Data Request Form

Data Request Form

Which category fits you?*

I am affiliated with Indiana University.

I am NOT affiliated with Indiana University.

If you are affiliated with Indiana University, please note the following before proceeding to the Data Request Form:

All data requests will require:

Institutional Review Board (IRB) approval
Understanding of Family Educational Rights and Privacy Act (FERPA) regulations or equivalent training.

If you are not affiliated with Indiana University, please note the following before proceeding to the Data Request Form:

All data requests will require:

Institutional Review Board (IRB) approval
Understanding of Family Educational Rights and Privacy Act (FERPA) regulations

I attest that I have read and understand the FERPA regulations*

Yes

Please provide completion date for the FERPA training*

Please Note: Upon receipt of the data request form, a student data and survey request vetting committee will either approve or deny your request, based upon the scope, intent, and feasibility as well as compliance with applicable University requirements (e.g., IRB, FERPA). The committee will attempt to make a decision within two weeks of receiving the request.

Date of Data Request*

Name of Data Requestor*

Department/School/Institution/Agency*

Email*

Phone*

Name of Principal Investigator

If different from Requestor

IRB Approval Number*

Purpose of Request*

Select

Type of Data Requested*

Select

Please describe your request and how you intend to use the data*

(Be very specific)

Please describe your research question*

Have you conducted a recent literature review (in the past 6 months)?*

Yes

Do you anticipate your results to be generalizable?*

Yes

If you have relevant documentation about your request, please upload the file below.

(e.g., IRB approval letter, survey instrument, etc.)

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse