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Human Subjects Division (HSD)


Document Details

Last Updated 05/31/2016
Version 3.80
Filesize 2.12 MB
Audiences Researcher
Doc Type Form
Use of HSD PDF Forms

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For Mac users: be sure to open the form in Adobe Reader or Acrobat.

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PAPER RESPONSE: Cover Sheet, Conditional Approval


Use this form to respond to an IRB review letter when your application has received Conditional Approval.

This document is for use with paper-based applications only. Do not use with Zipline. HSD accepts versions from 3/27/2015 on.

Change Notes

  • Related to Ver. 3.70, noted 12/02/2015 @ 09:05pm
    Updated committee dropdown list
    - sherrye
  • Related to Ver. 3.60, noted 04/24/2015 @ 10:55am
    Removed references to HIPAA authorizations.
    - sherrye
  • Related to Ver. 3.50, noted 02/27/2015 @ 08:55am
    Previous note on updates should have been applied to version 3.5.
    - sherrye
  • Related to Ver. 3.40, noted 02/27/2015 @ 08:54am
    Added room for PI box number, updated committee drop down list. Okay to use previous version.
    - sherrye
  • Related to Ver. 3.40, noted 05/30/2014 @ 10:12am
    Added space to enter the item number to which this form is a response.
    - sherrye
  • Related to Ver. 3.30, noted 03/28/2014 @ 10:23am
    Added space for secondary contact info and updated the checklist.
    - sherrye
  • Related to Ver. 3.20, noted 10/19/2013 @ 04:47pm
    Updated name to new naming convention on website.
    - sherrye
  • Related to Ver. 3.20, noted 08/09/2013 @ 10:26am
    Updated HSD information box. Please use latest version.
    - sherrye
  • Related to Ver. 3.10, noted 05/31/2013 @ 09:39am
    Updated instructions. Okay to use previous version.
    - sherrye
  • Related to Ver. 3.00, noted 02/24/2012 @ 09:07am
    Updated from Word to PDF smart form.
    - sherrye
  • Related to Ver. 2.80, noted 05/27/2011 @ 09:09am
    Addition of double-sided copies instructions.
    - sherrye
  • Related to Ver. 2.70, noted 03/25/2011 @ 09:44am
    Updated instructions for returning letter back to IRB.
    - sherrye
  • Related to Ver. 2.60, noted 10/28/2010 @ 09:18am
    Clarification that HSD is asking for Study contact name.
    - sherrye