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Cases Data
Information
Policy and Procedure Confirmation
I confirm that I have read and agree to all policies and procedures therein contained in the NewSTEPs Repository Data Request Policy and Procedures
Two column per row
Date of Request
Date of Request: Month
Month
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Date of Request: Day
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Date of Request: Year
Year
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Desired Request Completion Date
Desired Request Completion Date: Month
Month
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Desired Request Completion Date: Day
Day
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Desired Request Completion Date: Year
Year
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Name of Project that will Utilize this Data
Funding Y/N
yes
no
Describe why you need NewSTEPs Repository data. Please include research questions you hope to answer, hypotheses, objectives, research design, study cohort, and method of analysis.
Specify years and data variables: please review and select the data elements you are requesting in the appropriate NewSTEPs Data Repository Data Elements documents. Below are the parameters, please indicate the following:
