As of July 1, the review workflow for VA studies has changed so that studies are submitted to and endorsed by the VA RDC prior to submission to the IRB. Currently, the VA endorsement process occurs after IRB pre-review. Post IRB-review, VA studies will be approved with an administrative hold as they are currently. Once the RDC issues final approval, the IRB administrative hold will be lifted. Moving the RDC endorsement process to occur prior to IRB review will provide the RDC with the opportunity to review any VA-required modifications, will align the process with other ancillary committees such as the UWCCC PRMC, and ultimately will help to shorten overall review times for VA studies. Please see this guidance for additional details and contact vhamadrdcoordinator@va.gov with questions.