IWU IRB Exempt Research Form

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Certain types of research are exempt from by the Illinois Wesleyan Institutional Review Board. In order to determine if your research project is exempt, you will need to consult with any member of the IRB. If your research is exempt, IRB consultants will advise you to complete this form. If your research is not exempt, IRB consultants will advise to complete an expedited or full review application.

A record of all exempt research shall be filed by completing the following form. After submitting this form, you will receive a confirmation of receipt via email. After the IRB Chair has reviewed the project, you will be notified via email. If you have any questions regarding this process, please contact the IRB Chair (irb@iwu.edu).

Email *

Principal Investigator Information

Principal Investigator (PI) or Faculty Supervisor Name *

(First & Last Name)

Principal Investigator (PI) or Faculty Supervisor Email Address *

(Please double-check address for accuracy)

Co-Investigator Information

For student research, a student cannot serve as a PI, but the student must be listed as a Co-Investigator/researcher. Any correspondence with IRB will be done only with the PI or the faculty supervisor; no IRB application from students will be accepted or reviewed.

Co-Investigator Name:

(First & Last Name)

Co-Investigator Email Address

(Please double-check address for accuracy)

Proposed Research

Title of the Proposed Research: *

Summary of the Proposed Research Project *

URLs of relevant documents

Which of the following categories is applicable to the proposed research? *

(Please select all that apply)

Category 1: conducted in established or commonly accepted educational settings, involving normal educational practices, such as (i) research on regular and special education instructional strategies, or (ii) research on the effectiveness of or the comparison among instructional techniques, curricula, or classroom management methods.

Category 2: involving the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures or observation of public behavior, unless: (i) information obtained is recorded in such a manner that human subjects can be identified, directly or through identifiers linked to the subjects; and (ii) any disclosure of the human subjects' responses outside the research could reasonably place the subjects at risk of criminal or civil liability or be damaging to the subjects' financial standing, employability, or reputation.

Category 3: involving the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures, or observation of public behavior that is not exempt under paragraph (b)(2) of this section, if: (i) the human subjects are elected or appointed public officials or candidates for public office; or (ii) federal statute(s) require(s) without exception that the confidentiality of the personally identifiable information will be maintained throughout the research and thereafter.

Category 4: involving the collection or study of existing data, documents, records, pathological specimens, or diagnostic specimens, if these sources are publicly available or if the information is recorded by the investigator in such a manner that subjects cannot be identified, directly or through identifiers linked to the subjects.

Category 5: conducted by or subject to the approval of department or agency heads, and which are designed to study, evaluate, or otherwise examine: (i) Public benefit or service programs; (ii) procedures for obtaining benefits or services under those programs; (iii) possible changes in or alternatives to those programs or procedures; or (iv) possible changes in methods or levels of payment for benefits or services under those programs.

Category 6: Taste and food quality evaluation and consumer acceptance studies, (i) if wholesome foods without additives are consumed or (ii) if a food is consumed that contains a food ingredient at or below the level and for a use found to be safe, or agricultural chemical or environmental contaminant at or below the level found to be safe, by the Food and Drug Administration or approved by the Environmental Protection Agency or the Food Safety and Inspection Service of the U.S. Department of Agriculture.

Required

IRB Consultant Information

Email Address of the IRB member with whom you consulted *

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