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Social & Behavioral Research: Forms & Consent Templates

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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:

   Consents  
        See consent template updates for recent changes
Consent

05/2023

Research Information Sheet - Use for Waiver of Documentation

05/2023

New

Exempt Research Information Sheet

docx 
05/2023
Parent or Legally Authorized Representative Permission
docx 
05/2023
Video Use Consent
doc 
05/2023
   Assents, phone screens, scripts  
        See consent template updates for recent changes
Assent – under 18
doc 
05/2023
Telephone Screening of Potential Subjects 
  • Sample Phone Screen Level 1a 
  • Sample Phone Screen Level 1b
• Guidance 
• Screen1a 
• Screen1b
Oral Consent Script
docx 
05/2023

Other Forms:

    HS Research Determination; Other
Human Subject Research (HSR) Determination Form
Letter of Agreement - for research in cooperation with other organizations
Social Behavioral Initial Submission Checklist

 

    Scientific Review
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:

   Required Attachments
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)
• New:  
    -Regular  
    -Expedited 
    -Exempt 
• Mod 
• Continuing Review

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).