0925-0744-NEW_DASH_ATTACHMENT A.2-6_DATA USE ANNUAL PROGRESS REPORT (APPROVED OMB NUMBER: 0925-0744)
NICHD DATA AND SPECIMEN HUB (DASH)
The Eunice Kennedy Shriver National Institute of Child and Human Development (NICHD) established the NICHD Data and Specimen Hub (DASH) as a data sharing mechanism that enables investigators to organize, store, and mine de-identified data from NICHD funded research studies for the purpose of secondary research use.
As part of the agreement for using DASH data, the Recipient of the data is required to submit annual reports during the validity of the Data Use Agreement (DUA), which is a period of three years (Refer to clause 17 in the DUA). The purpose of the Report is to:
Verify that the Recipient is conducting research according to the Research Plan as indicated in the DASH Data Request Form
Confirm or amend Affiliates (individuals within the same institution as the Recipient, for whom access to data is required to carry out the Research Plan)
Document any collaborations (individuals requiring access to the Data and who are employed by a different institution than the Recipient)
Provide information to DASH on any outcomes or outputs that have resulted from the use of DASH data
The Annual Data Use Progress Reports will help NICHD to determine how best to use its resources to foster data sharing.
OMB Control Number: 0925-0744
Expiration Date: 01/31/2022
Public reporting burden for this collection of information is estimated to average ten minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925- 0744). Do not return the completed form to this address.
NICHD DASH – Annual Data Use Progress Report |
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Report Year |
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Request ID |
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Project/Study Title |
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DASH Requested Study |
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DUA Effective Date |
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DUA Expiration Date |
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Name |
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Job Position/Job Title |
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Institution |
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Division/Center/Branch |
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Email Address |
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Phone Number |
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4A. Were there any changes to your Research Plan from what you provided in the DASH Data Request Form (shown below)? Yes ____ No__ |
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Project/Study Title |
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Research Plan |
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Design and Analysis Plan |
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4B. If Yes to 4A, have you submitted a separate data request, including new Data Request Form and signed a new Data Use Agreement for the new Research Plan? Yes ___ No ___ |
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4C. If No to 4B, please provide an explanation as to why a new Data Request was not submitted. Please note: As per clause 4 of the Data Use Agreement you signed, “Data obtained from the NICHD DASH listed in Appendix B will be used by the Recipient for studies and analysis specifically indicated and described in the Research Plan. The Recipient agrees that Data will not be used in any research that is not approved by the NICHD DASH Data Access Committee as part of the Research Plan. The Recipient will submit a separate and completed DUA for each Research Plan for which Data are requested.” |
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Name |
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6A. Were there any new Affiliates added to your study this past year? Yes ____ No ____ |
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6B. If Yes to 6A, have all the new Affiliates registered in DASH, as required by the Data Use Agreement (Clause 12.a.i)? Yes ____ No _____ |
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6C. If No to 6B, please list the affiliates who have not registered and ensure that they are registered in DASH before submitting this Annual Report to DASH. |
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Name |
Role on Project |
Registered in DASH (Yes/No)? |
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7A. Were there any collaborators added to your study this past year? Yes ____ No _X___ |
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7B. If Yes to 7A, have all the Collaborators submitted a separate data request in DASH, including a Data Request Form and signed a Data Use Agreement with NICHD before receiving access to the data, as required by the Data Use Agreement (Clause 1)? Yes ____ No _____ |
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7C. If No to 7B, please list below the Collaborators and ensure that they have submitted a separate data request in DASH including a Data Request Form and signed a Data Use Agreement with NICHD before submitting this Annual Report. |
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Name |
Institution/Branch |
Role on Project |
Comment |
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8A. Peer Review Publication(s)*
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Publication Title |
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Date of Publication |
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Journal |
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Link (e.g. PubMed) |
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Impact Factor4 |
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Publication Title |
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Date of Publication |
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Journal |
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Link (e.g. PubMed) |
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Impact Factor4 |
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More Publications? |
Please add an Appendix with additional publications |
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8B. Patent(s) |
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Patent Number |
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Provisional/ Actual Patent Application Number |
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Description of newly discovered/ developed tool or technology |
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Patent Number |
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Provisional/ Actual Patent Application Number |
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Description of newly discovered/ developed tool or technology |
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More Patents? |
Please add an Appendix with additional patents |
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8C. Significant Impact/Findings from Secondary Use |
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8D. Other Outputs or Outcomes generated from the use of Data received from DASH |
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Signature of the Data Recipient |
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Date
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2* Indicates a mandatory field.
“Affiliates" are individuals within the same institution as the Recipient, for whom access to data is required to carry out the Research Plan.
3 "Collaborators" are individuals collaborating with the Recipient, requiring access to the Data, and who are employed by a different institution than the Recipient. Collaborators who need access to DASH are required to submit a separate Data Request Form and Data Use Agreement.
4*Indicates a mandatory field.
The impact factor is a measure of the frequency with which the average article in a journal has been cited over the past 2 years.
5*Indicates a mandatory field.
NICHD DASH –
Annual Data Use Progress Report
Version: 01/06/21
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | NICHD DASH Data Request Form |
Subject | NICHD DASH Data Request Form |
Author | NICHD |
File Modified | 0000-00-00 |
File Created | 2021-04-22 |