Forms and Resources | University of Illinois Springfield

IRB FORMS, CHECKLISTS, AND TEMPLATES

NEW! Investigator Checklist for Preparing IRB Submissions

Fillable IRB Forms	Documents to Prepare (if applicable)
IRB Human Subjects Study Application (Word version) IRB Human Subjects Study Application (Fillable PDF) Coming Soon: WebTools e-Application Research Team Form (up to 4 collaborators) Research Team Form (more than 4 collaborators) Waiver of Documentation of Informed Consent Removes signature requirement only. Common in online consent and sensitive research where a signature is the primary risk of breach of confidentiality. Waiver/Alteration of Informed Consent Removes or alters consent element(s). Common when research involves deception or observance of natural behaviors. Campus-Wide Survey Administration Request Form Required when surveying at least 10% of UIS population. Certificate of Translation Form Required for research that provides documents in a language besides English. HIPAA Compliance Form Mandated Reporter Form	CITI Core IRB Training Report (required) Create an account with CITI Programs. After registering, affiliate your account with University of Illinois - Urbana Champaign before adding the course to your list. Additional CITI Training Report(s) Required for international research and research with vulnerable populations. Recruitment Materials Study Instruments/Data Collection Consent/Assent Document(s) Support Letters/Letters of Commitment Funding Notice/Contract Debriefing Statement Translated Documents Data Safety and Monitoring Plan

Fillable IRB Forms

Documents to Prepare (if applicable)

IRB Human Subjects Study Application (Word version)
IRB Human Subjects Study Application (Fillable PDF)
Coming Soon: WebTools e-Application

Research Team Form (up to 4 collaborators)
Research Team Form (more than 4 collaborators)

Waiver of Documentation of Informed Consent
Removes signature requirement only. Common in online consent and sensitive research where a signature is the primary risk of breach of confidentiality.

Waiver/Alteration of Informed Consent
Removes or alters consent element(s). Common when research involves deception or observance of natural behaviors.

Campus-Wide Survey Administration Request Form
Required when surveying at least 10% of UIS population.

Certificate of Translation Form
Required for research that provides documents in a language besides English.

HIPAA Compliance Form

Mandated Reporter Form

CITI Core IRB Training Report (required)
Create an account with CITI Programs. After registering, affiliate your account with University of Illinois - Urbana Champaign before adding the course to your list.

Additional CITI Training Report(s)
Required for international research and research with vulnerable populations.

Recruitment Materials

Study Instruments/Data Collection

Consent/Assent Document(s)

Support Letters/Letters of Commitment

Funding Notice/Contract

Debriefing Statement

Translated Documents

Data Safety and Monitoring Plan

Templates	Checklists AND GUIDELINES
General Informed Consent Form Template English as a Second Language Consent Short Form Institutional Authorization Agreement/Reliance Agreement Template Conflict of Interest Management Plan Familial Conflict of Interest UEO Letter Template	Elements of Informed Consent International Research Checklist Zoom Data Collection Guidance Telephone Consent Guidance Sample Reviewer Checklist

Post-approval forms
Annual Progress Report Study Closure Form Adverse Events Report Form Unanticipated Problem Report Form Protocol Amendment Form Continuation Request (WebForm)

Resources

The following e-presentation provides the basics for preparing a successful human subjects research protocol:

Navigating the IRB Application (2024 PPT)

The EU General Data Protection Regulations or China's Personal Information Protection Law may apply to your research. Please consult the University of Illinois system GDPR Information Page and PIPL Information Page for more details. The Office of Research and Sponsored Programs will evaluate your protocol and provide advice.

This article describes the GDPR implications for secondary research, such as public clinical trial data.

External Resources

Office for Human Research Protections
Belmont Report
Declaration of Helsinki
Chastain, G., & Landrum, R.E. (1999). Protecting Human Subjects. Washington, DC: American Psychological Association.
Sales, B.D., & Folkman, S. (2000). Ethics in Research with Human Participants. Washington, DC: American Psychological Association.

Additional Resources

Other resources to assist with research, grants and contracts, including workshops and tutorials, are available on the UIS Research Resources webpage.