M J. Welsh and A.E. Smith, RAC Application 
might discontinue your participation could, for example, include a significant worsening 
of your clinical status unrelated to the experimental procedure. 
9. COMPENSATION : 
There will be no charge to you for participating in this study nor will you be charged for 
any tests that we perform. You will be compensated for the time and inconvenience 
involved in participating in the research in the amount of $75 for each day that you spend 
in the hospital. In addition, we will reimburse you for your travel expenses to and from 
the University Hospitals for each day that you come to the clinic for an outpatient visit. 
The rate will be $0.25 per mile and your parking expenses. 
10. IOWA FAIR INFORMATION PRACTICES ACT 
The Iowa Fair Information Practices Act (Section 22.1 1, Code of Iowa) requires that 
persons supplying information be notified of the use that will be made of the information, 
which persons outside the University might routinely be provided this information, which 
parts of the information requested are required and which are optional, and the 
consequences of failing to provide the information required. 
I have discussed the above points, including the information required by the Iowa Fair 
Information Practices Act, with the subject or the legally authorized representative, using 
a translator when necessary. It is my opinion that the subject understands the risks, 
benefits, and obligations involved in participation in this project 
Investigator 
Date Auditor-Witness Date 
Recombinant DNA Research, Volume 16 
[943] 
