№ files_lp_3_process_9_45117
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Administrative compliance form outlining criteria, documentation requirements, and consent language provisions for human subjects research studies seeking reliance on an external Institutional Review Board.
Institution:
Icahn School of Medicine at Mount Sinai
Form Number:
HRP-232
Related Submission System:
RUTH
Purpose:
Documentation of reliance on an external IRB and waiver of IRB oversight
Document Type:
Administrative research compliance form
Subject Area:
Human subjects research oversight
Regulatory Framework:
IRB review and HIPAA determinations
Applicable Agreements:
SMART IRB Reliance Agreement; Institution-specific Reliance Agreement
External IRBs Referenced:
BRANY; NCI CIRB; Sterling IRB; Advarra; WCG/WIRB; Alpha IRB
Funding Categories:
Industry; Federal; Foundation; Other
Geographic References:
NYC H+H/Queens; NYC H+H/Elmhurst
Required Attachments:
Protocol; Investigator Brochure; Consent and Assent Forms; Reliance Forms; HIPAA Wizard Form; Ancillary Office Form; PRMC Approval Letter (for cancer studies)
Associated Offices:
PPHS; FACTS/GCO
Scope:
Multi-center clinical trials and federally funded research requiring single IRB review
HIPAA Considerations:
Determination of HIPAA authorization or waiver by IRB of Record
Intended Users:
Research personnel submitting studies for external IRB review
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / City:
New York
Topic:
Research, IRB, External IRB
Document Type:
Request Form
Institution:
Mount Sinai
Author:
Mount Sinai Research Department
Target Audience:
Research Personnel
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Contextual Description
Year:
2025
Region / City:
Indiana, USA
Topic:
Research Protocols, IRB Submission Process
Document Type:
Guide
Institution:
Indiana University
Author:
Indiana University HRPP
Target Audience:
Researchers, HRPP staff, IRB members
Period of Validity:
Ongoing
Approval Date:
01.01.2025
Date of Changes:
N/A
Year:
2020
Region / City:
Chicago
Subject:
External IRB reliance
Document type:
Instructions
Target audience:
Research teams, Institutional Review Boards (IRBs), Principal Investigators (PIs)
Period of validity:
Not specified
Approval date:
8/1/2020
Date of changes:
Not specified
Year:
2025
Region / City:
WVU
Subject:
External IRB Reliance Process
Document Type:
SOP (Standard Operating Procedure)
Institution / Organization:
West Virginia University (WVU)
Author:
WVU OHRP Director
Target Audience:
IRB Coordinators, Researchers
Effective Period:
Ongoing
Approval Date:
12/16/2025
Date of Revisions:
None
Jurisdiction:
Commonwealth of Massachusetts
Year:
2016
Update date:
July 2016
Document type:
Application form
Purpose:
Designer qualification and submission for public projects
Applicable entities:
Municipalities and public agencies not within DSB jurisdiction
Issuing authority:
Commonwealth of Massachusetts
Subject matter:
Public procurement, designer selection
Intended applicants:
Design firms and joint ventures
Regulatory context:
Massachusetts public design and construction procurement
Year:
2016
Region / City:
Commonwealth of Massachusetts
Topic:
Designer Application
Document Type:
Application Form
Organization / Institution:
Massachusetts Public Agencies
Author:
Not specified
Target Audience:
Municipalities, Public Agencies
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
July 2016
Year:
2016
Region / City:
Massachusetts
Topic:
Designer Application for Municipalities and Public Agencies
Document Type:
Application Form
Organization / Institution:
Commonwealth of Massachusetts
Author:
Not specified
Target Audience:
Municipalities and Public Agencies
Effective Period:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2025
Region / City:
Fort Worth, Texas
Topic:
Federal Jurisdiction over Land Acquisition
Document Type:
Legal Notice
Organization / Institution:
United States Armed Forces, Department of Defense, Department of the Army, United States Armed Forces Foundation, Inc.
Author:
Unknown
Target Audience:
Government officials, legal entities, property owners, military authorities
Period of Action:
August 12, 2025
Approval Date:
August 12, 2025
Date of Changes:
None
Note:
Year
Region / City:
Ohio
Subject:
International Registration Plan (IRP), Base Jurisdiction
Document Type:
Form
Organization / Institution:
Ohio Department of Public Safety
Author:
Ohio Department of Public Safety
Target Audience:
Registrants for IRP in Ohio
Effective Period:
Annual Registration Cycle
Note:
Year
Subject:
Civil Procedure, Service of Legal Documents
Document type:
Legal Procedure
Target audience:
Legal professionals, Judiciary
Year:
2023
Region / City:
South Australia
Subject:
Civil Jurisdiction Claim
Document Type:
Court Form
Institution:
Court of South Australia
Author:
N/A
Target Audience:
Parties involved in civil litigation
Effective Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2026
Region / City:
United States
Topic:
Law / Civil Procedure
Document Type:
Educational Assessment / Quiz
Target Audience:
Law students or legal practitioners
Subject:
Jurisdiction, Court Procedure, Alternative Dispute Resolution
Format:
True/False and Multiple-Choice Questions
Number of Questions:
43
Year:
2016
Region / City:
Commonwealth of Massachusetts
Topic:
Designer application for municipal projects
Document Type:
Application form
Organization / Institution:
Massachusetts government
Author:
Not specified
Target Audience:
Municipalities and public agencies
Period of Action:
Not specified
Approval Date:
Not specified
Date of Changes:
July 2016
Year:
Annually
Region / City:
United States (CDC)
Topic:
Healthcare-Associated Infections, Antimicrobial Resistance
Document Type:
Report
Organ / Institution:
Centers for Disease Control and Prevention (CDC)
Author:
Not specified
Target Audience:
Funded laboratories, public health officials
Period of Validity:
Annual
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2016
Region / City:
Massachusetts
Topic:
Application Form for Municipalities and Public Agencies
Document Type:
Application Form
Organization / Institution:
Commonwealth of Massachusetts
Author:
Not specified
Target Audience:
Municipalities and public agencies
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2018
Region / City:
Oregon
Subject:
Mental health services, referral process, forensic care
Document Type:
Procedure
Organization / Institution:
Oregon Health Authority (OHA)
Author:
Forensic Utilization Coordinator, Community Outreach Specialist, Social Worker
Target Audience:
Health care providers, community service coordinators, mental health professionals
Period of Action:
Before End of Jurisdiction (EOJ)
Approval Date:
7/23/2018
Date of Changes:
N/A
Context:
Procedure for the referral of individuals nearing the end of jurisdiction at Oregon State Hospital, detailing the necessary documentation and steps for ensuring appropriate community placement and mental health care.
Note:
Year
Jurisdiction:
South Australia
Court:
Supreme/District Court of South Australia
Type of Document:
Subpoena
Subject:
Production of documents and things
Issued by:
Informant/Prosecutor
Recipient:
Defendant/Youth or other addressee
Date of Issue:
[date]
Deadline for Service:
[date]
Methods of Compliance:
Physical attendance or delivery/post
Applicable Law:
Criminal procedure of South Australia
Note:
Year
Region / City:
Tennessee
Subject:
Stormwater Management, Environmental Compliance
Document Type:
Construction Guidelines
Organization / Institution:
Tennessee Department of Environment and Conservation (TDEC)
Target Audience:
Contractors, Environmental Inspectors
Year:
2026
Institution:
University of Kansas Medical Center (KUMC)
Document Type:
IRB Request Form / Research Protocol Submission
Target Audience:
Principal Investigators and Research Staff
Applicable Regulations:
45 CFR 46, 34 CFR 97, HHS Common Rule
Research Type:
Minimal Risk Behavioral and Biomedical Studies, Secondary Data Analysis
Submission Method:
myIRB Electronic Application
Required Materials:
Completed Form, Data Collection Sheets, Consent Forms, Recruitment Materials
Notes:
Includes guidance for flexible IRB review eligibility and types of research activities