HSRO Frequently Asked Questions (FAQs)
These FAQs were collaboratively developed by the HSRO to provide clear, consistent guidance for the research community. They are a living resource and will be updated as questions, regulations, and practices evolve.
Last updated: Content is reviewed and updated periodically to reflect current regulatory requirements and institutional practices.
If you have suggestions for additional questions or topics, please contact hsro@med.miami.edu.UM is considered engaged when it is the primary awardee or when UM personnel interact with participants, obtain identifiable information, or obtain consent. When UM is engaged, UM IRB review or an approved reliance arrangement is required to ensure consistent participant protections. UM makes its own determinations for exempt research. No. Per OHRP, “the intent to publish is an insufficient criterion for determining whether a quality improvement activity involves research.” Planning to publish an account of a quality improvement project does not necessarily mean that the project fits the definition of research; people seek to publish descriptions of non-research activities for a variety of reasons, if they believe others may be interested in learning about those activities. Conversely, a quality improvement project may qualify as research even if there is no intent to publish the results.” If you need documentation confirming that your project did not require IRB approval, you must submit the project to the Human Subject Research Office (HSRO) inbox (HSROletterrequest@miami.edu) for an official determination providing an abstract and a completed certification (https://umiami.qualtrics.com/jfe/form/SV_9uwdrgzSWC9tiPY). HSRO can issue a written determination letter when a project is determined to be Not Human Subjects Research or otherwise does not require IRB review. Informal confirmation by the investigator is not sufficient for journals, sponsors, or funders. To avoid confusion, NHSR projects should not be referred to as research in publications and presentations. Human subject Research IBIS submission Communication Documentation Not Human Subject Research No No Email Email Exempt Studies Yes Yes IBIS research IBIS record HSRO does not provide a consent template for projects not deemed to be human subjects research. Most clinical consent forms may allow the use of non‑identifiable data or photos under the section for “educational purposes.” Please confirm with your department to ensure that such permission is included in their current consent form. If the project was not assessed up front as research, the data may not be usable and journals/professional conferences may not accept the work. If a NHSR project evolves into human subjects research, then the research will need to undergo IRB review through IBIS. A human subjects research application should be submitted before research activities take place. In your updated submission, standard care/processes, NHSR activities, and research components should be clearly distinguished. According to University of Miami policy, researchers are not permitted to self-exempt. Submission to the IRB in IBIS is required for initial review to confirm the exempt status of the study. Submit all participant facing materials to the IRB for review and approval. Some materials may be submitted later prior to use if they are not ready at the time of initial review (e.g., recruitment materials).
Qualified investigators may serve as PI based on institutional criteria and role. Studies may be submitted and managed by the PI or an approved proxy, ensuring accountability throughout the research lifecycle. Eligibility exceptions are reviewed to maintain appropriate oversight. More information can be found in section 1.4 of our Investigator’s Manual. Investigators should avoid participating in their own research due to potential conflicts of interest and the risk of actual or perceived bias in overseeing their own participation. If the study offers a prospect of direct benefit that would not otherwise be available to the PI, the situation will be referred to the IRB and institutional leadership for further evaluation. The IRB reviews materials that directly relate to participant understanding and protection, including consent documents and patient-facing materials. Submissions should be clear, current, and include tracked changes for revisions. This approach supports efficient review and accurate communication with participants. For data collection sheets, the IRB reviews only reviews these forms for retrospective studies only, not prospective. Use the table below to identify the correct protocol template. Select the option that best matches your study design. Study Type Required Template(s) Chart Review Only Surveys / Questionnaires / Interviews Only HRP‑503(f) – Surveys/Questionnaires Minimal Risk Procedures (e.g., blood draws, non‑invasive procedures, behavioral research) Combined Medical & Social/Behavioral Minimal Risk Use applicable sections from:• HRP‑503(c) – Minimal Risk• HRP‑503(f) – Surveys/Questionnaires Existing Biospecimens Only HRP‑503(e) – Existing Biospecimens Studies Involving Deception Sponsored Studies Sponsor Protocol+ HRP‑503(a) – Local Addendum Greater‑than‑Minimal‑Risk Investigator‑Initiated For additional guidance, investigators are encouraged to contact the Human Subjects Research Office prior to submission.* Use the table below to identify the correct consent template. Select the option that best matches your study design. Study Type Required Template(s) Chart Review Only N/A Surveys / Questionnaires / Interviews Only Online/ Survey only: Online Survey Consent Script Focus Group: Focus Group Minimal Risk Procedures (e.g., blood draws, non‑invasive procedures, behavioral research) UM ONLY: HRP-502a1 JHS ONLY: HRP-502a2 Social/Behavioral Minimal Risk & Greater Than Minimal Combined Medical & Social/Behavioral Minimal Risk Use applicable sections from: • HRP-502 (a1, a2 or a3) For additional guidance, investigators are encouraged to contact the Human Subjects Research Office prior to submission.* Submit documents in Microsoft Word whenever possible. This allows HSRO staff to add comments and edits directly using tracked changes.
If medical records are included, see Combined Studies below.
Prospective collection must use HRP‑503(c).
In person: Verbal Consent Script
Your study requires an Investigational New Drug (IND) or Investigational Device Exemption (IDE) if it involves an unapproved drug or device, or an approved product used outside its FDA‑approved indication, population, dose, or route.
No. Florida law requires the consent of all parties to record audio when there is a reasonable expectation of privacy. This requirement may be met by including clear audio and/or video recording language in the main informed consent provided the consent form clearly explains that audio and/or video recording will occur, what will be recorded, and how the recordings will be used, stored, and protected. A separate consent may be used at the investigator’s discretion; however, this is discouraged for additional paperwork burden.
Withdrawals are an administrative step used to pause review when required information, revisions, or approvals are incomplete or there the study team has not responded in a timely manner. Studies do not start over after withdrawal and return to the same reviewer once resubmitted. This process is not punitive; rather, it supports timely, thorough review and helps ensure participant protections are addressed before approval. Yes. All revised documents must be submitted with tracked changes enabled. This allows HSRO and IRB staff to efficiently review updates. Ensure that previous track changes are accepted and only applicable to the current modification request. RNIs include events or new information that may affect participant safety, rights, welfare, or research integrity. Any study team member may submit an RNI, but the PI is responsible for timely reporting. RNI reporting is not punitive and supports ongoing oversight and participant protection. Topic Reportable New Information (RNI) Modification Purpose To inform the IRB about new information or events that have already occurred during the conduct of an approved study. To request IRB approval for planned changes to an approved study before they are implemented. Timing Submitted after the event or information becomes known to the study team. Submitted before making changes to the study, unless an immediate change is necessary to eliminate an apparent hazard. What it Covers Incidents, experiences, or new information that may affect participant safety, rights, welfare, research integrity, or IRB oversight. Proposed changes to the protocol, consent documents, study procedures, personnel, recruitment materials, or other study elements. Common Examples Unanticipated problems, unexpected adverse events, serious or continuing noncompliance, breaches of confidentiality, or new risk information. Changes to study procedures, eligibility criteria, consent language, study personnel, sample size, or data collection methods. IRB Action The IRB reviews the information to assess risk and determine whether corrective actions or changes are required. The IRB reviews the proposed changes and must approve them before they are implemented. Relationship Between Submissions An RNI review may result in the IRB requiring a subsequent modification to address identified issues. A modification may be required as a follow‑up to an RNI or as part of routine study updates. Key Distinction Reports what has already happened. Requests approval for what is planned to happen.
An institution is considered engaged in non‑exempt human subjects research when it is the primary awardee of externally sponsored funding or when its employees or agents interact with participants, obtain identifiable private information, or obtain informed consent for research purposes. Yes. When UM is the primary awardee for non‑exempt human subjects research, it is considered engaged even if all human subjects activities are conducted by another institution. UM IRB approval or an approved reliance on an external IRB is required. No. UM does not rely on external IRBs for exempt research. UM makes its own exempt determinations to ensure compliance with institutional policies and regulatory requirements. Ceded IRB review, or reliance, is the transfer of IRB review and oversight responsibility from one IRB to another. This arrangement is documented through a reliance agreement (also called an IRB Authorization Agreement), which defines the responsibilities of each institution. SMART IRB is not an IRB. It is a national reliance platform and master agreement that facilitates and documents single IRB arrangements for multisite research, reducing the need to negotiate individual agreements for each study. The applicant proposes the single IRB in the NIH application or proposal. Selection is typically based on the IRB’s expertise, capacity, or sponsor requirements. For studies with both domestic and foreign sites, domestic sites are expected to rely on a U.S. single IRB. Foreign sites may use their local IRBs or ethics committees, consistent with NIH policy. Local research activities may begin only after a reliance agreement is fully executed and the reviewing IRB has explicitly approved the site as a participating site. The reviewing IRB is responsible for regulatory IRB review and approval. The relying institution remains responsible for investigator compliance, institutional requirements, and local context obligations as defined in the reliance agreement. All protocol modifications, continuing review submissions, and reportable events must be submitted to the reviewing IRB. The relying institution may also require notification to meet institutional or accreditation obligations. No. Only the reviewing IRB may approve changes to protocols or consent documents. Local sites may propose changes, but final approval must come from the reviewing IRB. UM remains responsible for local institutional requirements, including investigator qualifications, conflict of interest management, training requirements, and compliance with institutional policies. No. Even when relying on an external IRB, UM may require submission of certain information to document oversight responsibilities, such as reportable events, external IRB determinations, or study status updates. UM IRB approval is not required if UM is not engaged in the research. However, approval from other UM offices or departments may be required to permit recruitment activities on campus. The investigator must provide documentation of study closure from the reviewing IRB. UM will document the closure in its records in accordance with institutional requirements. Yes, but adding an external collaborator involves more than listing them on the protocol when data sharing or linkage is planned. The protocol must clearly describe the purpose of the collaboration, the data being shared, and how the data will be linked, secured, and used, applying the minimum necessary standard. If identifiable data will be shared, IRB approval and appropriate data sharing agreements are required. Additional institutional requirements may also apply. Investigators are encouraged to consult the following offices early to ensure regulatory, privacy, and data‑security requirements before sharing any data: Scenario What This Means Key Requirements Linkage using direct identifiers Direct identifiers (e.g., name, MRN, SSN, email) are shared so an external collaborator can link to another data source. IRB approval must explicitly allow identifier disclosure; a data-sharing agreement must limit use to linkage only and require secure handling and timely destruction or return of identifiers. Limited Data Set (LDS) sharing A limited data set is shared without direct identifiers but may include dates or limited geographic information. A Data Use Agreement (DUA) is required; the protocol must describe data elements, purpose of sharing, and privacy protections. Coded data sharing Data are shared in coded form with no direct identifiers. The linking key must remain at UM or Jackson Health System and must not be shared; IRB approval and documented data security controls are still required. External collaborator IRB oversight Determining which IRB oversees the external collaborator’s research activities. The collaborator may obtain local IRB approval or UM may rely on another IRB through a reliance arrangement; consult the IRB early to confirm the appropriate oversight model.