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Are you requesting: Full review Expedited Review

Check each of the following that are included in your research: Research on regular and/or special-education instructional strategies, curricula, or classroom management Test, survey, or observational research in which the subject cannot be identified, either directly or indirectly, with their responses or information recorded about them Test, survey, or observational research in which the subject can be identified with their responses or information about them Survey or observational research that deals with sensitive aspects of the subject’s responses or behaviors, if they become known outside the research, could reasonably place the subject at risk of criminal or civil liability or be damaging to the subject’s financial standing or employability Survey or observational research that deals with sensitive aspects of the subject’s own behavior, such as illegal conduct, drug use, sexual behavior, or use of alcohol Research involving the collection or study of existing date, documents, or records which are not publicly available OR for which the information is recorded by the investigator in such a manner that subjects cannot be identified, directly or indirectly Research involving the collection or study of existing data, documents, or records which are not publicly available OR from which information is recorded by the investigator in such a manner that subjects can be identified Research involving exercise by the subjects Research involving noninvasive procedure routinely used in clinical practice Research involving voice and video recordings Research that will involve manipulating the subject’s behavior in a way that is stressful to them Research involving minors (under 18) Research involving subjects institutionalized as mentally disabled. Research involving interviews Research involving questionnaires Research involving tests not normally used in educational or clinical settings

Description/Abstract:

100-150 words stating the objectives and specific aims of the research. Describe concisely the research design and methods for achieving these goals. Also address issues such as:

whether the study uses subjects in a school system, hospital, or other agency;
the amount of time required of each subject;
how, if at all, subjects will be rewarded for participating;
methods of ensuring anonymity and confidentiality;
debriefing measures, if necessary;
if/how feedback will be provided to subjects.

Protocol:

Include the research question or hypothesis, population selection (inclusion/exclusion criteria), recruitment, study procedures and timetable, sample size determination, outcome evaluation (measures, statistical analysis plan), safety review, criteria for stopping, and anticipated accrual. Attach copies of any grant research plan/specific aims, survey instruments, telephone scripts, etc.

Accrual Information:

Estimated number of subjects to be screened:

Estimated number of subjects to be enrolled:

Date of enrollment: (Begin & End)

Benefits:

Describe potential benefits to study participants and/or future mankind.

Attach copies of any grant research plan/specific aims, survey instruments, telephone scripts, etc.

Human Subjects Review Form

Description/Abstract:

Protocol:

Accrual Information:

Benefits: