Common Contracts
6 similar Irb Reliance Agreement contracts
IRB RELIANCE AGREEMENT REQUEST FORM UVA IRB-HSR to serve as IRB of RecordIrb Reliance Agreement • September 1st, 2023
INSTRUCTIONS AND INFORMATION: Relying Sites should only complete this request form AFTER the UVA IRB-HSR has approved the study locally. One form is to be completed for EACH institution that agrees to rely on the IRB-HSR. Submit the following documents to the Relying site for completion: IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record (complete UVA study information) Current approved IRB-HSR protocol, consent(s)/assent(s) (if applicable) Relying Site Local Context Template (Appendix A) -used to add local context to the UVA IRB approved consent/assent documents (TRACK CHANGES MUST BE TURNED ON) Submit the following documents to the UVA IRB to add a relying site Completed IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record Completed Modification Request form Tracked copy of the consent/assent which includes the relying site LOCAL CONTEXT information included. NOTE: See Page 6 for complete list of potential documents to be submitted t
IRB RELIANCE AGREEMENT REQUEST FORM UVA IRB-HSR to serve as IRB of RecordIrb Reliance Agreement • February 20th, 2023
INSTRUCTIONS AND INFORMATION: Relying Sites should only complete this request form AFTER the UVA IRB-HSR has approved the study locally. One form is to be completed for EACH institution that agrees to rely on the IRB-HSR. Submit the following documents to the Relying site for completion: IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record (complete UVA study information) Current approved IRB-HSR protocol, consent(s)/assent(s) (if applicable) Relying Site Local Context Template (Appendix A) -used to add local context to the UVA IRB approved consent/assent documents (TRACK CHANGES MUST BE TURNED ON) Submit the following documents to the UVA IRB to add a relying site Completed IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record Completed Modification Request form Tracked copy of the consent/assent which includes the relying site LOCAL CONTEXT information included. NOTE: See Page 6 for complete list of potential documents to be submitted t
IRB RELIANCE AGREEMENT REQUEST FORM UVA IRB-HSR to serve as IRB of RecordIrb Reliance Agreement • October 11th, 2022
INSTRUCTIONS AND INFORMATION: Relying Sites should only complete this request form AFTER the UVA IRB-HSR has approved the study locally and/or current modifications have been approved. One form is to be completed for EACH institution that agrees to rely on the IRB-HSR. Submit the following documents to the Relying site for completion: IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record (complete UVA study information) Relying Site Local Context Template (Appendix A) SOM CTO review for addition of Relying Site: Contact Lori Elder for review and approval: lje5u@virginia.edu UVA study team or Data Coordinating Center will return all completed documents via IRB PRO-Submit Documents-Modification
IRB RELIANCE AGREEMENT REQUEST FORM UVA IRB-HSR to serve as IRB of RecordIrb Reliance Agreement • April 18th, 2022
INSTRUCTIONS AND INFORMATION: Relying Sites should only complete this request form AFTER the UVA IRB-HSR has approved the study locally. One form is to be completed for EACH institution that agrees to rely on the IRB-HSR. Submit the following documents to the Relying site for completion: IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record (complete UVA study information) Current approved IRB-HSR protocol, consent(s)/assent(s) (if applicable) Relying Site Local Context Template (Appendix A) SOM CTO review for EACH addition of Relying Site: Contact Lori Elder for review and approval: lje5u@virginia.edu UVA study team or Data Coordinating Center will return all completed documents (including a Modification Request Form to irbhsr-mods@virginia.edu
IRB RELIANCE AGREEMENT REQUEST FORM UVA IRB-HSR to serve as IRB of RecordIrb Reliance Agreement • March 19th, 2021
INSTRUCTIONS AND INFORMATION: Relying Sites should only complete this request form AFTER the UVA IRB-HSR has approved the study locally. One form is to be completed for EACH institution that agrees to rely on the IRB-HSR. Submit the following documents to the Relying site for completion: IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record (complete UVA study information) Current approved IRB-HSR protocol, consent(s)/assent(s) (if applicable) Relying Site Local Context Template (Appendix A) SOM CTO review for EACH addition of Relying Site: Contact Lori Elder for review and approval: lje5u@virginia.edu UVA study team or Data Coordinating Center will return all completed documents (including a Modification Request Form to irbhsr-mods@virginia.edu
IRB RELIANCE AGREEMENT REQUEST FORM UVA IRB-HSR to serve as IRB of RecordIrb Reliance Agreement • September 17th, 2020
INSTRUCTIONS AND INFORMATION: Relying Sites should only complete this request form AFTER the UVA IRB-HSR has approved the study locally. One form is to be completed for EACH institution that agrees to rely on the IRB-HSR. Submit the following documents to the Relying site for completion: IRB Reliance Agreement Request Form UVA IRB-HSR to serve as IRB of Record (complete UVA study information) Current approved IRB-HSR consent(s)/assent(s) (if applicable) Relying Site Local Context Template (Appendix A) Note: If SOM CTO review is not already on file with the IRB for the UVA PI serving as the overall PI of a multisite study, email the protocol to SOM CTO: lje5u@virginia.edu. Documentation form this office is required at the time of submission to add a Relying site. UVA study team or Data Coordinating Center will return all completed documents (including a Modification Request Form to irbhsr-mods@virginia.edu
