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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
File Type | application/pdf |
File Modified | 2023-04-11 |
File Created | 2023-04-11 |