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GTCP Data Request

Office Use Only

Data Request Status

Data Request Approval Date

Data Request Active

No Yes

Data Request Expiration Date

Data Request Access Date

Notes

Applicant / Organization

id

Requested

Requested By

Modified

2026-10-29 02:22:43

Modified By

userid

First Name

Last Name

Principal Investigator (PI):

Title/Position:

Institution/Organization:

Institution Address:

Department/Unit:

Email Address:

Phone Number:

Project Information

Project Title:

Project Type:

Project Type Other:

Project Start Date:

Anticipated Project End Date:

Data Use and Analysis Plan

Provide a description (250 words) of:

Research Objectives

249 Words left

Key Research Questions

249 Words left

Relevance to public health, food systems, policy, or community outcomes

249 Words left

Research Abstract

249 Words left

Purpose and Significance

Provide a concise description (250 words) of:

Analytical Approach

249 Words left

Expected Outputs

249 Words left

Stakeholder Dissemination Plans

249 Words left

Dissemination Plan

Select the anticipated dissemination products resulting from the project. Investigators are expected to notify GTCP Data Owners of publications or public-facing outputs developed using GTCP data.

Expected Output

Expected Output Other:

Data Requested

Select the datasets, geographic areas, and variables necessary to complete the proposed project. Requests should be limited to the minimum data needed to address the stated research objectives.

Dataset(s):

Survey 1

Survey 4

Survey 7

Survey 2

Survey 5

Survey 8

Survey 3

Survey 6

Survey 9

Year

Geographic Scope:

Signatures

The Principal Investigator must sign and date the form to certify compliance with all GTCP data use requirements. Additional institutional signatures may be requested when applicable.

Principal Investigator:

Name:

Signature:

Date:

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