Submission Cover Letter

Charles Drew University of Medicine and Science Office for the Protection of Human Subjects

Pioneering in Institutional Review Board Health and Education SUBMISSION COVER LETTER

For Hardcopy, E-mail, FAX Submissions

Submission Date: - - (mm/dd/yyyy) CDU IRB #: - - - Principal Investigator (PI): Project Title: Name of Submitting Person if other than PI:

Please check either one of the boxes for routing purposes. Official Submission Pre-review

Attention: Initial submissions should be addressed to George L. Marks, Jr., MD

George L. Marks, Jr. (IRB Chair) Dawna Masterson (Policy & Reg. Analyst)

Margie Dike (Sr. Analyst) Junko Nishitani (Director)

Type of submission:

New (Full or Expedited Study) Back-to-the-Board New (Exempt Study) Back-to-the-Chair Continuing Review Revised Documents Progress Report CV/Biosketch/Resumé Request for Addendum Training Certificates Final Report Regulatory Approval Letters AE/DSMB Report ROC

Other: ______

Comments:

1731 East 120th Street, Los Angeles, CA 90059 Tel: 323-563-5902 FAX: 323-563-4826 Rev. 9/10 Form 100 1731 East 120th Street, Los Angeles, CA 90059 Tel: 323-563-5902 FAX: 323-563-4826 Rev. 9/10 Form 100