Att 6i_USF Ybor Youth Clinic IRB agreement

Att_6i_USF_Ybor_Youth_Clinic_IRB_agreement[1].pdf

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

Att 6i_USF Ybor Youth Clinic 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 University of South Florida for the
study noted below;
and
2) University of South Florida 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. Patricia Emmanuel

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:

Date:

X___________________________________
4/11/2023 | 13:14 EDT

Print Name: Andi Encinas
Title:

IRB Reliance Manager

cc:

www.smartirb.org

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


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