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Reviewer's Full Name

Kenley

1️⃣ Project Request

Evaluation Criteria

Notes

Is the request consistent with the Transparency Initiative’s goals and purpose?

Is the request consistent with the Transparency Initiative’s goals and purpose?

If IRB approval is required, has the approval been granted?

Does the data request contain the minimum information required?

Does the request minimize the risk of re-identification of individuals?

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2️⃣ Requestor

Evaluation Criteria

Notes

Does the requestor demonstrate the ability (design, methods, and analysis) to meet objectives?

Is the requestor qualified?

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3️⃣ Scientific Advisory Committee

Does this project need to be reviewed by the Scientific Advisory Subcommittee?

(Please place an x in the appropriate box. Only put an X in one box.)

Yes

No

N/A

Comments

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4️⃣ Recommendation

Recommendation (please place an x in the appropriate box. Only put an X in one box.)

Approval to provide access to the requested data

Approval to provide access to the requested data subject to conditions

Denial with advice to re-submit the proposal

Denial of the proposal

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5️⃣ Conditions

Request approved subject to the following conditions:

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