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Durham VAMC Template: School Permission to Conduct Research

Investigator Instructions: Cut and paste this information into a letter and provide letter (and other relevant study materials) to school official(s) to obtain permission from schools at which your research is conducted. <Enter date> Dear Institutional Review Board: The purpose of this letter is to inform ou that I !ive < ame of !rincipal Investigator> permission to conduct the research titled <"itle of #esearch $tudy> at < ame of $chool>" This also serves as assurance that this school complies with re#uirements of the $amil %ducational Ri!hts and Privac Act &$%RPA' and the Protection of Pupil Ri!hts Amendment &PPRA' &see ne(t pa!e for specific re#uirements' and will ensure that these re#uirements are followed in the conduct of this research" Sincerel )

< ame of $ignatory> <"itle of $ignatory>

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Durham VAMC Template: School Permission to Conduct Research


Protection of Pupil Rights Amendment (PPRA): The ri!ht of a parent of a student to inspect) upon the re#uest of the parent) a surve created , a third part ,efore the surve is administered or distri,uted , a school to a student" An applica,le procedures for !rantin! a re#uest , a parent for reasona,le access to such surve within a reasona,le period of time after the re#uest is received" Arran!ements to protect student privac that are provided , the a!enc in the event of the administration or distri,ution of a surve to a student containin! one or more of the followin! items &includin! the ri!ht of a parent of a student to inspect) upon the re#uest of the parent) an surve containin! one or more of such items': Political affiliations or ,eliefs of the student or the student0s parent" Mental or ps cholo!ical pro,lems of the student or the student0s famil " Se( ,ehavior or attitudes" Ille!al) anti1social) self1incriminatin!) or demeanin! ,ehavior" Critical appraisals of other individuals with whom respondents have close famil relationships" 2e!all reco!ni3ed privile!ed or analo!ous relationships) such as those of law ers) ph sicians) and ministers" Reli!ious practices) affiliations) or ,eliefs of the student or the student0s parent" Income &other than that re#uired , law to determine eli!i,ilit for participation in a pro!ram or for receivin! financial assistance under such pro!ram'" The ri!ht of a parent of a student to inspect) upon the re#uest of the parent) an instructional material used as part of the educational curriculum for the student" An applica,le procedures for !rantin! a re#uest , a parent for reasona,le access to instructional material received" The administration of ph sical e(aminations or screenin!s that the school or a!enc ma administer to a student" The collection) disclosure) or use of personal information collected from students for the purpose of mar4etin! or for sellin! that information &or otherwise providin! that information to others for that purpose') includin! arran!ements to protect student privac that are provided , the a!enc in the event of such collection) disclosure) or use" The ri!ht of a parent of a student to inspect) upon the re#uest of the parent) an instrument used in the collection of personal information ,efore the instrument is administered or distri,uted to a student" An applica,le procedures for !rantin! a re#uest , a parent for reasona,le access to such instrument within a reasona,le period of time after the re#uest is received"

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