IAN Data Access Application

Please fill in this form if you are a researcher who wants to apply to access the IAN data. Please complete all of the fields and use the Submit button.

IAN Research will contact you regarding your application.

Principal Investigator
Title  
First Name
Last Name
Position
e.g., Professor, Assistant Professor, Doctoral Student, Masters Student, Research Coordinator
Phone
Email




Institution
Institution Name
Street Address
City
Country
US State  
ZIP/Postal Code
Research Project
Title
Abstract including basic description of data analysis plan
Funding
Source(s)

Approval

Please enter your IRB and FWA below.  IROG optional.              


  Examples for Kennedy Krieger Institute study using the Johns Hopkins U School of Medicine IRB #7 (IRB X)
IRB# IRB#:  IRB00003794  [IRB# for Johns Hopkins U School of Medicine IRB #7 (IRB X)]
FWA# FWA#:  FWA00005719  [FWA# for Hugo W. Moser Rsch Inst at Kennedy Krieger, Inc.]
IORG# IORG#:  IORG000019  [IORG# for Johns Hopkins U School of Medicine]

Please note: The IRB reviewing the research described in your application must have an approved domestic or international Federal Wide Assurance (FWA) issued by the U.S. Department of Health and Human Services (HHS) Office of Human Research Protections (OHRP). Most IRBs are registered in this way. However, if you are not sure about your IRB, you can visit the OHRP Website to ensure that your IRB is registered. Please enter the appropriate FWA and IRB numbers in the form, above, before you submit.