AGREEMENT FOR USE OF RESTRICTED DATA FROM THE DISPLACED NEW ORLEANS RESIDENTS PILOT STUDY Please submit electronically one signed copy of this document To obtain access to the DNORPS Restricted Use Data, the User and co-investigators, staff members, and students (if any) agree to the following conditions: • No attempt whatsoever will be made to determine the identity of participants in the DNORPS. • No tables will be presented or published with individual cell counts below five (5) cases. • DNORPS Restricted Use data will only be used for scientific research and aggregate statistical reporting. • The DNORPS Restricted Use data or derived files will not be transferred to anyone else other than co-investigators, staff members, and students working directly under the Restricted Data Investigator’s supervision. • DNORPS Restricted Use data files and any derived data files will be destroyed if requested by RAND. • Citations for any papers, articles, books, working papers, presentations at professional meetings or conferences, or other publications that used the DNORPS data will be provided to the DNORPS project by e-mail (dnors@rand.org). We also ask that you send us copies of these publications. Electronic copies are preferred, although hard copies are accepted (contact us at dnors@rand.org for our mailing address). • Acknowledge RAND and RGSPI as the source of the DNORPS in all presentations, reports, and publications based on these data. The acknowledgement should substantially follow the following form: “This research is based on data from the Displaced New Orleans Residents Pilot Study conducted by the RAND Corporation.” • If the identity of any individual, household, or community is discovered inadvertently by you or by someone working with you, then you agree to the following: 1. No use will be made of this knowledge; 2. RAND will be advised of the incident immediately at dnors@rand.org; 3. You will destroy or safeguard the information that would identify an individual as requested by RAND; and DNORPS Restricted Data Use Agreement (6/2008) 4. You will not inform anyone else of the discovered identity or methods you used to discover this identity • Report any errors in the database or documentation to the DNORS project by email at dnors@rand.org. • You agree to insure that anyone working with the restricted data you downloaded follows these rules in their use of the data. RESTRICTED DATA INVESTIGATOR __________________________________ Signature Date _____________________________ Typed/Printed name __________________________________ Title _____________________________ Phone __________________________________ Institution _____________________________ Fax __________________________________ Address _____________________________ E-mail __________________________________ __________________________________ City State Zip _______________________________________________________________________ Project Title _______________________________________________________________________ __________________________________ Project start/end dates DNORPS Restricted Data Use Agreement (6/2008)