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Reviewer's Full Name	Kenley

Project Request

Evaluation Criteria	Notes

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?

Requestor

Evaluation Criteria	Notes

Evaluation Criteria	Notes
Does the requestor demonstrate the ability (design, methods, and analysis) to meet objectives?
Is the requestor qualified?

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.)

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

Recommendation

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

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

Conditions

Request approved subject to the following conditions:

Request approved subject to the following conditions:

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