Form C: ResearchQualifying for Expedited Review

All documents should be submitted as one continuous WORD (.doc or .docx)

orRTF format, with the exception of the online human subjects research

training completion certificate (which will be an image or PDF file) and Form A.

Complete the checklists in Parts I and II to determine whether your research qualifies for expedited IRB review. If it does, complete Part III, and e-mail this document, along with a signed copy of Form A and all required attachments (e.g. recruitment flyers, research instruments, consent/assent forms, copies of human subjects research training certificates, etc.) to your Departmental Reviewer. The Departmental Reviewer will sign off and forward your application to the IRB chair () to begin the review process. If the research is funded by a governmental or private funder, please also include the methods and human subjects’ portions of the approved grant.Projects that qualify for expedited review may be submitted at any time for review; it should take between two to three weeks for review.

Project Title:(SHOULD MATCH TITLE ON FORM A)

PI Name:(SHOULD MATCH PI NAME ENTERED ON FORM A)

Part I: Expedited Review Qualification Checklist

Check any that apply. If you can check allitems, proceed to Part II. If not, your research requires full review; use Form D instead.

The research does not involve prisoners, fetuses, pregnant women, the seriously ill, or mentally or cognitively compromised adults.

The research does not involve the collection or recording of behavior which, if known outside theresearch, could reasonably place the participants at risk of criminal or civil liability, be stigmatizing, or bedamaging to the subject's financial standing, employability, insurability, or reputation.

The research does not involve the collection of information regarding sensitive aspects of the participants'behavior (e.g., drug or alcohol use, illegal conduct, sexual behavior).

The research procedures presentno more than minimal risk to participants, meaning that the probability and magnitude of harm or discomfort areno greater than that ordinarily encounteredin daily life or during the performance of routine physical or psychological tests.

Part II: Expedited Review Category Checklist

Check any that apply. If you can check at least one item, your research qualifies for expedited review. If not, it requires full review; use Form D instead.

Theresearch involves materials (data, documents, records, or specimens) that have been collected or will be collected solelyfor non-research purposes (such as medical treatment or diagnosis) but contain personally identifying information. (Note: If the materialsare publicly available or de-identified (i.e., contain no personally identifying information or links to personally identifying information), and no other boxes in Part II are checked, then your research qualifies as exempt from IRB review. Fill out Form B instead.)

The research involvescollecting data in the form of voice, video, digital, or image recordings.

The research studies individual or group characteristics or behavior (including, but not limited to, research on perception, cognition, motivation, identity, language, communication, cultural beliefs or practices, and social behavior) or employs survey, interview, oral history, focus group, program evaluation, human factors evaluation, or quality assurance methodologies.(Note: Research on public officials or that is anonymous and presents no foreseeable risk may qualify as exempt from expedited or full review. See Form B.)

The research involves deception, but the topic is not sensitive,participantsare not vulnerable, and they will be debriefed at the end of their participation.

The research involves collection of data through noninvasive procedures (not involving general anesthesia or sedation) routinely employed in clinical practice, excluding procedures involving x-rays or microwaves. Where medical devices are employed, they must be cleared/approved for marketing. Examples:

(a) physical sensors that are applied either to the surface of the body or at a distance and do not involve input of significant amounts of energy into the subject or an invasion of the subject’s privacy;

(b) weighing or testing sensory acuity;

(c) magnetic resonance imaging;

(d) electrocardiography, electroencephalography, thermography, detection of naturally occurring radioactivity, electroretinography, ultrasound, diagnostic infrared imaging, doppler blood flow, and echocardiography;

(e) moderate exercise, muscular strength testing, body composition assessment, and flexibility testing where appropriate given the age, weight, and health of the individual.

The research was previously approved throughafull IRB proposal, and one or more of the following apply:

(a) (i) no new participants will be enrolled and(ii) allparticipants have completed all research-related interventionsor(iii) only long-term follow-up on participants remains,

(b) remaining research activities are limited to data analysis.

(c) noparticipants have been enrolled and no additional risks have been identified.

(d) above categories do not apply, but the IRB has determined at a convened meeting that the research involves no more than minimal risk and no additional risks have been identified

Part III

Please type or paste answers to the following questions in the text boxes provided. The boxes will expand as needed to accommodate your text, but keep in mind that clear, concise answers will facilitate review.

Note: The IRB cannot accept proposals in which the answers to these questions are marked in a separate project summary or grant proposal document. Cut-and-paste or type the relevant information into the fields below.

  1. What is the purpose of the proposed study?
  1. Describe the pool of participants that will be involved in theproposed research, includingtheir expected age range.
  1. How will subjects be recruited and selected? Include copies of all recruitment scripts, flyers, e-mail notices, etc. you will be using with your proposal (in Word (.doc or .docx) or RTF format). If the research will be carried out in an institutional setting (i.e., at a school, social service agency, hospital, etc.), include an email from an appropriate administrator at that institution, indicating that he/she knows about the research and what the institution is expected to do or provide.
  1. Briefly describe all research procedures (e.g. experiments, surveys of any kind, open-ended interviews, participant observation, etc.) that will apply to human subjects.Approximately how much time is each participantexpected to devote to the research?Will all of the data be collected at one time or data collection spread out over time?
  1. List all research instruments (web surveys, other surveys, standardized and non-standardized tests or measures, demographic forms, interview scripts, focus group guides, etc.) that will be used. Attach copies of all instruments to your submission. Note: if data is collected online, the instruments must include a web survey security statement, see here:
  1. How will data be recorded (e.g., on paper, electronically, etc.)? Will photography, video recordings or audio recordings be involved?
  1. How will data be stored? How will you preserve confidentiality? Include discussion of plans for storing data and recordings, how long they will be stored, and how they will be disposed of or destroyed. These details should also be explained to participants in any consent and/or assent forms used.
  1. How will you obtain informed consent or,in the case of minors, assent from the minor participants (if applicable) and consent from a parent or legal guardian?Attach copiesof all materials used to obtain informed consent and/or assent.(See informed consent template on IRB website.)
  1. If deception is to be employed, provide a scientific justification for it and describedebriefing procedures.Attach a copy of your debriefing script.Reminder: If debriefing is not possible,the project requires full IRB review – fill out Form D instead.
  1. If subjects willreceive payment or compensation (i.e., gift card, entry into lottery, etc.) for their time and inconvenience, describe in detail theamount or value of this compensation, when and how it will be delivered, and howthe researcher will pro-rate compensation for subjects who withdraw early. These details should also be explained to participants in any consent and/or assent forms used.
  1. Describe any relationships between researcher and subjects, such as: teacher-student, friend-friend, employer-employee, etc. If such relationships exists, what procedures will you use to ensure that participants are free to decline participation without penalty and that no coercion to participate exists?

IRB Form C, revised 8/2015page 1of 4