ࡱ> ~}%` LbjbjNN :P,,ppppppp|<N  m8a`$hB pupimpppp;pp ߑ:S$0[,   pD N N N DN N N pppppp Brandeis University Committee for Protection of Human Subjects Protocol Modification Request All modifications to currently approved research are required to have BCPHS review and approval prior to implementation. A modification is defined by the BCPHS as a change that does not alter the overall character of the original project. Changes that do not adversely alter the overall risk-benefit profile of the study may receive an expedited review. The convened committee reviews proposed changes that may affect the willingness of enrolled subjects to continue participation and/or increase the risk to research subjects. Instruction for Application: To submit the proposed revisions to your protocol for review by the BCPHS, please complete this form and attach any necessary supporting documents. If you have questions, please e-mail irb@brandeis.edu. Forward the completed application package to the following address: Brandeis Committee for Protection of Human Subjects, 415 South Street, MS 116, Waltham, MA 02454-9110. Allow approximately three weeks for completion of the review process. Research/Thesis Title:  FORMTEXT       BCPHS Protocol #:  FORMTEXT       Principal Investigator:  FORMTEXT       Academic Title:  FORMTEXT       Department  FORMTEXT       Work Phone:  FORMTEXT       Home Phone:  FORMTEXT       E-mail Address:  FORMTEXT       Mailing Address/Mail Code (Campus or Home):  FORMTEXT       Project Support: Not Funded  FORMCHECKBOX  Funded  FORMCHECKBOX  (or Pending)  FORMCHECKBOX  Source of Funding:  FORMTEXT       P.I. of Contract or Grant:  FORMTEXT       Contract/Grant No. (if available):  FORMTEXT       1. Description of Modification: Attach a description of and rationale for the proposed modification. Include a summary of the possible effects on risks and benefits to the subject(s), and procedures to manage risks. Changes that affect the risks or benefits to subjects may require revisions to the consent form. If this change will affect presently enrolled subjects, an addendum to the consent may be needed to re-consent these subjects. If changing the person identified as the principal investigator, please include a letter from the principal investigator indicating the change in responsibility and a letter from the new investigator accepting responsibility for the research. Changes in investigators usually qualify for expedited review. Include the following as needed: a. Description of Modification b. Revised Consent Form(s) - 1 copy with changes highlighted, 1 master copy for CPHS stamp c. Revised Study Instrument(s) d. Revised Recruitment Materials  2. Personnel Changes: a. Identify new personnel affiliated with this project and provide a summary of their responsibilities, qualifications and relevant experience. b. Identify personnel no longer affiliated with this project:  FORMTEXT      ,  FORMTEXT       3. Identify new agencies involved with the research activities. If a new facility is involved, provide a letter inB`ar I L Ķ|eJ|5jTh >*B*CJOJQJU^JaJph,hlhl>*B*CJOJQJ^JaJph5jhlhl>*B*CJOJQJU^JaJphh[CJOJQJ^JaJ hl5CJOJQJ\^JaJhlCJOJQJ^JaJhlOJQJ^Jhl5OJQJ\^JhlB*CJaJphhlB*CJ8aJ8phjh(YB*UphBar ^hT$Ifd hd^h`gd8gdld^2L   * , . 8 : h l n ĶmO+Fjhlhl5>*B*CJOJQJU\^JaJmHnHphu;jJUh 5>*B*CJOJQJU\^JaJph2hlhl5>*B*CJOJQJ\^JaJph;jhlhl5>*B*CJOJQJU\^JaJph hl5CJOJQJ\^JaJhlCJOJQJ^JaJ5jhlhl>*B*CJOJQJU^JaJph@jhlhl>*B*CJOJQJU^JaJmHnHphu n  46JγiN5jVh >*B*CJOJQJU^JaJph5j2Vh >*B*CJOJQJU^JaJphhlCJOJQJ^JaJ@jhlhl>*B*CJOJQJU^JaJmHnHphu5jhlhl>*B*CJOJQJU^JaJph5jUh >*B*CJOJQJU^JaJph,hlhl>*B*CJOJQJ^JaJphJLNXZxz@ɨɚɃhɨTɃ9ɨɚ5jXh >*B*CJOJQJU^JaJph&hl>*B*CJOJQJ^JaJph5jWh >*B*CJOJQJU^JaJph,hlhl>*B*CJOJQJ^JaJphhlCJOJQJ^JaJ@jhlhl>*B*CJOJQJU^JaJmHnHphu5jhlhl>*B*CJOJQJU^JaJph5jWh >*B*CJOJQJU^JaJph@BVXZdfhͯoXF)X8jXh~h~B*CJOJQJU^JaJph#h~B*CJOJQJ^JaJph,jh~B*CJOJQJU^JaJph hl5CJOJQJ\^JaJhlCJOJQJ^JaJ@jh8h8>*B*CJOJQJU^JaJmHnHphu;jvXh8h >*B*CJOJQJU^JaJph,h8h8>*B*CJOJQJ^JaJph5jh8h8>*B*CJOJQJU^JaJph 468:`ʼ؈ʼnY*B*CJOJQJU^JaJphh8CJOJQJ^JaJ;jZh8h >*B*CJOJQJU^JaJphhlCJOJQJ^JaJ@jh8h8>*B*CJOJQJU^JaJmHnHphu;jHZh8h >*B*CJOJQJU^JaJph,h8h8>*B*CJOJQJ^JaJph5jh8h8>*B*CJOJQJU^JaJph.BDFPRTZ}~˰xjYjQ=, h hlCJOJQJ^JaJ&h hl5CJOJQJ\^JaJhlB*ph hl5CJOJQJ\^JaJhlCJOJQJ^JaJ,h hl>*B*CJOJQJ^JaJph@jh h >*B*CJOJQJU^JaJmHnHphu5jh h >*B*CJOJQJU^JaJph;j4[h h >*B*CJOJQJU^JaJph,h h >*B*CJOJQJ^JaJph 67;XgIkd\$$Ifl0LG)')64 la$IfIkd[$$Ifl0LG)')64 laXY]|}~L 5ge]XXe] & F$da$Ikd\$$Ifl0LG)')64 la$IfIkd|\$$Ifl0LG)')64 la   ؽg꽦Ig5&h hl5CJOJQJ\^JaJ;j]h h >*B*CJOJQJU^JaJph@jh h >*B*CJOJQJU^JaJmHnHphu;jT]h h >*B*CJOJQJU^JaJph,h h >*B*CJOJQJ^JaJph5jh h >*B*CJOJQJU^JaJph#h B*CJOJQJ^JaJph)h hlB*CJOJQJ^JaJphdicating support for the research from that facility. The letter must be on the facility's letterhead and contain a statement that the agency will, "review, abide by and comply with the procedures approved by the Brandeis Committee on Protection of Human Subjects." Principal Investigator: Name FORMTEXT      Title FORMTEXT      SignatureDateFaculty Sponsor: (if required) Name FORMTEXT      Title FORMTEXT      SignatureDate BCPHS USE ONLY: EXPEDITED  FORMCHECKBOX  CONVENED  FORMCHECKBOX  COMMITTEE  FORMCHECKBOX  Dat4 5#5(5)535456 6 6666ĩtS85jh65h3>*B*CJOJQJU^JaJph@jhXh3>*B*CJOJQJU^JaJmHnHphu;j@^hXh3>*B*CJOJQJU^JaJph,hXh3>*B*CJOJQJ^JaJph5jhXh3>*B*CJOJQJU^JaJph#h3B*CJOJQJ^JaJph,h65h35B*CJOJQJ^JaJphU h hlCJOJQJ^JaJ 5#5(566B6D6X6Z6Hkd*_$$Ifl \O+1a t0644 layt3 $$Ifa$gd3gd36062646>6@6B6D6f6h6666666˰o[D[Do)5jhXh3>*B*CJOJQJU^JaJph,h65h35B*CJOJQJ^JaJph&h35B*CJOJQJ^JaJph#h3B*CJOJQJ^JaJphh3CJOJQJ^JaJ@jh65h3>*B*CJOJQJU^JaJmHnHphu5jh65h3>*B*CJOJQJU^JaJph;j^h65h3>*B*CJOJQJU^JaJph,h65h3>*B*CJOJQJ^JaJphZ6d6f6h66666 7MHgd3kd_$$Ifl \O+1a t0644 layt3 $$Ifa$gd3666666666666˰}bK-b;j`h65h3>*B*CJOJQJU^JaJph,h65h3>*B*CJOJQJ^JaJph5jh65h3>*B*CJOJQJU^JaJph#h3B*CJOJQJ^JaJph@jhXh3>*B*CJOJQJU^JaJmHnHphu5jhXh3>*B*CJOJQJU^JaJph;jT`hXh3>*B*CJOJQJU^JaJph,hXh3>*B*CJOJQJ^JaJph 67 7 77072747f7h7j77777ĭ|hWBW'Bh5jhbh h 5CJOJQJU\^JaJ)jh 5CJOJQJU\^JaJ h 5CJOJQJ\^JaJ&h hl5CJOJQJ\^JaJ h35CJOJQJ\^JaJ#h3B*CJOJQJ^JaJphh3CJOJQJ^JaJ,h65h3>*B*CJOJQJ^JaJph5jh65h3>*B*CJOJQJU^JaJph@jh65h3>*B*CJOJQJU^JaJmHnHphu 77"7$7.707YMMMM $$Ifa$gd3kd>a$$Ifl \O+:j t0644 layt3072747LLLYTTOMgd gd kda$$Ifl \O+:j t0644 layt3777777777778LL,L-L.LLKLLLZLګګ}o]oE]}]o/jch h CJOJQJU^JaJ#jh CJOJQJU^JaJh CJOJQJ^JaJ h hlCJOJQJ^JaJU5jPch h 5CJOJQJU\^JaJ&h hl5CJOJQJ\^JaJ5jbh h 5CJOJQJU\^JaJ)jh 5CJOJQJU\^JaJ h 5CJOJQJ\^JaJe: ___________ Modification Action: Approve  FORMCHECKBOX  Conditional  FORMCHECKBOX  Other  FORMCHECKBOX  Reviewed by: _____________________ BCPHS 9/14/00 ZL[L\LcLdLrLsLtLuLLLLննĉw#hlB*CJOJQJ^JaJph)hl5B*CJOJQJ\^JaJph/jdh h CJOJQJU^JaJh CJOJQJ^JaJ h hlCJOJQJ^JaJ#jh CJOJQJU^JaJ/j8dh h CJOJQJU^JaJ 8 00P:p3/ =!]"2# $% TDd L>  # A"RDTKОn(#vWjw TDFTKОn(#vWjwJFIF%% XICC_PROFILE HLinomntrRGB XYZ  1acspMSFTIEC sRGB-HP cprtP3desclwtptbkptrXYZgXYZ,bXYZ@dmndTpdmddvuedLview$lumimeas $tech0 rTRC< gTRC< bTRC< textCopyright (c) 1998 Hewlett-Packard CompanydescsRGB IEC61966-2.1sRGB IEC61966-2.1XYZ QXYZ XYZ o8XYZ bXYZ $descIEC http://www.iec.chIEC http://www.iec.chdesc.IEC 61966-2.1 Default RGB colour space - sRGB.IEC 61966-2.1 Default RGB colour space - sRGBdesc,Reference Viewing Condition in IEC61966-2.1,Reference Viewing Condition in IEC61966-2.1view_. \XYZ L VPWmeassig CRT curv #(-27;@EJOTY^chmrw| %+28>ELRY`gnu| &/8AKT]gqz !-8COZfr~ -;HUcq~ +:IXgw'7HYj{+=Oat 2FZn  % : O d y  ' = T j " 9 Q i  * C \ u & @ Z t .Id %A^z &Ca~1Om&Ed#Cc'Ij4Vx&IlAe@e Ek*Qw;c*R{Gp@j>i  A l !!H!u!!!"'"U"""# #8#f###$$M$|$$% %8%h%%%&'&W&&&''I'z''( (?(q(())8)k))**5*h**++6+i++,,9,n,,- -A-v--..L.../$/Z///050l0011J1112*2c223 3F3334+4e4455M555676r667$7`7788P8899B999:6:t::;-;k;;<' >`>>?!?a??@#@d@@A)AjAAB0BrBBC:C}CDDGDDEEUEEF"FgFFG5G{GHHKHHIIcIIJ7J}JK KSKKL*LrLMMJMMN%NnNOOIOOP'PqPQQPQQR1R|RSS_SSTBTTU(UuUVV\VVWDWWX/X}XYYiYZZVZZ[E[[\5\\]']x]^^l^__a_``W``aOaabIbbcCccd@dde=eef=ffg=ggh?hhiCiijHjjkOkklWlmm`mnnknooxop+ppq:qqrKrss]sttptu(uuv>vvwVwxxnxy*yyzFz{{c{|!||}A}~~b~#G k͂0WGrׇ;iΉ3dʋ0cʍ1fΏ6n֑?zM _ɖ4 uL$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)KmAdobedC     $''''$25552;;;;;;;;;;C  ####''',,," }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?Z( ( ( ( (}cXǪ0*FIU,tQp6#lQ^if54/1MQ6@~RckiֿҬlOݘ`~i:62>^=s@Ey#]]I.-MϺk>rsEKe`TI"Xd $ o4Vf]_PtnX)[lUh_l3δ((((((;h#fq.HQb8 ?xnV J2JwK tx^z|-(@Y~YLciѝczd]oh~qw9Ҿ4#*ա/X8H~k_%ҢwM_+K$/1*̨cYJORHoLa m/ѴKMKܼLd?:^v~fx_ZKWkMm$aA*$@d/pw"ZײZy(V 'F9QG'$VI }N֢{t#3Ib`b!~^k֥05XE2K#]⃗glo_>!z5]"OGO|#?7s~\w,hv!V61e;Dfuxcpsg?k\sI#ʡ9ƽUƧtQ ΑQaFlͷ/fxC5;nvOsM)w|gM9cSE4zoc4EBN $nݗD:F|Qo"G-$<UW 6[O5{Nb;I'"mo~V]sT ormnG+FaNpr1jW]#YgYty(ZU`?ve㏺IfxG%~|-2;ƱTeN yŎr ~j )I<*D!UO((()MO'm cr8Q+uSk^IhFex()wi,侲a1LWT|Y1^՟o|-᫋6kk˹؏ymN68<6=9b}BF-%BbISno\׽OkNjڔp9Y )/0ۃ Vs"\ ;ym~F:~u8EŖm+ͱg{Yf];p,9b^oNj4-E.I ,KfA$}&\`1膀ludd@T#dUfck(voZh"Iu)T?xŤh4{ǵ!H rLz|;tO +-{[UV2hWѷb/xsB'Eƙ;;ȯ"dA !6`HWak \iWktjї(^%4*͆c#a@| 0׺FeE\H2q8 +WF!hLF>~o*m X9 Q;vn/un4r̞;2Hh|ym+s_݆{oNkS\rB,#eUzr@=+<y %ԾY^B]veP??Q4CP.a5/C[[h,F%+|)^ 4k^]4@<ƌZ ^Fۏ}ՎzLwZGya=My ǽY1' tjB+o^cV2K5#ϐH;5OWJty}ۊr2 f7-3Dkp5YZSlwKV7.@˖z<S/Gd֚|4/.x)s GLr|4ūx{X󆳦 ZpwI>̱t,rz㸯/Ɨu~>Ao$lJI&L,۶ͪ^Z:2[\.Nt A X( Yn˂7W;R0Ypjx>i$#'E_0n{p7F @? 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