UAMS Relying on an External IRB "*" indicates required fields General InformationUAMS IRB # (Required if known)Study Title * RequiredUAMS 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 * RequiredFederalwide Assurance # (FWA) * RequiredUse 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 * Required Drop files here or Select files Max. file size: 15 MB. Consent (if available) Drop files here or Select files Max. file size: 15 MB. Reliance Documents(ie. agreement, local context form, etc) Drop files here or Select files 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.
