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Statistical Standards Program
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Page 1 of 5   =  Required Fields

Principal Project Officer (PPO)

Name
    
First Last

Title

Organization

Address
    
Address (P.O. Box Not Accepted)
 
    
Building Name
 
    
Room # City
 
 - 
State Zip Code

Phone
      ext.  

Fax
        

E-Mail Address
Page 2 of 5   =  Required Fields

Senior Official (SO)

Name
    
First Last

Title

Organization

Address
    
Address (P.O. Box Not Accepted)
 
    
Building Name
 
    
Room # City
 
 - 
State Zip Code

Phone
      ext.  

Fax
        

E-Mail Address
Page 3 of 5   =  Required Fields

Systems Security Officer (SSO)
Check this box if the PPO will also serve as the SSO.

Name
    
First Last

Title

Organization

Address
    
Address (P.O. Box Not Accepted)
 
    
Building Name
 
    
Room # City
 
 - 
State Zip Code

Phone
      ext.  

Fax
        

E-Mail Address
Page 4 of 5   =  Required Fields
1. List the survey name, year and wave description (if any) of the data file(s) you wish to access.
2. What is your Project Title?
3. Briefly describe your research objective and how you will use the requested data.
4. Explain why the public-use files and/or the Data Analysis System (DAS) cannot meet your
research need.
5. If you plan to link the requested data to any other data, list these other dataset names and describe how linking the data will allow you to achieve your research objectives.
6. Which sector(s) of the education community will be served by your work?
7. Do you agree that the requested data will not be used for any administrative or regulatory purpose?
8. How long will you need access to this data?
Page 5 of 5   =  Required Fields
10. List the names and titles and emails of the proposed users of the requested data. You are limited to seven users, including the PPO.

There are currently no proposed users for this License Request. Please add one below.
Note: Access to the secure project office and data is limited to only those persons who are listed above. Each person listed above is required to have a signed and notarized Affidavit of Nondisclosure on file with IES.
Confirmation

There are currently no proposed users for this License Request.

You are about to submit the following information:
 

Principal Project Officer(PPO)

Name:  
Title:
Organization:
Address:
Building:
Room:
City:
State:
Zip:  
Phone:    
Fax:   
Email:

Senior Official(SO)

Name:  
Title:
Organization:
Address:
Building:
Room:
City:
State:
Zip:  
Phone:    
Fax:   
Email:

Systems Security Officer(SSO)

Name:  
Title:
Organization:
Address:
Building:
Room:
City:
State:
Zip:  
Phone:    
Fax:   
Email:
License Type:
Data File Access Needed:
Project Title:
Research Objective:
Public Data:
Data Link:
Education Community:
Agreement Acceptance:
Time Frame:
 
Page 1 of 1   =  Required Fields

Modify Security Plan
1. Describe the proposed modification to the previously submitted security plan.
2. Fill out and send in the mail a new Security Plan form. Do not move the data or implement any of your proposed modifications until you receive an email stating that IES has received your new Security Plan form and that IES has approved it.
 
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National Center for Education Statistics - http://nces.ed.gov
U.S. Department of Education
Institute of Education Sciences
National Center for Education Statistics
U.S. Department of Education
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