AUTHORIZATION AGREEMENT FORM
When is IRB Authorization Agreement required ?
This form is used when University of Maryland
College Park (UMCP) engages in research with:
1. An organization/institution with whom UMCP
currently does not have a cooperative review
arrangement, and
2. Either UMCP or the collaborating
organization/institution provides IRB (human
subject) review to avoid dual review
Submission Instructions
If an
IRB Authorization Agreement (AA) is
appropriate for your research study, please contact
the
IRB office to determine which institution
will be the IRB of record (Institution A).
IRB Authorization Agreement designation:
1. Institution A: In most cases, Institution A (the
institution conducting the IRB review) is the site
where participant accrual takes place.
2. Institution B: The institution who relies on
Institution A's IRB review
University of Maryland, College Park
IRB Registration #s: IRB00000474 Federalwide
Assurance (FWA) #, if any: FWA00005856.
Submit the completed form to the IRB office with a
copy of the most recent IRB approval letter, name
and title of the other institution’s signatory
official, and the name and contact information of
the other institution’s IRB office contact person.
Please note: In order for the IRB AA to be
processed and approved, the offsite institution must
have an approved Federal Wide Assurance (FWA) on
file with the office for Human Research Protections
(OHRP). If the offsite institution does not have a
FWA, the institution must first apply for a FWA. In
addition to the offsite institution having an
approved FWA on file with OHRP, the offsite
institution's IRB registration must be current with
OHRP.
Download IRB
Authorization Agreement Form –
(Word)
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