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The Regulatory Citation and How It Applies:

“Research that only includes interactions involving educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures, or observation of public behavior (including visual or auditory recording) if at least one of the following criteria is met:(i) Information obtained is recorded in such a manner that human subjects cannot be identified, directly or through identifiers linked to the subject,

(i) The information obtained is recorded by the investigator in such a manner that the identity of the human subjects cannot be readily ascertained, directly or through identifiers linked to the subject, 
(ii) Any disclosure of the human subjects’ responses outside the research would not reasonably place the subjects at risk of criminal or civil liability or be damaging to the subjects’ financial standing, employability, educational advancement, or reputation.
(iii) The information obtained is recorded by the investigator in such a manner that the identity of the human subjects can readily be ascertained, directly or through identifiers linked to the subjects, and an IRB conducts a limited IRB review to make the determination required by §46.111(a)(7).” [§46.104(d)(2)]

Category 2 exemption criteria allow for both anonymously collected data (i) and data collected with identifiers (ii and iii).  This difference is the difference between data being collected anonymously vs. confidentially.

Limited Review

Limited IRB requires the IRB to determine that there are adequate provisions for protecting privacy and confidentiality.  Limited Review is carried out by the IRB chairperson or by one or more experienced reviewers designated by the chairperson from among members of the IRB.  

The activities allowed under this exemption do not require limited review if:

  • The information is recorded anonymously (Part i).
  • The information is recorded with identifiers but the research would not place the participant at risk (Part ii).

Research under exemption 2 involving identifiable, sensitive information must be conducted with a Limited Review.

Definitions

Anonymous (Part i)

No one – other participants, researchers, PI, etc. - can know if someone even participated in the research.

  • No identifiers can be connected to the data, either directly or through a coding system.
  • Online surveys cannot collect URLs, IP addresses, email addresses
  • In-person surveys cannot be returned in a manner where researchers can see who participated (e.g., handing a survey back to the investigator is NOT anonymous, but having all participants put the survey in an envelope at the front of the room is).
  • Video/audio recordings and photographs are not considered anonymous.
  • Interviews/focus groups are inherently not anonymous.
  • Multiple pieces of information, none of which are identifiable on their own, may uniquely identify a person when brought together; in this case, the data would be identifiable and would not be considered anonymous.

Identifiable (Parts ii and iii) allows for data to be collected with identifying information (e.g., the researcher has a key linking respondents' names to coded identifiers, the survey hosting site collects URLs or IP addresses that are available to the researcher).

Risk of Disclosure (Part ii) means that the research can be exempt only when there are no significant detrimental consequences to the participant if identifiable information were disclosed outside of the research. Whether consequences would be significant and detrimental depends in part on context. For example, including a question about sexual identity in an interview study that investigates adults’ plans to change careers could be non-controversial (and exempt) in some locales but highly sensitive (and therefore non-exempt) in other places.

Sensitive topics include, but are not limited to, questions about sexual activity, drug use, political/ religious affiliations or opinions, medical diagnosis, illegal activity, or other questions whose answers could reasonably place the subjects at risk of criminal or civil liability or be damaging to the subjects’ financial standing, employability, educational advancement, or reputation.  Sensitive topics may be included in Exempt Category 2 research as long as exposure to the questions themselves does not cause harm.  For example, an anonymous questionnaire about sexually transmitted disease history may be acceptable under Exempt review, but questions regarding sexual abuse will require Expedited or Convened review.  In the latter, a participant’s mere exposure to the question may elicit stress recounting emotional or disturbing events in their lives.  In this case, your project will need a higher level of review.

Public behavior refers to behavior taking place in a publicly accessible location in which the subject does not have an expectation of privacy (e.g., a public plaza or park, a street, a building lobby, a government building). If subjects have a reasonable expectation of privacy (e.g., medical exam room, private office) at the location where the researcher is conducting the observation, the project is not exempt.

The addition of the term “only” specifically disallows the implementation of interventions under this exemption.  Many studies involving interviews, surveys, or focus groups ask subjects to engage in some type of intervention or activity in connection with the questions or discussion.  Typically, the intervention occurs prior to the testing or between pre/post-tests.  The purpose of an intervention is to determine how an activity changes the participant or their performance. Many activities considered to be "tasks" do not meet this definition of "intervention."  In general, asking subjects to physically manipulate an object, play a game, complete a specific physical action, read, write, look at visual stimuli, listen to auditory stimuli, or imagine something would be considered interventions only if the intent of the activities were to change subjects or to compare results across different activities, physical stimuli, visual stimuli, auditory stimuli, etc.

The following activities are considered interventions: 

  • ​Activities requiring participants to physically manipulate an object with the purpose of comparing the results for object #1 to object #2.
  • Activities asking participants to play a game with a pre- and post-test to assess accuracy improvement within the game.
  • Activities requiring participants to complete a specific physical action.
  • Activities involving the review of written or visual current events material to determine whether the material affects the participant’s views.
The following activities are NOT considered interventions: 
  • Activities requiring participants to physically manipulate an object and then provide responses about the object or their manipulation of it.
  • Activities such as reviewing written or visual material and providing direct feedback. 
  • Asking participants of a focus group to read something for the purpose of stimulating the group’s discussion.
  • Activities that occur before or after non-research events (events that are occurring regardless of the research being proposed).

Special Information

The inclusion of the word “only” in the regulatory definition does not exclude research from being considered exempt if some parts of the research fit into one or more of the other exempt categories with the following important caveats.  

EXCEPTION: This exemption does not apply to research with children, except for research involving the administration of educational tests or observations of public behavior when the investigator(s) does not participate in the activities being observed.

EXCEPTION:  Linking data with other personally identifiable information is not allowed.  For example, exempt category 2 would not allow also obtaining participants’ medical records under exempt category 4 and linking the data together.

HIPAA:  Because this exemption will allow surveys, interviews, and focus groups with a patient population, HIPAA regulations could apply.  HIPAA does NOT allow for the waiver of documentation of HIPAA authorization; therefore, research conducted in person (e.g., interviews and focus groups) will require written HIPAA authorization from the participants.  For those studies that are conducted remotely (e.g., online survey), you must complete a Waiver of HIPAA Authorization to explain why you cannot obtain written HIPAA authorization.

Examples

Examples of Research Exempt Under Category 2 NOT Requiring Limited Review:

Part i (anonymous):

  • A study involving an anonymous online survey regarding workplace satisfaction at area firms.
  • An observational study of children playing in a public park; the researcher takes notes of what occurs, recording children’s gender, race, and length of activity, but the researcher does not participate in the activities or interact with subjects. 
  • A study involving an anonymous survey of college seniors regarding recreational drug use.

Part ii (identifiable, no risk from disclosure):

  • A reading comprehension test that asks the participant to read a passage and then answer questions about it.
  • A study involving interviews with college seniors (age 18 and older) about their career plans after graduation. The researcher will record their date of birth and give the participant an algorithm to create a unique code (e.g., the last 4 digits of your cell phone number plus the first four letters of your mother’s maiden name).

Part iii (limited review required):

  • A study involving focus groups with expectant mothers regarding their understanding of post-partum depression. (NOTE:  HIPAA may apply to this study, depending on the recruitment and data collected.)
  • A study involving an identifiable survey of college seniors regarding recreational drug use.
Examples of Research NOT Exempt Under Category 2:
  • A study involving audio-recorded questionnaire conducted after a participant is asked to log onto a website and interact with it to complete a training session.  The study is not considered exempt due to the intervention being applied.  
  • An anonymous survey given to inmates of the local county jail regarding reading habits. Research directly involving prisoners cannot receive exemption under any category.
  • Randomly assigning students to take an educational test in a quiet room or a room with moderate noise. This study does not satisfy Category 2 exemption because an intervention is being administered as part of the research.
  • An interview designed to see whether respondents answer questions differently depending on the interviewer’s gender. This study does not satisfy Category 2 exemption because an intervention is being administered as part of the research.
  • Research involving interviews with 8-10 year olds about their TV habits.  Research involving the survey of minors does not qualify for Category 2 exemption.
  • An observational study where a researcher pretends to fall and records helping behavior in children in a public park.  Observational research involving children does not qualify for Category 2 exemption in cases where the researcher will interact with participants.
  • A study collecting identifiable survey data regarding activity tracker usage and linking the results to medical record outcomes.  This research involves linking data to another data set of identifiable information and is not allowable under Category 2 exemption.

FAQs Regarding Exempt Category 2:

Category 2 – Is all qualitative research exempt?
NO.  Research involving surveys/interviews of minors, surveys/interviews involving prisoners as direct participants, and survey research involving an intervention will all require Expedited review, at a minimum, and, based on the reviewer’s findings, may even require full board review. 
Category 2 – I’m just sending an email with a link to my survey.  Do I have to obtain consent?
YES.  Any communication with participants (email, letter, recruitment on a listserv, face-to-face, etc.) is considered an interaction. Although you do not need to document the consent with a signature, you will need to describe a consent process in your application.  Your recruitment can often serve a dual purpose in these cases.  Consent in exempt research does not require the same elements of consent required for non-exempt research.  See Consent in Exempt Research for the minimal information needed for informed consent.  Of note, this is still consent and does not need to be referred to as “implied consent.”