Request for Exemption Determination

Exemption Application Form:
EXEMPT Determination form [DOC] 

Is my project research involving human subjects?
HRP-309 Worksheet [DOC] 

My project is research involving human subjects. Does my project meet the criteria for exemption?
HRP-412 Worksheet [DOC] 

Do I need to go through the IRB to receive my exemption determination?
If your department is listed below, you have an exempt determiner appointed within your department to review your application. Please submit your Exemption Application Form directly to your department's representative.

If your department is not listed below then please submit your Exemption Application Form to irb@mssm.edu and the PPHS will review your request.

List of Departments that currently have Exempt Determiners:

  • Anesthesiology
  • Dermatology
  • Genetics and Genomic Sciences
  • Geriatrics
  • Medical Education
  • Medicine
  • Oncological Sciences
  • Orthopedics
  • Pediatrics
  • Preventative Medicine
  • Psychiatry
  • Radiology

My department wants to have an Exempt Determiner:

The PPHS has a training program for Exempt Determiners. The training program is the first certification course offered by the PPHS office and involves an in-person training session, completion of a quiz, and mentored review of three exempt projects. If you are interested in becoming an Exempt Determiner for your department, please contact rebecca.banchik@mssm.edu.

Please note: PIs cannot make their own exempt determinations. PIs can make their own determination that a project does not involve human subjects research.


Contact Us

Program for the Protection of Human Subjects
Office Hours: Monday-Friday 8AM - 5PM  

Tel: 212-824-8200
Fax: 212-876-6789
For submissions and general inquiries send e-mail to: IRB@mssm.edu

PPHS Location
PPHS Physical Location & Overnight Delivery Address
345 East 102nd Street
Suite 200 - 2nd Floor
New York, NY 10029

Mailing Address
Icahn School of Medicine
One Gustave L. Levy Place
Box 1081
New York, NY 10029-65749