UAS Institutional Review Board
Form 2: Request for Exemption
Title of Project: Click here to enter text.
PI: Click here to enter text.
Form 2 must be accompanied by Form 1 (Protocol cover sheet) and a research protocol in Word or PDF
format.
Most anthropological, behavioral, and educational research qualifies for exemption from the Federal
Policy for the Protection of Human Research Subjects because it poses no more than minimal risk.
Check ‘yes’ for any category below that you believe describes your research; check ‘no’ for all others. If
none of these categories describes your research, you do not qualify for exemption and must apply for
expedited or standard IRB approval. Note: research involving prisoners does not qualify for exemption.
YES NO
1. Evaluation or Comparison of Instructional Strategies or Curricula
Research conducted in established or commonly accepted educational settings and involving
normal educational practices. Ex: research on regular or special education instructional
strategies, techniques, curricula, or classroom management methods. [45 CFR 46 101(b)(1)]
2. Educational Tests, Surveys, Interviews or Observations
Research involving educational tests (cognitive, diagnostic, aptitude, achievement), surveys,
interviews, or observations of public behavior, unless: (i) information obtained is recorded in a
way that permits human subjects to be identified directly or through identifiers linked to the
subjects; and/or (ii) disclosure of subjects’ responses could damage the subject financially, affect
employment or reputation, or place the subject at risk of criminal or civil liability. [45 CFR 46
101(b)(2)]
[This exemption cannot be granted for research involving children if that research uses surveys,
interviews, or observations of public behavior in which the investigators participate in the
activities being observed. This exemption may be granted for research involving children when
that research employs only educational texts or observation of public behavior in which the
investigators do no participate.]
3. Public Officials or Candidates for Public Office
Research involving educational tests (cognitive, diagnostic, aptitude, achievement), surveys,
interviews, or observations of public behavior that is not exempt under Category 2 (above) if: (1)
the subjects are elected or appointed public officials or candidates for public office; or (ii) federal
statute(s) require(s) maintenance of confidentiality of personally identifiable information. [45
CFR 46 101(b)(3)]
Form 2: Request for Exemption
ver. 012512, page 1 of 2
YES NO
4. Collection or Study of Existing Data
Research involving the collection or study of existing data, documents, records, or biological
specimens if these sources are publically available or if the information is recorded by the
investigator in such a manner that subjects cannot be identified, directly or through identifiers
linked to the subjects. [45 CFR 46 101(b)(4)]
5. Research and Demonstration Projects
Projects conducted by or subject to approval of federal departmental or agency heads and which
are designed to study, evaluate, or otherwise examine: (i) public benefit or service programs; (ii)
procedures for obtaining benefits or services under those programs; (iii) possible changes in or
alternatives to those programs or procedures; (iv) possible changes in methods or levels of
payment for benefits or services under those programs. [45 CFR 46 101(b)(5)]
6. Food Quality Evaluation and Consumer Acceptance Studies
This exemption may only be granted if the food contains (i) no additives; or (ii) all ingredients,
agricultural chemicals, and environmental contaminants in the food are at or below the levels
determined to be safe by the FDA or are approved by the EPA or the Food Safety and Inspection
Service of the USDA. [45 CFR 46 101(b)(6)]
Form 2: Request for Exemption
ver. 012512, page 2 of 2