Application for Permission to Share Data and Collaborate

Terms for use to data from the KISO Survey Cohort.

Felter markeret med * skal udfyldes.

I have read and am familiar with the current Terms for use to data from the KISO Survey Cohort and hereby confirm my acceptance. *

Yes

Subproject Title *

Subproject Leader

Name *

Position *

Academic Degree *

Phone *

Email *

Work Address *

Summary of Project Description (max 250 words) *

including the following: - Purpose - Materials and Methods - Publication Strategy - Keywords (max 5) - Timeline (expected start and end dates) - Full project protocol must be attached as an appendix

Approvals/Permissions: Ethics Committee:

Yes (attach copy)

No – not relevant. Explain why

The Data Protection Agency or local registration number of project:

Yes (attach copy)

No – not relevant. Explain why

Others:

Yes (attach)

Data Variables

Will the data be linked to other data?

Yes, data will be linked to other data

For example, registry data.

How is the subproject funded? *

Declaration of Potential Conflicts of Interest *

Please provide a full disclosure of any potential conflicts of interest, including financial, institutional, or personal relationships that could be perceived as influencing the work presented in this subproject.

All members of the subproject group (names and affiliations): *

Name of contact person *

Position: *

Phone *

Email: *

Invoice should be sent to:

Organization: *

Name: *

Address: *

EAN:

CVR:

Apply for exemption from an invoice Please briefly explain why an exemption is necessary for the project to be feasible

Research protocol (3-5 pages) *

- Title of project
- Background (including relevant references)
- Aim
- Exact description of the data needed
- KISO Survey data and previous data, if required
- Selection of subject
- Register data
- Description of the acquisition of new data including register data (if relevant)
- Plan for analyses and articles.
The project must comply with the protocol, and new studies based on the data acquired may not proceed without the permission of the KISO Survey steering committee.

Attachments:

CV of the subproject leader (max 2 pages) *

National spørgeskemaundersøgelse om overgangsalder udsendt til kvinder mellem 45 og 59 år bosat i Danmark.

KiSO

Application for Permission to Share Data and Collaborate

KiSO Survey