Confidentiality

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NHTSAProjectNo. DTNH22-97-C-OS141

Appendix E
Certificate of Confidentiality Documentation

-'3-UU;

':~~~M;UI&~~~.
.~

,
;

DUARrM.J;Nr

Of HEALD{ a. HUMAN SDVICES

~c
HealthSer\'ice
NafonaJInltkutes of HeaJIh
NallOI\aIiMtitUfe OnAlcohol
Abuse am AI=holism

6000 ~
~m..

DEC23 mr

Bouleval'd
YO 20892-7003

JeDnife.r ~r
Ogle, M.S.
H'a~ioD.&l Hiqhvay Traffic
Safety Acb1nist.r.a cion
't:raft1.c sa.t'ety Programs Of.f1.ee
of Re8Mrch and Tra.tt'ic Recoz-d$
Attn: Paul Tremoat (BTS-31)
400 7th

St.

5..

Waah1Dqton, D.C.

20590

Dear

KS.

og~;

by ~

Enclosed
is tJ1e Certificate
of
DePa.rt:J-.nt or. Beut.h and .E~

Couf'.1.denUal.i.ty

~ces.

Pt'epa&'ed.

This

provides the assuranee of confidenti.a.l.i~)" .-pec!.l.ied
in
of the l'uJ)J.ic Re«.ltb. Service Act.
All subjects el1rDlld

for

you

Certi.£ic~te
section

during

.301 Cd)

the

~
the Certj,~icate
1B j,n effect. are coven4 J.n P8~tu.i.Cy.
Su.bjec~
enrolled prior
to ~he Cetti~icace'.
i.$Uance
are not p~~ct~
undAr
the te~
of the Certif~cate.
This Cert1f1ca~e has been ias~ed ~or
the dnraT.i.on 01' the project.
g1~
~or oQ,lr ~
:year. pl~~
XRB appx;.,..-~
as ~"I'8d...
EaCh subject

Ce~ficate.
~so
the

$hould

The l~t.tioD8

be aentioned.
Certificate

it

b.

Bo~-;-~,
~Qse
forward
t:o the
~CI

~\at

the

o~ tb.

J:RB.~~.1.
~~'bIa

exlsteAc.

Cer~L~icate's

In addjtioa.
subjects
they wish one.

should

h8.s: beeD
~equcat

of" thi.

protection

bB o~fer8d

sb~d
a copy

o~

rr any qu~icn.s
arise
k'eg'a.rd.ing con£identia11 t:y or o1:har human
subject
prctect1oh
aattars.
do DOt bes1 tate
to contact
the Institut8We are p1eased to send ~bis authorization.
~
we ~ully
antici~te
that you vill
pxoceed ~i th your re8e~r~
as specified.
Sincerdy

yours,

&-

I.u.raJ.
cz-.,

A

K.S.

USPBS

Con£identiali ty As5\1r8ace of'f1.cer
Office
of l'1.anD.inq and. Re:.source KanaqemeAt
Na~ion~
IDS~tu~e
on Alcohol
Abuse and Al.coholJ.sm.
Enclcsare

B-1

, - , 3-00

;

;404

,:22PM;GTCCH ~e:

8~4

2278

..;~

D EP~RT.MENT 0'1 mAL m a. HUMAN so. VI CIS

Pubrc HeaIIhSeNice
National~S
of t1eaJd\

Narianallnsti~ 00 AlcohOl

Abu.e ard Alcoholism
~
Exea.diveBeulevard
RG~
No 2O8~-7D03
~;mQ'rDL2:1J11'

~~~

i..sued
Indiv.td~ls

Respona1})le

P~te.

.Quanti~~ive

,f'ar

che

D't..i'Cled

Research

of the A88oelation &etVeeD D~~.in9

Speeds and crash

Probability"

DfNH22-97-C-O3141

ContEa~~:

C4ftd~ct.d
~exas

to;

by:

Traasportation
Inst1tute
Tex.aS A5H tJQiversity

Co~cg.

stat~CQ,

Texas 77843

!.Ii accordance
wi.'th the provi.s1oa.s of section. 301 (d) of th. Public
Health Service
Act (42 U.$.C. S ~41 Cd).
this Cextif~cace ~. ~S$UOO
in response to the request of K8. Jennifer Og~e, Principal
~veat1qator,
to protect the privacy of ~e$e.rch ~j~ts
by
...i'tbho~d.inq ~ir
identities
fraa all. parsOJiS DO~ OQAneCc.ed. tfi~
t..he
researCh.
Ms. 091. is p~iaazi1y re.ponsib1e ror the oondUcC of th1s

xesearch.

.
~sted

[Jncie~ authority

in t.he Seaet.a~y

. by Se~on
JO1(d) or ~he Public
~ersoDS wba!

R..1~

of Health

Service

~

and H\DAn SerYice.

(42 u.S.C.},.all

1.

are Q!I;)loyed
by Texa$ 1'ransport.a.t!.OA
Xnse~tute,
Univers1~y,
College
Sta~an,
Texas 77843 or ~~
.nd cooper.ting
aqencie5;
and

2.

haY.,

dur1~~ the courSe of that

~loymen~,

*rex..
~~M
contractors

access to

info%1Qatioft which voald 1.dent:.1fy Ind.iYidu-.!s
subjects
or the ~.se2%ch on ~lcobcl
and drug

study en~tled:
Be1:Ween Driving

1Iho are
Abuse ~ the
-QuantitAtive
Properties
of ~
Asscciation
Speeds aDd crash Probab111tyow

he~y
authorized ~O p%ote~
B~ t..h.e subjeC'C8 ot ~hat:. zo.a..rch
identifying
character.i3tics
fraa.
.~

conduct
forth

o~ that

~esea~,

vi~

the privecy

of the individuals

by vi't:hho1.di.D9

all

persons

the exc~~ibns

1:.i1eiz Damb8

~bo
and

no't .,,':'ft~ec:t:.ed with

~d

li~~.tio~

o'ther

the
~.t

bel-ow-

obj e~t1. ve
. 1ha
tor co~lectina

of.
~.
da~.

study quDntit.~ive
is to dev81.opre~aC1onsh1ps
a -tbod
aM betveen
'l.z~vork
to pi~t
determiAe

B-2

,,-00;
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884

.

227.

epeed and crash r.1su," given an array of variables
such as driver
characteris~ics
(lncludinq
drinking
before driving),
roadWay
characteristics,
vQhicle
charaCLerist1cs,
~a~er
condit~anar
and
tra.f:f.1~ cond1~ons.
The t.vo ujoz:
focus are~s of t.h1s Pilot
S~y
1J to det.~De
the faasibility
of using new technologi.es
to obtain
aocuzQ.te
detexmine

pre-cr.~
speeds
.for a qroup
't.he quaD ti ta tl ve p.toperties

301 (d) o~ ~e

"Persona
so authorized
may bO't. be cOrIIpe11ed.
cr~~~
identify

in

rhe .follow1..ng

PUblic

Health

'to p.rotoct
~he pri
any Feder.A.l,
S'tat~

a~ais~~1ve,
such
i~v1dtla].s..

leq1s18~i~8,

COhd1t1.oDS apply

to

are

o.t test
vehicles,
and 2) to
that
can be DSed to e~lAi.n

relationships
bBtween driving
speed and ~ash r.~.k, and 3) to
de~e%mine ~he feasibility
o~ .quippinq
a fleet
or approximately
4000 vehicles
to acqul~ data on travel speRde and .peed ~ts.
As provided
~ Sect~on
U.S.c.
S 241 CdJ):

-

Service

cy
or

or

Act

(42

of S\;Ich indJ."'iduals
lo~a.1.,
civil.,

other

proce.d1~.

provided

the protectiou

2000-

to

unde% th1$

Certificate:
(1.)

This Certificate
does not authorize
Texas
!nst1~uteTexas A~ ODiver~1tyCo~lege
77843 or Lts con~ractoT8
~
coope~ting
~o reveal
info~tiaQ
concerning
~csearch
fol1o~ing
condi tion exists:
(a.)

The subject

(or,

of identifyin~
Tbia

~t be or she is

hi& o~ ~er quar~an)

Certificate

iDforma~ion.

requires

that

Federal,
leqisl.~ive,

or other

the identifyinq
.s provided for
13,

chazaete~ist1C5
in paragraph

The Con~1dent1a11ty
vol untary

~sear~

proceedings

di sclosure

(1),

Certifica~e
of

identi~yinq

incompeten~.

to disclosure

be no di8closu~s

th.~e

characteri8~i~
of
State,
o~ local civi~,

legally

in writing

COn5eD~$

~den~!fying

Transportation
Stat1o~
Texas
agenc~e$ ~O refuse
subjec~s
if the

cr~nal,

aubject$

of

in

ADY

~~.trotive,

~o compel

of reseaxch

di8c~sur~-

of

ex~t

$ubjec~cr

abc~e'.
does not go~rQ
ehar&cter~s~cs

th~
of

rQ$@areh subj ects This Certificate
..esearch Pz:oject

does not xepxesent
an endoxs~ent
of che
by tho DepartJDenL of Heal'th and. Humau

Services..

Al1 research

sUbjec~s in the project
clear
~xplana~tOQ
of ~e pxoteccion
_r::tords~ .nd ot t.be 11aitat:..icn.s
and
protection
and w~ll be given a copy
~cep~ when to do 80 ~d
put them
(6')

1bU Certif1cB.'t.e
18 .f.fective
on JaDU~
~. 2000. or sooner

vill

be ~1ven a fair~

this
eertificate
.xceP~1.~
to t:.n.
o~ this
Certirlcate,
at risk.

upon 1ssuance
i~ the ho1dar

and will
eJ."P~re.
is no~~t~ed
of

B003

D/

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1:22PM;GTECH

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~~/O

CEE

#

canQ911ation
in
C. E . R. $ 2a. S.

accordance with the procedu~.
The protection
Afrorded
by this

Con~~denti~ty

Cert1ficat.

'I'M$: research

for

project

the con£iden~ia~ty

out

in

42

15 permanent with reapect

sabj.c~$ who part1ci~te
in the researcb
Ce~t!f1cate
is ia 8£fec~.
(7)

set

during

to
ahy ciD1a. the

~1' also .be subject to speci.al
~es
o~ ~COhol and drug abuse pa~en~

reQQrds, under secti0ft8
544 and S4B of the Publ~c H~alth
Servico A~
(42 U.S.C. 55 290dd-3 and 2g0ee-3),
and
implementing
regula~ioAS
at 42 C.F .R. Part Zr v~~
rescrict
volunUry
disclosures.
of 1nfo~tion
£raa co.ere4
patient

records .

..J.
MAry

~

~..

-

--

Deputy Director
NaUODU ID8t.i tute on
Alcobol
Abuse a~ A1.cohol.i-

r-z!lf/11
Da:te

B-4