Use of Human Subjects Guarantee of Compliance Form (Printable Form)

“This research is being conducted in fulfillment of requirements for a course or project at University of Maryland University College (UMUC). It is, however, not sponsored by UMUC. The research topic and research instruments have been determined by the student researcher, in conjunction with his or her faculty advisor.

1. Does this project involve the collection of information from human subjects by means of tests, surveys, interviews, or observations?
   

   	Yes (Answer question #2 and question #3)
   	No (Answer question #2, sign/date this form, and submit it to your advisor)

2. Does the research activity and data deal with sensitive topics such as illegal conduct, drug use, sexual behavior, or use of alcohol?
   

   	Yes
   	No

3. If the project does involve human subjects, is the nature of the data collection activity equivalent to any of the situations described in the box below? (If yes, check the relevant activity or activities below. This exempts the project from review by the Institutional Review Board.)
   

   	Yes (Sign/date this form and submit it to your advisor.)
   	No (Note: This project must be approved by the Institutional Review Board before it is initiated. Please consult with your advisor for guidance on the approval procedure.)
   	This research activity involved normal education practices without any personal identification information being requested or obtained from the respondents.
   	The research activity involves the use of educational tests (cognitive, diagnostic, aptitude, achievement) in which data is recorded in a way that protects the identity of the human subject.
   	The research activity involves surveys, interviews or observations of the public behavior of human subjects which do not record personal identification information from the respondents.