Research Development & Administration  
      

 
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Research Development & Administration

Department of Comparative Medicine

Research Compliance

Research Grants & Contracts (pre-award)

Sponsored Projects Administration (post-award)

Technology and Research Collaborations (tech-transfer)

Clinical Research Program

Research Development & Administration Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Proposed Project Questionnaire 11/2008 Adobe Acrobat Microsoft Word  

The Word version of the PPQ requires Macros on a PC. If you have not enabled Macros, please do the following:

  • In Microsoft Word via a PC, click once on Tools > Macros > Security and select Medium
  • Close out of your application and re-open

Once you click on a link in the PPQ, you will be prompted to select Enable Macros, once you do your links will appear accordingly.
 
* If you are unable to access the links in the new PPQ, please contact eRA Support at era@ohsu.edu.

Department of Comparative Medicine Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Animal Procurement Forms
Animal Purchase and Request Form     Microsoft Word  
Request for Transfer of Animals 09/2007 Adobe Acrobat Microsoft Word  
Receiving Animals from Another Institution 09/2007 Adobe Acrobat Microsoft Word  
Sending Animals to Other Institutions 09/2007 Adobe Acrobat Microsoft Word  
Cage Card Request Form 10/2007 Adobe Acrobat Microsoft Word  
Access Forms
Occupational Health Questionnaire 07/2008 Adobe Acrobat Microsoft Word  
Occupational Health Questionnaire Annual Renewal 10/2008 Adobe Acrobat    
Comparative Medicine Access Questionnaire 07/2007   Microsoft Word  
OHSU Access & ID Card Request Form

All animal orders or transfers must be placed through our Animal Acquisitions Specialist. Investigators may not directly order or make delivery arrangements without DCM approval. This includes transfers to/from other institutions*, transfers between investigators, or transfer between animal rooms.
 
** If planning on receiving or sending any animal(s) to or from other institutions, you must submit information to the Facility Manager before arrangements can be made for shipment.

Conflict of Interest in Research Form Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel

New Conflict of Interest in Research (Online disclosure system for OHSU & outside investigators. Paper forms are no longer accepted.)

        
Outside Activity or Executive CoI 10/2006      
Guide to revised signature requirements
Jump to Proposed Project Questionnaire (PPQ)
Forms Change History

IRB (Human Subjects) Forms Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel

IRQ, PRAF (Modification Request), Termination, and Protocol Deviation forms are contained within the eIRB.
Initial Submission Checklist 08/2004   Microsoft Word  
Lay Language Protocol Summary 06/2004   Microsoft Word  
Annual Event Summary 12/2007   Microsoft Word  
Tissue Use Review Form 05/2003   Microsoft Word  
Individual Investigator Agreement: Application for individual investigator to be covered by OHSU FWA 05/2006   Microsoft Word  
Off Campus Clinical Activities Authorization Request        
Use of Ionizing Radiation in Human Subject Research 06/2006   Microsoft Word  
Data and Safety Monitoring Plan Template Form (DSMP) 11/2007   Microsoft Word  
Clinical Study Billing Schedule 11/2007   Microsoft Word  
HIPAA Related Forms
Board Related Forms
OHSU IRB Committee Roster        
eIRB Forms
eIRB Hard Copy Submission 11/2004   Microsoft Word  
Jump to Proposed Project Questionnaire (PPQ)
IRB (Human Subjects) Sample Forms Page Top
Sample/Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Consent Form Editing: Helpful Hints 06/2004 Adobe Acrobat    
Liability Language
Consent Forms
Sample Consent Form 08/2004   Microsoft Word  
Sample Consent and Authorization Form for Low Risk Research 11/2004   Microsoft Word  
Sample Consent and Authorization Form 08/2004   Microsoft Word  
Sample OHSU Cancer Institute Consent Form 09/2005   Microsoft Word  
Sample Genetic Consent Form 05/2003   Microsoft Word  
Sample Gene Transfer Consent Form 06/2005   Microsoft Word  
Sample Humanitarian Use Device Consent Form 01/2003   Microsoft Word  
Sample Media Consent Form 06/2004   Microsoft Word  
HIV Information Sheet 10/2001   Microsoft Word  
Barcode Consent Forms
Sample Consent Form with Barcode 08/2004   Microsoft Word  
Sample Consent and Authorization Barcode 08/2004   Microsoft Word  
Sample Genetic Consent Form with Barcode 08/2004   Microsoft Word  
Sample OHSU Cancer Institute Consent Form with Barcode 09/2005   Microsoft Word  
Children's Forms
Sample Child Assent Form 02/2004   Microsoft Word  
Childrens Oncology Group 10/2003   Microsoft Word  
Short Consent Forms
Short Consent Form Instructions 03/2003   Microsoft Word  
Short Consent Form English 04/2007   Microsoft Word  
Short Consent Form Spanish 09/2007   Microsoft Word  
Short Consent Form Russian 03/2003   Microsoft Word  
Short Consent Form Chinese 03/2003   Microsoft Word  
Short Consent Form Vietnamese 03/2003   Microsoft Word  
Short Consent Form Korean 03/2003 Adobe Acrobat    
Short Consent Form German 08/2007   Microsoft Word  
Short Consent Form Serbo-Croatian 08/2007   Microsoft Word  
Other Sample Forms
Sample IRB Authorization Agreement        

Notice: The IRB is going totally electronic on September 1!
 
As of September 1, 2005, the ORIO will no longer accept paper submissions for new and continuing reviews. All new protocols must be submitted through the eIRB, and all existing protocols must be converted at the time of continuing review.
 
Please note that existing protocols will convert only at continuing review; not at the time of a modification, or a report of an adverse event, or protocol deviation. Paper submissions will be accepted for these actions until a study converts at its continuing review.
 
Log in to the eIRB system

IACUC Forms/Appendicies, Animal Purchase/Transfer Forms Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Animal Usage and Administrative Review Form 05/2007   Microsoft Word  
Annual Review 05/2007   Microsoft Word  
Appendix A 05/2007   Microsoft Word  
Appendix B 05/2007   Microsoft Word  
Appendix C 05/2007   Microsoft Word  
Appendix D 05/2007   Microsoft Word  
Appendix E 05/2007   Microsoft Word  
Appendix F 05/2007   Microsoft Word  
Appendix G 05/2007   Microsoft Word  
Addendum Form 05/2007   Microsoft Word  
Jump to Proposed Project Questionnaire (PPQ)

Please direct any questions about the forms to the IACUC Coordinator.
 
Forms and Usage:

  • Animal Usage and Administrative Review Form: Submit this form with the initial submission or 3-year renewal.
  • Annual Review Form: Submit for yearly updates of currently approved protocols only.
  • Appendices:
    • Initial submissions or 3-year renewals- complete and submit relevant appendices as directed in the Animal Usage and Administrative Review Form.
    • Annual submissions- complete and submit appendices as directed in the Annual Review Form. Only submit appendices not previously submitted and approved by the IACUC.

For assistance in choosing keywords and searching databases for information required in both the Animal Usage and Administrative Review Form (Question 7.e.2.) and Annual Review form (Question 6.b.) contact an OHSU Reference Librarian or call 503-474-3462 and ask for a Reference Librarian.
 
To set up an automatic, e-mail update of your topic (also known as current awareness services or SDI), see the instructions. For additional help, contact an OHSU Reference Librarian or call 503-474-3462 and ask for a Reference Librarian.

IBC (Recombinant DNA/Infectious Agents/Toxins) Page Top
Form/Questionnaire Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Initial Recombinant DNA Research Classification 07/2007   Microsoft Word  
Recombinant DNA Research Questionnaire Help
Form instruction guide available--click on question mark		 03/2008   Microsoft Word  
OHSU Infectious Agent/Toxin Questionnaire 05/2006   Microsoft Word  
IBC Committee Member Review Form 08/2003   Microsoft Word  
Investigational Human Gene Transfer Agent Supplemental Questionnaire 07/2007   Microsoft Word  
Annual Renewal/Modification Form 06/2008   Microsoft Word  
Jump to Proposed Project Questionnaire (PPQ)
IBC FAQ

Research Grants & Contracts (pre-award) Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
PPQ
Proposed Project Questionnaire (PPQ) 11/2008 Adobe Acrobat Microsoft Word  
NIH Forms/Letters
UPDATED NIH 398 Face Page Template 03/2008 Adobe Acrobat Microsoft Word  
UPDATED NIH 2590 Face Page Template 03/2008 Not Available Microsoft Word  
UPDATED West Campus NIH 398 Face Page Template 03/2008 Adobe Acrobat Microsoft Word  
UPDATED West Campus NIH 2590 Face Page Template 03/2008 Not Available Microsoft Word  
NIH Certification of Required Humans Subjects Education Letter 09/2003 Adobe Acrobat Microsoft Word  
Forms/Letters/Agreements
Award Transfer (instructions and form)   Adobe Acrobat    
OHSU Foundation Clearance Request Form 06/2007   Microsoft Word  
OHSU Committed Cost Sharing Agreement 11/2005 Adobe Acrobat Microsoft Word  
Request for Sub Award 09/2007   Microsoft Word  
Statement of Intent: NIH Sample 04/2006   Microsoft Word  
Statement of Intent: Non-NIH Sample 04/2006   Microsoft Word  
Memorandum of Understanding (MOU)
Memorandum of Understanding (OHSU and PVAMC) 09/2008 Adobe Acrobat Microsoft Word  
Memorandum of Understanding (OHSU and PVAMC) Example 09/2008 Adobe Acrobat Microsoft Word  
Memorandum of Understanding Instructions (OHSU and PVAMC) 08/2008 Adobe Acrobat Microsoft Word  
Resources
OHSU Building List 12/2006     Microsoft Excel
Jump to Conflict of Interest in Research Form (CoIR)
Jump to Pre-Award Request Form

The Word version of the PPQ requires Macros on a PC. If you have not enabled Macros, please do the following:

  • In Microsoft Word via a PC, click once on Tools > Macros > Security and select Medium
  • Close out of your application and re-open

Once you click on a link in the PPQ, you will be prompted to select Enable Macros, once you do your links will appear accordingly.
 
* If you are unable to access the links in the new PPQ, please contact eRA Support at era@ohsu.edu.

Sponsored Projects Administration (post-award) Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Setup
Pre-Award Request Help   Adobe Acrobat Microsoft Word  
Accelerated Spending Request Help   Adobe Acrobat Microsoft Word  
Request for No Cost Extension Help   Adobe Acrobat Microsoft Word  
Subaward Extension Request Help   Adobe Acrobat Microsoft Word  
Defined Research Account Request form Help   Adobe Acrobat Microsoft Word  
SPA New Org Contact Form   Adobe Acrobat    
Org Contact Change Request Form   Adobe Acrobat    
Cost Transfer
Adjustment Form Help       Microsoft Excel
Labor Cost Transfer Approval Form Help   Adobe Acrobat    
Request for Foundation/Grant Account Cost Transfer Help       Microsoft Excel
Closeout
Balance Transfer Form   Adobe Acrobat Microsoft Word  
Program Development Account Request   Adobe Acrobat Microsoft Word  
NIH Post-Award Forms        
Equipment Transfer Request Form       Microsoft Excel
Effort
Effort Certification Form (blank)   Adobe Acrobat    
OGA
OGA Award or Project Data Change Request   Adobe Acrobat Microsoft Word  
OGA Inquiry Access Form        
Reports
Request for Sponsored Projects Information   Adobe Acrobat    

Please use the Help for instructions.

Technology and Research Collaborations (tech-transfer) Page Top
Form Revision Date Adobe Acrobat Microsoft® Word Microsoft® Excel
Invention Disclosure Form 02/2007   Microsoft Word  
Simple Materials Transfer Agreement (UBMTA) 01/2007 Adobe Acrobat    
Royalty Sharing Agreement 01/2007 Adobe Acrobat    

 

Last modified on 08/14/2008 by rdaweb@ohsu.edu