Att G-IRB

Attachment G_IRB Exemption.pdf

Assessing the Impact of Organizational and Personal Antecedents on Proactive Health/Safety Decision Making

Att G-IRB

OMB: 0920-1104

Document [pdf]
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DEPARTMENT OF HEALTH & HUMAN SERVICES
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Memorandum





Date

October 16, 2014

From

Chair, NIOSH IRB (HSRB)

Subject

Report of NIOSH IRB (HSRB) – Protocol No. HSRB 14-OMSHR-08XM “Assessing the Impact
of Organizational and Personal Antecedents on Proactive Health/Safety Decision Making”
Approval of New Exempt Protocol

To

Emily Haas, Ph.D.
Project Officer, HFB, DMRO, OMSHR
Through: /Chief, HFB, DMRO, OMSHR ____ ____
/Director, DMRO OMSHR ____ ____
General Comments and IRB Actions
I reviewed your request to exempt protocol HSRB 14-OMSHR-08XM “Assessing the Impact of
Organizational and Personal Antecedents on Proactive Health/Safety Decision Making” and find this
research activity is exempt under 45 CFR 46.101 category (b)(2) “Educational tests, surveys, interviews,
adults only, data not identifiable.” This determination is valid for a period of three years through
10/16/2017. However, we strongly encourage investigators to close out exempt protocols as soon as
CDC/NIOSH staff are no longer engaged in the research activity, rather than waiting for a reminder of the
three-year expiration date.
Also please be advised investigators remain responsible for the ethical conduct of this study and for
ensuring appropriate human research protections even for research exempt from the regulations governing
the protection of human subjects in research.
If you choose to make changes to your approved protocol, the changes must be reviewed and approved
prior to implementation by submitting via hard copy CDC forms 0.1379 (signature page), 0.1252X (exempt
amendment request), 0.1370 (non CDC collaborator, if have), a clean copy of the revised protocol and a
highlighted copy (track changes or pen/ink) of the revised protocol (all changes highlighted). Electronic
submission of your amendment request may facilitate review, but it is not required. The procedure for
requesting annual continuing review is to send 45-60 days prior to renewal date completed hard copy forms
CDC 0.1379 (signature page), 0.1251X (exempt continuing review request), 0.1370 (non CDC collaborator,
if have ), a copy of your current consent form (if still consenting or recruiting). An electronic submission
of your continuing review may facilitate review, but it is not required.

Protocol Issues – None.
Consent Form Issues – None.
Addenda Issues (Scripts, questionnaires, brochures, etc.) – None.

cc:
HSRB 14-OMSHR-08XM


File Typeapplication/pdf
File TitleAttachment G_HSRB 14-OMSHR-08XM 101614 approval HaasE assessImpact.pdf
AuthorVQI6
File Modified2014-12-12
File Created2014-12-12

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