Secondary Data Analysis Ethics Review Form
1. Applicant Information
Name
Role/Position
Department/Organization
Email
Phone
2. Project Details
Project Title
Project Summary / Objectives
3. Source of Secondary Data
Describe the source(s) of the secondary data
How will you access the data?
Who owns the data?
4. Data Characteristics
Type of Data Being Used
Does the data contain any identifiable or potentially identifiable information?
Yes
No
Is the data sensitive (e.g., health, financial, personal)?
Yes
No
5. Ethical & Legal Considerations
Was consent obtained for the original data collection?
Yes
No
Does the consent allow for secondary analysis?
Yes
No
Uncertain
Describe any potential risks to individuals whose data is being used
Describe measures to minimize any risks
6. Data Security
How will the data be stored and protected?
Who will have access to the data?
Do you plan to share the data with anyone outside your team?
Yes
No
7. Additional Information
Any other information relevant to this ethics review?
8. Declaration
I confirm that the information provided is accurate and complete to the best of my knowledge.