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IRB/OPRS Forms & Instructions
Investigators and research staff should contact OPRS at 312-996-1711, by email at uicirb@uic.edu, or by email using the “suggestions” button above (which allows for anonymity) to obtain answers to questions, express concerns and convey suggestions as to the human research protection program.
If you are a research subject or research staff personnel and have a complaint or concern, please call 1-866-789-6215 (toll free) or email OPRS at uicirb@uic.edu.
OPRS Going Green: instructions for printing double sided documents.
OPRS accepts and encourages double-sided printing of certain materials.Here are the requirements:
- Each set of documents must begin on a new page. For example, Page 1 of Appendix B cannot begin on the reverse side of the last page of Appendix U.
- Documents that cannot be double-sided:
- Original consent forms
- Authorizations
- Recruitment materials, and
- Any document that requires an IRB Approval Stamp
- Also, the number of copies has been reduced:
- Expedited Review: one original and one copy
- Convened Review: one original and 20 copies
View Forms by Type
- Type 1: Initial Submission Application*
- Type 2: Appendices
- Type 3: Doing Research at the Jesse Brown VA Medical Center
- Type 4: Informed Consent/Assent/Authorization Templates
- Type 5: Continuing Review*
- Type 6: Changes to Your Research*
- Type 7: When the Unexpected Happens in Your Research
- Type 8: Finishing Your Research
- Type 9: FDA Forms
- Type 10: Contracts for Limited Data Sets
- Type 11: Requesting Continuing Education Credit
- Type 12: Requesting RiSCWeb Access for Research Team Members and Research Directory Listing
- Type 13: Emergency Use of an Investigational Drug/Biologic/Device
*Please note, Checklists for your convenience are available for the following application forms:
Initial IRB Review Health and Biological Sciences, Initial IRB Review Social and Behavioral Sciences, Continuing Review, Amendments and Claim of Exemption.
Which Form Should I Use?
View Alphabetical List of Forms
Form Tips and Updates
*Please note that older versions of the UPDATED forms will no longer be accepted after September 1, 2011. Please make sure you are using the current forms!
Type 1: Initial Submission Application |
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Forms |
Version, Date |
Instructions |
| v5.1, 6/24/11* | ||
| Initial IRB Review Social and Behavioral Sciences | v4.3, 1/30/12* | Checklist |
| v4.5, 6/24/11* | ||
| Development/Center/Training Grant Application | v1.0 | |
| Determination of Whether an Activity Represents Human Subjects Research | v2.0, 10/16/08 | |
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Type 2: Appendices |
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Forms |
Version, Date |
Instructions |
| v4.0 6/23/09 | ||
| Appendix A2 - Use of Medical Devices UPDATED! | v4.1 10/26/11 | |
| v3.1, 4/1/09 | ||
| v6.2, 9/24/08 | ||
| v5.0 | ||
| v4.2 | ||
| v2.1 | ||
| v4.0, 1/12/11 | ||
Appendix I - Use of International Performance Sites for Human Subject Research |
v1.0 | |
Appendix J - Debriefing for Research Involving the Use of Deception |
v2.0, 6/22/09 | |
| v1.3, 6/13/08 | ||
| v1.1, 5/29/09 | ||
| v1.0, 8/3/07 | ||
| Appendix M - Research Data Security | v1.1, 3/15/11 | Form Specific FAQs |
| Appendix N - Research Involving Investigational Devices | v1.0, 9/11/08 | |
| Appendix O - Research Involving Investigational Drugs | v1.0, 9/11/08 | |
Appendix P - Additional Co-Investigators/Key Research Personnel |
v3.2, 6/24/08 | |
Appendix S - Use of School Classroom as a Performance Site for Human Subject Research |
v1.0 | |
| Appendix U - Research Involving Pregnant Women, Human Fetuses, and neonates | v1.0, 2/16/09 | |
| Appendix V - Decisionally-Impaired Individuals as Subjects in Research | v1.1, 4/3/09 | |
Appendix Z - Additional Funding Sources for Human Subjects Research |
v2.2, 4/27/10 | |
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Type 3: Doing Research at the Jesse Brown VA Medical Center |
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Forms |
Version, Date |
Instructions |
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Type 4: Informed Consent/Assent/Authorization Templates |
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Forms |
Version, Date |
Instructions |
Biomedical Research Consent Form Template - English UPDATED! |
1/17/12 | |
| 10/08/09 | ||
| 10/08/09 | ||
| Behavioral Research Consent Form Template - Spanish | 10/08/09 | |
Authorization to Use and Disclose Health Information - English |
v2.9, 3/13/07 | |
Authorization to Use and Disclose Health Information - Spanish |
v2.9, 3/13/07 | |
| v1.0, 3/7/03 | ||
| 10/29/99 | ||
Biomedical Consent for minimal-risk research with HIPAA elements |
v2.0, 8/13/07 | Sample |
| v3.4, 3/13/07 | ||
| v3.4, 3/13/07 | ||
| Consent for Use of a Humanitarian Use Device (HUD) Template | 6/29/09 | |
Short form for persons who do not read English - Chinese |
v2.6, 1/22/07 | Tip Sheet |
Short form for persons who do not read English - English |
v2.6, 8/22/07 | Tip Sheet |
Short form for persons who do not read English - Korean |
v2.6, 8/22/07 | Tip Sheet |
Short form for persons who do not read English - Russian |
v2.6, 8/22/07 | Tip Sheet |
Short form for persons who do not read English - Spanish |
v2.6, 8/22/07 | Tip Sheet |
Short form for persons who do not read English - Tagalog |
v1, 11/8/07 | Tip Sheet |
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Type 5: Continuing Review |
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Forms |
Version, Date |
Instructions |
| Continuing Review | v3.4, 1/30/12* | |
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Type 6: Changes to Your Research |
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Forms |
Version, Date |
Instructions |
| v3.2, 6/24/11* | Checklist | |
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Type 7: When the Unexpected Happens in Your Research |
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Forms |
Version, Date |
Instructions |
Event Requiring Prompt Reporting to the Institutional Review Board |
v2.1, 1/31/11* |
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| v2.0, 8/20/08 | ||
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Type 8: Finishing Your Research |
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Forms |
Version, Date |
Instructions |
| v1.0 | Instructions | |
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Type 9: FDA Forms |
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Forms |
Version, Date |
Instructions |
| Humanitarian Use Device Application | v2.0, 6/23/09 | |
| Consent for Use of a Humanitarian Use Device (HUD) Template | 6/29/09 | |
| Instructions | ||
| Instructions | ||
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Type 10: Contracts for Limited Data Sets |
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Forms |
Version, Date |
Instructions |
| v2.0 | ||
| v2.0 | ||
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Type 11: Requesting Continuing Education Credit |
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Forms |
Version, Date |
Instructions |
| v3.1, 3/10/08 | ||
| v2.2, 6/10/08 | ||
| v3.1, 6/10/08 | ||
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Type 12: Requesting RiSCWeb Access for Research Team Members and Research Directory Listing |
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Forms |
Version, Date |
Instructions |
Designate RiSCWeb Access for Active Protocols to Research Personnel |
v1.0, 7/30/07 | |
| Research Directory Listing | v1.0, 1/6/09 | |
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Type 13: Emergency Use of an Investigational Drug/Biologic/Device |
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Forms |
Version, Date |
Instructions |
| Notification of Emergency Use of a Test Article | v2.0, 6/8/08 | Instructions |
| 5 Day Follow-up Report of Emergency Use of a Test Article | v1.0, 7/25/08 | Instructions |
Independent Physician Certification: Emergency Use Of A Test Article Without Informed Consent |
v1.0, 6/9/08 | Instructions |
Consent for Emergency Use of an Investigational Drug/Biologic/Device Template |
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