30Jan2015 JHSPH IRB Review Form NIH Genomic Data Sharing Policy Principal Investigator: Grant No.: Grant Title: Review date: IRB No: The proposal to submit genome-wide association studies, genome sequence, single nucleotide polymorphisms arrays, transcriptonic, metagenetic, epigenomic and/or gene expression data from JHSPH IRB No. ___________ to the NIH-designated genomic data repository <<insert repository name>> to ensure broad and responsible sharing of genomic research data generated from NIH-funded research perform GWAS has been reviewed, and the following determinations made: The data submission is consistent with applicable national, tribal, and state laws and regulation as well as JHSPH institutional policies. Risks, if any, of identification or stigmatization of individuals, their families, groups, or populations that might result from placing the data in the NIH repository are minimized to the extent possible. The Principal Investigator plans to de-identify the data according to the standards set forth in 45 CFR 46.102(f), as those standards have been interpreted by the federal Office of Civil Rights as of the date of this certification, and will remove all of the HIPAA identifiers enumerated in 45 CFR 164.514(b)(2), provided, however, that DNA sequence information will not be removed. If relevant, Johns Hopkins does not certify that the whole genome or whole exome sequence data are de-identified, but permits these data to be submitted to NIH under a waiver of HIPAA authorization granted to the Principal Investigator because the IRB believes that the dbGAP or other NIH-designated genomic data repository data access policies and procedures are adequate protections for the identifiers Provided that the data are collected in accordance with a consent form approved by the IRB for this purpose and describing the dbGAP or other NIHdesignated genomic data repository, the submission of data to the data repository and subsequent sharing for research purposes are not inconsistent with the informed consent of study participants from whom the data were obtained [or from whom data will be obtained]; Provided that the investigator follows the data collection plan and standards described in the above-referenced research proposal, the investigator’s plan for de-identifying datasets will be consistent with any standards articulated in that proposal 1 The consent forms approved by, or to be approved by, the Johns Hopkins University School of Public Health IRB for the above-referenced studies at Johns Hopkins will not preclude Johns Hopkins from submitting de-identified data to the NIH dbGAP or other NIH-designated genomic data repository unless data submission to an NIH-designated data repository is not appropriate and falls under the Exceptions provision in the NIH Final Genomic Data Sharing Policy The genotype and phenotype data collected by the investigator directly from participants will be obtained in a manner consistent with the requirements of 45 CFR Part 46 as of the date of this certification. Comments (if applicable): _______________________________________ Print Reviewer Name Signature of Reviewer: Date: 2