ࡱ> VXU3 bjbj "Fbb 4l```````8@L\)"N2t((((((($d* ,*(`(z``h)zzz``(z(zz V}&@``A' 0-\ x& A't~)0)&x-z-A'zt ````All ongoing research activity that was not determined to be exempt from IRB review must be reviewed at least annually. The investigator must submit IRB Form 2 Information for Continuing Review of a Previously Approved Project 45 days in advance of the annual or designated review date, along with the additional information stipulated on the form. See Information for Research Investigators Section IV D for additional information on continuing review. Missouri Department of Health and Senior Services INFORMATION FOR CONTINUING REVIEW OF A PREVIOUSLY APPROVED PROJECT IRB FORM 2 1. Title of Study:  FORMTEXT       Date Project Initially Approved by IRB:  FORMTEXT   / FORMTEXT   / FORMTEXT      3. Date Project Begun:  FORMTEXT   / FORMTEXT   / FORMTEXT      4. Principal Investigator:  FORMTEXT       5. Principal Investigator s Position:  FORMTEXT       6. Principal Investigator s Institution:  FORMTEXT       7. Federalwide Assurance #:  FORMTEXT       8. Business Address 1:  FORMTEXT       9. Business Address 2:  FORMTEXT       10. City, State Zip:  FORMTEXT       11. Business Telephone: ( FORMTEXT    )  FORMTEXT     -  FORMTEXT      12. Business Fax: FORMTEXT    )  FORMTEXT     -  FORMTEXT      13. Principal Investigator E-Mail:  FORMTEXT       14. Funding Source:  FORMTEXT       15. DHSS Division, Office, Bureau, or Program Involved with Study: FORMTEXT        16. Has the project been completed? YES  FORMCHECKBOX  ( NO  FORMCHECKBOX  If yes, enter date of completion  FORMTEXT   / FORMTEXT   / FORMTEXT      and skip to #25. How many subjects have been accrued thus far? How many more will be recruited?  FORMTEXT       How many subjects have withdrawn since the last IRB review?  FORMTEXT       19. Have you modified the original research plan as it concerns human subjects in any way since it was reviewed and approved by the IRB? YES  FORMCHECKBOX  ( NO  FORMCHECKBOX  If yes, you must submit the changes to the IRB Chair for review. 20. Attach a copy of the current Informed Consent document, if applicable. 21. Describe in detail any adverse events or unanticipated problems that have been encountered in regard to human subjects, especially those relating to subject risk, informed consent, or confidentiality of data. (Use additional sheets as necessary.)  FORMTEXT       Describe any complaints about the research since the last IRB review.  FORMTEXT       Describe any recent literature related to the project, any new information about risks that may be associated with the research, and your findings thus far.  FORMTEXT       Attach copies of relevant multi-center trial reports, if applicable. 25. Signature of Principal Investigator: Typed Name of Principal Investigator:  FORMTEXT       26. Date:  FORMTEXT   / FORMTEXT   / FORMTEXT      Return completed and signed copy to: Sharon Ayers, IRB Chair Missouri Department of Health and Senior Services Office of General Counsel P.O. Box 570 Jefferson City, MO 65102-0570 PAGE  PAGE 1 Revised 04/07 IRB Form 2 LFHJ^`bfhjl̺֦֦֦̔̂p֦"jb>*CJOJQJU^J"j>*CJOJQJU^J"jv>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^J CJOJQJ5CJOJQJCJCJOJQJ^J)LFH  & F$IfD$$Ifl0$p%64 la$If  k $a$ $RTV @oD$$Ifl0$X%64 la$IfE$$Ifl40$X%64 la    "$(*,.BDFNPT  $ & ( 2 4 8 p"j>*CJOJQJU^J"j:>*CJOJQJU^JCJOJQJ^J"j>*CJOJQJU^J"jN>*CJOJQJU^J>*CJOJQJ^J'j>*CJOJQJU^JmHnHuj>*CJOJQJU^J"j>*CJOJQJU^J&  6 8 : oE$$Ifl40$X%64 laD$$Ifl0$X%64 la$If      " V X l n p z |  " $ & 0 2 6 j l n p"j>*CJOJQJU^J"j>*CJOJQJU^J"j>*CJOJQJU^J"j>*CJOJQJU^JCJOJQJ^J>*CJOJQJ^J'j>*CJOJQJU^JmHnHuj>*CJOJQJU^J"j&>*CJOJQJU^J) " $ T V ~ 4 6 D$$Ifl0$X%64 la$If6 8 h j  z | $IfF$$Ifl0$X%64 la     & ( , . 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