Children & Youth Institutional Review Board

Application Requirements for Initial Review:

Both pdf and rtf formats are provided for most items on this site. In order to save any changes you make to downloaded documents, you will need to use the file type compatible with your software editor. Adobe AcrobatAcrobat Reader cannot save changes made to pdf files, you will need Acrobat Writer or other software to do this. Rtf files can be edited and saved using Microsoft Word Microsoft Word.


Full Review - greater than minimal risk to the research subject) Please submit 17 COPIES of the following forms:

  1. Standard Information Form (HS-1A) Microsoft Word Adobe Acrobat
  2. CYIRB Supplementary Information Form Microsoft Word Adobe Acrobat
  3. Protocol
  4. Informed Consent (all enrollees) and Assent (as applicable - >7 years age) Microsoft Word Adobe Acrobat
  5. HIPPA Authorization Microsoft Word or Waiver of Authorization Microsoft Word (medical records research)
  6. Investigational Drug Use Form (if applicable) Microsoft Word Adobe Acrobat
  7. Fee Form for Commercially Sponsored Research (if applicable) Microsoft Word Adobe Acrobat
  8. Evidence of Completion of NIH Human Subjects Protection Tutorial (expires August 31, 2007)
  9. New Initial and Continuing Educational Requirements as of September 1, 2007

Expedited Review - minimal risk to the research subject Please submit 1 COPY of the following forms:

  1. Standard Information Form (HS-1A) Microsoft Word Adobe Acrobat
  2. Expedited Review Form Microsoft Word Adobe Acrobat
  3. CYIRB Supplementary Information Form Microsoft Word Adobe Acrobat
  4. Protocol
  5. Informed Consent (all enrollees) and Assent (as applicable - >7 years age) Microsoft Word Adobe Acrobat
  6. HIPPA Authorization Microsoft Word or Waiver of Authorization Microsoft Word (medical records research)
  7. Fee Form for Commercially Sponsored Research (if applicable) Microsoft Word Adobe Acrobat
  8. Evidence of Completion of NIH Human Subjects Protection Tutorial (expires August 31, 2007)
  9. New Initial and Continuing Educational Requirements as of September 1, 2007

Request for Exemption - qualifies as exempt from federal regulations Please submit 1 COPY of the following forms:

  1. Standard Information Form (HS-1A) Microsoft Word Adobe Acrobat
  2. Exempt Review Form Microsoft Word Adobe Acrobat
  3. Protocol
  4. Informed Consent (if applicable) Microsoft Word Adobe Acrobat
  5. Evidence of Completion of NIH Human Subjects Protection Tutorial (expires August 31, 2007)
  6. New Initial and Continuing Educational Requirements as of September 1, 2007