IRB_Modification_Form.pdf — PaddleOCR-VL (Baidu)

Modification Request Form

8. Changes Made To — check all that apply and attach appropriate documents

Form A: General Information Sheet

Form B: Research Description & Appendices

Anticipated Project End Date

a_end_date

□ Estimated # of Subjects

a_num_subjects

□ Objectives

b_objectives

Inclusion / Exclusion Criteria

b_incl_excl

☐ Subject Population

a_subject_pop

□ Vulnerable Subject Population

a_vuln_pop

☐ Subject Recruitment

b_recruitment

□ Procedures / Materials

b_procedures_mat

Impaired Consent Capacity

a_vuln_impaired

Research Procedures

b_research_proc

☐ Children age 17 or less ☐ Grant Application

a_vuln_children

b_grant

Pregnant Women

a_vuln_pregnant

□ Sponsor Protocol; Investigator Brochure

b_sponsor

□ Prisoners

a_vuln_prisoners

Waiver of Informed Consent

b_waiver_consent

□ Other vulnerable population

a_vuln_other

□ Funding / Support

a_funding

□ Study Personnel

a_personnel

□ Other – Describe:

a_other

Waiver of Documentation of Informed Consent

b_waiver_doc

Other - describe