CONTINUED EXEMPTION OR CLOSURE REQUESTversion February 2025

IRBNet ID number and full project title*

Principal Investigator/project lead*

Name, credentials, department

Contact email address*

Project Status*

1) Unchanged since last exempt verification

2) Closed

3) Substantially changed since last exempt verification* see note below

NOTE:

Per PHCIRB policy # 6415:

a. Investigators are required to report modifications that may change the eligibility of the protocol’s exempt status.

b. A modification request must be submitted and reviewed prior to changing the research activity, unless the investigator believes that the change must be made to prevent harm to participants. All such changes must be reported to the IRB

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