Individual Investigator AgreementIndividual Investigator Agreement • May 30th, 2023
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 and/or the Food and Drug Administration (FDA) regulations for the protection of human subjects at 21 CFR part 50, whichever is applicable [or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions]; 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Name of Institution providing IRB review: University of Colorado Denver OHRP Federalwide Assurance#: 00005070 Name of IRB: Colorado Multiple Institutional Review Board (COMIRB) Individual Investigator’s Name:...Individual Investigator Agreement • June 3rd, 2024
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46; and 3) COMIRB Policies and Procedures.
ContractIndividual Investigator Agreement • February 28th, 2023
FORM – Individual Investigator Agreement Office of Research and Sponsored Projects (ORSP) Institutional Review Board (IRB) Northeastern Illinois University 5500 N. St. Louis Avenue Chicago, IL 60625-4699 Phone: 773-442-4671 Email: irb@neiu.edu
Individual Investigator Agreement (For researchers not affiliated with LSU Health Science Center at New Orleans) With the Board of Supervisors of Louisiana State University and Agricultural and Mechanical College herein represented by Louisiana State...Individual Investigator Agreement • August 2nd, 2024
Name of Institution with the Federalwide Assurance (FWA): Louisiana State University Health Sciences Center-New Orleans
Individual Investigator Agreement (Institutional)Individual Investigator Agreement • May 28th, 2021
Individual Investigator AgreementIndividual Investigator Agreement • February 23rd, 2018
Individual Investigator Agreement FormIndividual Investigator Agreement • April 9th, 2019
The Individual Investigator Agreement (IIA) is to be submitted to the IRB through IRBNet, with Appendix R: Adding an Unaffiliated Independent Individual, as part of the initial submission or an amendment, at which time the DU IRB will assess whether it will serve as the IRB of Record for an Unaffiliated Investigator (UI). The UI may not engage in the conduct of Human Subject Research until a signed copy of this agreement is returned to the DU Principal Investigator.
with the The University of Texas at San Antonio (UTSA) FWA # 00003861Individual Investigator Agreement • May 22nd, 2024
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46; 3) the FWA and applicable Terms of the FWA for UTSA; and 4) the relevant UTSA institutional policies and procedures for the protection of human subjects.
Individual Investigator Agreement (Independent)Individual Investigator Agreement • March 23rd, 2022
Individual Investigator Agreement Name of Institution with the Federalwide Assurance (FWA): University of Chicago Applicable FWA #: FWA00005565 IRB Registration #s: IRB Committee A: IRB00000331Individual Investigator Agreement • August 19th, 2021
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR park 46 (or other procedural standards; see sections B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Individual Investigator AgreementIndividual Investigator Agreement • June 26th, 2018
FORM: Individual Investigator Agreement NUMBER FORM VERSION DATE PAGE HRP-252 11/19/2018 2 of 2Individual Investigator Agreement • November 19th, 2018
This form is to be completed at when a new external study team member is added. Upload a copy (electronic signatures are accepted) signed by the Individual Investigator. The IRB will obtain the UCF FWA Official signature.
Individual Investigator AgreementIndividual Investigator Agreement • August 11th, 2022
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B1 of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR Part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions) 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
FORM: Individual Investigator AgreementIndividual Investigator Agreement • April 27th, 2023
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Individual Investigator AgreementIndividual Investigator Agreement • September 24th, 2018
Individual Investigator AgreementIndividual Investigator Agreement • August 2nd, 2019
This form is used by a non-JCU researcher to certify that they will adhere to all applicable laws, regulations, policies, and IRB determinations. Individual Investigators must sign this statement of commitment to John Carroll University’s Human Subject Protection Policies and IRB oversight for each applicable research protocol.
Individual Investigator AgreementIndividual Investigator Agreement • January 8th, 2019
Individual Investigator AgreementIndividual Investigator Agreement • June 8th, 2021
The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions);
Individual Investigator AgreementIndividual Investigator Agreement • April 1st, 2020
The Investigator understands and hereby accepts the responsibility to comply with the standards and requirements stipulated in the above documents and to protect the rights and welfare of human subjects involved in research conducted under this agreement.
Individual Investigator AgreementIndividual Investigator Agreement • October 3rd, 2022
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR park 46 (or other procedural standards; see sections B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Individual Investigator Agreement Name of Institution with the Federalwide Assurance (FWA): Northwell Health Applicable FWA #:0002505 Individual Investigator’s Name: __________ Specify Research Covered by this Agreement: __________Individual Investigator Agreement • July 14th, 2017
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Institutional Review Board FWA00004028Individual Investigator Agreement • November 8th, 2022
The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions);
GUIDANCE 17 INDIVIDUAL INVESTIGATOR AGREEMENTIndividual Investigator Agreement • May 29th, 2020
This agreement refers to investigators/individuals who are affiliated with a non-University entity (i.e., external/outside organization, business, or agency) that does not have an IRB. This agreement allows the extension of Rowan University’s Federalwide Assurance (FWA) to cover external independent investigators engaged in non-exempt research who do not work at an FWA covered institution (e.g. physicians in private practice or individuals from a non-academic institution or person who do not have their own FWA). For additional information and the form, go to the following website.
ContractIndividual Investigator Agreement • September 11th, 2019
The Institutional Review Board (IRB) is responsible for protecting the rights and welfare of human subjects participating in research projects. The IRB acts according to regulations established by the United States Department of Health and Human Services Public Health Service Act as amended (45 CFR 46). Compliance with these federal regulations not only safeguards human subjects and the institution sponsoring the research project, but also protects the researcher.
Florida International University (FWA 00000060) - Individual Investigator AgreementIndividual Investigator Agreement • August 22nd, 2016
Individual Investigator Agreement (IIA) Version 12-09-19Individual Investigator Agreement • November 23rd, 2021
This agreement outlines the responsibilities between the above named individual, the University of California, Irvine (UCI), the responsible Institutional Review Board (IRB), and the above named Lead Researcher (LR) of the above named study at UCI.
Individual Investigator AgreementIndividual Investigator Agreement • December 16th, 2019
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Individual Investigator AgreementIndividual Investigator Agreement • June 2nd, 2024
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Individual Investigator AgreementIndividual Investigator Agreement • August 21st, 2014
Specify Research Covered by this Agreement: IRB Study # 2014-2639 Prospective outcomes of management of third molar extractions via a large multicenter study.
Individual Investigator AgreementIndividual Investigator Agreement • July 11th, 2022
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Human Research Protection Program & Institutional Review Board B308 Kerr Administration Bldg, Corvallis OR 97331Individual Investigator Agreement • October 29th, 2018
DEPARTMENT OF DEFENSE (DOD) INDIVIDUAL INVESTIGATOR AGREEMENTIndividual Investigator Agreement • October 12th, 2011
• This form is a tool that can be used when a collaborating investigator is not part of an institution with a federal assurance. Contact your DoD Component Headquarters office (or DoD sponsor) for guidance if you want to submit an equivalent agreement or want to alter this form.
Individual Investigator AgreementIndividual Investigator Agreement • January 9th, 2019
The above-named Individual Investigator has reviewed: 1) The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (or other internationally recognized equivalent; see section B.1. of the Terms of the Federalwide Assurance (FWA) for International (Non-U.S.) Institutions); 2) the U.S. Department of Health and Human Services (HHS) regulations for the protection of human subjects at 45 CFR part 46 (or other procedural standards; see section B.3. of the Terms of the FWA for International (Non-U.S.) Institutions); 3) the FWA and applicable Terms of the FWA for the institution referenced above; and 4) the relevant institutional policies and procedures for the protection of human subjects.
Albert Einstein College of Medicine, Inc. (FWA #00023382) Individual Investigator AgreementIndividual Investigator Agreement • February 27th, 2019
Name of Individual Investigator (External Collaborator) (Last, First, Middle Initial): Click here to enter text. Degrees: Click here to enter text.
Individual Investigator Agreement For non-GVSU affiliated research personnelIndividual Investigator Agreement • June 5th, 2019
The protocol identified above will be covered by this Agreement during which the above-named individual is listed as a co-investigator or participating study personnel. This Agreement will be in effect for the following time period: Click or tap here to enter text.
