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This services is used to request institutional data.
Subject
A short description to explain the nature of a ticket.
Reason for Request
Reason for Request (required)
Data Element - New
Data Element - Revised
FPE Project
Grant/Local/State/Federal Initiative
IRB-Approved Data Collection
Required Reporting Effort (program accreditation, etc.)
Strategic Plan Work
Survey creation and/or administration
Other (please specify below)
Please Specify "Other"
Please provide as much information as possible about the request or service needed.
How will this information support your goal(s)?
How will you be using this data?
What is the deadline associated with this request that will impact your ability to use the data for your work?
(mm/dd/yyyy)
What new data element are you requesting to collect?
Why is the new data element needed? i.e., related to policy, compliance, funding opportunities, etc.
Please describe the use case for this new data element (who would have access to it? What decisions or actions will be better informed by this new level of detail? etc.)
What related data elements are already being collected, if applicable?
What risks are associated with collecting this data? (i.e., population sensitivity, protections to consider, data breach, etc. - NOTE: Federal Government can request data that we actively collect at any point)
When is the new data element needed? (Provide term, date, or other data- or time-specific detail)
What data element are you requesting to revise?
What is the revision you are proposing? Provide as much detail as possible.
Why is this revision needed? i.e., related to policy, compliance, funding opportunities, etc.
Would any institutional outcomes or goals be impacted by this data element revision?
When is the data element revision needed? (Provide term, date, or other data- or time-specific detail)
Please describe any preparations that have started for this revision (i.e., technical or systems consideration, communications, processes, etc.)
Space for upload - include any documentation related to this request such as data sharing agreements, IRB approval, report templates, forms, etc.
File attachments associated with the ticket.
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Agreement and Acknowledgements
By clicking submit, you agree to and understand the following:
- Data will not be shared with other entities
- Data will be stored in a secure location
- Any deliverables are subject to the GRCC data retention schedule
- Questions may be asked regarding this request and prompt response is important for timely delivery.
- Requests will be prioritized based on resources so a timeline may be adjusted accordingly.
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code
(required)