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Child Death Review Case Reporting System Data Use Agreement
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2016-04-05 10:00 AM - Commissioners' Agenda
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Child Death Review Case Reporting System Data Use Agreement
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Last modified
4/7/2018 10:41:46 AM
Creation date
4/7/2018 10:39:05 AM
Metadata
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Template:
Meeting
Date
4/5/2016
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
p
Item
Request to Approve a Child Death Review Case Reporting System Data Use Agreement between the Michigan Public Health Institute and the Kittitas County Public Health Department
Order
16
Placement
Consent Agenda
Row ID
28675
Type
Agreement
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B. Identify each additional researcher/collaborator/co-investigator that will have access to <br />the dataset and provide the curriculum vitae for each: <br />Name: <br />Title: <br />Institution: <br />Department: <br />Street address: <br />City: <br />State: <br />Zip: <br />Phone: <br />Email address: <br />C. Describe the specific responsibilities the PI and other investigator(s) will have in <br />conducting and completing the proposed research: <br />PI role: <br />Investigator 2: <br />Investigator 3: <br />[Add additional description for additional investigators.] <br />III. Description of proposed research project <br />In no more than five pages (excluding the list of variables), provide a detailed study <br />protocol that includes the following: <br />A. Title of project. <br />B. Describe the research question(s) and objectives for the study. <br />C. Describe the significance and rationale for the research. <br />D. Describe the funding source(s) for the research. <br />E. Describe the study design and methods. <br />The response should be a coherent narrative that links the sample, the variables requested, <br />and the analysis plan to the research questions. The response is expected to be at least one <br />page long, and it must include the following: <br />20 <br />
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