NDMU IRB Amendment Form for Currently-Approved Protocol

Study Information

Please note this amendment form is only for protocol changes (for example, adding or removing an investigator, changing your research approach or data you're collecting, etc.). It can only be used for currently-approved protocols.

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* 1. Title of your study

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* 2. NDMU IRB Protocol/Study # (this number can be found in your approval memo from the IRB)

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* 3. IRB Approval Status of Your Study (can be found on approval memo)

Exempt

Expedited

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* 4. When does your study expire?

Date / Time

Date

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* 5. Principal Investigator (name; if student project, this is the faculty member)

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* 6. Principal Investigator email

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* 7. Co-Investigator/Student Investigator (if applicable)

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* 8. Co-Investigator/Student Investigator email (if applicable)

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* 9. Department/School