ࡱ> JLI  ;bjbjVV ;><< vv\)$MZNH$e Zi7y        ^N  0 a Ta a    a v : HUMAN SUBJECT PROJECT CLOSURE FORM Instructions: Complete this form when an approved human subject research project is concluded or cancelled. Projects that involve long-term follow-up of subjects must remain open, even if enrollment of new subjects has ended. Please send the completed and signed Project Closure Form to the IRB Chairperson, 鶹ýӳ, Sponsored Programs Office, Unit 9504. Project Title: FORMTEXT       PROJECT NUMBER: FORMTEXT       principal investigator: FORMTEXT       faculty supervisor (if applicable): FORMTEXT       DEPARTMENT: FORMTEXT       COLLEGE: FORMTEXT       Work has ended on this project for the following reason(s):  FORMCHECKBOX  Project completed no further contact with human subjects is planned;  FORMCHECKBOX  Project never began and no human subjects were ever enrolled or tested; or,  FORMCHECKBOX  Project cancelled after it began for the reason(s) described below.  FORMTEXT       Please provide a brief summary of the results found from this study.  FORMTEXT       Did any adverse events / reactions occur with this project?  FORMCHECKBOX  No adverse events / reactions;  FORMCHECKBOX  Yes, anticipated as included in protocol, or stated in consent form; or,  FORMCHECKBOX  Yes, unanticipated, not part of protocol or consent form language. If YES, were adverse events / reactions reported to the IRB Committee?  FORMCHECKBOX  Yes, reported on (date) FORMTEXT      ;  FORMCHECKBOX  No, not reported Incident Report Form must be completed and turned in with Project Closure Form. Do you plan to  FORMCHECKBOX  destroy or  FORMCHECKBOX  retain the data? If retained, where is the data stored?  FORMTEXT       Who has access to the stored data?  FORMTEXT       Is the data de-identified? FORMCHECKBOX Yes  FORMCHECKBOX No I certify that the approved protocol and the approved method of obtaining informed consent were con"#%2zT [ x y гггП}k]Hk)jhe]ICJOJQJU^JaJh9Q CJOJQJ^JaJ#jhe]ICJOJQJU^JaJ hahH,CJOJQJ^JaJ hahP CJOJQJ^JaJ&hP hP 5;CJOJQJ^JaJhWCJOJQJ^JaJhP 5CJOJQJ^JaJhP CJOJQJ^JaJ hP hI)CJOJQJ^JaJ hP hP CJOJQJ^JaJ#$%   ^ ` 6 8 ~   w x d^gdx dgdP .$d$d%d&d'dNOPQa$gdP   . 6 8 L N P Z \ ` ʶۨʂۨmUʂC#hP hP 5CJOJQJ^JaJ.jh9Q CJOJQJU^JaJmHnHu)jhe]ICJOJQJU^JaJ hP 5;CJOJQJ^JaJ)j~he]ICJOJQJU^JaJh9Q CJOJQJ^JaJ&hP hP 5;CJOJQJ^JaJ hahP CJOJQJ^JaJ#jhe]ICJOJQJU^JaJ#jh_G:CJOJQJU^JaJ     $ & ( 2 4 8 N V X l n p z | t_tN h]hP CJOJQJ^JaJ)jhe]ICJOJQJU^JaJ hH,hP CJOJQJ^JaJ.jh9Q CJOJQJU^JaJmHnHu)jhe]ICJOJQJU^JaJh9Q CJOJQJ^JaJ#jhe]ICJOJQJU^JaJhP 5CJOJQJ^JaJhP CJOJQJ^JaJ hP hP CJOJQJ^JaJ   - . / 0 v w x y د}f}UDU}-,jhe]I5CJOJQJU^JaJ hxhP CJOJQJ^JaJ hxhxCJOJQJ^JaJ,j&he]I5CJOJQJU^JaJhx5CJOJQJ^JaJ&jhe]I5CJOJQJU^JaJhP 5CJOJQJ^JaJ hH,hP CJOJQJ^JaJ.jh9Q CJOJQJU^JaJmHnHu#jhe]ICJOJQJU^JaJ)jhe]ICJOJQJU^JaJ . / 9 :   ݵ̣hWEW7hq<CJOJQJ^JaJ#hxhx5CJOJQJ^JaJ hqhxCJOJQJ^JaJ.jhCJOJQJU^JaJmHnHu)jhe]ICJOJQJU^JaJhCJOJQJ^JaJ#jhe]ICJOJQJU^JaJ,jhe]I5CJOJQJU^JaJ hxhxCJOJQJ^JaJhx5CJOJQJ^JaJ&jhe]I5CJOJQJU^JaJx - . @B./ d^gdiM d^gdiM dgdx d^gdx>@BD`bdf/د{d{{M{;#hxhx5CJOJQJ^JaJ,jhe]I5CJOJQJU^JaJ,jjhe]I5CJOJQJU^JaJ&jhe]I5CJOJQJU^JaJ hxhxCJOJQJ^JaJhx5CJOJQJ^JaJ hqhxCJOJQJ^JaJ.jhq<CJOJQJU^JaJmHnHu#jhe]ICJOJQJU^JaJ)jhe]ICJOJQJU^JaJ/0>?@AEFSUݵݤteNe@h+ CJOJQJ^JaJ,jhe]I5CJOJQJU^JaJh+ 5CJOJQJ^JaJh~Q5CJOJQJ^JaJ#hxhx6CJOJQJ^JaJhx6CJOJQJ^JaJ hx56CJOJQJ^JaJ hxhxCJOJQJ^JaJ,jRhe]I5CJOJQJU^JaJhx5CJOJQJ^JaJ&jhe]I5CJOJQJU^JaJ  0246Xm__N?h~Q5CJOJQJ^JaJ h+ h+ CJOJQJ^JaJh+ CJOJQJ^JaJ,jhe]I5CJOJQJU^JaJh+ 5CJOJQJ^JaJ&jhe]I5CJOJQJU^JaJ hxh+ CJOJQJ^JaJ#jh_G:CJOJQJU^JaJ)j:he]ICJOJQJU^JaJhCJOJQJ^JaJ#jhe]ICJOJQJU^JaJ6:3333 3 33f44444 d^gd4 d^gdv dgdxp0d^p`0gdiM8:<NTXZvxz  oaLo)j" he]ICJOJQJU^JaJh_G:CJOJQJ^JaJ#jhe]ICJOJQJU^JaJhvCJOJQJ^JaJh~Q5CJOJQJ^JaJ,jhe]I5CJOJQJU^JaJ,j:he]I5CJOJQJU^JaJ&jhe]I5CJOJQJU^JaJhv5CJOJQJ^JaJ hvhvCJOJQJ^JaJ dfz|~$&(Ŷ֚ŶtfQff<)j he]ICJOJQJU^JaJ)j6 he]ICJOJQJU^JaJh4CJOJQJ^JaJ h4h4CJOJQJ^JaJ)j he]ICJOJQJU^JaJh_G:CJOJQJ^JaJhvCJOJQJ^JaJhv5CJOJQJ^JaJ hvhvCJOJQJ^JaJ#jhe]ICJOJQJU^JaJ.jh_G:CJOJQJU^JaJmHnHu(46:D233333f44577 88 9; ;ҳq h=KNh<CJOJQJ^JaJh=KN5CJOJQJ^JaJh=KNCJOJQJ^JaJ#h<h<>*䴳ϴ<CJOJQJ^JaJ h<h<CJOJQJ^JaJh<5CJOJQJ^JaJ h4h4CJOJQJ^JaJh4CJOJQJ^JaJsistently and correctly followed during the period covered by this IRB authorization, and that the study now has been completed. Principal Investigator (or supervisor, if applicable) Date REMINDER: The principal investigator is required by university and federal regulations to maintain records of all correspondence relating to the use of human subjects in research. Copies of the BHSU IRB submission forms, notices of approval, and signed informed consent documents, etc., must be maintained in the investigator s records (or, faculty supervisor s records, if the PI is a student). Copies of these research records must be kept for three years after the close of a study, regardless of the reason for closing the study. Studies that involve drugs or devices seeking FDA approval must be kept for two years after the FDA has taken final action on the marketing application. 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