ࡱ> ildefgh F3bjbj ;:ËË+ w"""8Zl"3H"""Fz \f02222222$4A7f3Qzz3"F4Q3LLLF"F2L2LLN.|/"$LX.2g303.747$//714L33<37 :  PROJECT STATUS REPORT 1. Name and Address (Campus) of Principal Investigator (PI):  FORMTEXT       2. PI's Campus Telephone #:  FORMTEXT       3. PI's Department:  FORMTEXT       4. Title of Project:  FORMTEXT       5. Assigned IRB Protocol #  FORMTEXT       6. Anticipated ending date of research project:  FORMTEXT       Do you want your approval to continue past this date?  FORMTEXT       New anticipated ending date:  FORMTEXT       7. If there have been any changes in key personnel since your last review, please list the Name and Responsibility in Project for each person.  FORMTEXT       8. Number of volunteer subject withdrawals (drop outs) and reasons given for withdrawing. FORMTEXT       9. Are you still recruiting research subjects?  FORMTEXT       10. If recruitment is complete, are you analyzing identifiable data?  FORMTEXT       11. Unless the requirement was waived by the IRB, a signed copy of the approved consent form should have been obtained from each of the volunteer subjects in the study. Has this requirement been met?  FORMTEXT       12. Where are the records containing the signed consent forms located?  FORMTEXT       13. 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[NOTE: No material changes in the research procedures should have occurred since the previous IRB review. Approval from the IRB must be obtained before implementing any material changes.] 14. Have any significant new findings developed during the course of the research which may relate to volunteer subject's willingness to continue to participate?  FORMTEXT       If yes, describe the new findings and discuss their implications for volunteer subject participation. FORMTEXT       15. Since the previous IRB review, has any adverse reaction or fatality occurred to a volunteer subject during the research procedure which was not reported to the IRB?  FORMTEXT       Principal Investigator Signature:_____________________________________________________________ Date:____________  INCLUDEPICTURE "../../../../../../Documents%20and%20Settings/LISA.ZESSIN/Local%20Settings/Temporary%20Internet%20Files/OLK159F/IMAGES/Line.gif" \* MERGEFORMAT      Status Report Form Revised 1/21/09 Page 2 of 2 Revised 1/2019 Page 1 of 1 -------..........«št\tEt7hf5CJOJQJ^JaJ,jh2&ChJ.CJU^JaJmHnHu/j&1h2&ChJ.CJOJQJU^JaJ)jh2&ChJ.CJOJQJU^JaJ h2&ChjCJOJQJ^JaJ h2&ChJ.CJOJQJ^JaJ,jh2&ChCJU^JaJmHnHu)jh2&ChCJOJQJU^JaJ/j0h2&ChCJOJQJU^JaJ h2&ChCJOJQJ^JaJ../0000"0$0(0*0l000 11N2P2ɸɉxgSB737h% ,jh2&ChjU h2&ChfCJOJQJ^JaJ&h2&Chj5CJOJQJ\^JaJ h 5R5CJOJQJ\^JaJ h2&ChJ.CJOJQJ^JaJ,jh2&ChCJU^JaJmHnHu/j1h2&ChCJOJQJU^JaJ h2&ChCJOJQJ^JaJ)jh2&ChCJOJQJU^JaJ h2&ChjCJOJQJ^JaJ h2&Ch-]CJOJQJ^JaJP2R2T2V2X2\2^2b2d2h2j2n222222222222222 3 333>3@3B3D3F3ȺȩȗȗȗȩȺȩhDCJOJQJ^JaJh| h<1h|CJOJQJ^JaJhw2 CJOJQJ^JaJh|CJOJQJ^JaJh13jh13U h2&Chjjh2&ChjUj2h2&ChjU"9 0&P1h:p\/ =!`"`#$% L*Dd] XZn  C 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