IRB Category I Form

This form may be used when the proposed research:

1. Does not involve special populations (e.g., participants under 18 years of age, prisoners, in/outpatients mentally/physically disabled, pregnant women); AND

2. Does not use private records (e.g., medical, education); AND

3. Does not involve deception (beyond not informing subjects about every aspect of this study and hypotheses); AND

4. Poses no foreseeable psychological or physical risks (e.g., elevated stress, reduction in self-esteem, revealing sensitive personal information, physical injury) to participants (beyond everyday levels); AND

5. Preserves confidentiality (does not allow linkage of individual participant's results with names); AND

6. Does not probe sensitive personal information (including disease/disorder/disability status); AND

7. Does not present offensive, threatening, or degrading material; AND

8. Obtains informed consent from participant and debriefs participants, except in exceptional circumstances.

IMPORTANT NOTICE TO STUDENT RESEARCHERS:

Once your application is submitted, it will be sent to your academic supervisor who must review your submission and send an email to IRB@depauw.edu before the Committee will review it.

IRB Committee response to proposals:

One or more members of the IRB will review the proposal and respond, within 10 working days. Category I research requires approval, so you may not begin data collection until you have received notification of approval from the IRB Committee.

Project Title:

DePauw Status (check all that apply):

Faculty

Administrator

Staff

Student

Non DePauw Participant

Researcher Name(s):

Department:

Email Address(es):

Phone number(s):

If a student, provide Faculty sponsor(s) name, department, email, phone

If this research is part of a course requirement or affiliated with a course, list course name and number:

Estimated inclusive dates for data collection:

Proposed number of participants: MALE

Proposed number of participants: FEMALE

Age range of participants:

I(we) certify classification as Category I research using human subjects meets all the requirements as outlined below and the information provided in this application is correct.

All data are anonymous and/or confidential;

No use of private records (e.g., medical or educational);

No invastion of privacy of subject or family; manipulation or measurement of variables that may cause physical or psychological stress (e.g., sensory deprivation, social isolation);

No probing for personal or sensitive information; presentation of materials that subjects might find offensive, threatening, or degrading; use of deception as part of experimental protocol.

HOW TO SUBMIT YOUR IRB PROPOSAL:

For your submission you will need to upload a document that has the following three items: description of the study, informed consent form, and debriefing. For complete information on each of these, please access this link: http://www.depauw.edu/offices/academic-affairs/research-at-depauw/guidelines-for-using-human-sub/

Upload your document that has the following items: description of the study, informed consent form, debriefing and other supporting materials.

Upload any additional materials that cannot be included in your original document, such as separate pdf files (e.g., appendices, questionnaires).

Acknowledgement of Investigator(s):

By submitting this application I(we) acknowledge that this research is in keeping with the standards set by our discipline and that the principal investigator has met all IRB requirements for review and approval of this research.