Data Requests

Terms and Conditions of Use

Any use of data provided by RMTEC must be presented or published in a manner that protects individual identity. Every effort has been made to protect the identities of persons represented in the data provided to us. Data provided may only be used for the purposes for which it was requested.

In order for RMTEC to provide public health data to you, it is necessary that you agree to the following provisions:*

• I will not use - or permit others to use - the data in any way other than for statistical reporting and analysis. I must notify RMTEC if I discover that there has been any other use of the data. • I will not present or publish data in which an individual can be identified. I will not publish any information on an individual. In addition, I will avoid publication of statistics for very small groups. • I will not attempt either to link - or permit others to link - the data with individually identified records in another database. • If I inadvertently discover the identity of any individual, then (a) I will make no use of this knowledge, (b) I will notify RMTEC of the incident, and (c) I will inform no one else of the discovered identity. • I will cite the source of information in all publications. The appropriate citation is provided upon fulfillment of the data request. • I will not misrepresent myself, the organization with which I am affiliated, or how I intend to use the data. • Terms of use including the purpose, destruction, and publication of data will be agreed to before data are released. • Tribal Letters of Support and/or a Tribal Resolution may be required prior to the release of data. Please select one:

Decline

Contact Information:

Name:*

Phone*

Email*

Orgnization*

Type of orgnization*

Tribal Organization

Urban Indian Organization

State Organization

Other

What is the type of Organization? (other)*

What is the tribe?*

Request Details:

How will the data be used?*

Provide specific details on what data are needed.*

What time period would you like the data to include?*

Most recent available

custom dates

Start date*

End Date*

How many years of data would you like?*

One year

Three years

Five years

Ten years

Would you like the data combined across the time period identified?*

Yes

Demographic

What ages would you like the data to include?*

All ages combined

Individual years of age

Custom age groups

Please specify age range(s) or ages desired?*

Please specify custom age group(s) desired.*

Would you like the data combined across the age group(s) identified?*

Yes

Which sex categories are requested?*

Both Sexes (combined)

Both Sexes ( Not combined)

Males alone

Female alone

Which categories of race are requested?*

All races (combined)

All races (not combined)

Select race(s) of interest

Would you like the data combined across the race categories selected?*

Yes

Do you want to be able to identify persons of Hispanic or Latino origin?*

Yes

What is the geographic coverage of the data?*

Tribe(s)

County(ies)

State(s)

National

Provide details of the geographic area (i.e. reservation or list state(s), or county(ies)):*

Would you like the data combined across the (tribes, counties, states) selected?*

Yes

I understand that RMTEC will require permission from Tribal Health Directors/Administrators to share tribal-specific data.*

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