Revision to Erc Approved Research Request Form

MARYWOOD UNIVERSITY

Exempt Review Committee

Immaculata Hall, 2300 Adams Avenue, Scranton, PA 18509

(570) 348-6211, x. 2418 or mailto:

REVISION TO ERC APPROVED RESEARCH REQUEST FORM

INSTRUCTIONS: Any revision to a previously approved research project must be reviewed and approved by the ERC before it is implemented. Such revisions could include changes to the study design, procedures, recruitment methods or sites, personnel, advertising, instruments, participant letter, etc. There are NO EXCEPTIONS to this rule. Submissions should consist of tracked changes for all revised documents.
As this form is write-protected, you may only type or paste into the form fields. Hit the tab key to move from field to field.
The Principal Investigator must provide his/her electronic signature for this submission via IRBNet.

STUDY
INFORMATION / Today’s Date:
Principal Investigator:
Study Title:
IRBNet Base #: / Marywood IRB #: 20-
DESCRIPTION
1. Describe how and why the research is being amended. Please be thorough.
2. State whether the change(s) will affect the risk/benefit ratio and, if so, describe.
3. Are any documents being revised? Please explain, and submit the revised versions, inclusive of all amendment(s) proposed. Changes to personnel may require additional documentation (i.e. online training evidence, documents required for FDA-regulated research, etc.).

C:\ Shared Documents\IRB\IRB Forms Revised by IRB: 1/18/2017