IRB Submission Forms

The following is a list of available templates for use in all IRB submissions.

To access these materials, please download them from the UTRMS-IRB Library, “Templates” tab.

Note that these forms are periodically updated, so please do NOT save versions on your personal computer for future use. Be sure to download the most recent versions from the Library for each IRB submission.

Study Proposal Templates

*One of the following templates must be uploaded with your submission.

HRP-UT901 – Template IRB Proposal Standard Submission

  • Use for greater than minimal risk studies and minimal risk studies that fit into one or more expedited categories (see Section 5.3 of our Policies and Procedures for details regarding expedited research).
  • Do NOT submit this form if the study will qualify for exempt review (see Section 5.4 of our Policies & Procedures for details regarding exempt research).

HRP-UT902 – Template IRB Proposal Exempt Submission

  • Use for studies that meet one or more categories for exempt review (see Section 5.4 of our Policies & Procedures for details regarding exempt research).

HRP-UT903 – Template IRB Proposal Secondary Use Submission

  • Use for studies that are ONLY utilizing secondary data or specimens and that meet the criteria for human subjects research.
  • If conducting chart reviews only (retrospective or prospective) use this form; do not use the exempt form or the standard submission form.

HRP-UT912 – Template IRB Proposal Humanitarian Use Device Submission

  • Use this form only for HUD submissions.

Supplemental Forms

The below supplemental forms may be applicable for your study and must be uploaded with your submission when applicable. All are available for download from the UTRMS-IRB Library, “Templates” tab.

HRP-UT904 – Template IRB Supplemental Form Biospecimens

HRP-UT905 – Template IRB Supplemental Form Investigational Devices

HRP-UT906 – Template IRB Supplemental Form Drugs and Biologics

HRP-UT907 – Template IRB Supplemental Form Protected Health Information

HRP-UT908 – Template IRB Supplemental Form International Research

HRP-UT909 – Template IRB Supplemental Form Prisoners

HRP-UT910 – Template IRB Supplemental Form Registry or Repository Data

HRP-UT911 – Template IRB Supplemental Form Department of Defense

Note: Be sure to upload copies of all required/needed submission forms with your online submission in the UT Research Management Suite – IRB Module.

Informed Consent Templates and HIPAA Authorization Forms

The below templates are optional resources to help meet criteria for informed consent, assent, parental permission, exempt information sheets, deception debriefing, and HIPAA authorization. Researchers are strongly encouraged to use these templates when these criteria are applicable to their study. All are available for download from the UTRMS-IRB Library, “Templates” tab.

HRP-UT920a – Standard Template Informed Consent Form English

HRP-UT920b – Standard Template Informed Consent Form Spanish

HRP-UT921a – Template Parental Permission Form English

HRP-UT921b – Template Parental Permission Form Spanish

HRP-UT922a – Template Assent Form English

HRP-UT922b – Template Assent Form Spanish

HRP-UT923a – Compact Template Informed Consent Form English

HRP-UT923b – Compact Template Informed Consent Form Spanish

HRP-UT924 – Template Debriefing Form

HRP-UT925a – HIPAA Authorization – English

HRP-UT925b – HIPAA Authorization – Spanish

HRP-UT926 – Template Exempt Information Sheet

Reliance Forms

The below forms are for use on submissions involving reliance (either external sites wish to rely on UT Austin IRB review, or you wish to request the UT Austin IRB rely on an external IRB). Guidance on Reliance is available here, and all the below forms are available for download from the UTRMS-IRB Library, “Templates” tab.

HRP-UT932 – Request to Rely Assessment Form

HRP-UT930 – Template Request to Rely on an External IRB Form

HRP-UT931 – Template Site Specific Request to Rely on UT IRB Form

Emergency Use Request Form(s)

The following form is for use only with Emergency Use Requests. For more information about these requests, please reference section 27.3 of our Policies & Procedures. This form is available for download from the UTRMS-IRB Library, “Templates” tab.

HRP-UT913 – Template Emergency Use Form

See more below...