Form VS151 "Application for California's Birth and Death Data Files for Research Use (Additional Years of Data)" - California

What Is Form VS151?

This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2020;
  • The latest edition provided by the California Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VS151 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.

ADVERTISEMENT
ADVERTISEMENT

Download Form VS151 "Application for California's Birth and Death Data Files for Research Use (Additional Years of Data)" - California

Download PDF

Fill PDF online

Rate (4.6 / 5) 34 votes
State of California - Health and Human Services Agency
California Department of Public Health
Center for Health Statistics and Informatics
APPLICATION FOR CALIFORNIA’S
BIRTH AND DEATH DATA FILES FOR RESEARCH USE
Continuing Projects Only Requesting Additional Years of
Data
This application is for continuing projects that are only requesting
additional years of data and have no other changes to the project. If
your continuing project has other changes (listed below), stop fillin g
out this form and complete the “Application for California’s Birth and
Death Data Files for Research Use Continuing Projects with Changes
to the CPHS xForm” (VS 150).
• Principal Investigator (PI) or Co-PI
• Organization
• Data type(s)
• Contractor(s)
• Data variable(s)
• Scope of project
Note: This application is for continuing projects that are only requesting additional years of
data and have no other changes to the project. Please review this section carefully to
ensure that you are completing the correct application.
Application Checklist
Application filled out completely
All data dictionaries filled out completely for each year requested, frequency and all desired
variables are justified. Do not cite the CPHS xForm to explain how the fields will be used.
Committee for the Protection of Human Subjects' (CPHS) Amendment xForm showing the
request for additional data year(s)
Notarized Certificate of Acknowledgment
Submit the
CPHS approval letter
when obtained. The CPHS approval letter must be
received prior to data release.
1 |
P a g e
VS 151 (02/2020)
State of California - Health and Human Services Agency
California Department of Public Health
Center for Health Statistics and Informatics
APPLICATION FOR CALIFORNIA’S
BIRTH AND DEATH DATA FILES FOR RESEARCH USE
Continuing Projects Only Requesting Additional Years of
Data
This application is for continuing projects that are only requesting
additional years of data and have no other changes to the project. If
your continuing project has other changes (listed below), stop fillin g
out this form and complete the “Application for California’s Birth and
Death Data Files for Research Use Continuing Projects with Changes
to the CPHS xForm” (VS 150).
• Principal Investigator (PI) or Co-PI
• Organization
• Data type(s)
• Contractor(s)
• Data variable(s)
• Scope of project
Note: This application is for continuing projects that are only requesting additional years of
data and have no other changes to the project. Please review this section carefully to
ensure that you are completing the correct application.
Application Checklist
Application filled out completely
All data dictionaries filled out completely for each year requested, frequency and all desired
variables are justified. Do not cite the CPHS xForm to explain how the fields will be used.
Committee for the Protection of Human Subjects' (CPHS) Amendment xForm showing the
request for additional data year(s)
Notarized Certificate of Acknowledgment
Submit the
CPHS approval letter
when obtained. The CPHS approval letter must be
received prior to data release.
1 |
P a g e
VS 151 (02/2020)
State of California - Health and Human Services Agency
California Department of Public Health
Center for Health Statistics and Informatics
APPLICATION FOR CALIFORNIA’S
BIRTH AND DEATH DATA FILES FOR RESEARCH USE
Continuing Projects Only Requesting Additional Years of Data
This application is for requesters seeking additional years of data for a project previously approved
by CPHS and VSAC. In addition to completing this application, requesters must submit a CPHS
amendment xForm. Please allow sufficient time for review of your application.
Prior to release of vital records data, the Health Information and Research Section
(HIRS) must have a copy of a current CPHS approval letter. Approval from another institutional
review board may not be substituted for CPHS approval.
Information about CPHS and their approval process is available online. Also, you may contact
CPHS at (916) 326-6660, or via e-mail at cphs-mail@oshpd.ca.gov.
Notarized proof of identity is required to purchase the data files. Mail, fax, or email the completed
and signed application to:
California Department of Public Health
Health Information and Research Section
Attn: Data Request Desk, MS 5102
P.O. Box 997410 Sacramento, CA 95899-7410
Phone: (916) 552-8095
Fax: (916) 650-6889
E-Mail:
HIRS@cdph.ca.gov
All data files provided to researchers are custom data files. Data files are subject to cost recovery
pursuant to the California Health and Safety Code Section 102230. The cost depends on the
complexity of the request. CHSI will provide an invoice for the total cost of the data file, after your
completed application is received.
Payment is required before data files can be released. Make all checks or money orders payable to
the “California Department of Public Health.” The CDPH cannot accept credit card payment or
purchase orders.
Private courier deliveries are not accepted at the P.O. Box above. If you would like to overnight the
completed application, please call or email for the physical location.
2 |
P a g e
VS 151 (02/2020)
State of California - Health and Human Services Agency
California Department of Public Health
Center for Health Statistics and Informatics
APPLICATION FOR CALIFORNIA’S
BIRTH AND DEATH DATA FILES FOR RESEARCH USE
Continuing Projects Only Requesting Additional Years of
Data
Date:
Name/Principal Investigator (PI):
Title:
Organization:
Street Address:
City:
State:
Zip Code:
Phone:
Email:
Name/Co-Principal Investigator (Co-PI):
Organization:
Street Address (If different than PI):
City:
State:
Zip Code:
Phone:
Email:
Original CDPH Order #:
Title of Project:
3 |
P a g e
VS 151 (02/2020)
State of California - Health and Human Services Agency
California Department of Public Health
Center for Health Statistics and Informatics
APPLICATION FOR CALIFORNIA’S
BIRTH AND DEATH DATA FILES FOR RESEARCH USE
Continuing Projects Only Requesting Additional Years of Data
Future Years of Data
Future years of data are limited to the year of data currently available, plus three additional future
years. For example, if 2016 fetal death data is the latest year available, applicants may only request
these data through 2019 (2016 current year, plus three additional future years 2017, 2018, 2019).
Contracts
Applicants requesting regular delivery of weekly, monthly or quarterly data files must enter into a
contract with the CDPH. Data files are subject to cost recovery pursuant to Health and Safety Code
(HSC) Section 102230. Please indicate below how frequently the data will be delivered, and you will
be contacted by CHSI staff to discuss contracting procedures.
Birth – Indicate data files requested:
From
BSMF (1960-2017)
to
Annual Only
Annual Only
CCBF - Static (2018)
From
to
CCBF - Dynamic (2000-2020)
From
to
Weekly
Monthly
Quarterly
Annual
CCMBF (2018)
From
to
Annual Only
Birth Cohort* (1980-2017)
From
to
Annual Only
*This data file includes all live births and the infants who died in the first year of life (linked to the birth).
Birth Data is available in various formats. See the
BIRTH COMPARISON CHART
for California Birth
sources available to be requested and utilized.
Death – Indicate data source(s) requested:
DSMF (1960-2013)
From
to
Annual Onl y
CCDF – Static (2005-2018)
From
to
Annual Only
CCDF – Dynamic (2005-2020) From
to
Weekly
Monthly
Quarterly
Annual
CCMDF (2014-2018)
From
to
Annual Only
Fetal Death (1970-2018)
From
to
Annual Only
MCOD (1970-2017)
From
to
Annual Only
Death Data is available in various formats. See
DEATH COMPARISON CHART
for California Death
Data sources available to be requested and utilized. Effective 2016, the Multiple Causes of Death
(MCOD) variables are available in the California Comprehensive Death File (CCDF) and the
California Comprehensive Master Death File (CCMDF): sequence numbers 201-240.
4 |
P a g e
VS 151 (02/2020)
State of California - Health and Human Services Agency
California Department of Public Health
Center for Health Statistics and Informatics
APPLICATION FOR CALIFORNIA’S
BIRTH AND DEATH DATA FILES FOR RESEARCH USE
Continuing Projects Only Requesting Additional Years of
Data
Data Delivery
CDPH is delivering all data through Secure File Transfer Protocol (SFTP) unless otherwise agreed
upon by both parties. The files will only be available to download for 30 days after delivery.
CDPH Information Technology Services Division will contact you via the email provided in the
application to set up account access. Please note, SFTP access is limited to the PI, Co-PI, and listed
contractors.
Data Retention
The CDPH data retention policy is to retain the data files and/or programming for only 120 days after
data delivery. Therefore, as soon as a data file is received, please review for accuracy and
completeness. If an issue is discovered after the destruction of the data file, a new application will
need to be submitted and will be subject to cost recovery.
5 |
P a g e
VS 151 (02/2020)