ICRC IDC Non-CDC Study Supplement

Progress Report for Injury Control Research Centers (ICRC)

Att 3b. ICRC Indicators - Non-CDC Study Supplem

Non-CDC Study Supplement

OMB: 0920-1216

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Injury Control Research Centers (ICRC) Indicators Data Collection 20XX – Non-CDC Study Supplement

Form Approved

OMB No.: 0920-xxxx

Expiration Date: XX/XX/XXXX


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Awardee      

FOA Number      

Instructions

Please refer to the companion ICRC indicator template guidance document for instructions on completing this template.

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3. Completed and Ongoing Studies: Non-CDC Funded

Studies supported with ICRC funding, ICRC supported personnel, or other funding. These studies are in addition to the CDC supported studies identified in the main ICRC Data Collection Document.

Study 1

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention

Study 2

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention

Study 3

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention

Study 4

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 5

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 6

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 7

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 8

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 9

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 10

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 11

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 12

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 13

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 14

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 15

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention



Study 16

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 17

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 18

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 19

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 20

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 21

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 22

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 23

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 24

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 25

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 26

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 27

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 28

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 29

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 30

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 31

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 32

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 33

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 34

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 35

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 36

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 37

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 38

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 39

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 40

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 41

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 42

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 43

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 44

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 45

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 46

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 47

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 48

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 49

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





Study 50

Study Title (500 Character Limit)      

ICRC Personnel Involved (500 Character Limit)      

Principal Investigator (255 Character Limit)      

Partners Involved in Study (1000 Character Limit)      

Project Start Date      

Project End Date      

Injury Topic Area: Primary: Secondary: Tertiary:

If "Other" please describe (500 Character Limit)      

Brief Summary/Results (1000 Character Limit)      

Implications of Findings for Practice:      

Plans for Use/Outreach of Study Findings      

Type of Research or Evaluation (Select all that apply)

Surveillance

Basic Epidemiology

Risk/Protective Factor Research

Intervention Research

Translational Research

Implementation Research

Policy Research or Evaluation

Economic/Cost-Effectiveness Evaluation

Other

If "Other" please describe (500 Character Limit)      



Level of Prevention





What additional information do you want to provide about completed and ongoing studies (e.g., cross-disciplinary nature of studies, innovative studies, how a study impacted the field, how studies related to your previous studies or planned future studies, etc.)? (There is no character limit for this response)

     



Other Significant Information

Describe any other proposed research-related objectives and activities for the budget year and any significant programmatic changes.

     



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