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Certificates of Confidentiality
Application Instructions
The Secretary of Health and Human Services may issue
Certificates of Confidentiality under Section 301(d)
of the Public Health Service Act (42 USC 241(d)).
These Certificates are intended to protect researchers
from compelled disclosure of the identities of research
subjects. The Secretary has delegated the authority
to issue these Certificates to all Public Health Service
agencies.
The Health Resources and Services Administration
issues Certificates for research that is supported
by HRSA funds or related to HRSA programs.
To apply for a HRSA Certificate, investigators should
send a letter containing the following information,
organized into paragraphs according to the numbering
scheme shown. Please write in complete sentences,
concisely providing each item of information required
in narrative format in the body of the letter. Except
for Items 4 and 5, attachments are not necessary.
Portions of this narrative will be used verbatim to
describe the research project in any Certificate that
might be issued.
- Title of the project.
- Source and number of any Federal grant or contract
that supports the research directly or indirectly
(e.g. "This research is supported by SPNS Grant
BRH-xxxxxx from the Health Resources and Services
Administration;" if none, state "This
study is not supported by Federal funds").
- Name and location of the host institution(s)
that will sponsor and oversee the study.
- Brief explanation of how the study complies with
HHS requirements for Institutional Review Board
(IRB) approval (attach letter or form signed by
authorized IRB representative). If the project is
claimed to be exempt from IRB oversight, the applicant
should attach justification. If such an exempt project
is supported by HRSA funds, please attach a statement
demonstrating compliance with Program Protection
of Human Subjects Participating in Research Programs
Conducted or Supported by HRSA policy (this
is not necessary if the study has been approved
by an IRB).
- Brief explanation of how the study complies with
requirements for informed consent from all subjects.
Attach copies of the informed consent forms to be
used in the study, as approved by Institutional
Review Board or other appropriate authority (specify).
- Name, business address and phone number of the
Principal Investigator. Briefly summarize relevant
training and experience.
- Beginning and expected end dates of the project.
- Concise description (one or two paragraphs) of
the project aims and research methods. Please state
the number, source and description of the human
subjects.
- Reasons for requiring confidentiality.
- Concise description of the means used to protect
subjects' identities (e.g., coded identifiers, record
access restricted to trusted staff, locked files
and secured computer data storage, etc.).
- Assurances of compliance with HHS requirements.
Please give specific assurances that the investigators,
the responsible institution, and all collaborating
institutions (if applicable) will ensure:
(a) that all personnel involved in the conduct
of the research will comply with all the requirements
of 45 CFR Part 46, "Protection of Human
Subjects." (Projects not supported by DHHS
must certify compliance with 45 CFR 46.103(c)
and document legally informed consent in a manner
consistent with the principles stated in 45
CFR 46.111);
(b) that the Certificate of Confidentiality
will not be represented as an endorsement of
the project by the Secretary of HHS or be used
to coerce individuals to participate in the
research project;
(c) that the recipient of the Confidentiality
Certificate will use its authority to protect
the identity of research subjects;
(d) that all subjects will be informed that
a certificate has been issued and that subjects
will be provided with a description of the protection
covered by the certificate; and
(e) that subjects who enter the project after
termination of the certificate will be informed
of the termination.
This letter request must be signed by the individual
primarily responsible for the conduct of the research
and by an appropriate management or administrative
official authorized to bind the host institution.
The Confidentiality Certificate does not prevent
the voluntary disclosure of identifying characteristics
of research subjects, but only protects subjects from
compelled disclosure of identifying characteristics.
The Certificate thus does not forbid a researcher
voluntarily disclosing matters such as child abuse
or a subject's threatened violence to self or others.
However, if a researcher intends to make such voluntary
disclosures, the consent form should clearly indicate
this.
If the research project will not be completed by
the expiration date and/or an amendment is necessary,
the Certificate holder should submit a written request
for an amendment of the Certificate 3 months prior
to the expiration date. Any such request should include
the justification for the amendment/extension, documentation
of the most recent IRB approval, and the expected
date for completion of the research project.
Any request will be processed as rapidly as possible.
However, if all of the items of information requested
above are not provided in the letter, issuance of
your certificate will be delayed.
Send letter to:
Amber Berrian
HRSA Center for Quality
Parklawn Building 7-100
5600 Fishers Lane
Rockville, MD 20857
aberrian@hrsa.gov
301-443-0845
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