Attachment K_CoC_All

Attach_K_CoC_All_May2019_R_Aug2019.pdf

Fertility Knowledge Survey

Attachment K_CoC_All

OMB: 0937-0208

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ATTACHMENT K 
Certificate of Confidentiality 

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This page is intentionally blank. 

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CERTIFICATE OF CONFIDENTIALITY
Number:
CC-OD-19-210
Issued to
RTI INTERNATIONAL
conducting research known as
HHS/OPA Online Fertility Knowledge Survey
In accordance with the provisions of section 301(d) of the Public Health Service Act, 42 U.S.C. 241(d), this Certificate
is issued to the Principal Investigator, Dr. CHRISTINA FOWLER and RTI INTERNATIONAL to protect the privacy of
subjects in the above named single-site/single-protocol research study, which is collecting or using identifiable,
sensitive information. If there is a discrepancy between the terms used in this Certificate and section 301(d), the
statutory language will control.
Research data containing identifiable, sensitive information collected during this study initiated on 04/15/2019 (and
concluding on 09/30/2022) is covered by the Certificate. Identifiable, sensitive information protected by the Certificate
and all copies thereof are protected for perpetuity.
The recipient of this Certificate shall comply with all requirements of subsection 301(d) of the Public Health Service
Act.
This Certificate does not represent an endorsement of the research project by the Department of Health and Human
Services. Information collected during the term of the Certificate is protected in perpetuity. However, this Certificate
does not protect information collected from participants enrolled after the term of the Certificate.

3/22/2019
Date

NIH Certificates of Confidentiality Coordinator
Office of Extramural Research
National Institutes of Health

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File Typeapplication/pdf
File TitleMicrosoft Word - Attach_E_CoC_CoverOnly
Authorcfowler
File Modified2019-08-11
File Created2019-05-13

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