0920-n/a OD2A-LOCALData Management Plan Template

OD2A-LOCAL Data Management Plan Template 

Form Approved 

OMB NO: 0920-1283 

Exp. Date: XXX

Public reporting burden of this collection of information is estimated to average 40 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 CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-1283).

 

Project Identifiers and Description of Data    

Principal Investigator  (Contact Information)
Agency
Last date DMP updated

  

Data Source	Type of data	Description of the data	Standards for collected data	Data Sharing	Data Use Standards	Data Preservation
Name of Dataset Related OD2A Strategies (list all that apply)	Select all that apply:  Surveillance Hospital Billing/Discharge Prescribing Clinical (e.g., medical records) Meeting notes Attendance logs  Observation Interview   Focus Group  Survey Law Enforcement or Public Safety Other -- Describe:	What data are being collected (population represented by dataset; do data include personal identifiable information [PII])? How are data being collected? Status of collection Data steward	Describe protocols followed for data collection and analysis (population from whom data will be collected; timing and frequency of data collection).	Public Access level:  (The degree to which this dataset could be made publicly available, regardless of whether it has been made publicly available)    Select all that apply (please include justification if access level is not public):  Public (Data set is or could be made publicly available to all without restrictions).  Restricted access (Data set is available under certain use restrictions).  Summary (Machine readable summary tables available).  Non-public (Data set is not available to members of the public).	If the data are made public, describe procedure for omitting PII. Where and how will data be stored and how will access be protected? Provide a description of the validation of data quality procedures and any documentation (e.g., codebook, data dictionary). Describe how released data will have appropriate documentation of methodology and limitations.	Describe plans for archiving and long-term preservation of the data (where data will be kept, how long, contact info for data steward) OR explain why long-term preservation and access are not justified.
Dataset X Strategy 1
Dataset Y Strategy 2
Dataset Z Strategy 3