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Guidance on
Waivers of Authorization and Informed Consent
Listed
below are the criteria for obtaining a Waiver of Authorization and a Waiver
of Informed Consent. Where appropriate, e.g., retrospective chart reviews,
you must request both waivers as part of your IRB application. Note, that
while similar, they differ and all criteria must be met. In requesting these
waivers, please consider the criteria as questions and provide full answers.
It is not adequate to just say yes or to just list the criteria. For
example, in your answer to A.1. a-c, of the Waiver of Authorization, an
action plan must be provided. In addition, a complete description must be
provided of why it would be impossible to conduct the research if you had to
obtain Authorization (A.2) and Informed Consent (B.3).
A. Criteria for Waiver of Authorization Under the HIPAA Privacy
Rule
1.
The use or disclosure of protected health information involves no more than
minimal risk to the individuals
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a) There is an adequate plan to
protect the identifiers from improper use and disclosure
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b) There is an adequate plan to
destroy the identifiers at the earliest opportunity consistent with
conduct of the research, unless there is a health or research
justification for retaining the identifiers, or such retention is
otherwise required by law
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c) There are adequate written
assurances that the protected health information will not be reused or
disclosed to any other person or entity, except as required by law, for
authorized oversight of the research project, or for other research for
which the use or disclosure of protected health information would be
permitted by this subpart
2.
The research could not practicably be conducted without the alteration or
waiver
3. The research could not practicably be conducted without
access to and use of the protected health information
B.
Criteria for Waiver of Informed Consent Under the Common Rule
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
4.
Whenever appropriate, the subjects will be provided with additional
pertinent information after participation
The test of
practicability is the same under both rules and may be met, for example by
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The need for a large number
of subjects
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A presumed or demonstrated
inability to contact subjects for whom contact information may not be
accurate
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The fact that many of the
subjects may have died, or
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The fact that a lack of
data from a few subjects may make the number of subjects available for
the study too few to make the study valid
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