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Instructions: In accordance with 1200.21 VIA Operations Activities That May Constitute Research AVA HCS employees may conduct certain operations activities which may or may not constitute research.
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How to fill out non-research activity determination worksheet

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To fill out the non-research activity determination worksheet, follow these steps:
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Start by providing your personal information at the top of the form, such as your name, contact information, and organization.
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Next, you will need to identify the type of non-research activity you are conducting. This could include activities such as program evaluation, quality improvement, or public health surveillance.
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Then, you will need to define the purpose and goals of the activity. Clearly state why you are conducting this activity and what outcomes you hope to achieve.
05
Provide a detailed description of the methodology or approach you will use to carry out the activity. This may include data collection methods, analysis techniques, or any other relevant information.
06
Identify any potential risks or ethical considerations associated with the activity. This could include privacy concerns, data security, or potential harm to participants.
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Finally, review the completed worksheet for accuracy and completeness. Make sure all sections are filled out accurately, and make any necessary revisions before submitting the form.

Who needs non-research activity determination worksheet?

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The non-research activity determination worksheet is typically needed by individuals or organizations conducting non-research activities within a research institution or organization. This could include program coordinators, quality improvement teams, or public health officials who need to determine if their activities qualify as research or not.

What is Non-research Activity Determination Worksheet for Investigators Form?

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The non-research activity determination worksheet is a form used to evaluate and document whether an activity qualifies as non-research.
Researchers and individuals conducting activities that may meet the criteria for non-research are required to file the worksheet.
The worksheet should be completed by providing detailed information about the activity, including its purpose, funding sources, and potential impacts.
The purpose of the worksheet is to determine if an activity can be classified as non-research and does not require review by an Institutional Review Board (IRB).
Information such as activity description, funding sources, potential risks, and involvement of human subjects must be reported on the worksheet.
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