Data Access Request

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Data Access Request Application
Please complete the fields below to request access to data.
OMB No.: 0925-0775
Expiration Date: 11/30/2028

Step1

Step l: Researcher Information

Researcher
Information

1.1 Researcher•
Step2

Public reporting burden for this collection of information is estimated to
average 30 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. An
agency may not conduct or sponsor, and a person is not required to respond
to, a collection of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden to:
NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD
20892-7974, ATTN: PRA (0925-7775). Do not return the completed form to this
address.

Jonathan Lawson (Admin & DAC Member)

Data Access
Request

1.2 Researcher Identification
Step3

Please authenticate with RAS in order to proceed

Research Purpose
Statement

NIH RASID•

Step4
Data Use
Agreement

Please make sure Your Profile is updated as it will be used to pre-populate parts of the Data Access
Request

1.3 Principal Investigator
I certify that I am the principal investigator
Principal Investigator Name•

Jonathan Lawson (Admin & DAC Member)

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Principal Investigator Email•

[email protected]

Principal Investigator Country of Operation•
United States of America (the)

1.4 Internal Lab Staff
Please add internal lab Staff here. Internal Lab Staff are defined as users of data from this data access request, including any
that are downloaded or utilized in the cloud. Please do not list External Collaborators or Internal Collaborators at a Pl or
equiva lent lewl here. If your DAR is approved, you will be responsible for the appropriate use of the data by each individual
list ed in this section

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Add Internal Lab Member

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1.5 Internal Collaborators
Please list Internal Collaborators here. Internal Collaborators are defined as individuals who are not under the direct
supervision of the Pl (e.g., not a member of the Pl's laboratory) who assists with the Pl's research project invol ving controlled·
access data subject to the NIH GOS Policy. Internal collaborators are employees of the Requesting Pl's institution and work at
the same location/campus as the Pl. Jnterna! Collaborators must be at the Pl or equivalent level and are required to have a
Library Card and submit their own data access requesl.

Add Internal Collaborator

1.6 Institutional Signing Official*
I certify that the individual listed below is my Institutional Signing official

1.7 Information Technology (IT) Director
I certify that the individual listed below is my IT Director
IT Direc tor Name•

IT Director EmaW

IT Director Name

IT Director Email

1.8 Cloud Use Statement•
Will you perform all of your data storage and analysis for this project on the AnVIL?

0 Yes O No
1.9 External Collaborators
Please list External collaborators here. External Collaborators are individuals who are not employees ofthe Requesting Pl's
institution or do not work at the same location as the Pl. They musl be independently approved to access controlled-access
data subject to the GDS Policy. While not required to have a Library Card, it is encouraged. Ext,;,rnal Collaborators must submit
an ind,;,pendent DAR approved by their signing Official to collaborate on this projecl. Th,;,y can add their Lab Staff via their
DAA. Approval of th is DAR does not indicate approval of the External Collaborators listed.

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Add External Collaborator

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Step 2: Data Access Request
2.1 Select Dataset(s)
DUOS-000643 I DUOS-643-tesl

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Contact Us

Jonathan Lawson (Adm1n &
DAC Member) T
Jlowson d!brood nst rure,org