Form 1 Progress Report

The National Institutes of Health (NIH) NeuroBioBank Tissue Access Request and Progress Report Forms

Att 8_NBB Progress Report

NBB Progress Report

OMB: 0925-0723

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Kaitlin Taylor •

NeuroBioBank

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Progress reports will be requested every 12 months until the project is complete. You will receive- an email when the progress report is due. At that time, please update the section below. You
may also update the section below at any other time.

• indicates required field

New Progress Report for [date]
1. Summary
Background*
MTnimum 500-character{without spaces) limit.

A
Results (If applicable, please attach one or more figures, tables, images, etc. detailing your results at the bottom of this webpage.)*
Minimum 500-character (without spaces) limit.

/4
Future Studies (Optional)

Changes from initial application (Optional)

A

_/4

2. Presentation
Have you presented the research that utilized the tissues provided in this request at any scientific conference/meetings?•
Yes

V

Where did you present this research?*

0 Delete
0Add

3. Manuscripts
Have you published any manuscripts that utilize the tissues provided in this request? (In a previous progress report for this tissue request, if you provided a manuscript that was
pending or not officially published yet, please report that publication here with its official PubMed ID#.)*
llo not include any publ;cations that were included in previous progress reports, ii possible.

Yes

V

PubMed ID*

Date of Publication*

Journal*

0 Delete
0Add

Have you submitted any manuscripts (not yet officially published) that utilize the tissues provided in this request?*
Yes

V

Title•

Journal Submitted To•

0 Delete
0Add

4. New Scientific Questions/Specific Aims/Grant Applications
Did the research using the tissues provided in this request lead to any new scientific question, specific aims, and/or grant applications?•
Yes

V

What institution is the specific aim/grant affiliated with?•

NIH Extramural
NIH Intramural
Other US Federal Government Agency
State Government
Academic/Medical Institution
Private Foundation

NFP
Industry
Foreign Government
Other Foreign Institution
Pending
Other
5. Personnel/Hours
As a result of the research using the tissues provided in this request, are there new individuals in your group working in this research area (who were not previously doing so)?•
Yes

V

How many?*

6. Project Complete?
Have ALL planned manuscripts been officially published? (If you selected 'Yes' for question 3b above, please answer 'No'.)
A 'Yes' here indicates the project has been completed and no more manuscripts will be pub\islled.

No

V

7. Other Tissue Sources
In addition to Neurobiobank-provided tissue, did your research also utilize tissue provided from another source?*
Yes

V

Please provide the type of tissue acquired and its source.*

/4
8. Sharing Scientific Data
Have data generated from this research been submitted to a data repository?
V

If yes, please provide the name of the data repository.

4.,
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