IAN DATA ACCESS APPLICATION

Please fill in this form if you are a researcher who wants to apply for access to de-identified IAN data. Please complete all of the fields and use the Submit button.

Note that this is the first of three steps in the application process. You will also need to complete the remaining two steps, as follows:

  1. Email, fax, or mail a copy of your IRB approval for your research study.
  2. Mail an original signed copy of the IAN Data Access Agreement.

Once you have submitted the following application, the system will direct you to a page with more information about the process. In addition, you will receive an email confirming your application, which will contain your Data Application ID. Please include your Data Application ID on on all correspondence to related to your application.

If you have any questions, please contact ResearchTeam@IANproject.org.



PRINCIPAL INVESTIGATOR

Title:
First Name:
Last Name:
Position:
e.g., Professor, Assistant Professor, Doctoral Student, Masters Student, Research Coordinator
Phone:
Email:


INSTITUTION

Institution Name:
Address Line 1:
Address Line 2:
City:
ZIP/Postal Code:
Country:

RESEARCH PROJECT

Title:
Describe your study to help us understand your research:
Funding Source(s):

APPROVAL

Please enter your IRB and FWA below. IROG optional.
Examples for Kennedy Krieger Institute study using the Johns Hopkins U School of Medicine IRB #7 (IRB X)
IRB# IRB#: IRB00003794
[IRB# for Johns Hopkins U School of Medicine IRB #7 (IRB X)]
FWA# FWA#: FWA00005719
[FWA# for Hugo W. Moser Rsch Inst at Kennedy Krieger, Inc.]
IORG# IORG#: IORG000019
[IORG# for Johns Hopkins U School of Medicine]

Please note: The IRB reviewing the research described in your application must have an approved domestic or international Federal Wide Assurance (FWA) issued by the U.S. Department of Health and Human Services (HHS) Office of Human Research Protections (OHRP). Most IRBs are registered in this way. However, if you are not sure about your IRB, you can visit the OHRP Website to ensure that your IRB is registered. Please enter the appropriate FWA and IRB numbers in the form, above, before you submit.