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| Office of Research Compliance |
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FORMS
IRB FORMS
(For Research Involving Human Subjects)
All forms are designed to be completed electronically. After completion, the form should be printed, signed and mailed or delivered to the Office of Research Compliance, MSC 312.
| Form Title |
Download Format
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| Please note: The Primary Protocol Review Form is required for all submissions and will indicate additional forms that may also be required. |
| New Research Primary Protocol Submission Form |
Word** |
RTF |
Please note: If you attempt to open the Word version in Word 2003, you may receive an error message and be unable to open the document. If this occurs, please use the RTF version.
Microsoft offers an explanation and solution for this problem on its website.
Link to Microsoft Solution
Supplemental Forms That May Be Required |
| #1 |
Research Involving Minors (Children Under the Age of 18) |
Word |
RTF |
| #2 |
Biomedical Research (Involving Invasive Procedures) |
Word |
RTF |
| #3 |
Research Involving the Use of Focus Groups |
Word |
RTF |
| #4 |
Research Involving Human Tissue Samples |
Word |
RTF |
| #5 |
Research Involving Deception |
Word |
RTF |
| #6 |
Research Conducted on UAlbany Campus or in a UAlbany Classroom |
Word |
RTF |
| #7 |
Research Involving a Collaborating Organization/Group or Outside Research Sites (Non-UAlbany) |
Word |
RTF |
| #8 |
International Research |
Word |
RTF |
| #9 |
Research Involving Sensitive Topics such as Sexual Behavior, Illegal Conduct, HIV/AIDS Status, Genetic Information, Alcohol Use or Other Sensitive Topics |
Word |
RTF |
| #10 |
Research Involving the Use of Secondary/Existing Data |
Word |
RTF |
| #11 |
Oral History Research |
Word |
RTF |
| #12 |
Research Involving the Use of Experimental Equipment with Subjects (not audio or video tapes) |
Word |
RTF |
| #13 |
Research Involving the Use of Psychology 101 Participants |
Word |
RTF |
Forms for Exempt Request That May Be Required |
Exempt Category 1
Research Involving Education Strategies, Curricula or Classroom Management Methods |
Word |
RTF |
Exempt Category 2
Research Involving the Use of Tests, Surveys, Interviews or Observations |
Word |
RTF |
Exempt Category 3
Research Involving Elected or Appointed Officials or Conducted under Federal Statute |
Word |
RTF |
Exempt Category 4
Research Involving the Use of Secondary Existing Data, Documents, Records Review and pathological Specimens |
Word |
RTF |
| Additional ORC Forms |
| Form Title: |
Download Format |
| Request for Modification to Approved Research |
Word |
RTF |
Use this form to submit a change to an approved IRB research protocol.
ALL changes to an approved IRB research protocol must be submitted to the IRB for review and approval before changes are implemented. |
| IRB Annual Approval Continuation Request |
Word |
RTF |
Use this form to submit study information necessary to maintain IRB approval.
IRB approval must be maintained for the entire duration of your research project. Approval must be renewed on an annual basis. You may request 4 continuations before a new protocol must be submitted. |
| IRB Closure Request Form |
Word |
RTF |
| Individual Investigator's Agreement |
Word |
RTF |
Use this form with unaffiliated collaborating non-UAlbany investigators.
This form is required when research is being conducted under the direction and supervision of a principal investigator from UAlbany in the following 2 scenarios:
(1) Collaborating independent investigators (i.e. not acting as an employee of any institution with respect to their involvement in the research being conducted by UAlbany)
(2) Collaborating institutional investigators (i.e. acting as an employee or agent of a institution with respect to their involvement in the research being conducted by UAlbany if the institution
a) does not hold a Federal Wide Assurance AND
b) does not routinely conduct human subjects research
Refer to the following link for additional information:
Guidance on Extension of an FWA to Cover Collaborating Individual Investigators and Introduction of the Individual Investigator Agreement |
Adverse Event Report
Use this form to report ANY study-related adverse event
Adverse events must be submitted within 10 days of their occurrence. |
Word |
RTF |
IRB Screening Form
Use this form when you are unsure if your research project requires IRB review.
This form will be evaluated to determine if your research project requires IRB review. |
Word |
RTF |
Addition/Deletion of Study Personnel
Use this form when study personnel changes occur to an approved research project with no other modifications.
IRB approval must be obtained before additional personnel may participate in the research. |
Word |
RTF |
Investigator Checklist
Use this form when submitting your new IRB research protocol to determine if application is complete.
Incomplete applications will not be reviewed and will be returned to you without processing.
Submission of this form is NOT required. |
Word |
RTF |
| ORC Templates |
Informed Consent Template A
Use template when preparing a consent form FOR NON-EXEMPT RESEARCH
The researcher should prepare their consent form in language that is "user-friendly" for their research population |
Word |
RTF |
Informed Consent Template B
Use this template when conducting an EXEMPT RESEARCH PROJECT WITH ADULTS
The researcher should evaluate the applicability of the template to their research proposal. This form will not "fit" ALL exempt research studies |
Word |
RTF |
Child Assent Examples
COMING SOON! |
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IACUC FORMS
(For Reseach Involving Animal Subjects)
All forms are designed to be completed electronically. After completion, the form should be printed, signed and mailed or delivered to the Office of Research Compliance, MSC 312.
| Form Title |
Download Format |
| Please note: The Primary Protocol Review Form is required for all submissions and will indicate additional forms that may also be required. |
| Primary IACUC/IBC Form |
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RTF |
| Schedule A: Animal Subjects Form |
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RTF |
Supplemental Forms That May Be Required |
| #1 |
Duplication Certification |
Word |
RTF |
| #2 |
Behavioral Testing |
Word |
RTF |
| #3 |
More than Minimal Pain or Distress |
Word |
RTF |
| #4 |
Invasive Procedures |
Word |
RTF |
| #5 |
Administration of Test Substances |
Word |
RTF |
| #6 |
Toxic, Radioactive or Controlled Substances |
Word |
RTF |
| #7 |
Surgical Procedures |
Word |
RTF |
| #8 |
Special Housing Requirements |
Word |
RTF |
| #9 |
Special Food & Water Requirements |
Word |
RTF |
| #10 |
Physical Restraint |
Word |
RTF |
| #11 |
Housing Outside of the Animal Facility |
Word |
RTF |
| #12 |
Care of Animals by Anyone Other Than Animal Care Staff |
Word |
RTF |
| #13 |
Establishment and Maintenance of a Breeding Colony |
Word |
RTF |
| Additional IACUC Forms |
| Form Title: |
Download Format |
| Request for Modification to Approved Research |
Word |
RTF |
Use this form to submit a change to an approved IACUC research protocol.
ALL changes to an approved IACUC research protocol must be submitted to the IACUC for review and approval before changes are implemented. |
| IACUC Annual Approval Continuation Request |
Word |
RTF |
Use this form to submit study information necessary to maintain IACUC approval.
IACUC approval must be maintained for the entire duration of your research project. Approval must be renewed on an annual basis. |
| Study Closure Form |
Word |
RTF |
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IBC FORMS
(For Research Involving Biohazardous Materials)
All forms are designed to be completed electronically. After completion, the form should be printed, signed and mailed or delivered to the Office of Research Compliance, MSC 312.
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University at Albany
Office for Research Compliance
Management Services Center, MSC 312
1400 Washington Avenue
Albany, NY 12222
Email: orc@uamail.albany.edu
Telephone: (518) 437-4569
Fax: (518) 437-4560

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