Zief Susan Certificate of Approval

January 12, 2017
Susan Zief, PhD
Mathematica Policy Research, Inc.
600 Alexander Parkway
Princeton, NJ 08540, United States
IRB#: 120161018
Sponsor Protocol Number:
Study Title: Federal Evaluation of Making Proud Choices!(MPC!)

Notification of Approval
This is to inform you that New England Independent Review Board (NEIRB) has approved the following for
the above referenced research.
Date of Review: 01/12/2017
Action Date (first day of study approval period): 01/12/2017
End Approval Date (last day that the study is approved): 01/11/2018

Approval Includes:
Investigator
Protocol
Focus Group Assent Statement V1.0
Parent Focus Group Permission Form V1.0
Parent Focus Group Letter V1.0
Parent Survey Letter V1.0
Parent Survey Permission Form V1.0
Survey Assent Statement V1.0
Baseline survey #65433.0
Staff survey_health educators #65432.0

NEIRB has approved the following locations to be used in the research:
• Mathematica Policy Research, Inc., 600 Alexander Parkway, Princeton, New Jersey 08540

Continued approval is conditional upon your compliance with the following requirements:
• Compliance with all aspects of NEIRB’s Investigator Responsibilities (available at www.neirb.com).
• The study cannot continue after the End Approval Date unless re-approved by NEIRB. A Study Continuing
Review Report must be completed and returned to NEIRB prior to the study end date of the approval period.
• Compliance with all federal, state and local laws pertaining to this research.
• Any and all necessary FDA approvals must be received prior to your initiation of the trial.
Please contact NEIRB with any questions about this determination.

197 First Avenue . Suite 250 . Needham, MA 02494 Phone: 617-243-3924 . Fax: 617-969-1310

www.neirb.com

Copy:
NEIRB study file
Enclosures

197 First Avenue . Suite 250 . Needham, MA 02494 Phone: 617-243-3924 . Fax: 617-969-1310

www.neirb.com