UAMS is the IRB of Record "*" indicates required fields General InformationUAMS IRB # (Required if known) Study Title * Required Principal Investigator * Required First Last Primary Site Study Contact Name * Required First Last Primary Site Contact Email * Required Primary Site Contact Phone Number * RequiredPrimary phone numberRelying Site(s)For how many sites will the UAMS be the reviewing IRB? * Required12345678910Additional InformationWill there be any subjects enrolled at UAMS/AC/ACRI? * Required Yes No Please provide a brief description of the study and UAMS' role in the study, including whether UAMS will be an enrolling site. * RequiredAttachments:Please upload the following documents:Protocol * RequiredMax. file size: 15 MB.Consent (if available)Max. file size: 15 MB.Study InformationStudy Review Status (if available) Exempt Expedited Full Board Study Funding Source * Required Industry Federal Grant directly to UAMS/ACRI Federal subcontract from other institution Non-federal grant Internal support from UAMS/ACRI Other(Please Describe) Please describe your study funding source here. * Required Additional InformationPlease describe the resources available to the study team to manage the single IRB process, including FTEs and systems. * RequiredProvide any other information helpful to the IRB's consideration of this request.
