Certificate of Confidentiality

Appendix G_ Certificate of Confidentiality_CC-OD-20-38.pdf

Evaluation of Pregnancy Prevention Program Replications for High Risk and Hard to Reach Youth

Certificate of Confidentiality

OMB: 0990-0472

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CERTIFICATE OF CONFIDENTIALITY
Number:
CC-OD-20-38
Issued To
The MITRE Corporation
conducting research known as
OASH Teen Pregnancy Prevention Replication Study
In accordance with the provisions of section 301(d) of the Public Health Service Act, 42 U.S.C. 241(d), this Certificate is issued to the Principal
Investigator, Lauren Honess-Morreale and The MITRE Corporation to protect the privacy of subjects in the above named single-site/singleprotocol research study, which is collecting or using identifiable, sensitive information. If there is a discrepancy between the terms used in this
Certificate and section 301(d), the statutory language will control.
Research data containing identifiable, sensitive information collected during this study initiated on 04/01/2020 (and concluding on 09/30/2021) is
covered by the Certificate. Identifiable, sensitive information protected by the Certificate and all copies thereof are protected for perpetuity.
The recipient of this Certificate shall comply with all requirements of subsection 301(d) of the Public Health Service Act.
This Certificate does not represent an endorsement of the research project by the Department of Health and Human Services. Information
collected during the term of the Certificate is protected in perpetuity. However, this Certificate does not protect information collected from
participants enrolled after the term of the Certificate.
Typed or Printed Name and Title of
Authorized Certifying Offiical
04/02/2020
Date

Sarah Shane
NIH OER Certificate of Confidentiality
Staff


File Typeapplication/pdf
File TitleCertificate of Confidentiality Request
File Modified2020-04-03
File Created2020-04-03

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