13.07.2013 Views

Just in Time Parenting Program's: Guide to Evaluation

Just in Time Parenting Program's: Guide to Evaluation

Just in Time Parenting Program's: Guide to Evaluation

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Pr<strong>in</strong>cipal Investiga<strong>to</strong>r is:<br />

X Faculty Staff Post Doc<strong>to</strong>ral Student<br />

Graduate Student Undergraduate Student Other<br />

Type of Project:<br />

X Research Demonstration Class Project<br />

Independent Study Other<br />

Does the research <strong>in</strong>volve an outside <strong>in</strong>stitution/agency<br />

other than UNL*?<br />

Yes No<br />

* Note: Research can only beg<strong>in</strong> at each <strong>in</strong>stitution after the IRB receives the <strong>in</strong>stitutional approval letter<br />

If yes, please list the <strong>in</strong>stitutions/agencies. Virg<strong>in</strong>ia Tech<br />

Where will participation take place (e.g., UNL, at home, <strong>in</strong> a Where participants access the <strong>in</strong>ternet (primarily home)<br />

community build<strong>in</strong>g, etc)<br />

Project Information:<br />

Present/Proposed Source of Fund<strong>in</strong>g: USDA<br />

Project Start Date: 5/21/07 Project End Date: 12/31/10<br />

*Please attach a copy of the fund<strong>in</strong>g application.<br />

Type of Review Requested: Please check either exempt, expedited, or full board. Please refer <strong>to</strong> the <strong>in</strong>vestiga<strong>to</strong>r<br />

manual, accessible on our website: http://www.unl.edu/research/ReComp1/compliance.shtml, <strong>to</strong> determ<strong>in</strong>e which type of<br />

review is appropriate. F<strong>in</strong>al review determ<strong>in</strong>ation will be made by the IRB.<br />

Please check your response <strong>to</strong> each question.<br />

Yes X No 1. Does the research <strong>in</strong>volve prisoners?<br />

2. Does the research <strong>in</strong>volve us<strong>in</strong>g survey or <strong>in</strong>terview procedures with children (under 19<br />

Yes X No years of age) that is not conducted <strong>in</strong> an educational sett<strong>in</strong>g utiliz<strong>in</strong>g normal educational<br />

X<br />

X<br />

practices?<br />

Yes X No<br />

3. Does the research <strong>in</strong>volve the observation of children <strong>in</strong> sett<strong>in</strong>gs where the <strong>in</strong>vestiga<strong>to</strong>r<br />

will participate <strong>in</strong> the activities be<strong>in</strong>g observed?<br />

Yes X No 4. Will videotap<strong>in</strong>g or audio tape record<strong>in</strong>g be used?<br />

Yes X No 5. Will the participants be asked <strong>to</strong> perform physical tasks?<br />

6. Does the research attempt <strong>to</strong> <strong>in</strong>fluence or change participants’ behavior, perception, or<br />

Yes No cognition?<br />

7. Will data collection <strong>in</strong>clude collect<strong>in</strong>g sensitive data (illegal activities, sensitive <strong>to</strong>pics such<br />

as sexual orientation or behavior, undesirable work behavior, or other data that may be<br />

Yes<br />

X<br />

No<br />

pa<strong>in</strong>ful or embarrass<strong>in</strong>g <strong>to</strong> reveal)?<br />

Yes X No<br />

8. For research us<strong>in</strong>g exist<strong>in</strong>g or archived data, documents, records or specimens, will any<br />

data, documents, records, or specimens be collected from subjects after the submission of<br />

this application?<br />

Yes X No 8a. Can subjects be identified, either directly or <strong>in</strong>directly, from the data, documents,<br />

records, or specimens?<br />

Exempt Expedited Full Board<br />

UNL IRB<br />

06/30/2006 Page 41 of 51<br />

X

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!