Forms & Instructions

Follow the steps below to submit an application:

1. Contact the appropriate DSHS Program (Alphabetical List of Programs and Contacts). Discuss what you need and determine the best way to present your request. Commonly requested data comes from the following programs,
   • Texas Birth Defects Epidemiology & Surveillance
   • Center for Health Statistics
   • Texas Cancer Registry
   • Texas Health Care Information Collection
   • Vital Statistics
2. If the program determines an IRB application is required, you will submit the initial review application and all future continuing review and amendment applications directly to the program. Follow their instructions for the program submission procedures (e.g., electronic or mailed).
3. Reference the IRB Submission Checklist. Complete the IRB application and forms available below. Include the IRB Submission Checklist and any additional materials to ensure a substantial IRB review process.
4. Sign and date the application. Send the complete submission to the Program Contact. The Program Contact will obtain all required approvals and forward the submission to the IRB Office.

Submission Deadline

Reference the Meeting Schedule & Submission Deadline page. Applications received after the submission deadline that require a full board review process will be scheduled for the following meeting date. Applications that meet an expedited review process will be scheduled for the subsequent review session.

Principal Investigator Forms

IRB Submission Order

Initial Checklist

Amendment Checklist

Research Team Only Amendment Checklist

Renewal Checklist

Renewal with Amendment Checklist

Application

Protocol

Recruitment Protocol

Informed Consent Waiver Request

Informed Consent Document Checklist

Research Team Log

Amendment Application

Renewal Progress Report

Final Report

Translation Certification Form

Vendor Information Form

DSHS/HHSC Program Forms

Program Routing Form

Data Linkage Plan

Sample MOU/DUA Templates (read-only)

MOU Template