The University of Toledo
Department for Human Research Protections
Social, Behavioral & Educational IRB
Phone: 419-530-2844 Fax: 419-530-2841
Biomedical Institutional Review Board
Phone: 419-383-6796 Fax: 419-383-3248
(FWA 00010686)
ATTACHMENT B.
Research Protocol
Changes
UT Reference #
Request to Make Changes to a Research Protocol
For IRB office use.
Principal Investigators must complete and submit the Change Request Cover Sheet with this attachment.
Type of
Change
Current Approved
Protocol Version
Date & Number
Update/Change
Version Date &
Number
Description of Change(s) requested.
Must be identified in the protocol itself as well as on this form
Does this necessitate
a Revised Consent?
If so, complete
Attachment D.
Increase
number of
subjects
Yes
Add new
procedures
Yes
Delete
current
procedures
Yes
No
No
No
Yes
Editorial
Changes
No
Yes
Other
No
If this is a funded/sponsored project, please also inform the Research & Sponsored Programs office at 419-383-4252 of these changes.
Attachment B. Change Protocol
Version 06/2007
Page 1 of 1