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Office of Research Form Repository

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Document Title Doc Type Dept Author Updated
Does Your Research Require Review by
the ICTS Scientific Review Committee?
pdf HRPP Allen, Karen 12/18/08
ICTS - SRC Review Form pdf HRPP Allen, Karen 12/18/08
Administrative Approval Form doc SP Inderwiesche, Barbara 02/11/09
Administrative Approval Form Instructions pdf SP Inderwiesche, Barbara 02/11/09
Request for Approval to Spend Funds doc SP -- 06/24/05
Request for Approval to Transfer an Active Sponsored Project doc SP -- 07/27/04
VA/SCIRE Research Proposal Review Checklist doc SP -- 07/27/04
VA/SCIRE Research MOU for NIH doc SP -- 07/27/08
hSCRO Protocol Narrative doc hSCRO Irwin, Alisa 06/04/07
Template Consent for Donation of Embryo(s) and Genetic Material(s) doc hSCRO -- 07/26/08
Modification Request Form doc hSCRO Irwin, Alisa 08/13/07
Continuing Protocol Application doc hSCRO Irwin, Alisa 04/15/08
Continuing Protocol Application Instructions doc hSCRO Irwin, Alisa 04/15/08
Disclosure for PHS, NSF, or Other Agencies
Adopting Federal Requirements (COI-1)
doc COI Park, Grace 01/12/07
Disclosure for PHS, NSF, or Other Agencies
Adopting Federal Requirements Instructions
pdf COI Park, Grace 04/30/07
Statement of Economic Interests (Form 700-U)
for Use with Non-Governmental Sponsors (COI-2)
pdf COI -- --
Economic Interests Addendum for all Positive Disclosures (COI-3) doc COI Hong, Jennifer 03/31/04
Investigator's Assurance Statement doc IACUC Irwin, Alisa 07/27/04
Custom Antibody Production Contract Agreement doc IACUC -- 07/27/04
Add Title or Funding Source doc IACUC Irwin, Alisa 10/22/04
University Laboratory Animal Resources Forms (UCInetiD required) -- ULAR -- --
Registration Form for Studies Approved under UC MOU doc HRPP-IRB Lam, Debbie 01/13/09
Request for Determination of Non-Human Subjects Research Form doc HRRP-IRB Esparzo, Beverley 06/10/09
Disclosure of Investigator's Financial Interests doc HRPP-IRB -- 08/21/06
Investigator's Assurance Statement doc HRPP-IRB -- 08/21/08
HIPAA Research Authorization for Release of PHI - 2004 pdf HRPP-IRB -- 07/27/04
Standard UCIMC Research Recruitment Advertisement doc HRPP-IRB -- 02/28/05
Self-Certification of Surrogate Decision Makers for Research Studies pdf HRPP-IRB 01/08/03
Decision-Making Capacity Assessment Tool doc HRPP-IRB -- 05/20/04
Emergency Use: Permission for Emergency Use of Investigational
Drug/Biologic/Device for Patient Care
doc HRPP-IRB -- 01/13/09
Emergency Use: Memorandum of Understanding Related to
the Use of Data Obtained under Emergency Use Approval
doc HRPP-IRB -- 06/20/08
UCI Non Reportable Events Report doc HRPP-IRB Allen, Karen 01/13/09
Internal Unrelated SAE Summary Log doc HRPP-IRB Melamud, Debbie 06/19/09
Informed Consent Document Template (Biomedical) doc HRPP-IRB Allen, Karen 01/02/09
Informed Consent Document Template (Social-Behavioral) doc HRPP-IRB Allen, Karen 01/02/09
Informed Consent Document Template for Donation of Embryos doc HRPP-IRB -- 06/29/05
Minor Assent Form Template doc HRPP-IRB -- 05/25/05
Study Information Sheet doc HRPP-IRB Allen, Karen 12/22/08
Experimental Subject's Bill of Rights doc HRPP-IRB -- 03/02/06
NCI CIRB Consent Form Check List for UCI Required Additions doc HRPP-IRB Irwin, Alisa 06/22/07
PET Addendum Consent Template doc HRPP-IRB -- 11/07/05
Emergency Use: Consent to Undergo Emergency Treatment with Investigational Drug/Biologic/Device doc HRPP-IRB -- 06/20/08
Humanitarian Use Device - Informed Consent Template doc HRPP-IRB -- 02/03/06
Self-Certification of Surrogate Decision Makers for Research Studies (Spanish) pdf HRPP-IRB Corrada, Maria 10/09/07
Authorization for Release of PHI for Research Purposes--2004 (Spanish) pdf HRPP-IRB -- 07/27/04
Authorization for Release of PHI for Research Purposes--2004 (Vietnamese) pdf HRPP-IRB -- 07/24/04
Subject's Experimental Bill of Rights (Chinese) pdf HRPP-IRB -- 07/19/06
Subject's Experimental Bill of Rights (Farsi) pdf HRPP-IRB -- 07/19/06
Subject's Experimental Bill of Rights (Korean) pdf HRPP-IRB -- 07/19/06
Subject's Experimental Bill of Rights (Spanish) pdf HRPP-IRB -- 10/09/07
Subject's Experimental Bill of Rights (Tagalog) pdf HRPP-IRB -- 09/07/06
Subject's Experimental Bill of Rights (Urdu) pdf HRPP-IRB -- 09/08/06
Subject's Experimental Bill of Rights (Vietnamese) pdf HRPP-IRB -- 12/13/07
English Short Form Consent (for viewing and translation purposes) pdf HRPP-IRB -- 12/04/07
Spanish Short Form Consent pdf HRPP-IRB -- 07/03/07
Vietnamese Short Form Consent pdf HRPP-IRB -- 07/03/07
Chinese Short Form Consent pdf HRPP-IRB -- 07/03/07
Korean Short Form Consent pdf HRPP-IRB -- 07/03/07
Farsi Short Form Consent pdf HRPP-IRB -- 07/03/07
Checklist for Exempt Research doc HRPP-IRB -- 07/22/08
Checklist for Expedited Research doc HRPP-IRB -- 07/22/08
Checklist for Full Committee Research doc HRPP-IRB -- 07/22/08
Checklist for Continuing Review doc HRPP-IRB -- 07/22/08
Checklist for Modification/Amendment Requests doc HRRP-IRB -- 07/22/08
Disclosure for PHS, NSF, or Other Agencies Adopting Federal Requirements (COI-1) doc COI -- 08/21/06
Disclosure for PHS, NSF, or Other Agencies Adopting Federal Requirements (COI-1) Instructions pdf COI -- 07/01/04
Statement of Economic Interests (Form 700-U) for Use with Non-Governmental Sponsors (COI-2) pdf COI -- --
Economic Interests Addendum for all Positive Disclosures (COI-3) doc COI -- 07/01/04
Is it a Gift, Grant or Contract? pdf SP Carew, Jacqueline 06/02/08
Preparing for Successful Grants.gov Submissions pdf SP Boyes, Christine 12/20/06
Sample SF 424 (R&R) Form Quick Reference pdf SP -- 01/10/07
UCI and Grants.gov Quick Reference pdf SP Carew, Jacqueline 01/10/07
NIH and Grants.gov Quick Reference pdf SP -- 01/10/07
Six Steps for Successful NIH and Grants.gov Submission pdf SP Boyes, Christine 01/22/07
NSF and Grants.gov Quick Reference pdf SP -- 01/10/07
Guidelines for Direct Charging Sponsored Projects pdf SP -- 02/15/05
Decision Tree - Charging Administrative Expenses pdf SP -- 05/28/08
SP Data Warehouse User Guide doc SP -- 03/28/08
CORCLR Task Force Review of ORUs pdf HRPP -- 04/18/08
Disclosure Requirements Chart pdf COI Park, Grace 02/17/09
Application to Use Animals doc IACUC -- 01/26/09
Annual Continuation Application doc IACUC -- 04/20/05
IACUC Modification Application doc IACUC -- 05/01/07
Export Controls - Do's & Don'ts pdf EXPORT CTRL Carew, Jacqueline 04/16/08
International Shipments doc EXPORT CTRL Copeland, Marci 01/08/09
Export Control Regulations ppt EXPORT CTRL Carew, Jacqueline 11/09/05
Request a Review of Shipments doc EXPORT CTRL Hansen, Christina 04/19/06
Shippers Export Declaration Form doc EXPORT CTRL Copeland, Marci 05/20/08
What is Stem Cell Research? ppt hSCRO Hofstadter, Maura 12/14/05
Ethical Issues for Human Stem Cell Research pdf hSCRO Irwin, Alisa 06/04/07
Fiscal Guidance to Investigators and Administrators pdf hSCRO -- 02/12/07
Human Stem Cell Research Program Policy and Procedures pdf hSCRO Irwin, Alisa 09/23/08
Campus Centers Checklist pdf OVC Richman, Marie 02/29/08
UCI Research Imaging Center Application for Preliminary Funding doc OVC Richman, Marie 10/07/03
UCI Research Imaging Center Project Proposal doc OVC Richman, Marie 02/14/07
UCI Research Imaging Center Guidelines for Access
to Facilities for Research on Human Subjects
doc OVC Richman, Marie 12/11/07
Proposal Planning Outline pdf Funding Black, Randy 12/21/06
Application for Conference Support Program doc Funding Richman, Marie 10/31/08
Report on Conference Support doc Funding Richman, Marie 10/16/08
Quarterly Research Administration Meeting (Q-RAM) Flyer pdf ORA Carew, Jackie 02/20/09
IRB Fast Facts pdf ORA Esparza, Beverley 01/29/09
Responsibilities for Conduct & Administration of Research for Faculty pdf ORA -- 03/12/07
Responsibilities for Conduct
& Administration of Research for Principal
pdf ORA -- 03/12/07
Responsibilities for Conduct & Administration
of Research for Deans, Directors, Department Chairs,
Division Chiefs and Sections Heads
pdf ORA -- 10/15/07
Responsibilities for Conduct & Administration of Research
for Department Administrators
pdf ORA -- 03/12/07
Eligibility to Serve as Principal Investigator pdf HRPP -- 02/09/09
Eligibility to Serve as Principal Investigator Attachment 1 pdf HRPP -- 12/05/08
Research Misconduct Policy pdf OVC Richman, Marie 05/11/07
Outline for an Inquiry/Investigation Report for ORI pdf OVC Richman, Marie 05/10/07
Confidential Disclosure and Record of Invention Form doc OTA Colman, Nola 05/05/08
Non-Disclosure (Secrecy) Agreement doc OTA Colman, Nola 07/31/06
Simple Letter Option Agreement pdf OTA Colman, Nola 07/22/08
Summary Terms for a Technology Licensing Agreement pdf OTA Colman, Nola 01/27/09
Summary Terms for an Industry Sponsored Research Agreement pdf OTA Colman, Nola 01/27/09
Biological Testing Agreement dot OTA Colman, Nola 11/09/98
Secrecy Agreement Relating to Data dot OTA Colman, Nola 04/15/04
Copyright Disclosure doc OTA Colman, Nola 05/05/99
License A doc OTA Colman, Nola 10/01/98
License B doc OTA Colman, Nola 10/01/98
Uniform Biological Materials Transfer Agreement doc OTA Colman, Nola 06/12/07
UBMTA Implementing Letter doc OTA Colman, Nola 06/12/07
Material Transfer Agreement doc OTA Colman, Nola 02/26/08
Research Unit Signatures doc ORA Hansen, Christine 03/06/09
UC MOU Decision Tree pdf HRPP Melamud, Debbie 04/14/09
Administrative Registration Form for Multi-Campus Research Approved at Another UC Campus doc HRPP Melamud, Debbie 04/14/09
Notice of Intent to Rely on Another UC IRB Form doc HRPP Melamud, Debbie 04/14/09
State Tax Exemption Letter, State of California pdf SP Tran, Tam 05/18/09
Tracking Log for Non-Reportable Events doc HRPP Melamud, Debbie 06/19/09
Clinical Study PI Questionnaire doc SP Hansen, Chris 07/13/09