University of Texas of the Permian Basin IRB Project Update Form

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University of Texas of the Permian Basin
IRB Project Update Form
Please complete this form and return it to: IRB chair Dr. Jamie Hughes, Department of Social Sciences OR to:
irb_chair@utpb.edu (Email from Principal Investigator will be accepted in lieu of signature.)
Existing IRB Application
IRB reference no.:
Principal
investigator:
Title of
approved study:
Date originally approved
Faculty supervisor
(if applicable):
Reason for Updating Project
Enter an “X” for each condition that applies to your project. Please explain each change and attach
documentation as needed. For electronic submission, append revised forms to this document and submit as one
file.
Continuing project beyond original one-year IRB approval term with no protocol changes and no personnel
changes.
Please provide a justification
for continuing this project.
Removing or adding personnel
All new investigators must have a current NIH training certificate on file with Graduate Studies.
Names of personnel removed:
Names of personnel added:
Changing participant recruitment or data collection method
Please describe all changes in detail. Attached revised versions of the consent form to this application.
Recruitment:
Data collection
(including online to in-person)
Consent forms
Data security and storage
Changing study protocol other than recruitment or data collection
Please describe all changes in detail and attach revised survey instruments, interview protocols, and other documents.
Changes to risk
Include risks to participant,
investigator, and UTPB.
Changes to population
Changes to instruments
Changes to study design
Other
Signature of principal investigator(s)
Date
Signature of faculty supervisor (if applicable)
Date
For IRB use only
Signature of IRB Chair
Chair’s Comments:
Date
Approved
Updated IRB ref. no.
IRB Update Form Rev. 11/01/13
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