Waivers

Waivers are frequently requested but are amongst the least well understood topics. Investigators may request a complete waiver or an alteration for the requirements for consent, documentation of consent, assent or written authorization (HIPAA).

Requesting a Waiver:

The IRB has assembled a series of webpages (below) devoted to the various types of waiver requests. Clearly defining what type or types of waiver are desired can help minimize confusion in the IRB application and speed up the approval process.

The IRB is required by the regulations to possess certain information to make a waiver determination. Multiple waiver requests are frequently necessary. For example, a request for a waiver of consent almost always requires a waiver of assent and Written Authorization (HIPAA). The regulatory requirements overlap but are not identical. As a result, the questions in the eIRB system have a certain amount of repetition in order to ensure that the IRB has all of the information needed to make a determination for each waiver.

It is the investigator's responsibility to explicitly supply the necessary information for each type of waiver request. Failure to address each of the elements for each type of waiver will delay the IRB's ability to act on the request.

Waiver Document

  • Use this document when requesting any type of consent or HIPAA waiver.

* Adapted from Childrens' Hospital of Philadelphia

Waiver of Documentation of Consent

Frequently called Verbal Consent, the investigator must obtain consent following the same requirements as written consent but the subject does not sign a consent document.

For more information, and for case studies, go here.

Waiver of Consent

Waiver of one or more elements of consent is permitted provided that the research is no more than minimal risk and meets specific criteria.

For more information go here.

Waiver or Alteration of HIPAA

The IRB may approve a waiver or alteration of HIPAA provided that the research meets the criteria outlined in 45 CFR 164.512(i.)(2)(ii).

For more information go here.

Waiver of Assent

The regulations for waiver of assent are contained in Subpart D which enumerates the special protections for children in research. There are three ways in which the IRB can waive assent for some or all of the subjects.

For more information, go here.

Waiver of Parental Permission

Waiver of Parental permission is permitted under 45 CFR 46.408(c) when it is not a reasonable requirement to protect subjects.

For more information, go here.