA 00001970
11.01.13
NAME:
TITLE (AT HOME INSTITUTION)
HOME INSTITUTION:
ADDRESS:
PHONE:
FAX:
EMAIL:
ROLE IN RESEARCH PROJECT:
UALBANY PI NAME:
STUDY #
STUDY TITLE:
This agreement outlines the responsibilities between the above named individual, the University at Albany (UAlbany) and the
responsible Institutional Review Board (IRB), and UAlbany Principal Investigator (PI) of the above named study at UAlbany.
External Investigator Certifications:
1.
I understand that I will be engaged in human research whenever: (a) I intervene or interact with human subjects for
research purposes; or (b) obtain identifiable private information about human subjects for the above referenced project.
2.
I accept responsibility for safeguarding the rights and welfare of each research participant I interact with on this project,
and I understand that the participant’s rights and welfare must at all times come before the goals and requirements of the
research.
3.
I have completed the Collaborative Institutional Training Initiative (CITI) Program Human Subjects online educational
modules (https://www.citiprogram.org/).
4.
I will conduct the research as approved by the IRB and I will not make any changes in the research without prior IRB
review and approval, except where necessary to eliminate apparent immediate hazards to participants.
5.
I will report immediately to the PI any unfavorable occurrence or unanticipated problems involving risks to participants or
others in research covered under this Agreement.
6.
If I am responsible for enrolling participants, I will obtain, document, and maintain research records of informed consent
from each participant or the participant’s legally authorized representative following the methods described in the
approved project. Upon conclusion of the study, these records will be transferred to the PI for appropriate maintenance
and storage.
7.
I will promptly report to the PI, IRB, or the institutional official listed below any noncompliance with the standards or
requirements reference in this Agreement, whether by the Investigator, any co-investigators, research staff, or others,
regardless of fault or intent.
8.
I will abide by all determinations of the IRB and provide all information requested by the IRB or the PI in a timely manner.
9. I will provide the names of any individuals engaged in the research who are working under my direction to the PI and the
IRB.
Individual (external) Investigator
University at Albany Institutional Official
Signature:
______________________________________________
Signature: ________________________________________________
Date:
_______________________________________________
Date:
________________________________________________
ADRIENNE D. BONILLA, ESQ., ASSISTANT VICE PRESIDENT FOR RESEARCH,
OFFICE OF REGULATORY & RESEARCH COMPLIANCE
UNIVERSITY AT ALBANY, 1400 WASHINGTON AVE, MSC 309,ALBANY, NY
12222
ABONILLA@ALBANY.EDU, 518-437-3850