Institutional Review Board (IRB)/ Authorization Agreement

Name of Institution or Organization Providing IRB Review (Institution/Organization A):

Federalwide Assurance (FWA) #: 		IRB Registration #:

Name of Institution Relying on the Designated IRB (Institution B):

Ohio University, Athens, Ohio

Federalwide Assurance (FWA)#: FWA00000095

	The Officials signing below agree that Ohio University may rely on the designated IRB of [Insert name of Institution A] for review and continuing oversight of its human subjects research described below:

Research protocols involving human subjects where Institution B agrees to defer to Institution A

The review performed by the designated IRB will meet the human subject protection requirements of Institution B’s OHRP-approved FWA.  The IRB at Institution/Organization A will follow written procedures for reporting its findings and actions to appropriate officials at Institution B. Relevant minutes of IRB meetings will be made available to Institution B upon request.  Institution B remains responsible for ensuring compliance with the IRB’s determinations and with the Terms of its OHRP-approved FWA.  This document must be kept on file by both parties and provided to OHRP upon request.

Signature of Signatory Official (Institution/Organization A):

________________________________________  		Date: ___________

[Insert name and title of signatory official for Institution A]

Signature of Signatory Official (Institution B): 

________________________________________   		Date: ___________

Print Full Name: Joseph Shields, PhD 	 Institutional Title: Vice President for Research/Creative Activity