Federal
Protection of Human Subjects
50 provisions · Centers for Medicare & Medicaid Services
Provisions
Citable source units
To what does this policy apply?
Defines the scope and applicability of the Federal Policy for the Protection of Human Subjects (Common Rule) to research involving human subjects.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Governance Quality
Topics
Human subjects research, Common rule, Research compliance
Definitions for purposes of this policy.
This provision defines key terms used in the Common Rule for the protection of human subjects in research, including definitions for research, human subjects, and institutional review boards.
Group
Definitions Scope Authority
Category
Definitions Context
Domain
Governance Quality
Topics
Human subjects research definitions, Institutional review board terms, Research compliance terminology
Assuring compliance with this policy—research conducted or supported by any Federal department or agency.
This provision mandates that institutions conducting federally supported research provide written assurance of compliance and certify that research has been reviewed and approved by an IRB.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Federal wide assurance, Irb certification requirements, Human subjects research compliance
Exempt research.
This provision defines the specific categories of human subjects research that are exempt from the requirements of the Common Rule, including conditions for educational, behavioral, and secondary research.
Group
Research Human Subjects
Category
Exempt Expedited Research
Domain
Not Service Specific
Topics
Exempt human subjects research, Common rule exemptions, Secondary research use
[Reserved]
This provision is a reserved section of the federal regulations regarding the protection of human subjects.
Group
Internal Review
Category
Source Placeholder
Domain
Not Service Specific
Topics
Reserved section
IRB membership.
This provision establishes the requirements for IRB composition, including member expertise, diversity, and conflict of interest policies.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb membership requirements, Irb composition, Conflict of interest
IRB functions and operations.
This provision outlines the operational requirements for IRBs, including meeting procedures, recordkeeping, and reporting of unanticipated problems.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb operations, Research recordkeeping, Irb meeting procedures
IRB review of research.
This provision defines the IRB's authority and procedures for reviewing, approving, and conducting continuing reviews of research activities.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb review process, Informed consent documentation, Continuing review
Expedited review procedures for certain kinds of research involving no more than minimal risk, and for minor changes in approved research.
This provision specifies the criteria and procedures for using expedited review for research involving minimal risk.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Expedited review procedures, Minimal risk research, Irb review authority
Criteria for IRB approval of research.
This provision outlines the specific criteria an IRB must use to evaluate and approve research involving human subjects.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb approval criteria, Risk benefit analysis, Subject selection
Review by institution.
This provision clarifies that institutional officials may conduct additional review of research approved by an IRB but cannot approve research that the IRB has disapproved.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Institutional review authority, Research oversight
Suspension or termination of IRB approval of research.
This provision grants the IRB authority to suspend or terminate research approval for noncompliance or unexpected harm to subjects.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb suspension, Research termination, Adverse event reporting
Cooperative research.
This provision mandates the use of a single IRB for cooperative research projects conducted in the United States, with specific exceptions.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Cooperative research, Single irb review, Multi Site research
IRB records.
This provision mandates the preparation and maintenance of adequate documentation for IRB activities and specifies record retention periods.
Group
Records Health Information
Category
Documentation Retention
Domain
Records
Topics
Irb record retention, Research documentation, Meeting minutes
General requirements for informed consent.
This provision establishes the mandatory elements, processes, and exceptions for obtaining legally effective informed consent from human subjects participating in research.
Group
Research Human Subjects
Category
Research Informed Consent
Domain
Other
Topics
Informed consent requirements, Human subjects research, Broad consent
Documentation of informed consent.
This provision outlines the requirements for documenting informed consent in research, including the use of written forms, short forms, and circumstances under which documentation may be waived by an IRB.
Group
Research Human Subjects
Category
Research Informed Consent
Domain
Not Service Specific
Topics
Informed consent documentation, Research consent, Electronic consent
Applications and proposals lacking definite plans for involvement of human subjects.
This provision mandates that research projects involving human subjects must be reviewed and approved by an IRB before any human subjects are involved, even if specific plans were not initially defined in the grant application.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Research grant applications, Irb review, Research oversight
Research undertaken without the intention of involving human subjects.
This provision requires that if research initially planned without human subjects is later modified to involve them, it must undergo IRB review and approval before proceeding.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Research protocol changes, Irb review, Human subjects research
Evaluation and disposition of applications and proposals for research to be conducted or supported by a Federal department or agency.
This provision describes the process by which federal agencies evaluate research applications involving human subjects, considering risks, protections, and potential benefits.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Research proposal evaluation, Federal agency review, Research risk assessment
[Reserved]
This provision is reserved.
Group
Internal Review
Category
Source Placeholder
Domain
Not Service Specific
Topics
Reserved provision
Use of Federal funds.
This provision prohibits the expenditure of federal funds for research involving human subjects unless all requirements of the human subjects protection policy have been satisfied.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Federal research funding, Research compliance, Grant expenditure
Early termination of research support: Evaluation of applications and proposals.
This provision allows federal agencies to terminate or suspend research support if an institution fails to comply with human subjects protection policies.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Research suspension, Research termination, Compliance enforcement
Conditions.
This provision authorizes federal agencies to impose additional conditions on research projects when necessary for the protection of human subjects.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Research conditions, Human subjects protection, Irb oversight
To what do these regulations apply?
This provision specifies the applicability of research regulations concerning pregnant women, human fetuses, and neonates conducted or supported by DHHS.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Research applicability, Vulnerable populations, Pregnant women research
Definitions.
This provision provides definitions for terms such as fetus, neonate, and pregnancy as they apply to research regulations involving vulnerable populations.
Group
Definitions Scope Authority
Category
Definitions Context
Domain
Not Service Specific
Topics
Research definitions, Vulnerable populations, Neonate definitions
Duties of IRBs in connection with research involving pregnant women, fetuses, and neonates.
Institutional Review Boards must review and approve research involving pregnant women, fetuses, and neonates only when it satisfies all applicable subpart requirements.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb review responsibilities, Research oversight, Vulnerable populations research
Research involving pregnant women or fetuses.
Research involving pregnant women or fetuses is permitted only when specific conditions regarding risk, benefit, consent, and investigator conduct are met.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Governance Quality
Topics
Research risk assessment, Informed consent requirements, Fetal research protections
Research involving neonates.
Research involving neonates of uncertain viability, nonviable neonates, and viable neonates is permitted only under strict conditions regarding risk, benefit, and parental consent.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Governance Quality
Topics
Neonate research, Informed consent for neonates, Viability determination
Research involving, after delivery, the placenta, the dead fetus or fetal material.
Research involving the placenta, dead fetus, or fetal material must comply with all applicable federal, state, and local laws, and may trigger human subject protections if identifiers are recorded.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Governance Quality
Topics
Fetal tissue research, Placenta research, Research data privacy
Research not otherwise approvable which presents an opportunity to understand, prevent, or alleviate a serious problem affecting the health or welfare of pregnant women, fetuses...
Research that does not meet standard approval criteria may be funded by the Secretary only if it addresses serious health problems and meets specific ethical and public review standards.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Research ethics review, Federal research funding, Public review process
Applicability.
These regulations apply to all HHS-supported biomedical and behavioral research involving prisoners as subjects, in addition to other applicable human subject protection requirements.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Governance Quality
Topics
Prisoner research, Research applicability, Human subjects scope
Purpose.
The purpose of these regulations is to provide additional safeguards for prisoners involved in research due to the potential for coercion in an incarcerated environment.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Governance Quality
Topics
Prisoner research safeguards, Coercion prevention
Definitions.
Defines key terms for prisoner research, including prisoner, minimal risk, and DHHS, to ensure consistent application of research protections.
Group
Definitions Scope Authority
Category
Definitions Context
Domain
Governance Quality
Topics
Prisoner definition, Minimal risk definition
Composition of Institutional Review Boards where prisoners are involved.
IRBs reviewing prisoner research must include a prisoner or prisoner representative and ensure a majority of members have no association with the prison.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb composition, Prisoner representative, Irb independence
Additional duties of the Institutional Review Boards where prisoners are involved.
IRBs must ensure prisoner research meets specific criteria regarding risk, subject selection, and informed consent, and institutions must certify compliance to the Secretary.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb duties, Prisoner research criteria, Research certification
Permitted research involving prisoners.
This provision outlines the specific conditions and regulatory requirements under which DHHS-supported biomedical or behavioral research may involve prisoners as subjects.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Prisoner research, Human subjects protection, Research ethics
To what does this subpart apply?
This provision defines the scope and applicability of subpart D requirements to all DHHS-conducted or supported research involving children as subjects.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Pediatric research, Research applicability, Human subjects protection
Definitions.
This provision provides key definitions for terms such as children, assent, permission, parent, and guardian as they apply to research involving children.
Group
Definitions Scope Authority
Category
Definitions Context
Domain
Not Service Specific
Topics
Research definitions, Pediatric research, Informed consent terminology
IRB duties.
This provision mandates that IRBs review and approve research involving children only when it satisfies the specific conditions of the subpart.
Group
Research Human Subjects
Category
IRB Governance
Domain
Not Service Specific
Topics
Irb responsibilities, Pediatric research, Research oversight
Research not involving greater than minimal risk.
This provision sets the requirements for IRB approval of research involving children that presents no greater than minimal risk.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Minimal risk research, Pediatric research, Research approval
Research involving greater than minimal risk but presenting the prospect of direct benefit to the individual subjects.
This provision outlines the criteria for IRB approval of research involving children that presents more than minimal risk but offers the prospect of direct benefit.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Pediatric research, Risk benefit analysis, Research approval
Research involving greater than minimal risk and no prospect of direct benefit to individual subjects, but likely to yield generalizable knowledge about the subject's disorder o...
This provision outlines the criteria for IRB approval of research involving children that presents more than minimal risk but no prospect of direct benefit.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Pediatric research, Generalizable knowledge, Research approval
Research not otherwise approvable which presents an opportunity to understand, prevent, or alleviate a serious problem affecting the health or welfare of children.
This provision outlines the process for approving research involving children that does not meet standard criteria but addresses serious health or welfare problems.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Pediatric research, Special research approval, Research ethics
Requirements for permission by parents or guardians and for assent by children.
This provision details the requirements for soliciting and documenting parental permission and child assent in research protocols.
Group
Research Human Subjects
Category
Research Informed Consent
Domain
Not Service Specific
Topics
Informed consent, Pediatric assent, Parental permission
Wards.
This provision sets specific requirements for including children who are wards of the state or other agencies in research, including the appointment of an advocate.
Group
Research Human Subjects
Category
Human Subjects Protections
Domain
Not Service Specific
Topics
Pediatric research, Wards of the state, Research advocate
What IRBs must be registered?
Institutional Review Boards (IRBs) designated under an approved federalwide assurance that review HHS-supported human subjects research must register with HHS.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb registration, Human subjects research, Institutional review board
What information must be provided when registering an IRB?
This section specifies the contact, administrative, and protocol-related information required for the registration of an Institutional Review Board.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb registration requirements, Irb contact information, Active protocol reporting
When must an IRB be registered?
An IRB must be registered and accepted by OHRP before it can be designated under a federalwide assurance, with registrations effective for three years.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb registration timeline, Irb registration validity
How must an IRB be registered?
IRBs must be registered electronically through the designated OHRP portal, with a written submission process available for institutions lacking electronic capabilities.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb registration process, Electronic filing
When must IRB registration information be renewed or updated?
IRBs must renew registration every three years, update contact information within 90 days of changes, and report the disbanding of an IRB within 30 days.
Group
Research Human Subjects
Category
IRB Governance
Domain
Governance Quality
Topics
Irb registration renewal, Irb registration updates, Disbanding irb
