PREDICT Revision Change Descriptions

Change Tracking – PREDICT

Change	Change details	Burden Impact
DHS Form 10029 (12/07)	Removed request for address information and for multiple phone numbers. Added request to new user to indicate where he/she heard about PREDICT (info box w/radio buttons)	None
DHS Form 10032 (12/07)	Addition of a field for location of research and replace a text box with fields to input names of research team members.	None
DHS Form 10033 (12/07)	None. Desire to extend approval to use to coincide with other forms.	None
DHS Form 10035 (12/07)	Propose to split the currently approved form into two documents with new scopes and different signatories. The updated form will be for Principal Researchers when applying for datasets for individual research.	None
DHS Form 10038 (12/07)	Removed	Reduces 1 burden hours
DHS Form 10039 (12/07)	Removed	Reduces 2 burden hours
DHS Form 10040 (12/07)	Rename to Referring Letter and split data collection fields. One table for Researcher information, one table for Data Custodian. In previous version this information was collected in a single table. No increase in burden and no new information being solicited.	None
DHS Form 10041 (12/07)	Removed	Reduces 8 burden hours
DHS Form 10042 (12/07)	Rename to Notice For Certificate Of Disposal (formerly Data Destruction)	None
DHS Form 10060 (12/07)	Proposed changes to the provisions; creates a separate amendment for the new separate Principal Researcher MOA.	Adds 14 burden hours.
DHS Form 10074 (new)	Information collection for Principal Researcher to propose the addition of a data set for inclusion in the PREDICT repository	Adds 4 burden hours
DHS Form 10075 (new)	Memorandum of Agreement PREDICT Coordination Center (PCC) and Research Organization	Adds 15 burden hours
DHS Form 10076 (new)	PREDICT My Datasets Request Page. Provides features to: 1. Confirm receipt of datasets. 2. Request more datasets in an approved category. 3. Request an MOA amendment to add members to the research team.	Adds 4 burden hours
DHS Form 10077 (new)	PREDICT Amendment to Research Organization Memorandum of Agreement. Provides features to: 1. Confirm receipt of datasets. 2. Request more datasets in an approved category. 3. Request an MOA amendment to add members to the research team.	Adds 4 burden hours