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This document outlines a supplemental form for submitting modifications to a research study, including the necessary information for IRB review and procedural updates related to participant consent and study design changes.
Note:
Year
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2014
Organization:
U.S. Department of Veterans Affairs
Office:
Strategic Acquisition Center
Type of Document:
Request for Information (RFI) Amendment
Solicitation Number:
VA119-14-I-0190
Amendment Number:
A00001
Response Deadline:
June 27, 2014, 12:00 PM EST
Contact Person:
Lance Belcher
Contact Email:
[email protected]
Additional Contact:
Shirelle Taliaferro, [email protected]
Survey Management:
Monterey Consultants, Inc.
Survey URL:
www.mcix.com/ECOMM
Location of Performance:
Fredericksburg, VA
Year:
2017
Region / City:
North Little Rock, AR, USA
Type of Document:
Contract Amendment / Modification
Administered By:
Department of Veterans Affairs, Chief, A&MM (90C/NLR)
Issued By:
Department of Veterans Affairs, Central Arkansas Veterans HCS
Contract Number:
598-17-105
Solicitation Number:
VA256-17-B-0485
Effective Date:
08-25-2017
Purpose:
Add specifications and drawings, update bid schedule
Project Title:
Correct Legionella Problems with Modifications to the Water Distribution System
Delivery Schedule:
See attached documents
Contractor:
[Name not specified in the document]
Year:
2013
Region / City:
Hines, IL, United States
Document Type:
Contract Amendment / Modification
Issuing Agency:
Department of Veterans Affairs
Contracting Officer:
Patricia Gibson-Anderson
Contractor:
Not specified
Effective Date:
August 19, 2013
Proposals Due Date:
September 11, 2013
Subject:
Great Lakes TCA Site Visit Responses and Documentation
Attached Documents:
Questions and answers from TCA site visit August 30, 2013; TCA May–July 2013; TCA detailed formulary; 1-dimensional barcode
Year:
2017
Region / City:
Eatontown, NJ
Subject:
Technology Acquisition
Document Type:
Performance Work Statement (PWS)
Organization / Institution:
Department of Veterans Affairs
Author:
Not specified
Target Audience:
Contractors and vendors in technology and IT services
Period of Validity:
Not specified
Approval Date:
May 19, 2017
Date of Changes:
Not specified
End Date:
Not specified
Additional Information:
Task Order PWS Version 1.0
Year:
2023
Region / city:
Durham
Topic:
Public Rights of Way, Footpath Diversion
Document Type:
Order
Issuing Authority:
Secretary of State for Environment, Food and Rural Affairs
Author:
Claire Tregembo BA(Hons) MIPROW
Target Audience:
Local Authorities, Stakeholders in Urban Planning, Public Rights of Way Users
Effective Period:
Not specified
Approval Date:
16 January 2026
Modification Date:
17 November 2023
Year:
2013
Region / City:
Washington, D.C.
Topic:
Foreign-Trade Zones (FTZ) Application
Document Type:
Instruction Sheet
Agency / Institution:
U.S. Department of Commerce, International Trade Administration
Author:
FTZ Staff
Target Audience:
Corporations and grantees applying for FTZ designation
Period of Action:
N/A
Approval Date:
March 2013
Amendment Date:
N/A
Note:
Study Summary 1.1 Please provide a brief summary of the study in the table below. A complete description of the study with detailed information should be provided in the body of the protocol. For sections not applicable to the study, mark them as N/A. Study Title Study Design Primary Objective/Purpose Secondary Objective(s)/Purposes Research Intervention(s) ClinicalTrials.gov NCT # Study Population Sample Size Study Duration for individual subjects Study Specific Abbreviations/ Definitions
Background 3.1 Provide the scientific or scholarly background for, rationale for, and significance of the research based on the existing literature and how will it add to existing knowledge. :
this section should be limited to only information directly related to the research questions and objectives. Do not include your full dissertation proposal. 3.2 Describe any relevant preliminary data (e.g. pilot data).
Procedures Involved 5.1 Describe and explain the study design. 5.2 Please select the methods that will be employed in this study (select all that apply):
☐ Audio/Video Recording ☐ Psychophysiological Recording ☐ Behavioral Interventions ☐ Record Review - Educational ☐ Behavioral Observations and Experimentations ☐ Record Review - Employee ☐ Deception ☐ Record Review- Medical ☐ Focus Groups ☐ Record Review - Other ☐ Interviews ☐ Specimen Collection or Analysis ☐ Investigational Medical Device – (e.g. Medical Mobile Applications) ☐ Surveys and/or Questionnaires ☐Psychometric Testing ☐ Other Social-Behavioral Procedures Provide a description of all research procedures being performed and when they are performed. (Upload any surveys, questionnaires, interview scripts, focus group scripts, debriefing scripts, psychometric tests, stimulus materials, intervention manuals, and data collection forms on the Local Site Documents page in the IRB application.) 5.3 Describe the procedures or interventions that are going to be conducted as part of the research project, but that would have been conducted anyway, even if the research was not occurring (i.e. standard of care procedures, activities that would occur in a classroom). 5.4 Describe the procedures performed to lessen the probability or magnitude of risks of items selected in 5.2.5. 5 If accessing or collecting existing data, describe: The data that will be collected during the study (e.g. demographics, medical history, etc.). Attach the data capture sheet(s) on the Local Site Documents page in the IRB application. How the data will be obtained, including how you have the authority to access the data. The source or location of the data (e.g. USF Epic, TGH Epic, Hillsborough County School records, CANVAS records, publicly available databases, etc.). 5.6 If collecting and/or analyzing biological specimens, describe: How the biological specimens will be or have been collected. How the biological specimens will be stored. How long the biological specimens will be stored. How the biological specimens will be used. The laboratories that will be used. Whether the collected biological specimens will undergo genetic testing. If so, indicate if this study is part of a Genome Wide Association Study (GWAS) and whether the data will be forwarded to the NIH dbGaP. 5.7 If there are plans for long-term follow-up (once all research related procedures are complete), what data will be collected during this period.
Data and Specimen Storage for Future Research 6.1 If data or specimens will be banked for future research studies, describe where the data or specimens will be stored, how long it/they will b:
the process to request a release, approvals required for release, who can obtain data or specimens, and the data to be provided with specimens.
Year:
2014
Region / City:
All States
Subject:
Loan Modification Agreement
Document Type:
Legal Agreement
Author:
Fannie Mae
Target Audience:
Lenders, Borrowers
Effective Period:
Ongoing
Approval Date:
1/01 (rev. 4/14)
Modification Date:
6/06 (posted 10/3/06)
Context:
A detailed legal document outlining the requirements and amendments for modifying a loan agreement in accordance with various conditions and government programs.
Note:
Year
Subject:
Medicaid
Document Type:
Notice
Organization:
NCF/DHB
Target Audience:
Caseworkers, County Staff
Context:
This document provides guidance on generating, handling, and updating the DSS-8110 Notice of Modification, Termination, or Continuation of Public Assistance in the NC FAST system.
Note:
Year
Subject:
Family Law, Divorce, Custody, Child Support, Court Orders
Document Type:
Instructional Guide
Authority / Institution:
Wisconsin Court System
Target Audience:
Individuals seeking to modify court orders related to family law
Year:
2025
Region / city:
Inter-American Telecommunication Commission (CITEL)
Topic:
Radiocommunication, International Telecommunication Union (ITU), World Radiocommunication Conference (WRC)
Document type:
Proposal
Organization / institution:
Inter-American Telecommunication Commission (CITEL)
Author:
N/A
Target audience:
ITU Member States, Radiocommunication Sector Members
Period of validity:
N/A
Date of approval:
N/A
Date of amendments:
N/A
Year:
2021
Region / City:
Massachusetts, USA
Theme:
Home modification, accessibility, disability support
Document Type:
Application guide, informational brochure
Agency:
Massachusetts Legislature
Author:
Not specified
Target Audience:
Homeowners, landlords, individuals with disabilities or limitations
Duration:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Region / City:
Singapore
Topic:
Risk Management, Safety Procedures
Document Type:
Procedure
Organization:
SMRT
Author:
Not specified
Target Audience:
Not specified
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Date of Issuance:
6/28/2019
Decision Number:
19-06-022
Applications:
14-11-007, 14-11-009, 14-11-010, 14-11-011
Regulatory Body:
California Public Utilities Commission
Type of Document:
Regulatory Decision
Programs Covered:
Energy Savings Assistance (ESA), California Alternate Rates for Energy (CARE)
Program Years:
2015-2017, 2021-2026
Target Audience:
Investor-Owned Utilities, Low-Income Customers
Statutory References:
Public Utilities Code Section 2790(a), Section 382(e)
Petitions:
Public Advocates Office Petition for Modification (denied)
Funding Considerations:
Bridge funding for post-2020 program transition
Year:
2023
Region / Country:
United States
Topic:
Law enforcement training and officer wellness
Document type:
Survey supporting statement
Agency / Institution:
Bureau of Justice Statistics (BJS)
Author:
Bureau of Justice Statistics
Target audience:
Law enforcement agencies, policymakers, researchers
Survey period:
September 2023 – May 2024
Legal authority:
34 USC § 10132
Data collection agent:
RTI International
Sample size:
Approximately 3,500 general-purpose law enforcement agencies
Related programs:
Law Enforcement Core Statistics (LECS), LEMAS core survey, Census of Law Enforcement Training Academies (CLETA), Law Enforcement Suicide Data Collection (LESDC)
Year:
2011
Region / city:
Not specified
Subject:
Manure Management
Document type:
Checklist
Agency / institution:
Not specified
Author:
Not specified
Target audience:
Farmers
Period of validity:
Not specified
Approval date:
October 29, 2011
Date of changes:
Not specified
Note:
Context description
Note:
Year
Organization / Institution:
Bishop Grosseteste University
Target Audience:
Applicants requesting a duplicate academic transcript or diploma supplement
Note:
Year
Context:
Form used to supplement the application for using live vertebrate animals in research or educational programs by providing additional personnel details and responsibilities.
Year:
2024
Region / City:
N/A
Theme:
Fantasy, Role-playing
Document Type:
Supplement
Author:
Shubu Sibbly
Target Audience:
Dungeons and Dragons players and game masters
Period of validity:
N/A
Approval Date:
N/A
Date of changes:
N/A
Contextual Description:
A supplement for Dungeons and Dragons detailing the integration of the Wolly species, including their history, design, and gameplay guidance in 5e.