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Forms
Application for IRB Approval (See below)
HIPAA Research Authorization – General (Word)
HIPAA Research Authorization – General HIV (Word)
HIPAA Research Authorization – Psychotherapy Notes (Word)
HIPAA IRB Waiver Application (PDF)
Continuing Review/Final Report form (Word)
Research Determination Form (Word)
Graduate Center Dissertation Deposit (Word)
Amendments/Modifications to Approved Protocol (Word)
Protocol Deviation Report form (Word)
Unanticipated Adverse Event and Unanticipated Problem Report Form (Word)
CUNY Subject Information Confidentiality Agreement (PDF)
If you wish to submit an Application for IRB Approval or Multi-campus Application for IRB Approval to the CUNY-Wide IRB, contact Arita Winter at arita.winter@mail.cuny.edu or 212-794-5504.
Memos for IRB Office Use
First Disapproval Memo, non CUNY-wide
Second Disapproval Memo, non CUNY-wide
CUNY-WIDE ONLY First Disapproval Memo
Amendment Approval Memo
Approval Lapsed during IRB Review
Approval Memo - Exempt
Approval Memo - Expedited
Approval Memo - Full Review
Expired Protocol Memo
Protocol closure - no response
Protocol closure acknowledgment Memo
First Renewal Reminder
Second Renewal Reminder
Final Renewal Reminder
Revisions Request: Nonsubstantive - Exempt
Revisions Request: Nonsubstantive - Expedited
Revisions Request: Nonsubstantive - Full
Revisions Request: Substantive - Full
Letters for IRB Office Use
First Disapproval Letter, non CUNY-wide
Second Disapproval Letter, non CUNY-wide
CUNY-WIDE ONLY First Disapproval Letter
Amendment Approval Letter
Approval Lapsed during IRB Review
Approval Letter - Exempt
Approval Letter - Expedited
Approval Letter - Expedited, NO Consent form
Approval Letter - Full Review
Expired Protocol Letter
Protocol closure - no response
Protocol closure acknowledgment Letter
First Renewal Reminder
Second Renewal Reminder
Final Renewal Reminder
Revisions Request: Nonsubstantive - Exempt
Revisions Request: Nonsubstantive - Expedited
Revisions Request: Nonsubstantive - Full
Revisions Request: Substantive - Full