Irb

Attachment 20 - 2302 Healthy Schools IRB determination letter 06-05-24.pdf

[NCCDPHP] Healthy Schools Program Evaluation

IRB

OMB: 0920-1455

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Institutional Review Board Findings Form
ICF IRB FWA00002349 Exp. 10/13/2025
Project Director(s): Dana Keener Mast, PhD
Project Title: CDC 2302 Healthy Schools Evaluation
ICF Project Number: 2023-209
Type of Review: Modification
Findings of the Board: Expedited Review
Project Approved Until: Exempt
*All non-exempt studies require review at least annually. Continuing Review materials should be
submitted to the IRB no later than 4 weeks prior to expiration of approval.

June 5, 2024
Chair, Institutional Review Board

Date

(Revised 06/12/2018)

9300 Lee Highway • Fairfax, VA 22031 • 703-934-3000 • 703.934.3740 fax • icfi.com

CDC 2302 Healthy Schools Evaluation
November 18, 2023

List of Approved Project Materials:
1. IRB Project Modification Form
• Healthy School Questionnaire.docx (Data Collection Tools)
• Healthy Student Questionnaire - with resources added.docx (Data Collection
Tools)
• Healthy Student Questionnaire.docx (Data Collection Tools)
• Interview Consent Forms.docx (Consent Form)
• Interview Guide PLEA.docx (Data Collection Tools)
• Interview Guide Recipient.docx (Data Collection Tools)
• Interview Invitation Email.docx (Recruitment Materials)
• Monthly Reporting Email Invitation.docx (Recruitment Materials)
• Monthly Reporting Form_CLEAN.docx (Data Collection Tools)
• Monthly Reporting Form_tracked changes.docx (Data Collection Tools)
• School Questionnaire Consent_Qualtrics.PNG (Consent Form)
• School Questionnaire Notification and Consent Language.docx (Recruitment
Materials)
• School Questionnaire Notification and Consent Language.docx (Consent
Form)
• Student Questionnaire 18+ Notification and Consent Form.docx (Recruitment
Materials)
• Student Questionnaire 18+ Notification and Consent Form.docx (Consent
Form)
• Student Questionnaire Parent Notification and Consent Forms.docx
(Recruitment Materials)
• Student Questionnaire Parent Notification and Consent Forms.docx (Consent
Form)
• Student Questionnaire Student Assent Form.docx (Assent Form)
• TA Reporting Form Updated_IRB_clean.docx (Data Collection Tools)
• TA Reporting Form Updated_IRB_tracked changes (1).docx (Data Collection
Tools)
2.

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File Typeapplication/pdf
File TitleLetter
AuthorIRB@icfi.com
File Modified2024-06-05
File Created2024-06-05

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