ࡱ> JLI bjbj =2}c}cf%l l 8tn'.jjj&&&&&&&$(R+'jjjjj'('JJJjR&Jj&JJ$Du&`^)&&&>'0n'O&&+B+Lu&+u&djjJjjjjj''\jjjn'jjjj+jjjjjjjjjl y: SAINT LOUIS UNIVERSITY Institutional Review Board Notification of Decedent ˻ֱ Human subjects are defined by the Department of Health and Human Services (DHHS) as a living individual about whom an investigator (whether professional or student) conducting research obtains 1) data through intervention or interaction with the individual, or 2) identifiable private information. 45CFR46.102(f) The Saint ˻ֱ University (SLU) Institutional Review Board (IRB) is charged with the responsibility to review all human subjects research. Although decedent research is not considered human subjects research, the SLU IRB requires notification of such research activity. This is a requirement because the SLU IRB doubles as the Privacy Board. The Privacy Board is responsible for reviewing research studies for HIPAA Compliance. No other forms or documents are required with the submission of this form unless otherwise instructed by the SLU IRB. PIs Name (first, last, credentials):  PIs Campus Address:  Working title of the project:  Description of PHI* needed for project: *PHI is health information combined with identifiable information. PHI stands for Protected Health Information. This study is decedent research that will not affect living persons. Therefore, no other application will be made to the IRB. Should I discover, during the course of the study, information that may affect living persons I will contact the IRB. Signature of Principal Investigator (PI)Date First Name / Last Name CredentialsPrinted Name of Principal Investigator (PI) FOR IRB USE ONLY RECEIVED ____________________________________________ IRB Authorized Representative Date  Reference: 45 CFR 160 and 164, Standards for Privacy of Individually Identifiable Health Information; Final Rule     IRB Version: 8/1/08 23UV C   2 3 I J K L Ⱥ~n~^~^~N~n^~<#hwh )CJOJQJ\^JaJhwh )5OJQJ\^Jhwho=5OJQJ\^JhwhuA5OJQJ\^Jhwh$5OJQJ\^Jhwh )OJQJ\^Jhwh$OJQJ\^JhwhEM>*OJQJ\^JhwhEMOJQJ\^JhiB*phhw5CJ OJQJ^JaJ h*9hwCJOJQJ^J"hqhw5;CJOJQJ^J23UV C D $*$If*$ h*$d`gd^hgdw$a$gdw $*$If*$`kd$$IfTl,"H$04 laPytwT    h$*$If*$`kd$$IfTl,"Q$04 laGytwT  H I J K yy h$*$If$ h$*$Ifa$gdw h*$`kd"$$IfTl,"Q$04 laGytwTK L uuu $5$H$IfgdB $IfgdB*$gdwh*$^h h*$`kd$$IfTl,"?$04 laYytwT 678HcdefwxƸtgXF#hhw5CJOJQJ^JaJhw5CJOJQJ^JaJhqhwOJQJ^JhwhwOJQJ\^Jhwho=H*OJQJ^J!hwhw6H*OJQJ\^Jhwhw5OJQJ\^J hwhwhwhw5OJQJ^Jhwh$OJQJ^JhwOJQJ^Jhwh$5OJQJ\^J#hwh$CJOJQJ\^JaJ RF=.$$5$H$Ifa$gdB $IfgdB $5$H$IfgdBkdD$$If4FZq`'N  t0'6    44 awpytB D8 $5$H$IfgdBkd9$$If4FZq`'FBF  t0'6    44 BawpytB |p $5$H$IfgdB $IfgdBzkdJ$$IfZ`''  t 0'644 awp ytB 7 $5$H$IfgdBjkd$$IfZq t0'644 awytB78dt $5$H$IfgdBkd$$IfZqF  t 0'644 Bawp ytBdefwzn $$Ifa$gdB !*$}kdf$$IfZqF  t 0'644 Bawp ytBwxyygXXXO $IfgdB T$IfgdB$ T$Ifa$gdB T$IfgdBvkd'$$IfTlGO  064 lap ytBTefgijlmoprhiOJQJ^JhrjhihBjhBUhwho=OJQJ^Jhwh^hOJQJ^Jhwh$OJQJ^J hwh$hqhwOJQJ^JhwCJOJQJ^JaJ hhwCJOJQJ^JaJfhiklnoqr h*$gkd$$IfTlGO064 laytBT h*$; 0P:po=/ =!"#$% Dp$$IfP!vh#vH$:V l05H$/ 4aPytwT$$IfG!vh#vQ$:V l05Q$/ 4aGytwT$$IfG!vh#vQ$:V l05Q$/ 4aGytwT$$IfY!vh#v?$:V l05?$/ 4aYytwT$$Ifw!vh#v#vN#v:V 4  t0'6+,55N5/ 4 awpytB$$Ifw!vh#v#vN#v:V 4  t0'6+,555/ 4 BawpytB$$Ifw!vh#v':V   t 0'6,5'/ 4 awp ytB$$Ifw!vh#v:V  t0'6,5/ 4 awytB$$Ifw!vh#v:V   t 0'6,5/ 4 Bawp ytB$$Ifw!vh#v:V   t 0'6,5/ 4 Bawp ytB$$If!vh#v:V l  0654ap ytBT$$If!vh#v:V l0654aytBT v2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@666_HmH nH sH tH >`> Normal7$8$_HmH sH tH BB  Heading 1$$@&a$CJ(aJ(>>  Heading 2$@& 5>*\NN  Heading 3$$@&a$>*B*CJaJph>@>  Heading 4 $*$@&5\XX  Heading 5$ h*$@&56OJQJ\]^J` `  Heading 9! $ hh*$1$@&]h5OJQJ\^JDA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 6U 6 Hyperlink >*B*phFV F FollowedHyperlink >*B* ph@+@  Endnote Text1$CJaJZS"Z Body Text Indent 3h*$1$^h OJQJ^JVQ2V Body Text 3 L,dL*$1$ OJQJ^JJ"@J Caption$ ha$B*CJ aJ phLB@RL Body Text  h*$5OJQJ\^J4@b4 Header  !4 @r4 Footer  !HH  Balloon TextCJOJQJ^JaJZ^Z Normal (Web)dd7$8$[$\$B* CJaJph*W * Strong5\./. w Footer CharPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VGRU1a$N% ʣꂣKЛjVkUDRKQj/dR*SxMPsʧJ5$4vq^WCʽ D{>̳`3REB=꽻Ut Qy@֐\.X7<:+& 0h @>nƭBVq1u`X=:tڣf{Xx {dV=|kPo۵(h[x )IеnW[@;0PDbRy( "IROnVxCD' bJZ65I[adH+^D )>s=h ۟~7zWo^=[Qr||[?|̦ o{O=4?}}L$Xx%@|Ư'11%i$P,c[GD7sH5. 4kIƉZKTPBM HN7|nB#L7^`!\29pCH3nMb#$.'19b%+vJ~.!DI;DPz l 2I ͚;|y3+~Dؕjw0e1vdǪzO^I57y+d8bnv 4?6CK\M#= ċ(0'1 zxpWc/_X4/A_[)^&(fp[_NiK7@wd5= I?>q샏ꚝΡ5Ӵ>3m=͡|7;:۱&?8ټ<}9H}]Ru Vx~p{3AsP~\v!cZ 6JOw׃SB HfЖ gpj*4nR2BM} rfw[BfV= vͅh7/sɳ ̲B3뤓eH=J_:hn$O\ʧFn;/x.M#+d,W87+IwOťwF) uepwPϬ pV$2v Sv(C8L\~+l`k& Y iTU#p~XHYHeʹ,fͰ-;Y7XmM 9ͬYMm*/稺W(r2bUGڱ]]HYUcF8U~ۍZZnJmi}kn^l "2 !$$$'   K 7dw 8@0(  B S  ?fhiklnoqrRfnqfhiklnoqr33VppBB  23HJLefeffhiiklnoqrUVVHHLLefeffhiiklnoqr ~8ê%],0 _6Dꈰ`l;zm{ !Notification of Decedent ResearchSLU IRBMaureen BresnahanL           Oh+'0 $ D P \ ht|$Notification of Decedent ˻ֱSLU IRBNormalMaureen Bresnahan3Microsoft Office Word@Ik@ g@0@5ܪL ՜.+,D՜.+,` hp  Saint ˻ֱ University c "Notification of Decedent ˻ֱ TitleH@ $<_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOnce *(Notification Decedent ˻ֱ 2-23-03webster@slu.eduRobert Webster  !#$%&'()*+,-./012345678:;<=>?@BCDEFGHKRoot Entry FMData 1Table":,WordDocument=2SummaryInformation(9DocumentSummaryInformation8ACompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q