INSTRUCTIONS: Request for Determination of Exempt Status

• Note: No human research activity may proceed until this request has been reviewed and determined exempt by CPHS/OPHS.

• Read information in Exemption Categories carefully before selection.

• If you are claiming exemption under Category #4, Existing Data, note that the data or specimens must exist prior to the inception of the proposed activity/analysis.

• Beginning July 1, 2009, all new exempt protocols must be submitted online via Berkeley eProtocol.