Whitman College IRB Renewal

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Use this form to request a renewal of your Whitman College IRB approval. (Starting in 2020, this form is only required for proposals that have received *Full Board* approval. Expedited or exempt approval received in 2020 or later does not expire.)

IRB approval for research evaluated under Full Board Review is good for one year. We encourage you to submit your renewal request 1 month before approval expires.

If you have any questions, please contact Alissa Cordner, IRB Chair, at irb_chair@whitman.edu

Email *

Your name *

Title of your approved research proposal *

IRB approval number (e.g., #19/20-01) *

Which of the following describes the status of this research? *

Data analysis: Research remains active for data analysis only; no further subject contact or data collection is anticipated

Data collection: Additional enrollment of subjects is planned or ongoing, and/or enrolled subjects are still participating in research

How many participants have you enrolled so far? *

How many additional participants do you plan to enroll? *

Are there any changes to your proposed methods? This includes changes to recruitment, procedures to protect confidentiality, research conduct, or analysis. *

Are there any changes in recruitment criteria? *

Are there any changes to expected risks and/or benefits associated with the research? *

Have you had any adverse events associated with this research? As a reminder, adverse events must be reported to the IRB within 5 business days. *

Have you had any participants withdraw from the study? This includes subjects who consented but were determined ineligible, left voluntarily, or were withdrawn by researchers. If so, please explain. *

If there is any other information you would like to share with the IRB, please include it below:

Type your full name below to accept responsibility for this study, including adherence to federal, state and Whitman College policies regarding the rights and welfare of human participants participating in this study. In the case of student protocols, the faculty sponsor and the student share responsibility for adherence to policies. *

Thank you. We will be in touch within 2 weeks regarding your renewal.

A copy of your responses will be emailed to the address you provided.

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