0920-19BLE NCIPC DMP Template

Templates for Extramural Data Management Plans

19BLE Att 2d_NCIPC DMP Template Final

Templates for Extramural Data Management Plans

OMB: 0920-1301

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ATTACHEMENT 2d: NCIPC DMP Template

Form Approved

OMB NO: 0920-xxxx

Exp. Date: X/XX/XXXX

NCIPC Data Management Plan Template



Project Identifiers and Description of Data

Project Title:



Principal Investigator

Agency/Contact Information



Data Steward (if different from Principal Investigator)


Funding information (type and number)


Data Publisher/Owner


Last date DMP updated



Tags

Tags (or keywords) to help users discover the data set; please include terms that would be used by technical and non-technical users.




Brief Description of project and data that will be collected. Include information on the public health impact. Human-readable description (e.g., an abstract) with sufficient detail to enable a user to quickly understand whether the data set is of interest.











Population Represented by Dataset:

Describe population represented by the data, e.g. “residents of X”, “inpatients at X”, “users of product X”.




Location of Raw Dataset







Project Type

Surveillance

Research

Evaluation

Administration

Other – Describe:

Type of data:

Survey

Record Review

Observation

Focus Group

Other -- Describe:

Is data one-time data collection or ongoing

One time

Baseline and Follow-up (Specify expected number of follow-up collections: __________)

Ongoing surveillance

Current project Status

Planning, collection not started

Collection ongoing

Collection Complete – data cleaning

Collection Complete – data available

If data not yet available, Expected Data Release Date:

Temporal Metadata

Start Date of data collection:

End Date of data collection: (if ongoing indicate NA)

If Ongoing:

Are there scheduled releases Yes No

If Yes, anticipated date of next release:

Spatial Metadata: as applicable include

Country:

Region:

State:

County:

City:

Is there a Certificate of Confidentiality Yes No

If Yes: Provide link

Security Assessment & Authorization Status (select one)

Not started

In progress with Information Systems Security

Office of the Chief Information Security Officer processing

Authority to Operate granted


Access to Data

Name of Dataset


Public Access level

The degree to which this dataset could be made publicly-available, regardless of whether it has been made publicly available


Check all that apply

Public (Data set is or could be made publicly available to all without restrictions).

Restricted access (Data set is available under certain use restrictions).

Summary (Machine readable summary tables available),

Non-public (Data set is not available to members of the public).


Justification of Access Level:




Information collected but not publicly available:



Data Dictionary

Location:

Format:

Other Dataset Documentation if available

Description:

Location:

If Restricted Data Set (Shared Data)


Data Use Agreement Required: Yes No


If available, link to Data Use Agreement:


Type of Use Agreement or License (select all that apply)

Non-license / public domain

Memorandum of Understanding

Data Sharing Agreement

Data Transfer Agreement

Inter-Agency Agreement

Other

Accessing Restricted Data

Data publisher/owner:

Website URL:

Download URL:



Data Standards (Optional Fields)


Data Plans and Protocols for Quality Assurance (links to SOPs or Descriptions of plans such as validations checks, quality assurance)





Process for Omitting Personally Identifying Information Prior to Public Release

Description of what identifiers are in the database, how they will be removed before data is published and by whom






Archival and Long-Term Preservation of Data

Preservation Timeline. State when and how the dataset will be archived or destroyed.







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorShaw, Kate M. (CDC/DDNID/NCIPC/DUIP)
File Modified0000-00-00
File Created2021-01-22

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