Title 40:
Protection of Environment
PART 26—PROTECTION OF HUMAN SUBJECTS
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Subpart A—Basic EPA Policy for Protection of Subjects in Human
Research Conducted or Supported by EPA
§ 26.101 To what does this policy apply?
(a) Except as provided in paragraph (b) of this section, this policy
applies to all research involving human subjects conducted, supported or
otherwise subject to regulation by any Federal department or agency which
takes appropriate administrative action to make the policy applicable to
such research. This includes research conducted by Federal civilian
employees or military personnel, except that each department or agency
head may adopt such procedural modifications as may be appropriate from an
administrative standpoint. It also includes research conducted, supported,
or otherwise subject to regulation by the Federal Government outside the
United States.
(1) Research that is conducted or supported by a Federal department or
agency, whether or not it is regulated as defined in §26.102(e), must
comply with all sections of this policy.
(2) Research that is neither conducted nor supported by a Federal
department or agency but is subject to regulation as defined in §26.102(e)
must be reviewed and approved, in compliance with §26.101, §26.102, and
§26.107 through §26.117 of this policy, by an institutional review board
(IRB) that operates in accordance with the pertinent requirements of this
policy.
(b) Unless otherwise required by department or agency heads, research
activities in which the only involvement of human subjects will be in one
or more of the following categories are exempt from this policy:
(1) Research conducted in established or commonly accepted educational
settings, involving normal educational practices, such as (i) research on
regular and special education instructional strategies, or (ii) research
on the effectiveness of or the comparison among instructional techniques,
curricula, or classroom management methods.
(2) Research involving the use of educational tests (cognitive,
diagnostic, aptitude, achievement), survey procedures, interview
procedures or observation of public behavior, unless:
(i) Information obtained is recorded in such a manner that human
subjects can be identified, directly or through identifiers linked to the
subjects; and
(ii) Any disclosure of the human subjects' responses outside the
research could reasonably place the subjects at risk of criminal or civil
liability or be damaging to the subjects' financial standing,
employability, or reputation.
(3) Research involving the use of educational tests (cognitive,
diagnostic, aptitude, achievement), survey procedures, interview
procedures, or observation of public behavior that is not exempt under
paragraph (b)(2) of this section, if:
(i) The human subjects are elected or appointed public officials or
candidates for public office; or
(ii) Federal statute(s) require(s) without exception that the
confidentiality of the personally identifiable information will be
maintained throughout the research and thereafter.
(4) Research, involving the collection or study of existing data,
documents, records, pathological specimens, or diagnostic specimens, if
these sources are publicly available or if the information is recorded by
the investigator in such a manner that subjects cannot be identified,
directly or through identifiers linked to the subjects.
(5) Research and demonstration projects which are conducted by or
subject to the approval of department or agency heads, and which are
designed to study, evaluate, or otherwise examine:
(i) Public benefit or service programs;
(ii) Procedures for obtaining benefits or services under those
programs;
(iii) Possible changes in or alternatives to those programs or
procedures; or
(iv) Possible changes in methods or levels of payment for benefits or
services under those programs.
(6) Taste and food quality evaluation and consumer acceptance
studies,
(i) If wholesome foods without additives are consumed or
(ii) If a food is consumed that contains a food ingredient at or below
the level and for a use found to be safe, or agricultural chemical or
environmental contaminant at or below the level found to be safe, by the
Food and Drug Administration or approved by the Environmental Protection
Agency or the Food Safety and Inspection Service of the U.S. Department of
Agriculture.
(c) Department or agency heads retain final judgment as to whether a
particular activity is covered by this policy.
(d) Department or agency heads may require that specific research
activities or classes of research activities conducted, supported, or
otherwise subject to regulation by the department or agency but not
otherwise covered by this policy, comply with some or all of the
requirements of this policy.
(e) Compliance with this policy requires compliance with pertinent
Federal laws or regulations which provide additional protections for human
subjects.
(f) This policy does not affect any State or local laws or regulations
which may otherwise be applicable and which provide additional protections
for human subjects.
(g) This policy does not affect any foreign laws or regulations which
may otherwise be applicable and which provide additional protections to
human subjects of research.
(h) When research covered by this policy takes place in foreign
countries, procedures normally followed in the foreign countries to
protect human subjects may differ from those set forth in this policy. [An
example is a foreign institution which complies with guidelines consistent
with the World Medical Assembly Declaration (Declaration of Helsinki
amended 1989) issued either by sovereign states or by an organization
whose function for the protection of human research subjects is
internationally recognized.] In these circumstances, if a department or
agency head determines that the procedures prescribed by the institution
afford protections that are at least equivalent to those provided in this
policy, the department or agency head may approve the substitution of the
foreign procedures in lieu of the procedural requirements provided in this
policy. Except when otherwise required by statute, Executive Order, or the
department or agency head, notices of these actions as they occur will be
published in theFederal Registeror will be otherwise
published as provided in department or agency procedures.
(i) Unless otherwise required by law, department or agency heads may
waive the applicability of some or all of the provisions of this policy to
specific research activities or classes of research activities otherwise
covered by this policy. Except when otherwise required by statute or
Executive Order, the department or agency head shall forward advance
notices of these actions to the Office for Human Research Protections,
Department of Health and Human Services (HHS), or any successor office,
and shall also publish them in theFederal Registeror in such
other manner as provided in department or agency procedures.1
1 Institutions with HHS-approved assurances on file will
abide by provisions of title 45 CFR part 46 subparts A–D. Some of the
other Departments and Agencies have incorporated all provisions of title
45 CFR part 46 into their policies and procedures as well. However, the
exemptions at 45 CFR 46.101(b) do not apply to research involving
prisoners, subpart C. The exemption at 45 CFR 46.101(b)(2), for research
involving survey or interview procedures or observation of public
behavior, does not apply to research with children, subpart D, except for
research involving observations of public behavior when the
investigator(s) do not participate in the activities being
observed.
[56 FR 28012, 28022, June 18, 1991, 56 FR 29756, June 28, 1991, as
amended at 70 FR 36328, June 23, 2005]
§ 26.102 Definitions.
(a) Department or agency head means the head of any Federal
department or agency and any other officer or employee of any department
or agency to whom authority has been delegated.
(b) Institution means any public or private entity or agency
(including Federal, State, and other agencies).
(c) Legally authorized representative means an individual or
judicial or other body authorized under applicable law to consent on
behalf of a prospective subject to the subject's participation in the
procedure(s) involved in the research.
(d) Research means a systematic investigation, including
research development, testing and evaluation, designed to develop or
contribute to generalizable knowledge. Activities which meet this
definition constitute research for purposes of this policy, whether or not
they are conducted or supported under a program which is considered
research for other purposes. For example, some demonstration and service
programs may include research activities.
(e) Research subject to regulation, and similar terms are
intended to encompass those research activities for which a Federal
department or agency has specific responsibility for regulating as a
research activity, (for example, Investigational New Drug requirements
administered by the Food and Drug Administration). It does not include
research activities which are incidentally regulated by a Federal
department or agency solely as part of the department's or agency's
broader responsibility to regulate certain types of activities whether
research or non-research in nature (for example, Wage and Hour
requirements administered by the Department of Labor).
(f) Human subject means 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.
Intervention includes both physical procedures by which data are
gathered (for example, venipuncture) and manipulations of the subject or
the subject's environment that are performed for research purposes.
Interaction includes communication or interpersonal contact between
investigator and subject. “Private information” includes information about
behavior that occurs in a context in which an individual can reasonably
expect that no observation or recording is taking place, and information
which has been provided for specific purposes by an individual and which
the individual can reasonably expect will not be made public (for example,
a medical record). Private information must be individually identifiable
(i.e., the identity of the subject is or may readily be ascertained by the
investigator or associated with the information) in order for obtaining
the information to constitute research involving human subjects.
(g) IRB means an institutional review board established in
accord with and for the purposes expressed in this policy.
(h) IRB approval means the determination of the IRB that the
research has been reviewed and may be conducted at an institution within
the constraints set forth by the IRB and by other institutional and
Federal requirements.
(i) Minimal risk means that the probability and magnitude of
harm or discomfort anticipated in the research are not greater in and of
themselves than those ordinarily encountered in daily life or during the
performance of routine physical or psychological examinations or
tests.
(j) Certification means the official notification by the
institution to the supporting department or agency, in accordance with the
requirements of this policy, that a research project or activity involving
human subjects has been reviewed and approved by an IRB in accordance with
an approved assurance.
§ 26.103 Assuring compliance with this
policy—research conducted or supported by any Federal Department or
Agency.
(a) Each institution engaged in research which is covered by this
policy and which is conducted or supported by a Federal department or
agency shall provide written assurance satisfactory to the department or
agency head that it will comply with the requirements set forth in this
policy. In lieu of requiring submission of an assurance, individual
department or agency heads shall accept the existence of a current
assurance, appropriate for the research in question, on file with the
Office for Human Research Protections, HHS, or any successor office, and
approved for federalwide use by that office. When the existence of an
HHS-approved assurance is accepted in lieu of requiring submission of an
assurance, reports (except certification) required by this policy to be
made to department and agency heads shall also be made to the Office for
Human Research Protections, HHS, or any successor office.
(b) Departments and agencies will conduct or support research covered
by this policy only if the institution has an assurance approved as
provided in this section, and only if the institution has certified to the
department or agency head that the research has been reviewed and approved
by an IRB provided for in the assurance, and will be subject to continuing
review by the IRB. Assurances applicable to federally supported or
conducted research shall at a minimum include:
(1) A statement of principles governing the institution in the
discharge of its responsibilities for protecting the rights and welfare of
human subjects of research conducted at or sponsored by the institution,
regardless of whether the research is subject to Federal regulation. This
may include an appropriate existing code, declaration, or statement of
ethical principles, or a statement formulated by the institution itself.
This requirement does not preempt provisions of this policy applicable to
department- or agency-supported or regulated research and need not be
applicable to any research exempted or waived under §26.101 (b) or
(i).
(2) Designation of one or more IRBs established in accordance with the
requirements of this policy, and for which provisions are made for meeting
space and sufficient staff to support the IRB's review and recordkeeping
duties.
(3) A list of IRB members identified by name; earned degrees;
representative capacity; indications of experience such as board
certifications, licenses, etc., sufficient to describe each member's chief
anticipated contributions to IRB deliberations; and any employment or
other relationship between each member and the institution; for example:
full-time employee, part-time employee, member of governing panel or
board, stockholder, paid or unpaid consultant. Changes in IRB membership
shall be reported to the department or agency head, unless in accord with
§26.103(a) of this policy, the existence of an HHS-approved assurance is
accepted. In this case, change in IRB membership shall be reported to the
Office for Human Research Protections, HHS, or any successor office.
(4) Written procedures which the IRB will follow (i) for conducting its
initial and continuing review of research and for reporting its findings
and actions to the investigator and the institution; (ii) for determining
which projects require review more often than annually and which projects
need verification from sources other than the investigators that no
material changes have occurred since previous IRB review; and (iii) for
ensuring prompt reporting to the IRB of proposed changes in a research
activity, and for ensuring that such changes in approved research, during
the period for which IRB approval has already been given, may not be
initiated without IRB review and approval except when necessary to
eliminate apparent immediate hazards to the subject.
(5) Written procedures for ensuring prompt reporting to the IRB,
appropriate institutional officials, and the department or agency head of
(i) any unanticipated problems involving risks to subjects or others or
any serious or continuing noncompliance with this policy or the
requirements or determinations of the IRB and (ii) any suspension or
termination of IRB approval.
(c) The assurance shall be executed by an individual authorized to act
for the institution and to assume on behalf of the institution the
obligations imposed by this policy and shall be filed in such form and
manner as the department or agency head prescribes.
(d) The department or agency head will evaluate all assurances
submitted in accordance with this policy through such officers and
employees of the department or agency and such experts or consultants
engaged for this purpose as the department or agency head determines to be
appropriate. The department or agency head's evaluation will take into
consideration the adequacy of the proposed IRB in light of the anticipated
scope of the institution's research activities and the types of subject
populations likely to be involved, the appropriateness of the proposed
initial and continuing review procedures in light of the probable risks,
and the size and complexity of the institution.
(e) On the basis of this evaluation, the department or agency head may
approve or disapprove the assurance, or enter into negotiations to develop
an approvable one. The department or agency head may limit the period
during which any particular approved assurance or class of approved
assurances shall remain effective or otherwise condition or restrict
approval.
(f) Certification is required when the research is supported by a
Federal department or agency and not otherwise exempted or waived under
§26.101 (b) or (i). An institution with an approved assurance shall
certify that each application or proposal for research covered by the
assurance and by §26.103 of this Policy has been reviewed and approved by
the IRB. Such certification must be submitted with the application or
proposal or by such later date as may be prescribed by the department or
agency to which the application or proposal is submitted. Under no
condition shall research covered by §26.103 of the Policy be supported
prior to receipt of the certification that the research has been reviewed
and approved by the IRB. Institutions without an approved assurance
covering the research shall certify within 30 days after receipt of a
request for such a certification from the department or agency, that the
application or proposal has been approved by the IRB. If the certification
is not submitted within these time limits, the application or proposal may
be returned to the institution.
(Approved by the Office of Management
and Budget under Control Number 0990–0260.)
[56 FR 28012, 28022, June 18, 1991, 56 FR 29756, June 28, 1991, as
amended at 70 FR 36328, June 23, 2005]
§§ 26.104-26.106 [Reserved]
§ 26.107 IRB membership.
(a) Each IRB shall have at least five members, with varying backgrounds
to promote complete and adequate review of research activities commonly
conducted by the institution. The IRB shall be sufficiently qualified
through the experience and expertise of its members, and the diversity of
the members, including consideration of race, gender, and cultural
backgrounds and sensitivity to such issues as community attitudes, to
promote respect for its advice and counsel in safeguarding the rights and
welfare of human subjects. In addition to possessing the professional
competence necessary to review specific research activities, the IRB shall
be able to ascertain the acceptability of proposed research in terms of
institutional commitments and regulations, applicable law, and standards
of professional conduct and practice. The IRB shall therefore include
persons knowledgeable in these areas. If an IRB regularly reviews research
that involves a vulnerable category of subjects, such as children,
prisoners, pregnant women, or handicapped or mentally disabled persons,
consideration shall be given to the inclusion of one or more individuals
who are knowledgeable about and experienced in working with these
subjects.
(b) Every nondiscriminatory effort will be made to ensure that no IRB
consists entirely of men or entirely of women, including the institution's
consideration of qualified persons of both sexes, so long as no selection
is made to the IRB on the basis of gender. No IRB may consist entirely of
members of one profession.
(c) Each IRB shall include at least one member whose primary concerns
are in scientific areas and at least one member whose primary concerns are
in nonscientific areas.
(d) Each IRB shall include at least one member who is not otherwise
affiliated with the institution and who is not part of the immediate
family of a person who is affiliated with the institution.
(e) No IRB may have a member participate in the IRB's initial or
continuing review of any project in which the member has a conflicting
interest, except to provide information requested by the IRB.
(f) An IRB may, in its discretion, invite individuals with competence
in special areas to assist in the review of issues which require expertise
beyond or in addition to that available on the IRB. These individuals may
not vote with the IRB.
§ 26.108 IRB functions and operations.
In order to fulfill the requirements of this policy each IRB shall:
(a) Follow written procedures in the same detail as described in
§26.103(b)(4) and, to the extent required by, §26.103(b)(5).
(b) Except when an expedited review procedure is used (see §26.110),
review proposed research at convened meetings at which a majority of the
members of the IRB are present, including at least one member whose
primary concerns are in nonscientific areas. In order for the research to
be approved, it shall receive the approval of a majority of those members
present at the meeting.
§ 26.109 IRB review of research.
(a) An IRB shall review and have authority to approve, require
modifications in (to secure approval), or disapprove all research
activities covered by this policy.
(b) An IRB shall require that information given to subjects as part of
informed consent is in accordance with §26.116. The IRB may require that
information, in addition to that specifically mentioned in §26.116, be
given to the subjects when in the IRB's judgment the information would
meaningfully add to the protection of the rights and welfare of
subjects.
(c) An IRB shall require documentation of informed consent or may waive
documentation in accordance with §26.117.
(d) An IRB shall notify investigators and the institution in writing of
its decision to approve or disapprove the proposed research activity, or
of modifications required to secure IRB approval of the research activity.
If the IRB decides to disapprove a research activity, it shall include in
its written notification a statement of the reasons for its decision and
give the investigator an opportunity to respond in person or in
writing.
(e) An IRB shall conduct continuing review of research covered by this
policy at intervals appropriate to the degree of risk, but not less than
once per year, and shall have authority to observe or have a third party
observe the consent process and the research.
(Approved by the Office
of Management and Budget under Control Number 0990–0260.)
[56 FR 28012, 28022, June 18, 1991, as amended at 70 FR 36328, June 23,
2005]
§ 26.110 Expedited review procedures for certain
kinds of research involving no more than minimal risk, and for minor
changes in approved research.
(a) The Secretary, HHS, has established, and published as a Notice in
theFederal Register,a list of categories of research that
may be reviewed by the IRB through an expedited review procedure. The list
will be amended, as appropriate after consultation with other departments
and agencies, through periodic republication by the Secretary, HHS, in
theFederal Register.A copy of the list is available from the
Office for Human Research Protections, HHS, or any successor office.
(b) An IRB may use the expedited review procedure to review either or
both of the following:
(1) Some or all of the research appearing on the list and found by the
reviewer(s) to involve no more than minimal risk,
(2) Minor changes in previously approved research during the period (of
one year or less) for which approval is authorized.
Under an expedited review procedure, the review may be carried out by
the IRB chairperson or by one or more experienced reviewers designated by
the chairperson from among members of the IRB. In reviewing the research,
the reviewers may exercise all of the authorities of the IRB except that
the reviewers may not disapprove the research. A research activity may be
disapproved only after review in accordance with the non-expedited
procedure set forth in §26.108(b).
(c) Each IRB which uses an expedited review procedure shall adopt a
method for keeping all members advised of research proposals which have
been approved under the procedure.
(d) The department or agency head may restrict, suspend, terminate, or
choose not to authorize an institution's or IRB's use of the expedited
review procedure.
[56 FR 28012, 28022, June 18, 1991, as amended at 70 FR 36328, June 23,
2005]
§ 26.111 Criteria for IRB approval of
research.
(a) In order to approve research covered by this policy the IRB shall
determine that all of the following requirements are satisfied:
(1) Risks to subjects are minimized: (i) By using procedures which are
consistent with sound research design and which do not unnecessarily
expose subjects to risk, and (ii) whenever appropriate, by using
procedures already being performed on the subjects for diagnostic or
treatment purposes.
(2) Risks to subjects are reasonable in relation to anticipated
benefits, if any, to subjects, and the importance of the knowledge that
may reasonably be expected to result. In evaluating risks and benefits,
the IRB should consider only those risks and benefits that may result from
the research (as distinguished from risks and benefits of therapies
subjects would receive even if not participating in the research). The IRB
should not consider possible long-range effects of applying knowledge
gained in the research (for example, the possible effects of the research
on public policy) as among those research risks that fall within the
purview of its responsibility.
(3) Selection of subjects is equitable. In making this assessment the
IRB should take into account the purposes of the research and the setting
in which the research will be conducted and should be particularly
cognizant of the special problems of research involving vulnerable
populations, such as children, prisoners, pregnant women, mentally
disabled persons, or economically or educationally disadvantaged
persons.
(4) Informed consent will be sought from each prospective subject or
the subject's legally authorized representative, in accordance with, and
to the extent required by §26.116.
(5) Informed consent will be appropriately documented, in accordance
with, and to the extent required by §26.117.
(6) When appropriate, the research plan makes adequate provision for
monitoring the data collected to ensure the safety of subjects.
(7) When appropriate, there are adequate provisions to protect the
privacy of subjects and to maintain the confidentiality of data.
(b) When some or all of the subjects are likely to be vulnerable to
coercion or undue influence, such as children, prisoners, pregnant women,
mentally disabled persons, or economically or educationally disadvantaged
persons, additional safeguards have been included in the study to protect
the rights and welfare of these subjects.
§ 26.112 Review by institution.
Research covered by this policy that has been approved by an IRB may be
subject to further appropriate review and approval or disapproval by
officials of the institution. However, those officials may not approve the
research if it has not been approved by an IRB.
§ 26.113 Suspension or termination of IRB
approval of research.
An IRB shall have authority to suspend or terminate approval of
research that is not being conducted in accordance with the IRB's
requirements or that has been associated with unexpected serious harm to
subjects. Any suspension or termination of approval shall include a
statement of the reasons for the IRB's action and shall be reported
promptly to the investigator, appropriate institutional officials, and the
department or agency head.
(Approved by the Office of Management and
Budget under Control Number 0990–0260.)
[56 FR 28012, 28022, June 18, 1991, as amended at 70 FR 36328, June 23,
2005]
§ 26.114 Cooperative research.
Cooperative research projects are those projects covered by this policy
which involve more than one institution. In the conduct of cooperative
research projects, each institution is responsible for safeguarding the
rights and welfare of human subjects and for complying with this policy.
With the approval of the department or agency head, an institution
participating in a cooperative project may enter into a joint review
arrangement, rely upon the review of another qualified IRB, or make
similar arrangements for avoiding duplication of effort.
§ 26.115 IRB records.
(a) An institution, or when appropriate an IRB, shall prepare and
maintain adequate documentation of IRB activities, including the
following:
(1) Copies of all research proposals reviewed, scientific evaluations,
if any, that accompany the proposals, approved sample consent documents,
progress reports submitted by investigators, and reports of injuries to
subjects.
(2) Minutes of IRB meetings which shall be in sufficient detail to show
attendance at the meetings; actions taken by the IRB; the vote on these
actions including the number of members voting for, against, and
abstaining; the basis for requiring changes in or disapproving research;
and a written summary of the discussion of controverted issues and their
resolution.
(3) Records of continuing review activities.
(4) Copies of all correspondence between the IRB and the
investigators.
(5) A list of IRB members in the same detail as described is
§26.103(b)(3).
(6) Written procedures for the IRB in the same detail as described in
§26.103(b)(4) and §26.103(b)(5).
(7) Statements of significant new findings provided to subjects, as
required by §26.116(b)(5).
(b) The records required by this policy shall be retained for at least
3 years, and records relating to research which is conducted shall be
retained for at least 3 years after completion of the research. All
records shall be accessible for inspection and copying by authorized
representatives of the department or agency at reasonable times and in a
reasonable manner.
(Approved by the Office of Management and Budget
under Control Number 0990–0260.)
[56 FR 28012, 28022, June 18, 1991, as amended at 70 FR 36328, June 23,
2005]
§ 26.116 General requirements for informed
consent.
Except as provided elsewhere in this policy, no investigator may
involve a human being as a subject in research covered by this policy
unless the investigator has obtained the legally effective informed
consent of the subject or the subject's legally authorized representative.
An investigator shall seek such consent only under circumstances that
provide the prospective subject or the representative sufficient
opportunity to consider whether or not to participate and that minimize
the possibility of coercion or undue influence. The information that is
given to the subject or the representative shall be in language
understandable to the subject or the representative. No informed consent,
whether oral or written, may include any exculpatory language through
which the subject or the representative is made to waive or appear to
waive any of the subject's legal rights, or releases or appears to release
the investigator, the sponsor, the institution or its agents from
liability for negligence.
(a) Basic elements of informed consent. Except as provided in paragraph
(c) or (d) of this section, in seeking informed consent the following
information shall be provided to each subject:
(1) A statement that the study involves research, an explanation of the
purposes of the research and the expected duration of the subject's
participation, a description of the procedures to be followed, and
identification of any procedures which are experimental;
(2) A description of any reasonably foreseeable risks or discomforts to
the subject;
(3) A description of any benefits to the subject or to others which may
reasonably be expected from the research;
(4) A disclosure of appropriate alternative procedures or courses of
treatment, if any, that might be advantageous to the subject;
(5) A statement describing the extent, if any, to which confidentiality
of records identifying the subject will be maintained;
(6) For research involving more than minimal risk, an explanation as to
whether any compensation and an explanation as to whether any medical
treatments are available if injury occurs and, if so, what they consist
of, or where further information may be obtained;
(7) An explanation of whom to contact for answers to pertinent
questions about the research and research subjects' rights, and whom to
contact in the event of a research-related injury to the subject; and
(8) A statement that participation is voluntary, refusal to participate
will involve no penalty or loss of benefits to which the subject is
otherwise entitled, and the subject may discontinue participation at any
time without penalty or loss of benefits to which the subject is otherwise
entitled.
(b) Additional elements of informed consent. When appropriate, one or
more of the following elements of information shall also be provided to
each subject:
(1) A statement that the particular treatment or procedure may involve
risks to the subject (or to the embryo or fetus, if the subject is or may
become pregnant) which are currently unforeseeable;
(2) Anticipated circumstances under which the subject's participation
may be terminated by the investigator without regard to the subject's
consent;
(3) Any additional costs to the subject that may result from
participation in the research;
(4) The consequences of a subject's decision to withdraw from the
research and procedures for orderly termination of participation by the
subject;
(5) A statement that significant new findings developed during the
course of the research which may relate to the subject's willingness to
continue participation will be provided to the subject; and
(6) The approximate number of subjects involved in the study.
(c) An IRB may approve a consent procedure which does not include, or
which alters, some or all of the elements of informed consent set forth
above, or waive the requirement to obtain informed consent provided the
IRB finds and documents that:
(1) The research or demonstration project is to be conducted by or
subject to the approval of State or local government officials and is
designed to study, evaluate, or otherwise examine: (i) Public benefit of
service programs; (ii) procedures for obtaining benefits or services under
those programs; (iii) possible changes in or alternatives to those
programs or procedures; or (iv) possible changes in methods or levels of
payment for benefits or services under those programs; and
(2) The research could not practicably be carried out without the
waiver or alteration.
(d) An IRB may approve a consent procedure which does not include, or
which alters, some or all of the elements of informed consent set forth in
this section, or waive the requirements to obtain informed consent
provided the IRB finds and documents that:
(1) The research involves no more than minimal risk to the
subjects;
(2) The waiver or alteration will not adversely affect the rights and
welfare of the subjects;
(3) The research could not practicably be carried out without the
waiver or alteration; and
(4) Whenever appropriate, the subjects will be provided with additional
pertinent information after participation.
(e) The informed consent requirements in this policy are not intended
to preempt any applicable Federal, State, or local laws which require
additional information to be disclosed in order for informed consent to be
legally effective.
(f) Nothing in this policy is intended to limit the authority of a
physician to provide emergency medical care, to the extent the physician
is permitted to do so under applicable Federal, State, or local
law.
(Approved by the Office of Management and Budget under Control
Number 0990–0260.)
[56 FR 28012, 28022, June 18, 1991, as amended at 70 FR 36328, June 23,
2005]
§ 26.117 Documentation of informed consent.
(a) Except as provided in paragraph (c) of this section, informed
consent shall be documented by the use of a written consent form approved
by the IRB and signed by the subject or the subject's legally authorized
representative. A copy shall be given to the person signing the form.
(b) Except as provided in paragraph (c) of this section, the consent
form may be either of the following:
(1) A written consent document that embodies the elements of informed
consent required by §26.116. This form may be read to the subject or the
subject's legally authorized representative, but in any event, the
investigator shall give either the subject or the representative adequate
opportunity to read it before it is signed; or
(2) A short form written consent document stating that the elements of
informed consent required by §26.116 have been presented orally to the
subject or the subject's legally authorized representative. When this
method is used, there shall be a witness to the oral presentation. Also,
the IRB shall approve a written summary of what is to be said to the
subject or the representative. Only the short form itself is to be signed
by the subject or the representative. However, the witness shall sign both
the short form and a copy of the summary, and the person actually
obtaining consent shall sign a copy of the summary. A copy of the summary
shall be given to the subject or the representative, in addition to a copy
of the short form.
(c) An IRB may waive the requirement for the investigator to obtain a
signed consent form for some or all subjects if it finds either:
(1) That the only record linking the subject and the research would be
the consent document and the principal risk would be potential harm
resulting from a breach of confidentiality. Each subject will be asked
whether the subject wants documentation linking the subject with the
research, and the subject's wishes will govern; or
(2) That the research presents no more than minimal risk of harm to
subjects and involves no procedures for which written consent is normally
required outside of the research context.
In cases in which the documentation requirement is waived, the IRB may
require the investigator to provide subjects with a written statement
regarding the research.
(Approved by the Office of Management and
Budget under Control Number 0990–0260.)
[56 FR 28012, 28022, June 18, 1991, as amended at 70 FR 36328, June 23,
2005]
§ 26.118 Applications and proposals lacking
definite plans for involvement of human subjects.
Certain types of applications for grants, cooperative agreements, or
contracts are submitted to departments or agencies with the knowledge that
subjects may be involved within the period of support, but definite plans
would not normally be set forth in the application or proposal. These
include activities such as institutional type grants when selection of
specific projects is the institution's responsibility; research training
grants in which the activities involving subjects remain to be selected;
and projects in which human subjects' involvement will depend upon
completion of instruments, prior animal studies, or purification of
compounds. These applications need not be reviewed by an IRB before an
award may be made. However, except for research exempted or waived under
§26.101 (b) or (i), no human subjects may be involved in any project
supported by these awards until the project has been reviewed and approved
by the IRB, as provided in this policy, and certification submitted, by
the institution, to the department or agency.
§ 26.119 Research undertaken without the
intention of involving human subjects.
In the event research is undertaken without the intention of involving
human subjects, but it is later proposed to involve human subjects in the
research, the research shall first be reviewed and approved by an IRB, as
provided in this policy, a certification submitted, by the institution, to
the department or agency, and final approval given to the proposed change
by the department or agency.
§ 26.120 Evaluation and disposition of
applications and proposals for research to be conducted or supported by a
Federal Department or Agency.
The department or agency head will evaluate all applications and
proposals involving human subjects submitted to the department or agency
through such officers and employees of the department or agency and such
experts and consultants as the department or agency head determines to be
appropriate. This evaluation will take into consideration the risks to the
subjects, the adequacy of protection against these risks, the potential
benefits of the research to the subjects and others, and the importance of
the knowledge gained or to be gained.
(b) On the basis of this evaluation, the department or agency head may
approve or disapprove the application or proposal, or enter into
negotiations to develop an approvable one.
§ 26.121 [Reserved]
§ 26.122 Use of Federal funds.
Federal funds administered by a department or agency may not be
expended for research involving human subjects unless the requirements of
this policy have been satisfied.
§ 26.123 Early termination of research support:
Evaluation of applications and proposals.
(a) The department or agency head may require that department or agency
support for any project be terminated or suspended in the manner
prescribed in applicable program requirements, when the department or
agency head finds an institution has materially failed to comply with the
terms of this policy.
(b) In making decisions about supporting or approving applications or
proposals covered by this policy the department or agency head may take
into account, in addition to all other eligibility requirements and
program criteria, factors such as whether the applicant has been subject
to a termination or suspension under paragraph (a) of this section and
whether the applicant or the person or persons who would direct or has
have directed the scientific and technical aspects of an activity has
have, in the judgment of the department or agency head, materially failed
to discharge responsibility for the protection of the rights and welfare
of human subjects (whether or not the research was subject to Federal
regulation).
§ 26.124 Conditions.
With respect to any research project or any class of research projects
the department or agency head may impose additional conditions prior to or
at the time of approval when in the judgment of the department or agency
head additional conditions are necessary for the protection of human
subjects.
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