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IRB PROTOCOL SCREENING FORM FOR OSR & EHS (Mandatory for all IRB applications) Title of Protocol: Assigned IRB #: Current Expiration Date of Active Protocol: P.I. Name & Title: Telephone #: Dept./School/College:
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How to fill out an IRB protocol screening form:

01
Start by carefully reading the instructions and guidelines provided with the form. Make sure you understand the purpose of the form and the information it requires.
02
Begin by providing your personal information, such as your name, contact details, and institutional affiliation, as requested on the form. This information is necessary for identification and communication purposes.
03
Next, provide a brief summary of your research project. Include the title, objectives, methods, and any potential risks or benefits associated with the study. Be concise but comprehensive in your description.
04
Indicate the population or participants you will be recruiting for your study. Specify any inclusion or exclusion criteria that may apply and explain how you will obtain informed consent from participants.
05
Describe the procedures or interventions that will be conducted during the research. Include details on data collection methods, materials, assessments, or any interventions involved in your study. Emphasize any measures you will take to ensure participant safety and privacy.
06
Discuss how you will handle data management and protection. Describe the steps you will take to ensure confidentiality, data storage, and any plans for data sharing.
07
Provide a detailed plan for the recruitment and informed consent process. Specify how you will approach potential participants, obtain their consent, and document their agreement to participate in the study. Highlight any measures you will take to protect vulnerable populations or maintain privacy.
08
If your study involves any potential risks or discomfort for participants, explain the steps you will take to minimize these. This may include measures to ensure participant safety, access to support services, or debriefing procedures.
09
Finally, review your filled-out form to check for any errors or missing information. Ensure that all questions have been answered accurately and completely.

Who needs IRB protocol screening form?

Any researcher or investigator who plans to conduct research involving human subjects will need to fill out an IRB (Institutional Review Board) protocol screening form. This requirement applies to a variety of disciplines, including medicine, psychology, sociology, and education. The IRB protocol screening form is essential to ensure that research involving human participants adheres to ethical guidelines, protects participant rights, and minimizes potential risks. By submitting an IRB protocol screening form, researchers seek approval from the IRB to proceed with their study.
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