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NHSR Determination
PI Name
(Required)
First
Last
PI Email
(Required)
Faculty Point of Contact Name
(Required)
First
Last
Faculty Point of Contact Email
(Required)
I am designing the project to develop or contribute to generalizable knowledge.
(Required)
Yes
No
Learn more about generalizable knowledge.
Please describe how you intend to use the data.
(Required)
The research project I am designing includes the use of private identifiable information (or information that was once private and is now public) about living humans:
(Required)
Yes
No
Please stop completing this form and apply for IRB approval through NC State University.
The research project I am designing includes the use of de-identified information about living humans and I will triangulate the data or complete analysis that can lead to re-identification of an individual from the information, another dataset, or through my access.
(Required)
Yes
No
Please stop completing this form and apply for IRB approval through NC State University.
The research project I am designing includes the use of identifiable biospecimens (or specimens that were once private and are now public) about living humans:
(Required)
Yes
No
Please stop completing this form and apply for IRB approval through NC State University.
The research project I am designing includes the use of de-identified biospecimens about living humans and I will complete genomic research or other research activities that can lead to re-identification of an individual from the specimens:
(Required)
Yes
No
Please stop completing this form and apply for IRB approval through NC State University.
The research project I am designing includes live humans, but the data accessed or generated from the live humans is NOT about a living human:
(Required)
Yes, the data accessed or generated from the live humans will NOT be about their thoughts, feelings, opinions, physical or emotional responses, nor will their environment be manipulated. For example, the questions could be about the organization they are involved in, but not their opinions about the organization. Note: Demographic questions of those completing a survey are considered “about the human” and are considered human subjects research requiring IRB approval.
No
Please stop completing this form and apply for IRB approval through NC State University.
I am testing the safety and efficacy of a medical device:
(Required)
Yes
No
Please describe:
(Required)
There is federal funding associated with this human subject research project and it has been/will be awarded to NC State University even though NC State researchers will not participate in the recruitment, consent, data collection, implementation of intervention, manipulation of environment, or access to identifiable data.
(Required)
Yes
No. This study is not federally funded.
Describe Funding flow:
(Required)
Describe NC State University’s researcher's role:
(Required)