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Exempt Research: Federal Regulations and Best Practices for Human Subjects, Schemes and Mind Maps of Marketing

Information about exempt research under federal regulations, including categories of exempt research and best practices for protecting privacy and confidentiality. It covers research in educational settings, surveys and interviews, and secondary use of information or biospecimens.

What you will learn

  • What are the best practices for protecting privacy and confidentiality in exempt research?
  • What are the guidelines for Exemption 2 for surveys or interviews with adults?
  • What are the exemption categories for common rule research?
  • What are the criteria for Exemption 3 for behavioral interventions?
  • What types of research are exempt from federal regulatory requirements?

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2021/2022

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Information About Exempt Research
1/19/2021 1
Information about Exempt Research
Background
Federal regulations designate certain types of research involving humans as being exempt from many of the
regulatory requirements governing human subjects research, and thus subject to fewer IRB review requirements. It is
important to note that exempt research requires submission to the IRB office for review by IRB staff for formal
determination of exemption. Some exempt research is also subject to “limited IRB review” by an IRB member to
assess privacy and confidentiality protections. In all cases, human subjects research activities may not commence
until a formal written determination of exemption is received by the principal investigator. This document outlines:
Eligibility for Exempt Review under both the new 2018 Common Rule and the pre-2018 Common Rule,
Submission Requirements for Exempt Research,
Limited IRB Review, and
Key Ethical Responsibilities of investigators (e.g., informed consent, promoting voluntariness, protecting
privacy and confidentiality.
Exempt Research Defined
Eligibility for Exempt Review
To be eligible for exempt review, research must meet all of the following conditions:
1. Research presents little to no risk of harm to participants; AND
2. All research procedures fit into one or more of the regulatory exemption categories (described in the table
below); AND
3. Confidentiality of participants will be protected when results are disseminated (no deductive disclosure or re-
identification concerns); AND
4. The research does not include prisoners. Research with prisoners reviewed under the 2018 Common Rule
may be exempt if the research is intended to involve a broader population, and only incidentally includes
prisoners.
Submission Requirements for Exempt Research
Principal investigators (PIs) may request exemption by answering relevant questions in the IRB Application in
IRBManager. There is not a separate application for exempt studies; rather, the IRB Application in IRBManager is
conditioned to show questions related to exempt status.
If the IRB staff determines that the project does not qualify for exempt status, the application will be returned to the
PI for completion of questions applicable to non-exempt research.
In most instances, submission of data collection, recruitment, and consent materials is not required.
Limited IRB Review
Limited IRB review is a new process required by the 2018 Common Rule for certain exemptions. It requires review by
an IRB member to assure that privacy and confidentiality protections are adequate for research where the primary
risks to subjects relate to harm from disclosure of their information. Investigators are routinely asked to provide
information about privacy and confidentiality protections in IRB applications for exempt research. Thus, the Limited
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Information About Exempt Research

Information about Exempt Research

Background

Federal regulations designate certain types of research involving humans as being exempt from many of the regulatory requirements governing human subjects research, and thus subject to fewer IRB review requirements. It is important to note that exempt research requires submission to the IRB office for review by IRB staff for formal determination of exemption. Some exempt research is also subject to “limited IRB review” by an IRB member to assess privacy and confidentiality protections. In all cases, human subjects research activities may not commence until a formal written determination of exemption is received by the principal investigator. This document outlines:  Eligibility for Exempt Review under both the new 2018 Common Rule and the pre-2018 Common Rule,  Submission Requirements for Exempt Research,  Limited IRB Review, and  Key Ethical Responsibilities of investigators (e.g., informed consent, promoting voluntariness, protecting privacy and confidentiality.

Exempt Research Defined

Eligibility for Exempt Review

To be eligible for exempt review, research must meet all of the following conditions:

  1. Research presents little to no risk of harm to participants; AND
  2. All research procedures fit into one or more of the regulatory exemption categories (described in the table below); AND
  3. Confidentiality of participants will be protected when results are disseminated (no deductive disclosure or re- identification concerns); AND
  4. The research does not include prisoners. Research with prisoners reviewed under the 2018 Common Rule may be exempt if the research is intended to involve a broader population, and only incidentally includes prisoners.

Submission Requirements for Exempt Research

Principal investigators (PIs) may request exemption by answering relevant questions in the IRB Application in IRBManager. There is not a separate application for exempt studies; rather, the IRB Application in IRBManager is conditioned to show questions related to exempt status. If the IRB staff determines that the project does not qualify for exempt status, the application will be returned to the PI for completion of questions applicable to non-exempt research. In most instances, submission of data collection, recruitment, and consent materials is not required.

Limited IRB Review

Limited IRB review is a new process required by the 2018 Common Rule for certain exemptions. It requires review by an IRB member to assure that privacy and confidentiality protections are adequate for research where the primary risks to subjects relate to harm from disclosure of their information. Investigators are routinely asked to provide information about privacy and confidentiality protections in IRB applications for exempt research. Thus, the Limited

Information About Exempt Research IRB Review process should not affect investigators. When Limited IRB Review is required, IRB staff route applications for exempt research to an IRB member for final approval.

Key Ethical Responsibilities

To facilitate streamlined review, IRB applications for exempt research are intended to collect only the information necessary to determine that exemption is allowable. Researchers are not required to provide extensive detail about recruitment or informed consent processes. However, all ISU research—even that which eligible for exemption— must adhere to basic ethical standards that protect and respect research subjects. Essentially, research participation must be informed , voluntary , and at the lowest-risk possible.

Promoting Voluntariness

Participation in research MUST ALWAYS be voluntary. Voluntariness is compromised when prospective subjects feel pressure to participate, even when such pressure is inadvertent. This is particularly an issue when researchers hold a position of power over prospective subjects (e.g., as their teacher, supervisor, etc.). It can also occur when participants feel that participation in research is required to receive services or other benefits (e.g., medical treatment, financial support, etc.). Researchers must design recruitment and informed consent processes that mitigate pressure to participate. Participants must be explicitly informed that participation is voluntary; when applicable, they should also be told that participation is not required to access services or treatment, receive a specific grade, etc. See IRB Guidance on Participant Recruitment for additional information on ethical considerations related to recruitment.

Informed Consent for Exempt Studies

Informed consent is a cornerstone principal of ethical human subjects research. Researchers must ensure prospective participants receive information about the study, sufficiently detailed to facilitate a truly informed choice. This ethical obligation exists for all research—exempt and non-exempt. Federal regulations outline formal informed consent requirements for non-exempt research. Research confirmed as meeting the criteria for exempt review (i.e. “exempt research”) is not subject to those formal requirements, allowing PIs flexibility in how informed consent is obtained. While the use of a formal informed consent form containing all the elements of consent is not required for exempt research, the Iowa State University IRB expects researchers to provide information about the research to prospective participants (and their parent/legal guardian, when applicable) prior to their enrollment in the study. At minimum, this information should include:  a statement that the project involves research ;  a general description of study procedures and time commitment;  any potential discomfort or risk related to participation (e.g., discomfort responding to sensitive or personal questions, privacy concerns, disclosure risks);  indication that participation is voluntary and that they may skip any questions they do not feel comfortable answering in an interview or survey;  how their privacy and confidentiality will be protected;  an outline of plans for data-sharing or future research use of their information. When applicable, PIs should also describe:

Information About Exempt Research

Exemption Categories—Common Rule (applies to most ISU research)

2018 Common Rule Exemptions^1 -- 45 CFR 46. Effective 1/21/ Pre-2018 Common Rule Exemptions -- 45 CFR 46. 2018 Exemption 1 (effective 1/21/2019) Research in educational settings involving normal educational practice Pre-2018 Exemption 1 Research in educational settings involving normal educational practice Research, conducted in established or commonly accepted educational settings, that specifically involves normal educational practices that are not likely to adversely impact students' opportunity to learn required educational content or the assessment of educators who provide instruction. This includes most research on regular and special education instructional strategies, and research on the effectiveness of or the comparison among instructional techniques, curricula, or classroom management methods. Exemption 1 Guidance  Research procedures must involve only normal educational practices— activities that occur in the educational setting for instructional purposes.  Requires consideration of effects of the research on student learning or the evaluation of educators. Exemption may not be granted if the research involves: o significant time and attention away from standard educational content that may have a detrimental effect on student achievement; o randomization to an unproven educational technique; o collection of information that may adversely affect educators’ employment.  May be granted for research with children. Research conducted in established or commonly accepted education settings involving normal educational practices, such as: (i) research on regular and special education instructional strategies; or (ii) research on the effectiveness of, or the comparison among, instructional techniques, curricula, or classroom management methods. Exemption 1 Guidance  Research procedures must involve only normal educational practices— activities that occur in the educational setting for instructional purposes.  May be granted for research with children. (^1) The 2018 Common Rule specifies two additional exemptions, 7 and 8, related to use of information under what is called “broad consent”. Exemptions 7 and 8 will not be implemented at ISU at this time and until federal guidance on expectations and practices is provided and broad consent can be assessed for feasibility.

Information About Exempt Research 2018 Exemption 2 – (effective 1/21/2019) Surveys, interviews, educational tests, observation Pre-2018 Exemption 2 Surveys, interviews, educational tests, observation Research that only includes interactions involving educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures, or observation of public behavior (including visual or auditory recording) if at least one of the following criteria is met:  The information obtained is recorded by the investigator in such a manner that the identity of the human subjects cannot readily be ascertained, directly or through identifiers linked to the subjects;  Any disclosure of the human subjects' responses outside the research would not reasonably place the subjects at risk of criminal or civil liability or be damaging to the subjects' financial standing, employability, educational advancement, or reputation; or  The information obtained is recorded by the investigator in such a manner that the identity of the human subjects can readily be ascertained, directly or through identifiers linked to the subjects, and an IRB conducts a limited IRB review to [determine there are adequate provisions to protect the privacy of subjects and to maintain confidentiality of the data]. Exemption 2 Guidance  Exemption 2 applies to surveys or interviews with adults when information is: o Gathered anonymously; OR o Not sensitive or risky to subjects if disclosed; OR o Identifiable, but adequate privacy and confidentiality provisions are in place (determined through limited IRB review ).  “Survey” refers to information collected through questionnaires or similar procedures, including asking subjects to provide verbal or written Research involving the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures or observation of public behavior, unless:  information obtained is recorded in such a manner that human subjects can be identified, directly or through identifiers linked to the subjects; and  any disclosure of the human subjects' responses outside the research could reasonably place the subjects at risk of criminal or civil liability or be damaging to the subjects' financial standing, employability, or reputation. Exemption 2 Guidance  Applies to surveys or interviews with adults where information is: o Gathered anonymously; OR o Not sensitive or risky to subjects if disclosed.  Audio and video recording of the interactions is allowable under Exemption 2, with adequate privacy and confidentiality protections.  Does not apply to research involving ANY intervention (e.g., physical data collection procedures or manipulations of the subjects’ environment, such as manipulating room temperature or interviewer gender, measuring height or weight, etc.).  Does not apply when significant risk or discomfort to subjects is inherent in the data collection procedure (e.g., asking detailed questions about traumatic experiences).  Surveys and interviews with children are not eligible exemption.

Information About Exempt Research 2018 Exemption 3 (effective 1/21/2019) Benign Behavioral Interventions Pre-2018 Exemption 3 Surveys, interviews, observation of public officials Research involving benign behavioral interventions in conjunction with the collection of information from an adult subject through verbal or written responses (including data entry) or audiovisual recording if the subject prospectively agrees to the intervention and information collection and at least one of the following criteria is met:  The information obtained is recorded by the investigator in such a manner that the identity of the human subjects cannot readily be ascertained, directly or through identifiers linked to the subjects;  Any disclosure of the human subjects' responses outside the research would not reasonably place the subjects at risk of criminal or civil liability or be damaging to the subjects' financial standing, employability, educational advancement, or reputation; or  The information obtained is recorded by the investigator in such a manner that the identity of the human subjects can readily be ascertained, directly or through identifiers linked to the subjects, and an IRB conducts a limited IRB review to [determine that there are adequate provisions to protect the privacy of subjects and to maintain confidentiality of the data]. Benign behavioral interventions are  brief in duration,  harmless and painless,  not physically invasive,  not likely to have a significant adverse lasting impact on the subjects, and  the investigator has no reason to think the subjects will find the interventions offensive or embarrassing. Provided all such criteria are met, examples of such benign behavioral interventions would include having the subjects play an online game, having them solve puzzles under various noise conditions, or having them decide how Research involving the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures, or observation of public behavior that is not exempt under Exemption 2, if: (i) the human subjects are elected or appointed public officials or candidates for public office; or (ii) federal statute(s) require(s) without exception that the confidentiality of the personally identifiable information will be maintained throughout the research and thereafter. Exemption 3 Guidance This exemption has rarely applied to research at ISU. Additional guidance is not provided because the exemption category has been eliminated in the 2018 Common Rule.

Information About Exempt Research 2018 Exemption 3 (effective 1/21/2019) Benign Behavioral Interventions Pre-2018 Exemption 3 Surveys, interviews, observation of public officials to allocate a nominal amount of received cash between themselves and someone else. If the research involves deceiving the subjects regarding the nature or purposes of the research, this exemption is not applicable unless the subject authorizes the deception through a prospective agreement to participate in research in circumstances in which the subject is informed that he or she will be unaware of or misled regarding the nature or purposes of the research. Exemption 3 Guidance  Exemption 3 applies only to behavioral interventions—not biomedical interventions such as ultrasound, MRI, height/weight/body composition measurement, etc.  Subjects’ responses must be collected via verbal or written responses (including data entry) or audiovisual recording; responses must be o Gathered anonymously; OR o Not sensitive or risky to subjects if disclosed; OR o Identifiable, but adequate privacy and confidentiality provisions are in place (determined through limited IRB review ).  Subjects must voluntarily agree to participate prior to their inclusion in the study (i.e., some type of informed consent process is required).  Deception research -- Exemption 3 may be granted for studies involving minor deception (e.g., withholding of the purpose or nature of the study), IF o Deception is authorized by subjects -- they are prospectively informed that they may be unaware of or misled regarding the nature of purpose of the study; o The information withheld from subjects is unlikely to meaningfully effect their willingness to participate; o The deception does not preclude disclosure of risks or discomforts or the voluntary nature of participation;

Information About Exempt Research 2018 Exemption 4 (effective 1/21/2019) Secondary use of information or biospecimens Pre-2018 Exemption 4 Secondary use of information or biospecimens Secondary research uses of identifiable private information or identifiable biospecimens, if at least one of the following criteria is met: (i) The identifiable private information or identifiable biospecimens are publicly available; (ii) Information, which may include information about biospecimens, is recorded by the investigator in such a manner that the identity of the human subjects cannot readily be ascertained directly or through identifiers linked to the subjects, the investigator does not contact the subjects, and the investigator will not re-identify subjects; (iii) The research involves only information collection and analysis involving the investigator's use of identifiable health information when that use is regulated under 45 CFR parts 160 and 164, subparts A and E, for the purposes of “health care operations” or “research” as those terms are defined at 45 CFR 164.501 or for “public health activities and purposes” as described under 45 CFR 164.512(b); or (iii) The research is conducted by, or on behalf of, a Federal department or agency using government-generated or government-collected information obtained for nonresearch activities, if the research generates identifiable private information that is or will be maintained on information technology that is subject to and in compliance with section 208(b) of the E-Government Act of 2002, 44 U.S.C. 3501 note, if all of the identifiable private information collected, used, or generated as part of the activity will be maintained in systems of records subject to the Privacy Act of 1974, 5 U.S.C. 552a, and, if applicable, the information used in the research was collected subject to the Paperwork Reduction Act of 1995, 44 U.S.C. 3501 et seq. Exemption 4 Guidance  Exemption 4 is limited to secondary use of information or biospecimens that have been or will be collected or generated for non-research Research involving the collection or study of existing data, documents, records, pathological specimens, or diagnostic specimens, if:  these sources are publicly available or  if the information is recorded by the investigator in such a manner that subjects cannot be identified, directly or through identifiers linked to the subjects. Exemption 4 Guidance  Exemption 4 applies largely to accessing identifiable information that is routinely gathered for non-research purposes. Common examples include information from student records, medical records, biospecimens collected for clinical care, etc.  Information gathered must be existing at the time the research is proposed; Exemption 4 does not apply to information yet-to-be gathered (even for non-research purposes).  Information must be immediately recorded by the investigator in a manner that subjects cannot be identified.  Secondary use of information about children may be granted exemption when all applicable conditions for exemption are met.  Exemption 4 does not apply to research using existing information or biospecimens that include any identifiers, such as: o Names, addresses, email addresses, phone numbers, social security numbers, IP addresses; o Identifying numbers, such as social security numbers, license numbers, account numbers, etc. o ID codes, if any member of the research team can connect the ID codes with subjects’ identities;

Information About Exempt Research 2018 Exemption 4 (effective 1/21/2019) Secondary use of information or biospecimens Pre-2018 Exemption 4 Secondary use of information or biospecimens purposes or from research studies other than the proposed study when the information is:

  1. Publicly available  From public library archives,  From government /institutional records or commercial entity where public access is provided upon request or the only requirement is paying a user fee or registering as a visitor
  2. De-identified  Information is recorded by the investigator such that the identity of subjects cannot be readily ascertained  Research does not involve any contact between the investigator(s) and subjects. Thus, this exemption does not apply if the research also involves components where subjects will be contacted (e.g., surveys, interviews, etc.).  Subjects will not be re-identified
  3. Subject to HIPAA Privacy Rule protections, including  Authorization from individuals for research use of their protected health information; or  Waiver of authorization from a Privacy Board or IRB;  Sufficient data security measures
  4. Conducted by a government agency using government data obtained for non-research purposes and adheres to federal privacy standards.  Secondary use of information about children may be granted exemption when all applicable conditions for exemption are met. o Inherent identifiers (e.g., video recordings or photographs of people); o Demographic information when it can be used in combination to re-identify individuals.

Information About Exempt Research 2018 Exemption 5 (effective 1/21/2019) Federal research and demonstration projects Pre- 2018 Exemption 5 Federal research and demonstration projects Research and demonstration projects that are conducted or supported by a Federal department or agency, or otherwise subject to the approval of department or agency heads (or the approval of the heads of bureaus or other subordinate agencies that have been delegated authority to conduct the research and demonstration projects), and that are designed to study, evaluate, improve, or otherwise examine public benefit or service programs, including procedures for obtaining benefits or services under those programs, possible changes in or alternatives to those programs or procedures, or possible changes in methods or levels of payment for benefits or services under those programs. Such projects include, but are not limited to, internal studies by Federal employees, and studies under contracts or consulting arrangements, cooperative agreements, or grants. Exempt projects also include waivers of otherwise mandatory requirements using authorities such as sections 1115 and 1115A of the Social Security Act, as amended. Each Federal department or agency conducting or supporting the research and demonstration projects must establish, on a publicly accessible Federal Web site or in such other manner as the department or agency head may determine, a list of the research and demonstration projects that the Federal department or agency conducts or supports under this provision. The research or demonstration project must be published on this list prior to commencing the research involving human subjects. Exemption 5 Guidance  Exemption 5 covers a limited scope of federally funded or supported research designed to study, evaluate, improve, or otherwise examine public benefit or service programs.  The exemption has been expanded in the 2018 Common Rule to allow exemption when this research is funded by a federal agency (not just conducted by a federal agency).  The scope has been expanded to include research with focus on improving these programs—not just evaluating or examining programs. Research and demonstration projects which are conducted by or subject to the approval of department or agency heads, and which are designed to study, evaluate, or otherwise examine: (i) Public benefit or service programs; (ii) Procedures for obtaining benefits or services under those programs; (iii) Possible changes in or alternatives to those programs or procedures; or Possible changes in methods or levels of payment for benefits or services under those programs. Exemption 5 Guidance  Exemption 5 covers a limited scope of research designed to study, evaluate, or otherwise examine public benefit or service programs.  Such research must be conducted by the federal agency, and thus this exemption does not apply to ISU research.

Information About Exempt Research 2018 Exemption 5 (effective 1/21/2019) Federal research and demonstration projects Pre- 2018 Exemption 5 Federal research and demonstration projects  Each federal agency that conducts or supports this research must identify/list the research and demonstration projects conducted under Exemption 5 on a publicly accessible website. Each project must be published on this list before human subjects research activities begin.

Information About Exempt Research

Exempt Categories—FDA Regulations

Research subject to FDA oversight is exempt only under very specific conditions as follows:

  1. Any investigation which commenced before July 27, 1981, and was subject to requirements for IRB review under FDA regulations before that date, provided that the investigation remains subject to review of an IRB which meets the FDA requirements in effect before July 27, 1981.
  2. Any investigation commenced before July 27, 1981, and was not otherwise subject to requirements for IRB review under FDA regulations before that date.
  3. Emergency use of a test article, provided that such emergency use is reported to the IRB within five working days. Any subsequent use of the test article at the institution is subject to IRB review.
  4. Taste and food quality evaluations and consumer acceptance studies if wholesome foods without additives are consumed or if a food is consumed that contains a food ingredient at or below the level found to be safe by the FDA or approved by the EPA or the FSIS/USDA. For FDA-regulated studies, research involving children may not be deemed exempt. When both Common Rule and FDA regulations apply to research involving human subjects, the IRB applies the most restrictive regulations from each to the research being conducted to ensure the protection of the rights and welfare of the human participants and compliance with federal requirements Document History Created: 11/2/ Revised: 3/16/ Revised: 1/2 1 / Revised: 10/18/