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Human Subjects Division (HSD)

Documents

Document Details

Last Updated 11/01/2013
Version 2.70
Filesize 310 KB
Audiences Researcher
Doc Type Form

APPLICATION: Determination, Exempt Status (Word)

Purpose

The purpose of this form is to provide the UW Human Subjects Division staff with the necessary information to determine if a research activity involving human subjects may be eligible for a determination of “exempt” status, as allowable by the regulations that govern human subjects protections.

The link to the PDF version of this form with embedded guidance is located below.

Change Notes

  • Related to Ver. 2.70, noted 11/01/2013 @ 02:21pm
    Updated title. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.60, noted 10/19/2013 @ 04:39pm
    Updated name to new naming convention on website.
    - sherrye
  • Related to Ver. 2.60, noted 06/28/2013 @ 11:54am
    Updated to align with new SOP. Please use latest version of this form.
    - sherrye
  • Related to Ver. 2.50, noted 05/31/2013 @ 09:43am
    Updated mailing address information. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.40, noted 04/26/2013 @ 11:39am
    Separated position and title fields in contact information section. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.30, noted 01/25/2013 @ 09:05am
    Update to FCOI language. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.20, noted 11/30/2012 @ 08:44am
    Updates made to PDF version. Okay to use previous version until 12/31/2012.
    - sherrye
  • Related to Ver. 2.10, noted 06/22/2012 @ 08:41am
    Removed line from Chair signature assurance that stated: I certify that this research has received an intramural review and approval of scientific merit, if it did not go through an extramural review process.
    - sherrye
  • Related to Ver. 2.00, noted 05/25/2012 @ 09:06am
    New questions added for Lead Researcher. Do not use older versions of this form. HSD will not accept older versions after July 1, 2012.
    - sherrye
  • Related to Ver. 1.50, noted 01/27/2012 @ 08:49am
    Updated signature policy, okay to use previous version.
    - sherrye
  • Related to Ver. 1.30, noted 05/27/2011 @ 09:50am
    Addition of double-sided copies instructions.
    - sherrye
  • Related to Ver. 1.20, noted 05/06/2011 @ 01:17pm
    Minor updates to make consistent with PDF version.
    - sherrye
  • Related to Ver. 1.10, noted 03/09/2011 @ 10:59am
    Added text to instructions regarding signature submission.
    - sherrye
  • Related to Ver. 1.00, noted 02/25/2011 @ 08:20am
    Changed from Beta-Test to in use.
    - sherrye
  • Related to Ver. 1.00, noted 12/23/2010 @ 10:19am
    Document newly added.
    - sherrye