Secondary Data Analysis Ethics Compliance Form

Project Information

Project Title Principal Investigator / Researcher Name Email Address Department / Affiliation Date

Secondary Data Source

Name/Description of Data Source Origin of Data Is the data publicly available? Yes No

Data Characteristics and Use

Describe the type of data Describe intended use/analysis Will the data be linked with other datasets? Yes No

Ethics Compliance

Does the dataset contain personal or identifiable information? Yes No If yes, describe anonymization measures Have you obtained all necessary permissions/legal requirements to use this data? Yes No

Declaration