Community Tracking Study Physician Survey, 2004-2005 Restricted Data Use Agreement:
Supplemental Agreement With Research Staff

INSTRUCTIONS: Please submit an original-signature copy of this agreement. (It will be countersigned and a copy returned to you.) Use additional copies of this page if necessary.

The undersigned staff, in consideration of their use of restricted data from the Community Tracking Study Physician Survey, 2004-2005, certify the following:

1. That they have read the associated Community Tracking Study Physician Survey 2004-2005, Restricted Data Use Agreement, and the Data Protection Plan incorporated by reference into this Agreement.

2. That they are "Research Staff" within the meaning of the Agreement (any research staff other than the Restricted Data Investigator).

3. That they will fully comply with the terms of the Agreement, including the Data Protection Plan incorporated by reference into it.

4. That they will not attempt to access Community Tracking Study Physician Survey, 2004-2005 restricted data until approved to do so by the ICPSR.

The above Research Staff are hereby granted approval to access Community Tracking Study Physician Survey, 2004-2005 restricted data:

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Inter-university Consortium for Political and Social Research

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Date

[General Information on CTS Restricted Data] [Application for CTS Restricted Data]
[Data Protection Plan Instructions] [Restricted Data Use Agreement]