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Type of Requestors


  Details for Non-HHS Federal Agencies
  

  Shown below are the details for the item you selected from the list.

Type of Requestor Non-HHS Federal Agencies
Requirements Letter of Request; Data Use Agreement; Specification Worksheet; Privacy Protected Data Disclaimer; Privacy Board Review Summary Sheet; Research Protocol; Evidence of Funding
Payment Options Inter-Agency Agreement; Purchase Order; Check; or Money Order
Assistance Research Data Assistance Center (ResDAC); or CMS's Data Use and Policy Hotline at 410-786-3690

 


 
Downloads
Data Use Agreement [PDF, 50KB]
Addendum to Data Use Agreement [PDF, 26KB]
Update to Existing DUA Form [PDF, 32KB]
Privacy Protected Data Disclaimer [PDF, 22KB]
Privacy Board Review Summary Sheet [PDF, 55KB]
Related Links Inside CMS

There are no Related Links Inside CMS
Related Links Outside CMSExternal Linking Policy
Specification Worksheet
Protocol Format
Research Data Assistance Center (ResDAC)

 

Last Modified Date : 09/14/2009
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