IRB Approval of School Staff Climate Survey

CDC DASH YMSM Evaluation—School Staff Climate Survey
August 01, 2014

Institutional Review Board Findings Form
ICF IRB FWA00000845 (exp. 04/13/2019)

Project Director(s): Elizabeth Kroupa, Catherine Lesesne
Project Title: CDC DASH YMSM Evaluation—School Staff Climate Survey
ICF Project Number: 635274.0.000.00.004

Type of Review:
☐ New

☒ Modification

☐ Annual review

Findings of the Board:

☒ Project complies with all of the requirements of 45 CFR 46, “Protection of Human
Subjects”
☐ Project is exempt from IRB review (See IRB Exemption Form)
☐ Project does not comply with all of the requirements of 45 CFR 46
Project Approved Until: August 31, 2018
Next Annual Review Date: March 07, 2015

August 01, 2014
Chair, Institutional Review Board

Date

(Revised 07/18/2014)

List of Approved Project Materials:
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School Staff Climate Survey
Survey Item Source for Staff Questionnaire
LEA-specific Questions
Informed Consent Screen for Web Survey
Introductory Email
Assurance of Confidentiality of Survey Data
Researcher Confidentiality Agreement Form

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