Child Death Review Case Reporting System Data Use Agreement

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Attachment 3 Confidentiality Agreement to be Signed by All Researchers with Access to NCRPCD Data By signing this Agreement, I agree to the following: 1. I will safeguard the confidentiality of all confidential information contained in the National CDR dataset to which I have been given access. I will not carelessly handle confidential information. I will not in any way divulge copy, release, sell, loan, review, or alter any confidential information except as within the scope of my duties. 2. I will only access confidential information for which I have a need to know and I will use that information only as needed to perform my duties. 3. I will not attempt nor permit others to attempt to use the dataset to learn the identity of any decedent. If I inadvertently discover the identity of a decedent, I will make no use of this knowledge, will not permit others to use the knowledge, will not inform anyone else of this knowledge, and will inform NCRPCD of the discovery so it can prevent future discoveries. 4. I will transmit and store all electronic and hard copy data in a secure and confidential manner and location at all times. Upon completion of the performance of my duties, the identifiable dataset will be destroyed and no opportunities will be available to access that data on the network or computer systems. 6. I will promptly report activities by any individual or entity that I suspect may compromise the availability, integrity, security, or privacy of confidential information. 7. I understand that the ownership of any confidential information referred to in this Agreement is defined by State statutes. 8. I understand that violating applicable laws and regulations may lead to other legal penalties imposed by the judicial system. Signature: Print Name: Date: 31