Section 4. FUNDING 4A. Is this research funded or pending funding? Yes No 4B. If yes, who is the (potential) funder? Section 5. ACTIVITIES Provide a response to each of the following questions. Indicate if a question is not applicable. “N/A” 5A. Describe the purpose, specific aims, and/or objectives of this project: 5B. Does this project involve collecting primary data? Yes No (Primary data is original data that will be collected specifically for this project.) If complete Sections 5C-5E, then move to Section 6. “yes,” If move to Section 5F. “no,” 5C. Describe what data will be collected, how, and by whom: 5D. Are you using any surveys, questionnaires, or interview guides? Yes No If attach all such research materials with this submission. Attached “yes,” 5E. Will the collected information be able to be directly or indirectly associated/linked with individual identities? Yes No 5F. Does this project involve using secondary data? Yes No (Secondary data is data collected for a use than the current project.) If complete Sections 5G-5J, then move to Section 6. If move to Section 6. “yes,” “no,” 5G. Describe the secondary data/samples researchers will have access to, including names of datasets, URLs, etc.: 5H. How were data/samples originally gathered? Yes No 5I. Does an identity key for this data? If yes, will researchers be granted access to the identity key? Yes No 5J. Are the researchers and the organization providing the data/specimens entering into an agreement? Yes No If attach all such agreements with this submission. Attached “yes,” Section 6. DISSEMINATION 6A. Describe how the information produced by this project will be disseminated: 6B. Will individual identifiers be published, presented, or disseminated in ways? Yes No If yes, explain:
Section 4. FUNDING 4A. Is this research funded or pending funding? Yes No 4B. If yes, who is the (potential) funder? Section 5. ACTIVITIES Provide a response to each of the following questions. Indicate “N/A” if a question is not applicable. 5A. Describe the purpose, specific aims, and/or objectives of this project: 5B. Does this project involve collecting primary data? Yes No (Primary data is original data that will be collected specifically for this project.) If “yes,” complete Sections 5C-5E, then move to Section 6. If “no,” move to Section 5F. 5C. Describe what data will be collected, how, and by whom: 5D. Are you using any surveys, questionnaires, or interview guides? Yes No If “yes,” attach all such research materials with this submission. Attached 5E. Will the collected information be able to be directly or indirectly associated/linked with individual identities? Yes No 5F. Does this project involve using secondary data? Yes No (Secondary data is data collected for a use than the current project.) If “yes,” complete Sections 5G-5J, then move to Section 6. If “no,” move to Section 6. 5G. Describe the secondary data/samples researchers will have access to, including names of datasets, URLs, etc.: 5H. How were data/samples originally gathered? 5I. Does an identity key for this data? Yes No If yes, will researchers be granted access to the identity key? Yes No 5J. Are the researchers and the organization providing the data/specimens entering into an agreement? Yes No If “yes,” attach all such agreements with this submission. Attached Section 6. DISSEMINATION 6A. Describe how the information produced by this project will be disseminated: 6B. Will individual identifiers be published, presented, or disseminated in ways? Yes No If yes, explain:
nhsr_determination.docx