Aresearcher proposes to conduct a study at a foreign site that has been determined to be exempt from the federal regulations by institutional policy. according to federal regulations, is review required at the foreign site?

This is what i found on google “eightin 1997, the mccaughey septuplets were born in carlisle, iowa. multiple births of as many as eight babies have been born alive, the first set on record to the chukwu family in texas in 1998; one died and seven survived. in 2009, a second set, the suleman octuplets, were born in bellflower, california.” i was surprised about this . i don’t want to have that many babies .