Yale University Institutional Review Boards 100 GD.9 Guidance on Exemption from IRB Review Overview Federal regulation and Yale IRB policy acknowledge that certain federally prescribed categories of research under 45 CFR 46 and 21 CFR 56 pose little risk to participants and hence do not require continuing oversight by the IRB. In addition to these categories, Yale University has departed from federal regulations by creating a new Exemption Category 7 as an extension of existing category (b)2 for privately funded or unfunded projects involving response to non-physically invasive stimuli. Additional exemptions may be considered, or additional flexibility in applying exemption categories may be considered, for non-federally sponsored research that poses little or no risk to subjects for which another institutional oversight mechanism is better designed. Research which is limited to one or more of the exemption categories may be reviewed by the IRB or its designate(s) and deemed exempt from approval and oversight by the IRB. Once the IRB or its designate has determined that a project qualifies for exemption, no additional oversight is required by the IRB except in cases where the study is to be modified in a way that would change the applicability of the exemption determination, or when there are unanticipated problems involving risks to participants or others. Submission Process The HRPP website (both biomedical and social and behavioral Forms and Templates pages) provides a Request for Exemption Determination form: http://www.yale.edu/hrpp/forms-templates/index.html. Principal investigators should complete the questions only for the category(ies) the under which the request may qualify and delete all other categories. The request form, the consent script and any interview questions, questionnaires, assessments, and measures (if applicable) must be submitted to the IRB for review. Biomedical submissions should be submitted to hrpp@yale.edu. Social, behavioral and educational requests should be submitted to human.subjects@yale.edu. IRB review is not necessary again for a project once the exemption is granted UNLESS there are specific changes being made to the project that may change its exempt nature. Changes to the exempt project Changes that require submission to the IRB prior to implementation: Examples of changes that must be submitted (with tracked changes) for prospective IRB review are: Changing data collection methods from anonymous information to identified, or asking about new, potentially harmful information (e.g., asking about child abuse, immigration status, etc.), Revising the kind of contact with human subjects (e.g., from no direct intervention with subjects to face-to-face interviews), Adding prisoners or children as research participants, Adding a new research site (if the exemption is federally funded) that would require review by another IRB, Adding questions to surveys/interviews that could increase the risk to subjects, Adding federal funding to a category 7 exemption Adding a prospective collection of data to a category 4 exemption Changes that do not require submission to the IRB prior to implementation: Examples of changes that do not need to be prospectively reviewed by the IRB and should be submitted as notifications after implemented with attachment of the updated (tracked changes) documents only are: Personnel changes including Yale students, faculty or staff, 100 GD.9 – Exemptions Adding questionnaires/assessments/measures that contain minor modifications or a question that does not involve risk or could cause potentially lead to the identity of a subject, Adding a research aim that does not substantively change the intent or scope of the study or increase the risk to subjects, Making minor updates to the exemption request or consent script that do not change the scope of the study or the plan to keep subjects’ identities and their data confidential. Categories of Exempt Research Exemption determinations rely on an understanding not only of federal regulation and university policy, but also on current federal guidance and industry best practice standards; hence determinations of exemption status are made by the IRB or specially trained IRB designates. This document provides guidance on applying the exemption categories to human research. Additional federal guidance is available at http://www.hhs.gov/ohrp/policy/checklists/decisioncharts.html 45 CFR 46.101(b)(1) Educational Research Educational research may qualify for exemption if the project meets all of the following criteria: The research is conducted in commonly accepted educational settings. Commonly accepted education settings include school class rooms, university class rooms, museums, educational centers such as nature centers or music schools. The location should be such that the participants are aware that learning occurs there. The research involves normal educational practices such as research on regular or special education instructional strategies or research on the effectiveness of, or the comparison among, instructional techniques. Normal education practices include lectures, seminars, didactic sessions, workshops, and standardized testing. The educational practices involved in the research, while they may be innovative, should not be outside the nature and/or scope of methods used in standard education. The goal of the research is to improve aspects of education such as improvement of student understanding, educational performance, ability to function productively in the class room, etc. The research is not regulated by the Food and Drug Administration (FDA) and does not involve prisoners. Investigators should also be aware that school based studies may also invoke other regulatory requirements. In particular, academic records are subject to the Family Educational Rights and Privacy Act (FERPA) which limits the ability of schools to release student records without appropriate authorization. The Protection of Pupil Rights Amendment (PPRA) requires parental consent for surveys involving sensitive topics such as sexuality, illegal behavior, and political affiliations. 45 CFR 46.101(b)(2) Educational Tests, Interviews, Surveys and Public Observation1 Educational tests, interviews, surveys and public observation may qualify for exemption when the research meets the following criteria: 1 The research is limited to: o educational tests including cognitive, diagnostic, aptitude and/or achievement, and/or o survey procedures, and/or o interview procedures, and/or o observation of public behavior. Additional, similar non-federally-regulated category 7 appears at the end of this guidance document. 7/1/15 Page 2 of 5 100 GD.9 – Exemptions The information collected is anonymous or, if identifiers are kept, the information collected does not pose a risk of criminal or civil liability or could be damaging to the participants’ financial standing, employability, or reputation if the information was disclosed. o Note that these criteria allow sensitive information to be collected if the information can not reasonably be associated with the identities of participants. Ability to identify participants is determined based on the type and extent of information collected. For example, in a small population, a sufficient amount of demographic information even without name, social security number or address, may still be considered to be identifiable. o Also note that potential for disclosure includes both intentional disclosure by the investigator (e.g., publication) as well as unintentional disclosure such as a breach of data security. In this exemption category, whether or not the data will be disclosed or protected from disclosure is irrelevant to the determination as to whether there is a risk of harm from such a disclosure. May involve children only if the research is limited to public observation and the investigator does not interact with the children. Is not regulated by the FDA and does not involve prisoners. Does not involve the Psychology subject pool operated by Yale University. Research deemed exempt under this category must still conform to Health Insurance Portability and Accountability Act (HIPAA) requirements if the data is collected from a HIPAA covered entity or the research will be conducted by University personnel subject to HIPAA. In particular, note that the criteria for the ability to identify participants here do not require full de-identification under HIPAA. Research may still be considered “anonymous” and hence exempt under this category while including some of the HIPAA identifiers. Thus the researcher may be required to request that the IRB issue a waiver of HIPAA authorization when the data is deemed personally unidentifiable under the Common Rule (45 CFR 46) but not de-identified in accordance with HIPAA. 45 CFR 46.101(b)(3) Educational Tests, Interviews, Surveys and Public Observation not Qualifying for Exemption (b)(2) but Involving Public Officials, Candidates for Office, or Statutorily Protected Information Educational tests, interviews, surveys and public observation may qualify for exemption when the research meets the following criteria: The participants are limited to (i) elected or appointed public officials or candidates for office, or (ii) there are federal statute(s) which require without exception that the information collected will be maintained confidentially throughout the research and thereafter. The research is limited to: o educational tests including cognitive, diagnostic, aptitude and/or achievement, and/or o survey procedures, and/or o interview procedures, and/or o observation of public behavior. Is not regulated by the FDA and does not involve prisoners. 45 CFR 46.101(b)(4) Existing Publicly Available or Anonymous Data Sets or Specimens Research involving existing data or specimens may be deemed exempt if the following criteria are met: 7/1/15 Data are limited to data, documents, records, pathological specimens and/or diagnostic specimens which are currently in existence at the time the research is proposed. No additional Page 3 of 5 100 GD.9 – Exemptions future data or specimen collection may be involved in research qualifying for this exemption category. The data is either publicly available or the data will be recorded by the investigator such that participants can not be identified either through collection of identifying information or through a code linking the data to the participants’ identities. Data may be identifiable at the time of access but must be recorded by the investigator without inclusion of any identifiers. Is not regulated by the FDA. Does not involve prisoners, was not collected from individuals while they were imprisoned or include individuals known to currently be imprisoned. Research deemed exempt under this category must still conform to HIPAA requirements if the data is collected from a HIPAA covered entity or the research will be conducted by University personnel subject to HIPAA. In particular, note that the criteria for the ability to identify participants here is not the same as de-identification under HIPAA so exempt research may still require that the IRB issue a waiver of HIPAA authorization, if applicable. 45 CFR 46.101(b)(5) Public Benefit or Service Programs The exemption for research and demonstration projects examining public benefit or service programs requires that the project meet the following criteria: The research is designed to study, evaluate or otherwise examine a public benefit or service program, such as: o The program itself, or o Procedures for obtaining benefits or services under the program, or o Changes or alterations to those programs, or o Changes in methods or levels of payment for benefits or services under the program(s). The program to be studied must deliver either: o A public benefit such as financial or medical benefits under the Social Security Act, or o A public service such as social, supportive, or nutrition services under the Older Americans Act. The research or demonstration project must be conducted pursuant to specific federal statutory authority, or if not a federally funded project, pursuant to specific authority of the funding source. In either case, the authority must concur with the exemption determination. There is not a statutory requirement for IRB review. The research does not include any significant physical invasions or intrusions upon the privacy of participants. The research does not propose to collect data in addition to that which is necessary for the study, evaluation or examination of the public benefit or service program. Is not regulated by the FDA. Does not involve prisoners. 45 CFR 46.101(b)(6) Taste and Food Quality Studies evaluating taste and food quality or consumer acceptance studies of food and food products may be determined to be exempt if the following criteria are met: Only wholesome foods without additives are consumed, or The food to be consumed includes a food ingredient at or below the level and for a use found to be safe or includes an agricultural chemical or environmental contaminant at or below the level found to be safe by the Food and Drug Administration (FDA), Environmental Protection Agency (EPA) or the Food Safety and Inspection Service of the US Department of Agriculture (DOA). 7/1/15 Page 4 of 5 100 GD.9 – Exemptions Yale University Special Exemption Category 7: Research Involving Response to Non-Physically Invasive Stimuli In addition to the six federal exemption categories above, the University grants exemptions under the following seventh category for research that meets the criteria described below. This category is an extension of the above category b(2) and does not exist in the federal regulations under 45 CFR 46.101(b): Research in which participant interaction includes providing a response to non-physically invasive stimuli (e.g., reading/writing tasks, minimal risk non-invasive physical activities such as walking, talking and sitting, computer tasks, video games, viewing media, internet searches, etc.) or other normal public behavior such as playing carnival games or holding a cup of coffee may be determined by the IRB to be exempt if the following criteria are met: The research falls under the purview of the Yale University IRB, The research poses no more than minimal risk to participants, and The research does not include any of the following: 7/1/15 federal funding or federal training grants FDA regulated components procedures that would be considered biomedical based sponsor or other contractual restrictions clinical interventions prisoners as subjects children as subjects receipt of an NIH issued Certificate of Confidentiality to protect identifiable research data. 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