Social & Behavioral Research: Forms & Consent Templates
This section contains all of the forms and consent templates that apply to investigators from:
• Business
• Education
• Engineering
• Humanities & Sciences
• Law
*Please note that when creating a protocol for IRB submission, these investigators need to select the Non-Medical eProtocol Application category.
* Any study that involves the collection and analyses of human biological specimens and/or Protected Health Information (PHI) will need to be submitted on the Medical eProtocol application.
For questions, please contact the Non-Medical IRB Panel Staff. If you are having trouble accessing these forms, please ask IRB Education (email or call 650-724-7141) to have them sent to you.
The consent/assent form should be in a language that is understandable to someone without a scientific background. Please use the Microsoft Readability Statistics tool as needed when writing your consent form.
Templates:
|
Consent
|
05/2023 |
|
Research Information Sheet - Use for Waiver of Documentation
|
05/2023 |
 |
docx
05/2023 |
|
Parent or Legally Authorized Representative Permission
|
docx
05/2023 |
|
Video Use Consent
|
doc
05/2023 |
|
Assent – under 18
|
doc
05/2023 |
|
Telephone Screening of Potential Subjects
• Sample Phone Screen Level 1a • Sample Phone Screen Level 1b |
|
|
Oral Consent Script
|
docx
05/2023 |
Other Forms:
|
Human Subject Research (HSR) Determination Form
|
|
|
Letter of Agreement - for research in cooperation with other organizations
|
|
|
Social Behavioral Initial Submission Checklist
|
|
|
Review of Scientific and Scholarly Validity, and Oversight (by Academic Sponsor)
|
|
|
Review of Scientific and Scholarly Validity (by Dept Chair or School Dean)
|
|
eProtocol Forms:
|
International Research Supplemental Questions – research outside the US
|
|
|
DOE-supported research: Protection of Personally Identifiable Information (PII) [Form APP-14]
|
|
|
Blank eProtocol Application Forms
|
|
|
New, Modification, Continuing Review (These are for informational purposes only) |
|
|
eProtocol is used to submit:
• New Protocol applications - see examples above. - Complete and attach supplemental required attachments as needed (see above) • Modifications to approved protocols (need prior IRB approval to implement). • Continuing Review applications. • Reports unanticipated problems, events/information requiring prompt reporting. • Final Reports (not required for Exempt research). |
|