23. Written reasons to be provided to second institutional review board

Where the research institution pursuant to section 21(2)(c) of the Act directs the researcher to submit the research to a second institutional review board for a second initial review, the first institutional review board must, as soon as practicable after the direction, give written reasons for its decision not to grant approval for the research to be conducted or continued and provide the written reasons to the second board through the research institution.