| Protocol | 
Template Protocol Version Tracking Log | 
ICH E6 8.2.2 & 8.3.2
 
 
 
  | 
| CICERO Application (You may use your IRB application as your protocol at UMB if you do not have a stand alone protocol.) | 
| Template Social/Behavioral Research Protocol (NIH) | 
| Template Observational Protocol (UNC) | 
| Template Clinical Trial Protocol (NIH) | 
| Template Chart-Review Protocol | 
| IRB Information | 
UMB IRB Roster (Scroll to bottom of link) | 
 45CFR §46.107-108 45CFR §46.115 ICH E6 8.2.8 
 | 
| UMB IRB FWA  (Scroll to bottom of link) | 
| IRB Reliance | 
| IRB Initial Review   | 
IRB Initial Approval Letter | 
45CFR §46.109-110 ICH E6 8.2.7, 8.2.9, 8.3.4 UMB IV-2.10(A)   | 
| IRB Initial Application (If you did not use CICERO as your protocol.) | 
| IRB Modifications | 
Modification Tracking Log | 
45CFR §46.109 45CFR §46.111-112 ICH E6 8.3.4 UMB IV-2.10(A) | 
| Modification IRB Approval (The IRB approval document.) | 
| Modification Application (The modification application page "front end" - where the changes are described.) | 
| Modified IRB Application (The CICERO application "back end" - full application now updated due to the modification.) | 
| IRB Annual Review (non-exempt)  | 
IRB Annual Review Approval letter | 
45CFR §46.108-109 45CFR §46.115 ICH E6 8.4.7, 8.3.19 UMB IV-2.10(A)   | 
| IRB Annual Review Application | 
| IRB Reportable New Information | 
RNI Tracking Log | 
21CFR §312 45CFR §46.108 ICH E6 8.3.11, 8.3.16-17 | 
| UMB RNI Criteria | 
| RNI Submissions and Acknowledgements (The copy of the RNI submission and the HRPO/IRB determination letter.) | 
| IRB Communications  | 
Emails, hard-copy communications, etc. Appropriate to create NTF (example) if all communications are electronic through a portal | 
45CFR §46.108 45CFR §46.115 ICH E6 8.3.11 | 
| Consent | 
Template Informed Consent Tracking Log  | 
45CFR §46.109 45CFR §46.116-117 ICH E6 8.2.3, 8.3.2-3, 8.3.13 | 
| UMB Template Consent/HIPAA. Only required for non-exempt research. | 
| Exempt research consent information sheet sample | 
| DocuSign eConsent Work Instruction | 
| Source Docs/CRFs | 
Inclusion/Exclusion Checklist | 
21CFR §312.62 ICH E6 8.2.3, 8.3.2-3, 8.3.13-14 | 
| Blank Data Collection Sheets/Source Documents (Study specific. Both subject-facing (IRB approved) and non-subject facing.) | 
| Advertisements/Recruitment Tools   | 
Flier (Best practices from UF.) | 
45CFR §46.109 ICH E6 8.2.3, 8.2.7, 8.3.2-3 | 
| Template Phone Interview Invitation | 
| Template Survey Invitation | 
| Delegation of Responsibilities Log | 
Template DOR Log (must match team members listed on IRB application)  | 
ICH E6 4.1.5 ICH E6 8.3.24 | 
| Study Team (qualifications and certifications) | 
Template Staff Human Subjects Research Training Tracking Log [no HIPAA]  | 
ICH E6 4.2.4 ICH E6 8.2.10, 8.3.5              | 
| Template Staff Human Subjects Research Training Tracking Log [+HIPAA] | 
| Template Staff Protocol Training Log | 
| Signed CVs (wet-ink or validated e-signature) | 
| Staff Licenses (as applicable) | 
| GCP Certifications | 
| CITI Protection of Human Subjects (PHS) Certification (Group 1 or Group 2) | 
| HIPPA 201 Certification  | 
| HIPAA 125 Certification | 
| Template Change in PI Letter- Minimal Risk Study | 
| Template Change in PI Letter- Greater than Minimal Risk Study | 
| Conflict of Interest Disclosures (if applicable)  | 
| Lab Documentation     | 
College of American Pathologists (CAP) Certificate (request from lab) | 
ICH E6 8.2.11-12, 8.3.6-7 | 
| Clinical Laboratory Improvement Amendment (CLIA)- Certification (request from lab) | 
| Lab Normals/Reference Ranges (request from lab) | 
| Lab Director CV (signed and dated) (request from lab) | 
| Lab Director Medical License (request from lab) | 
| Study Sample Documentation   | 
Template Sample Collection Log  | 
ICH E6 8.3.25  | 
| Template Sample Collection/Shipping Log | 
| Screening and Enrollment Logs | 
Template Screening and Enrollment Log | 
ICH E6 8.3.20 & 8.3.22 | 
| Template Screening (only) Log | 
| Template Enrollment (only) Log | 
| Subject ID log | 
Template Subject ID log | 
ICH E6 5.5.5 ICH E6 8.3.21 & 8.4.3 | 
| Protocol Deviations  | 
Template Protocol Deviation Tracking Log | 
ICH E6 8.3.11  | 
| AEs/UAPs    | 
Template Subject AE Log  | 
21CFR §312.32 ICH E6 8.3.16-17     | 
| Template Protocol AE Log | 
| Template Unanticipated Problem Form | 
| Monitoring/QA/Audits   | 
Template Monitoring/QA log | 
45CFR §46.111(a)(6) ICH 8.2.19-20, 8.3.10, 8.4.4-5 | 
| Monitoring/Audit Reports | 
| Data Safety Monitoring | 
Template DSM Plan | 
 45CFR §46.111(a)(6) ICH E6 5.5.2; ICH E6 8.3.18, 8.4.5 NIH DSM Policy 
 | 
| Template DSM Review Form | 
| Template DSM Report (PI) | 
| ClinicalTrials.gov     | 
UMB HRPO Clinicaltrials.gov tools and instructions  | 
42CFR §11   | 
| FDA Documents (Greater than Minimal Risk Research)         | 
FDA Form 1572 | 
21CFR §312 ICH E6 8.2.9, 8.3.4   | 
| FDA Form 1571 | 
| FDA Form 3455 | 
| FDA Form 3674 | 
42CFR §11 | 
| FDA Form 3500A (Medwatch Form) | 
21CFR §312.32    | 
| Template IND Tracking and Assessment Log | 
| Template IND Serial Submission Log | 
| Investigator Brochure/Package Insert | 
IB/PI (Drug Studies only. Study Specific. Provided by the Sponsor. Provided in the IRB application.) | 
ICH E6 8.2.1-8.3.1 | 
| Device Manual | 
Device Manual (Studies with devices only. Provided by Manufacturer/Sponsor. Provided in the IRB application.) | 
ICH E6 8.3.1 | 
| Investigational Product (IP) Records (Drug Studies only. Study Specific. Templates typically provided by the Sponsor and handled by pharmacy.)         | 
Master Randomization List (if applicable)  | 
ICH E6 8.2.18   | 
| IP Manual/Instructions  | 
ICH E6 8.2.14 | 
| IP Shipping Records  | 
ICH E6 8.5.15 & 8.3.8 | 
| IP Certification of Purity  | 
ICH E6 8.2.16 & 8.3.9 | 
| IP Label | 
21CFR §312.6 ICH E6 8.2.13 | 
| IP Allocation and Decoding Procedures  | 
ICH E6 8.2.17 & 8.4.6 | 
| IP Accountability Log, Temperature Log | 
ICH E6 5.13.2 ICH E6 8.3.23, 8.4.1 | 
| IP Destruction Records  | 
| Sponsor/Funder Communications  | 
Emails, letters, grants, budget/contracts, etc. If kept electronically or in another location, a NTF may suffice. | 
ICH E6 8.3.11, 8.2.4-6  | 
| Certificate of Confidentiality | 
Final Copy, if using | 
NIH Notice Number: NOT-OD-17-109 | 
| Participant Payment Documentation | 
UMB Participant Payment Log (Bottom of link) | 
ICH E6 8.2.7 UMB VIII-99.00(B) | 
| UMB Participant Cash/Card Count Form (Bottom of link) | 
| UMB Financial Reconciliation Documentation (Bottom of link) | 
| Participating Site Documentation   | 
IRB Documentation | 
45CFR §46.107-108 ICH E6 8.2.8 | 
| Correspondence | 
ICH E6 8.3.11 | 
| Data Use Agreements | 
UMB IV-99.01(A) | 
| Final Report | 
Final Report and Raw Data (Raw data only if no separate subject binders.) | 
21CFR §312.62 ICH E6 8.2.3, 8.3.12-14 | 
| Notes-to-File (NTF) | 
Template NTF | 
ICH E6 8.3.15 |