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IRB Forms

Below is a list of additional IRB Forms that may be attached to applications in IRB Manager. If you have any questions and/or you cannot find a particular form, contact the IRB Chair. Note: To make sure you submit your application on time, please also check the submission deadlines

Form NameAdditional Information
IRB Form 3.1 - Written Informed Consent This form includes detailed guidelines and a checklist as to what needs to be included in the informed consent. Please read that information carefully. For most research involving minors, please submit a separate assent form (for minors) and informed consent (legal guardians) modelled after the suggested guidelines.
IRB Form 3.2 – Oral (Informed) Consent Please include this form for any research in which written consent is difficult or impractical to obtain but passive or implied consent is avoided (e.g. ethnographic research, certain oral history studies).
IRB Form 6.1 - HIPAA Data Use Agreement The data use agreement is a requirement of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”). It applies to research that involves individually identifiable health information. While the data use agreement can be waived by the IRB under certain circumstances, the default procedure should be to include it with your application. 
IRB Form 6.2 - HIPAA Privacy Authorization This form needs to be filled out in addition to a potential informed consent form (though the two can be combined) whenever the research aims to use or disclose medical information for a project. Visit the HIPPA Privacy website for more information.
IRB Form 6.3 - Application for IRB Waiver of HIPAA Privacy Authorization Please fill this form out if you think that your research project qualifies for a HIPAA Privacy Authorization Waiver (also see IRB Form 6.2). The form is used by the UNG IRB to determine whether your project involves no more than minimal risk to the privacy of individual participants and that it meets all of the criteria stipulated in the HIPAA Privacy Rule.
IRB Form 7.1 - Student Consent for Release of Non-Directory Information To comply with the Family Educational Rights and Privacy Act of 1974 (FERPA), this form may need to be filled out when a researcher seeks to use non-directory student information for research purposes. For more information, please check the UNG registrar and FERPA websites and/or contact the IRB.
IRB Form 7.2 - Revocation of Access to  Non-Directory Information Researchers that have previously asked students for permission to release non-directory information for research purposes should share this form with their participants. Under FERPA rules this form gives students the right to revoke, change and/or otherwise limit the scope of their initially given permission/s.
IRB Form 8.1 - Deed of Gift This form needs to be filled out when the researcher wishes to transfer the interviewees’ rights to their interviews (e.g. in oral history research) to an individual (e.g. the researcher), and/or an institution (e.g. a library). For more information, please visit the following to links: Deed of Gift / Oral History or contact the IRB.

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