sIRB Intake Form draft

Draft: request sIRB review.

For help, please contact (352) 274-9600 or irb@ufl.edu.

Link to sIRB page… Link to sIRB mandate…

Study title*
PI Name*
First Last
PI Email*
Lead Coordinator Name
First Last
Coordinator Email
Sponsor / funding agency*
Status of award*
- Proposal not submitted
- Proposal submitted, not yet awarded
- Awarded
Expected IRB Approval Date*
MM slash DD slash YYYY
Number of external sites / universities to be overseen by UF IRB*
If known, please list the names of the institutions to be overseen by UF IRB
Brief study description*
Study risk*
- Minimal risk
- Greater than minimal risk
Will the research involve banking tissue or data?*
- Yes
- No
Where will the tissue/data be banked?
- UF
- Outside institution
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sIRB Intake Form *draft*