Appendix A-IV
Extension Request for Approved Research
IRB approves a project for the time period initially mentioned with the expiration date indicated on the investigator's approval letter. Investigators wishing to collect data beyond the IRB
approval expiration date must file an extension request before the initial approval expires.
Research Project #:_______________ IRB #______________Date of Approval: _____________
Project Title:
Principal Investigator (PI):
Name: School:
Title: Department:
Telephone :
Email:
Date of expiry of IRB approval:
Previously proposed period for the Research Proposal:
Please mention reason for extension:
Attach Recent progress report of the research:
Extension requested:
Any other comments:
Signature of Principal Investigator: ………
Date:
(Please attach a copy of the initial approval letter)
