Progress Report for Modification/Revisions/Closure

I. Purpose for Submission of Report
Select ONE box in ONE of the following five categories:
NOTE: This date is mandatory to close the study as it will begin the OHRP federal three year record keeping requirement upon closure.
II. Study Information
Study Summary:
If study is continuing, answer questions 1-3 below:
If you are requesting to reopen an expired or administratively closed study, answer questions 4 & 5 below:
If you have further information you would like to share regarding this study, please contact the IRB at and remember to include your study number.