Psy 335 Mock IRb proposal worksheet
patrifl_14i6
PSY335_v2_UOPX_IRB_Application_v6-12.docx
Institutional Review Board Application FOR HUMAN SUBJECTS Research
The University of Phoenix Institutional Review Board (IRB) exists to ensure university compliance with federal regulations regarding research involving human subjects. This application is used to facilitate and document this compliance review. Research projects which meet the federal definition for research and the federal definition of human subjects must be approved by the University of Phoenix IRB before any data collection begins. If an IRB application is approved by the IRB and, later, the nature of the research design, requirements, or site locations change, a revised application describing these changes must be submitted for reconsideration and approval by the IRB. This application is intended as a stand alone document, so reference to other documents or appendices of dissertation proposals or other research studies does not substitute for direct provision of that information as part of this application, either as a response within a section or as an addendum. This application pertains to both pilot studies and full studies. Please note that it is the researcher’s responsibility to give complete and accurate information about the nature of the proposed study, particularly in terms of the effects on, and expectations for, subject participants. Please note that you must document currency in CITI certification as part of this application.
Current version 032012 1
Current version 032012
1
INSTITUTIONAL REVIEW
BOARD APPLICATION
FOR
HUMAN SUBJECTS
RESEARCH
The University of Phoenix Institutional Review Board (IRB
)
exists to ensure university c
ompliance
with federal regulations regarding research involving human subjects. This application is used to
facilitate and document this compliance review. Research projects which meet the federal
definition for research and the federal definition of hum
an subjects must be approved by the
University of Phoenix IRB before any data collection begins. If an IRB application is approved by
the IRB and, later, the nature of the research design, requirements, or site locations change, a
revised application desc
ribing these changes must be submitted for reconsider
ation and approval
by the IRB.
This application is intended as a stand alone document, so reference to other
documents or appendices of dissertation proposals or other research studies does not substitu
te
for direct provision of that information as part of this application, either
as a
response
within a
section
or as an addendum
. This application pertains to both pilot studies and full studies.
Please note that it is the researcher’s responsibility to
give complete
and accurate
information
about the
nature of the proposed study, particularly in terms of the effects on, and expecta
tions
for, subject participants. Please note that you must document currency in CITI certification as
part of this applicati
on.
N
AME OF
R
ESEARCHER
(
S
)
C
ITY
,
S
TATE
,
AND
C
OUNTRY
/
S
CHOOL
OR
C
OLLEGE AND
U
NIVERSITY
A
FFILIATION
(
STUDENT
,
FACULTY
,
OR STAFF
AND ID
)
T
YPE OF
R
ESEARCH
(
RESEARCH
STUDY
,
*
FUNDED
RESEARCH
,
OR
OTHER
)
[
CITY
/
STATE
]
[
COLLEGE
]
U
NIVERSITY OF
P
HOENIX
IRN:
L
EAVE
THIS
BLANK
*
If research is funded, please complete the following
agency information
.
Otherwise, leave blank.
AGENCY SUBMITTED TO
SUBMISSION DATE
LOCATION OF PROJECT
/
/
Current version 032012 1
INSTITUTIONAL REVIEW BOARD APPLICATION
FOR HUMAN SUBJECTS RESEARCH
The University of Phoenix Institutional Review Board (IRB) exists to ensure university compliance
with federal regulations regarding research involving human subjects. This application is used to
facilitate and document this compliance review. Research projects which meet the federal
definition for research and the federal definition of human subjects must be approved by the
University of Phoenix IRB before any data collection begins. If an IRB application is approved by
the IRB and, later, the nature of the research design, requirements, or site locations change, a
revised application describing these changes must be submitted for reconsideration and approval
by the IRB. This application is intended as a stand alone document, so reference to other
documents or appendices of dissertation proposals or other research studies does not substitute
for direct provision of that information as part of this application, either as a response within a
section or as an addendum. This application pertains to both pilot studies and full studies.
Please note that it is the researcher’s responsibility to give complete and accurate information
about the nature of the proposed study, particularly in terms of the effects on, and expectations
for, subject participants. Please note that you must document currency in CITI certification as
part of this application.
NAME OF RESEARCHER(S)
CITY, STATE, AND
COUNTRY / SCHOOL
OR COLLEGE AND
UNIVERSITY
AFFILIATION
(STUDENT, FACULTY,
OR STAFF AND ID)
TYPE OF
RESEARCH
(RESEARCH
STUDY, *FUNDED
RESEARCH, OR
OTHER)
[CITY/STATE]
[COLLEGE]
UNIVERSITY OF
PHOENIX
IRN: LEAVE THIS
BLANK
* If research is funded, please complete the following agency information.
Otherwise, leave blank.
AGENCY SUBMITTED TO SUBMISSION DATE LOCATION OF PROJECT
/ /
