Metadata Capture

Data/Biological Samples Access Request Form

This form should be used to submit a data access request to the Data Sharing Committee of the MRC Lifelong Health and Ageing Unit at UCL. To enable the form to be considered we expect all sections of the form to be completed. For information on how and why we collect this information please see: https://www.ucl.ac.uk/cardiovascular/research/department-population-science-experimental-medicine/mrc-unit-for-lifelong-health-and-ageing/governance/data-sharing-privacy-notice/index

Please note that information in sections 1, 2, and 4 will be made publicly available to other researchers applying for access to NSHD data. Information supplied by you in all other sections will be treated as confidential and used solely for the purposes of processing your data application request. By submitting this form you are consenting to the disclosure of this limited set of information to other researchers. If you do not consent to this, please do not submit this form.

N.B. if your application is part of studying for a PhD, your supervisor must be named as principal applicant on the application.

When you have finshed entering information, click on the Save to file button at the bottom of the form. Make sure to save the file and send it to MRCLHA.SwiftInfo@ucl.ac.uk

Form Question	Form Data
File name to save this information (omit the extension)
Section 1 - Public Information
1. Principal Applicant's Name Name: maximum chars 128
2. Principal Applicant's Position Position: maximum chars 256
3. Principal Applicant's Institution Name: maximum chars 256
4. Principal Applicant's Email Address Email: maximum chars 256
5. Co-applicant's Name Name: maximum chars 128
6. Co-applicant's Position Position: maximum chars 256
7. Co-applicant's Institution Name: maximum chars 256
8. Co-applicant's Email Address Email: maximum chars 256
9. Further Co-applicants
Section 2 - Public Information
10. Project Title
11. Project Start Date(please enter dd/mm/yyyy)
12. Project End Date(please enter dd/mm/yyyy)
Section 3 - Confidential Information
13. Will/has the project be(en) peer reviewed and funded?
14. Funding Organisation Name: maximum chars 256
15. Brief description of the project including proposed output (no more than 1 side of A4 and no more than 10 key references)
Section 4 - Public Information
16. Public summary of this project.
Section 5 - Confidential Information
17. Are other studies included in this project?
18. If yes, please specify the other studies.
19. Does your project involve genotyping?
20. If yes please specify: a) list of SNPs to be genotyped; b) pre-existing data on genotype frequency; c) reference any of the applicant's previous experience in this area.
21. Does your project involve DNA?
22. This is only provided in certain circumstances; please see the guidelines available on our website. State amount, rationale for request of DNA, and describe the processes to be carried out.
23. DNA samples: Are there any special requirements for the DNA extraction or potential problems with using pre-amplified rather than genomic DNA?
24. If yes, please specify.
25. Does your project involve RNA or other cellular material?
26. If yes, please state amount and rationale for request, and describe the processes to be carried out. Also please answer the next question.
27. Feasibility and quality control: Does(Do) the applicant(s) have sufficient experience and expertise to carry out the DNA or RNA investigations described?
Section 6 - Confidential Information
28. Does your project involve data collected for Insight46?
29. If yes, please specify.
30. Does your project involve imaging data?
31. If yes, please state which sequences and the rationale for request. Also please answer the next question.
32. Feasibility and quality control: Does(Do) the applicant(s) have sufficient experience and expertise to store the images and carry out the image analysis requested?
Section 7 - Confidential Information
33. Analyses: What variables from the NSHD database will be required for statistical analysis?
Section 8 - Confidential Information
34. How did you find out about the NSHD?
35. Please enter your name. Name: maximum chars 256
36. Date of submission of this form (please enter dd/mm/yyyy)

MRC National Survey of Health and Development

Data/Biological Samples Access Request Form

Section 1 - Public Information

Section 2 - Public Information

Section 3 - Confidential Information

Section 4 - Public Information

Section 5 - Confidential Information

Section 6 - Confidential Information

Section 7 - Confidential Information

Section 8 - Confidential Information