Att 6e_Childrens Hospital Montefiore IRB agreement

Att_6e_Childrens_Hospital_Montefiore_IRB_agreement[1].pdf

[NCHHSTP] Expanding PrEP in Communities of Color (EPICC)

Att 6e_Childrens Hospital Montefiore IRB agreement

OMB: 0920-1423

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ACKNOWLEDGEMENT OF SITE AGREEMENT TO CEDE IRB REVIEW AND REVIEWING IRB TO PROVIDE
OVERSIGHT
This form documents that:
1) Florida State University will serve as the Reviewing IRB for Children's Hospital at Montefiore for
the study noted below;
and
2) Children's Hospital at Montefiore has agreed to cede IRB review to Florida State University for
the study noted below.
Study Title:

Expanding PrEP in Communities of Color (EPICC+)
(EPICC+Training & Cohort) STUDY00003652

Overall PI:

Dr. Lisa Hightow-Weidman

Relying Site Investigator:

Dr. Michelle Collins-Ogle

IRB review will be ceded under the SMART IRB Master Common Reciprocal Institutional Review Board
Authorization Agreement. Questions about the IRB review process or study status should be directed to
Julie Haltiwanger at [email protected].
Reviewing IRB Point of Contact Signature:

Date:

X________________________________
Print Name:
Title:

" 

#	


 
!!   

Relying Institution Point of Contact Signature:
X___________________________________
Print Name:

Sehily Carlson

Date:
5/9/2023

Title: Assistant Director, Cooperative Research, Einstein OHRA

cc:

www.smartirb.org

Funded by the NIH Clinical and Translational Science Awards (CTSA) Program, grant number UL1TR001102-04S1


File Typeapplication/pdf
File Titlehttps:/myrampagreements.research.fsu.edu/Agreements/sd/Doc/0/81R0PECJBS8UQPS4NRCPCLIG00/Agreement_for_REL00000220
AuthorJacob
File Modified2023-05-09
File Created2023-01-17

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