THE GEORGE WASHINGTON UNIVERSITY
Office of Human Research- Institutional Review Board
ohrirb@gwu.edu
Phone: 202-994-2715
http://humanresearch.gwu.edu/
International/Non-English Speakers Supplement (HRP-293)
IRB # (if already assigned, otherwise leave blank--will be assigned upon submission):
STUDY TITLE:
PI NAME:
VERSION DATE, IF APPLICABLE:
1. If Non-English speakers will be targeted for enrollment, will the consent be
translated into the local language(s)?
N/Aparticipants will all speak English
Yes Please submit translated document(s) in the non-English language; and
certification of translation with the credentials of the translator.
No  explain why the consent document will not be translated into the local
language:
2. International research:
2a. Please thoroughly describe the local laws and regulations the IRB should
consider in its review of the study being conducted at a foreign site.
2b. Is this study also being reviewed by a local ethics committee familiar with the
laws/ethical codes that might apply to the country?
N/Aall research taking place is U.S.
No please explain:
Yes  please describe this review:
2c. Please provide the name, contact information, and credentials of someone that is
unaffiliated with your research but is familiar with the laws/ethical codes in the
country so that the IRB can consult with them if there are questions or concerns
about the risks to participants.
International /Non-English Speakers Supplement (HRP-293)
V.4/23/15