IRB | Amendment Form (Short) Header Image

Request for Approval of Change to Previously Approved Protocol


If you have any questions about the form, please email humansubjects@poverty-action.org.

Summary Information

Attachments

Signed amendment application form*
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Revised protocol (TRACK CHANGES):
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Revised Protocol (CLEAN)
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Survey instrument (Only English Required)
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Submit new OR revised survey instrument, if applicable
Consent form
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Submit your consent form. Place tracked changes on the consent form if you are proposing modifications to your consent.
Additional Form 1 (i.e. CITI certificate[s])
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Additional Form 2
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Additional Form 3
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