|
Data Access Request Instructions
DAR Form Instructions
The Data Access Request Form (DAR) utilizes the Application for Federal Assistance (Form SF 424 (R&R)) solely to collect information. This is not an application for funds.
The table below is to guide you step-by-step through filling the Data Access Request form. Only the fields highlighted in yellow must be filled upon submission.
The DAR requires NIH log-in. Requesters and institutional SOs must have an NIH eRA User ID and password to access the DAR. Visit era.nih.gov for more information on registering for a NIH eRA account. NIH staff may utilize their NIH log-in.
Page 1 |
1 |
Type of Submission |
SKIP / LEAVE BLANK |
2 |
Date Submitted / Applicant Identifier |
SKIP / LEAVE BLANK
Please note: The Date will be entered by the system.
The Applicant Identifier field also will be system-provided. This identifier will be a unique number assigned to a submitted request. |
3 |
Date Received by State / State Application Identifier |
SKIP / LEAVE BLANK |
4 |
Federal Identifier |
SKIP / LEAVE BLANK |
5 |
Applicant Information |
The information is for the Applicant Organization, NOT a specific individual. The system will pre-fill many of the fields in this box. Fill in all remaining required fields except:
- Organizational DUNS
- County
- The person to be contacted... sub-section
|
6 |
Employer Identification |
SKIP / LEAVE BLANK |
7 |
Type of Applicant |
SKIP / LEAVE BLANK |
8 |
Type of Application |
Select the type of application from the following list. Check only one:
- New: A Data Access Request that is being submitted to NHGRI for the first time.
- Renewal: A Data Access Request for an additional one-year period. A renewal application contains the same requirements (e.g., acknowledgement of the Data Use Certification) as the original plus required reporting on past use of the data as described in Appendices 5 and 6.
|
9 |
Name of Federal Agency |
SKIP / LEAVE BLANK |
10 |
Catalog of Federal Domestic Assistance (CFDA) Number & Title (CFDA) |
SKIP / LEAVE BLANK |
11 |
Descriptive Title of Applicant's Project |
Enter a brief descriptive title of the project with reference to the specific dataset(s) to be accessed.
(For Example: Protein tyrosine phosphatase gene variation in the TSP lung cancer dataset.) |
12 |
Areas Affected by Project (Cities, Counties, States, Etc.) |
SKIP / LEAVE BLANK |
13 |
Start Date / Ending Date |
SKIP / LEAVE BLANK |
14 |
Congressional District Applicant / Congressional District Project |
SKIP / LEAVE BLANK |
15 |
Project Director / Principle Investigator (PD / PI) Contact Information |
Enter all required fields.
Please note: The email address field will be utilized in system-generated correspondence with the Requester. This email address MUST be accurate! |
Page 2 |
16 |
Estimated Project Funding |
SKIP / LEAVE BLANK |
17 |
Is Application Subject to Review by State Executive Order 12372 Process? |
SKIP / LEAVE BLANK |
18 |
Complete Certification |
Check the "I agree" box to provide the required certifications and assurances.
All investigators requesting data access must agree to the terms and conditions described in the Data Use Certification. |
19 |
Authorized Representative |
The Authorized Representative is equivalent to the individual with the organizational authority to sign for a grant application, otherwise known as the Authorized Organizational Representative (AOR) or the Signing Official.
Please note:
The email address field will be utilized in system-generated correspondence to the Authorized Representative to complete the Data Access Request. This email address MUST be accurate!
AORs/SOs must enter their names into the "Signature of Authorized Representative" field and enter the date in MM/DD/YYYY format. |
20 |
Pre-Application |
SKIP / LEAVE BLANK |
|
Project Summary / Abstract
The Project Summary must contain a brief description of the proposed activity suitable for dissemination to the public. It should be a self-contained description of the intent for data use and should contain a statement of objectives and methods to be employed. Requests lacking sufficient description will be declined. This Summary must not include any proprietary/confidential information. Please limit your summary to the space provided.
Research & Related Senior / Key Person Profile
The first box profiling the Project Director / Principal Investigator (PD / PI) will be populated automatically with the information that was provided in the SF-424. If information needs to be added or modified, it must be done on the SF-424. Each independent Collaborating Investigator in a different institution must initiate and process a separate Data Access Request.
Each Senior / Key Person must be registered in the eRA Commons and must be assigned the PI Role in that system. The respective eRA Commons ID for each Senior / Key Person must be provided in the Credential field.
The table below provides instructions for entering Senior / Key Person profiles.
Prefix |
Enter the prefix (e.g., Mr., Mrs., Rev.) for the name of the collaborating PD / PI. |
First Name |
Enter the first (given) name of the collaborating PD / PI. |
Middle Name |
Enter the middle name of the collaborating PD / PI. |
Last Name |
Enter the last (family) name of the collaborating PD / PI. |
Suffix |
Enter the suffix (e.g., Jr., Sr., Ph. D.) for the name of the collaborating PD / PI. |
Position / Title |
Enter the title of the collaborating PD / PI. |
Department |
Enter the name of primary organizational department, service, laboratory or equivalent level within the organization of the collaborating PD / PI. |
Organization Name |
Enter the name of the organization of the collaborating PD / PI. |
Division |
Enter the name of primary organizational division, office or major subdivision of the collaborating PD / PI. |
Street 1 |
Enter the address for the collaborating PD / PI (e.g., Street Number, Street Name). |
Street 2 |
Enter the address for the collaborating PD / PI (e.g., Suite Number, Room Number) |
City |
Enter the city for the collaborating PD / PI. |
County |
SKIP / LEAVE BLANK |
State |
Enter the state for the collaborating PD / PI. |
Province |
SKIP / LEAVE BLANK |
Country |
Enter the country for the collaborating PD / PI. |
ZIP Code |
Enter the ZIP code for the collaborating PD / PI. |
Phone Number |
Enter the phone number for the collaborating PD / PI. |
Fax Number |
Enter the fax number for the collaborating PD / PI. |
E-Mail |
Enter the e-mail address for the collaborating PD / PI. |
Credential, e.g., agency login |
If you are submitting to an agency (e.g., NIH and other PHS agencies) where you have an established personal profile, enter the agency ID.
For NIH and other PHS agencies, registration in the eRA Commons for all PDs / PIs is required. The assigned Commons User ID (the unique name used to log into the system) for anyone assigned the PD / PI role must be entered here.
|
Project Role |
SKIP / LEAVE BLANK |
Other Project Role Category |
SKIP / LEAVE BLANK |
Attach Biographical Sketch |
SKIP / LEAVE BLANK |
Attach Current & Pending Support |
SKIP / LEAVE BLANK |
|
By submission of this request form, the Requester certifies that each listed Collaborating Investigator has read and agreed to the terms and conditions in the DUC.
Submitting the DAR
When all required fields on the DAR are complete, click Submit. By clicking Submit, you are certifying that you agree to the terms and conditions of data use as described in the Data Use Certification (DUC).
If required fields are left blank upon clicking Submit, the DAR will re-open with all required fields highlighted in red. Fill in the highlighted fields and click Submit.
Last Reviewed: May 9, 2008
|
|