UAMS Relying on an External IRB "*" indicates required fields General InformationUAMS IRB # (Required if known) Study Title * Required UAMS Principal Investigator * Required First Last UAMS InformationContact Person * RequiredPrincipal Investigator or research staff member who will serve as the point of contact. First Last Email * Required Phone Number * RequiredReviewing IRB InformationReviewing IRB Institution Name * Required Federalwide Assurance # (FWA) * Required Use the advanced search at this link to look up an FWA number. Reviewing IRB Contact Name * Required First Last Reviewing IRB Contact Email * Required Reviewing IRB Contact Phone Number * RequiredIs the reviewing IRB AAHRPP accredited? * Required Yes No I don't know. Is the reviewing IRB a member of the SMART IRB network? * Required Yes No I don't know. Attachments:Please upload the following documents: Protocol * RequiredMax. file size: 15 MB.Consent (if available)Max. file size: 15 MB.Study InformationPlease provide a brief description of the study and UAMS' role in the study. * RequiredStudy Review Status as determined by reviewing IRB * Required Exempt Expedited Full Board Not Yet Determined Additional InformationProvide additional information here.