"Data Request Form - Institutional Review Board" - Florida

Data Request Form - Institutional Review Board is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

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FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Institutional Review Board
Data Request Form
SECTION 1: TO BE COMPLETED BY PRINCIPAL INVESTIGATOR
Name
Contact Number
Project Title
Email Address
Description of
Information
Required (Please
include dates/timeframes
for any analysis, and
other specific
indicators/categories
required in the data)
Purpose/Context
(what the data is
required for)
Request Date
Required Date
Format Required
(Table, Map,
Spreadsheet, Word etc)
– please specify
SECTION 2: TO BE COMPLETED BY DJJ RESEARCH AND DATA INTEGRITY OFFICE
Time Estimate
Date Received
Assigned to
Initial review comments
(Discussion with PI – revisions
required? Agreement to
proceed? Can R&DI provide
the data? Etc)
Work in progress
comments (Additional
notes and comments during
production of data)
SECTION 3: COMPLETION DETAILS
Date Completed
Date Provided to PI
Feedback from PI (If
applicable)
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
Institutional Review Board
Data Request Form
SECTION 1: TO BE COMPLETED BY PRINCIPAL INVESTIGATOR
Name
Contact Number
Project Title
Email Address
Description of
Information
Required (Please
include dates/timeframes
for any analysis, and
other specific
indicators/categories
required in the data)
Purpose/Context
(what the data is
required for)
Request Date
Required Date
Format Required
(Table, Map,
Spreadsheet, Word etc)
– please specify
SECTION 2: TO BE COMPLETED BY DJJ RESEARCH AND DATA INTEGRITY OFFICE
Time Estimate
Date Received
Assigned to
Initial review comments
(Discussion with PI – revisions
required? Agreement to
proceed? Can R&DI provide
the data? Etc)
Work in progress
comments (Additional
notes and comments during
production of data)
SECTION 3: COMPLETION DETAILS
Date Completed
Date Provided to PI
Feedback from PI (If
applicable)