University of Pittsburgh s7

University of Pittsburgh

Education and Compliance Office for Human Subject Research

IND and IDE Fee Information Sheet

Sponsor:
Principal Investigator:
Division/Department:
IND or IDE Number:
Protocol Title:
Protocol IRB Number:
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Date:

University 32-Digit Account Number:

Please Check Payment Type Below:
[ ] / New Protocol – $3000 / [ ] / Annual Report – Continuing $1500

Administrative Contact Information

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Please make checks payable to:

University of Pittsburgh

Education and Compliance Office for Human Subject Research

Suite 204

3500 Fifth Avenue

Pittsburgh, PA 15213

Attn: Angie Coldren

Fax: 412-383-1388

If you have any questions, please contact Angie Coldren: 412-383-1712 or