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=== NSHD Data Access Request Form === | === NSHD Data Access Request Form === | ||
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+ | We use a Word 2016 template with content controls to capture the information you enter in the form. This significantly improves our ability to process your form as quickly as possible. | ||
+ | To download and complete the form for submission, please use this | ||
+ | {{nshd: | ||
- | To see where this form fits in the overall NSHD Data Sharing Process see [[nshd: | + | **N.B.** if your application |
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- | |**NSHD Data and/or Biological Samples Access Request Form**\\ \\ **Version Draft: 1.1** | | | | | + | |
- | |SECTION 1 | | | | | + | |
- | |1. Name of all applicants, affiliations and contact details | + | |
- | |(include telephone numbers and email addresses and extend form as necessary where there are more applicants) | + | |
- | |Principal Applicant Name: |||| | + | |
- | |Position: | + | |
- | |Discipline: | + | |
- | |Institution: | + | |
- | |Co-applicant (1) Name: |||| | + | |
- | |Position: | + | |
- | |Discipline: | + | |
- | |Institution: | + | |
- | |Co-applicant (2) Name: |||| | + | |
- | |Position: | + | |
- | |Discipline: | + | |
- | |Institution: | + | |
- | |2. Has your application | + | |
- | |(//If yes, please state name// | + | |
- | |3. Project Dates |||| | + | |
- | |Start Date: ||End Date: || | | + | |
- | |SECTION 2 |||| | + | |
- | |4. Title of project (less than 30 words): | + | |
- | |5. Funding: Has/will the project be(en) peer reviewed and funded? | + | |
- | |(//If yes, please state organisation which has reviewed (or will review) project and their decision. Please enclose grant proposal, response, and referees’ comments as an appendix// | + | |
- | |6. Brief description of project including proposed outputs | + | |
- | |(//No more than 1-2 sides A4 with up to 10 key references// | + | |
- | |7. Rationale | + | |
- | |8. Are other datasets included on this project? | + | |
- | |(//If yes, please specify the other studies involved// | + | |
- | |9. Does your project involve genotyping? | + | |
- | |(If yes, please specify a) list of SNPs to be genotyped, b) pre-existing data on genotype frequency and c) reference any of the applicant’s previous experience in this area) | + | |
- | |10. Does your project involve DNA? |||| | + | |
- | |(This is only provided in certain circumstances, | + | |
- | |11. DNA samples: Are there any special requirements for the DNA extraction or potential problems with using pre-amplified rather than genomic DNA? |||| | + | |
- | |//Please specify// | + | |
- | |12. Does your project involve RNA or other cellular material? | + | |
- | |(//If yes, please state amount and rationale for request, and describe the processes to be carried out. Also answer questions XX//) |||| | + | |
- | |13. Feasibility and quality control: Does (Do) the applicant(s) | + | |
- | |(//please cite relevant publications// | + | |
- | |SECTION 3 |||| | + | |
- | |14. Have you undertaken a sample size calculation? | + | |
- | |(//If yes, please provide details of sample size calculations | + | |
- | |15. Analyses: What variables from the NSHD database will be required for statistical analysis? | + | |
- | |(//If you need clarification on our existing variables, please email <mrclha.swiftinfo@ucl.ac.uk> | + | |
- | |16. Do you require statistical input from NSHD statisticians to undertake the analyses? | + | |
- | |17. Electronic data: Will the project require deriving or producing new variables from existing data? |||| | + | |
- | |(//Please specify// | + | |
- | |SECTION 4 |||| | + | |
- | |18. Within your organisation, | + | |
- | |19. What policies does your organisation have in place to safeguard the confidentiality, | + | |
- | |(//please include URLs if appropriate// | + | |
- | |20. Does your organisation have NHS IG Toolkit certification or any other relevant audited security assurance? | + | |
- | |21. What is the location of the data centre or servers which will be used to store any NSHD data supplied to you? |||| | + | |
- | |22. How will NSHD data be stored and backed up during your project? | + | |
- | |23. How will access to NSHD data be controlled? | + | |
- | |24. Who will be responsible for the day to day data management of any NSHD data shared with your project? | + | |
- | |25. How will NSHD data be destroyed at the end of your project? | + | |
- | |SECTION 5 |||| | + | |
- | |26. How did you find out about the NSHD? |||| | + | |
- | |(//Please specify any web links or other resources you used// | + | |
- | |SECTION 6 |||| | + | |
- | |Signature | + | |
- | |Print Name |%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%%%__%%_ | + | |
+ | To see where this form fits in the overall NSHD Data Sharing process see [[nshd: | ||