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Johns Hopkins University Homewood Institutional Review Board (HIRB) Child Checklist This form must be attached to ALL Applications for Expedited/Full Board Review that include children as participants. STUDY ID Study Title: Principal Investigator: Signature of PI: Date: ALLOWABLE CATEGORIES OF RESEARCH WITH CHILDREN Indicate which one of the following four categories applies to your study and provide any additional information requested. 1. Research involving no greater than minimal risk: The probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests. Assent of the child and permission of at least one parent or guardian are required. [45 CFR 46.404] 2. Research involving greater than minimal risk with the prospect of direct benefit to individual participants: (a) Anticipated benefits to research participants justify the risks, and (b) anticipated benefits are at least as favorable as any available alternative approaches. Assent of the child and permission of at least one parent or guardian are required. [45 CFR 46.405] Explain how the study meets criterion (b) for approval. 3. Research of greater than minimal risk with no prospect of direct benefits to individual participants that is likely to yield generalizable knowledge about participants’ disorder or condition: (a) there is only a minor increase over minimal risk; (b) the intervention or procedure presents experiences to participants that are reasonably commensurate with those in participants’ actual or expected medical, dental, psychological, social, or educational situations; and (c) the intervention or procedure is likely to yield generalizable knowledge about the participants’ disorder or condition that is of vital importance for the understanding or amelioration of the disorder or condition. Assent of the child and permission of both parents or guardian(s) generally are required. [45 CFR 46.406] Explain how the study meets criterion (c) for approval. Child Checklist (11/05) Page 1 of 2 4. Other research that presents a reasonable opportunity to further the understanding, prevention, or alleviation of a serious problem affecting the health or welfare of children but does not fit in one of the three allowable categories above. If HIRB approves the research, it must then forward the application to the Secretary of DHHS for possible approval after consultation with a panel of experts in pertinent disciplines (e.g., science, medicine, education, ethics, law) and following publication and public comment. Assent of the child and permission of both parents or guardian(s) generally are required. [45 CFR 46.407] ≈§≈ Child Checklist (11/05) Page 2 of 2