There are several steps and paperwork to fill out for the IRB process; Here are the forms I have received so far:

MATC Procedures for IRB Approval

Instructions for obtaining MATC Institutional Review Board Approval:

1.      Complete the Human Subjects Review Protocol form

2.      Complete the Request for Institutional Review Board Action form, obtaining signatures from your supervisor and any third parties (e.g. if you are doing your research as part of a graduate or undergraduate program, your supervising instructor must sign)

3.      Submit five (5) copies of the above forms and all supporting documentation, including copies of any surveys and approvals from external review boards to:

MATC Institutional Review Board, Yan Wang, IRB Chair 

                                                            <place w:st="on"><placename w:st="on">Milwaukee</placename> <placename w:st="on">Area</placename> <placename w:st="on">Technical</placename> <placetype w:st="on">College</placetype></place> 

                                                            700 <street w:st="on">W. State Street</street> 

                                                            <place w:st="on"><city w:st="on">Milwaukee</city>, <state w:st="on">WI</state> <postalcode w:st="on">53233</postalcode></place>

Institutional Review Board 

Human Subjects Review Protocol

Please answer all of the following questions (attached additional pages as needed).

1.         PURPOSE AND OBJECTIVES OF THE RESEARCH

2.         DESCRIPTION OF PARTICIPANT POPULATION(S)

            a) Who are the subject groups and how are they being recruited?

            b) Approximate number of participants in each group to be used: _________

            c) If advertising for participants, include a copy of the proposed advertisement.

            d) What are the criteria for selection and/or exclusion of participants?

3.         ACTIVITIES INVOLVING HUMAN SUBJECTS

            a) Describe the activities involving each participant group.  Include the expected amount of time participants will be involved in each activity and where the activities will be conducted.

            b) How will the data be collected (check all that apply):

                        _____ Interview? (submit a copy)

                        _____ Observations? (briefly describe)

                        _____ Standardized tests? (if yes, list names, provide descriptions, and samples of tests not in common usage.)

                        _____ Archival data

                        _____ other (describe)

4.         DATA

            a) How will the data be recorded (notes, tapes, computer files, completed questionnaires or tests, etc.)?

            b) Who will have access to the gathered data and how will confidentiality be maintained during the study, after the study, and in reporting of results?

            c) What are the plans for the data after completion of this study, and how and when will data be maintained or destroyed?

5.         BENEFITS, RISKS, COSTS

            a) What are the anticipated benefits to the subjects, the mission of <place w:st="on"><placename w:st="on">Milwaukee</placename> <placename w:st="on">Area</placename> <placename w:st="on">Technical</placename> <placetype w:st="on">College</placetype></place>, and others?

            b) If participants are to be paid or reimbursed in some way for their participation, what compensation will be offered?  How will payment be made and scheduled.

            c) Describe the type and degree of risk, including minimal, that participants will be exposed to.

            d) What safeguards will you use to eliminate or minimize these risks?

            e) What are the costs, if any, to the participants (monetary, time, etc.)?

6.         INFORMED CONSENT

            a) How will the study be explained to the participants and by whom?

            b) Attach informed consent form(s) and any instruments you will use in the study.

CERTIFICATION

In submitting this proposed project and signing below, I certify that: I will conduct the research as presented and approved.  I will meet all responsibilities of the research investigator, including obtaining and documenting informed consent and providing a copy of the consent form to each participant.  I will present any proposed modifications in the research to the Institutional Review Board for review prior to implementation; seek approval renewal after one calendar year if needed, and will report to the Institutional Review Board any problems or risks to participants.

Signed:____________________________________________ Date:______________________

Shaded areas of this form are for IRB use only

1.      PROJECT INFORMATION:         Investigator name:  _________________________________ Date: __________________        Email: _________________________   Phone Number: ___________________________        Project Title: ______________________________________________________________        Action Requested:  Initial Review             Closure

2.      PROJECT SUPPORT:       a) Project Funding: Not Funded/self-supported                Grant proposal                                           External Funding (indicate source):___________________________________________                b) Are other institutions involved with this project: No        Yes         (list names below)            _______________________________________________________________________       c) If you answered Yes to (b), check one:       - IRB approved at other institutions (attach approval)              - Approval pending, contingent on MATC approval             - Cooperating institution does not require human subjects approval

3.      RESEACHER STATUS: (check one)             MATC Faculty             MATC Student            MATC Staff             Other         _____________

4.      SUPERVISING FACULTY APPROVAL:   My signature verifies that 1) I will supervise this research project, 2) if appropriate, it has been approved by our IRB, and 3) that it meets the current standard of the discipline.        Signature ______________________________  Date _______________________________        Printed Name ___________________________ College/University____________________

5.  MATC SUPERVISOR APPROVAL (if applicable):       I have reviewed the proposal and determined that its use of <place w:st="on"><placename w:st="on">Milwaukee</placename> <placename w:st="on">Area</placename> <placename w:st="on">Technical</placename> <placetype w:st="on">College</placetype></place> resources is reasonable and that it does not conflict with any existing labor agreement.       Signature _______________________________ Date ______________________________       Printed Name ____________________________ Division/Department _________________

                                                 

Signature of IRB Chair ___________________________  Date ________________________  Printed Name ________________________________________________________________

 

 

Sample Consent Form for Non-Sensitive Questionnaires

 

I would appreciate your assistance with this research project on [state purpose of research.  If student, indicate the results will be used in thesis/dissertation].  This research will help me understand [state benefits to participants and humanity expected from the research].

 

All you need to do is complete this short questionnaire, which should take approximately [state time needed to complete questionnaire].  If you do not wish to participate, simply discard the questionnaire.  Responses will be completely anonymous; your name will not appear anywhere on the survey.  Completing and returning the questionnaire constitutes your consent to participate.

 

Keep this letter for your records.  If you have any questions regarding the research, contact [give name, and IRB phone number and address.  Include research supervisor’s name/phone if the primary investigator is a student, and identify that person as the research supervisor].  If you have any questions regarding your rights as a research participant, please contact the Institutional Review Board, <place w:st="on"><placename w:st="on">Milwaukee</placename> <placename w:st="on">Area</placename> <placename w:st="on">Technical</placename> <placetype w:st="on">College</placetype></place>, <street w:st="on">700 W. State St.</street>, <city w:st="on">Milwaukee</city>, <state w:st="on">WI</state> <postalcode w:st="on">53233</postalcode>, (414) 297-8509.  Thank you for your help.