IRB Multi-site Research Submission Template

1. Study Title

2. Principal Investigator (PI) Details

Name Institution Email Phone

3. Additional Sites and Site Investigators

Site Name	Site Investigator	Email	Phone

4. Brief Study Summary

5. Study Purpose and Objectives

6. Study Design and Methods

7. Recruitment and Enrollment of Subjects

8. Data Collection and Management

9. Risks and Benefits

10. Privacy and Confidentiality Protections

11. Informed Consent Process

12. Multi-site Coordination Plan

13. Funding Source(s)

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Attachments (List):

• Protocol Document
• Consent Forms (all sites)
• Investigator CVs
• IRB Approvals (all sites, if available)
• Other supporting documents