IRB Application for Vulnerable Populations Research
1. Project Information
Project Title
Principal Investigator Name
Principal Investigator Email
Research Institution
2. Vulnerable Population(s) Involved
Select all that apply
Children/Minors
Pregnant Women
Prisoners
Cognitively Impaired Individuals
Economically/Educationally Disadvantaged
Other
If "Other", please specify
3. Research Summary
Briefly describe the purpose and goals of the study
Describe the methodology
Expected number of participants
4. Recruitment & Consent Process
How will participants be recruited?
Describe the process for obtaining informed consent/assent
5. Risk Assessment & Minimization
Identify anticipated risks for participation
Describe measures to minimize risk and protect participant welfare
6. Confidentiality & Data Security
How will participant data and privacy be protected?
7. Additional Information
Is there any additional information or materials?
Certification
Principal Investigator Signature
Date