Institutional Review Board IRB-Assessment FormAssessment FormYour websiteApplicant:SalutationFirst name *Last name *I am a current member of the Faculty of Economics and Social Sciences at Heidelberg University holding a doctorate *YesNoI am a member of the following institute: *Email address *Co‑applicant (if required, for example doctoral student):Email address of co-applicant, if needed:Project:Project Title *Abstract: *Provide a 100 – 200 word abstract of your experiment, its research questions, and its key design features:Questions:1.) Preliminary review: Has the planned experiment already been reviewed by another ethics committee and rejected? *YesNoIf yes, please provide a succinct explanation2.) Physical integrity: Are physiological interventions or the administration of pharmaceutically active substances planned? (Note: Eye-tracking studies are considered unproblematic if informed consent is given.) *YesNoIf yes, please provide a succinct explanation3.)Psychological integrity: Are the test subjects deliberately placed in psychologically or emotionally extreme stressful situations or is it to be expected that such situations will occur for the subjects or for others during the course of the experiment *YesNoIf yes, please provide a succinct explanation4.) Deception: Are you planning to use any deception in your study? *YesNoIf yes, please provide a succinct explanation5. a) Does the study involve querying subjects on the following topics? Their past sexual activities *YesNoIf yes, please provide a succinct explanation5. b) Does the study involve querying subjects on the following topics? Their past illegal behavior *YesNoIf yes, please provide a succinct explanation5. c) Does the study involve querying subjects on the following topics? Their past experiences of violence or abuse *YesNoIf yes, please provide a succinct explanation5. d) Does the study involve querying subjects on the following topics? Their past drug use *YesNoIf yes, please provide a succinct explanation6.) Freedom of choice: Are subjects or other affected persons subjected to coercive situations (i.e., situations that they can only leave at disproportionate cost)? *YesNoIf yes, please provide a succinct explanation7.) Material losses: Are the subjects threatened with material losses from their own assets? (i.e., not taking into account the experimental payoffs), about whose existence and possible extent of which they have not been informed beforehand? *YesNoIf yes, please provide a succinct explanation8.) Criminal acts: Is it to be expected that illegal or even criminal acts (of the scientist) will occur in the course of the experiment? We mean criminal acts (on the part of the scientist, the subjects, or on the part of third parties)? *YesNoIf yes, please provide a succinct explanation9.) Subjects in need of protection: Do subjects take part who are under special legal protection (e.g., children, persons with disabilities, or others in need of protection)? *YesNoIf yes, please provide a succinct explanation10.) Animal experimentation: Are live animals used in the experiment? *YesNoIf yes, please provide a succinct explanation11.) Are there any other aspects in your experiment that could be considered ethically problematic? *YesNoIf yes, please provide a succinct explanation* Required fieldsBy submitting this form, you agree to the following privacy policy:Controller pursuant to Art. 4 No. 7 GDPR: Heidelberg University, represented by the Rector, Grabengasse 1, 69117 Heidelberg, rektorin@rektorat.uni-heidelberg.deData Protection Officer: Data Protection Officer, Seminarstr. 2, 69117 Heidelberg, datenschutzbeauftragter@uni-heidelberg.deYour form entries will only be used for the following purpose: Prüfung des IRB-AntragsLegal Basis: Art. 6 (1) (e) in conjunction with Art. 6 (3) General Data Protection Regulation (GDPR) in conjunction with § 12 State Higher Education Act Baden-WürttembergOnly the data entered in the form will be processed. No additional personal data will be stored (e.g. your IP address).Your form entries will be automatically deleted from the servers in 90 days.Your form entries are forwarded to the staff responsible for processing.Data Transfer to Third Countries: Erfolgt nichtYour data protection rights: Information about your personal data (Art. 15 GDPR, § 9 LDSG), Correction of your data (Art. 16 GDPR), Deletion of your data (Art. 17 GDPR, § 10 LDSG) unless retention obligations oppose, Right to data portability (Art. 20 GDPR), Complaint to the competent supervisory authority for data protection (State Commissioner for Data Protection and Freedom of Information BW)Information about your right to object under Article 21(1) GDPRYou have the right to object at any time, on grounds relating to your particular situation, to the processing of data concerning you, which is carried out on the basis of Article 6(1)(e) GDPR (data processing in the public interest).Submit