{"id":5424,"date":"2016-12-14T15:34:37","date_gmt":"2016-12-14T20:34:37","guid":{"rendered":"https:\/\/www.bu.edu\/research\/?post_type=forms-policies&#038;p=5424"},"modified":"2026-05-11T09:41:24","modified_gmt":"2026-05-11T13:41:24","slug":"data-use-agreement-form","status":"publish","type":"forms-policies","link":"https:\/\/www.bu.edu\/research\/forms-policies\/data-use-agreement-form\/","title":{"rendered":"Data Use Agreement (DUA) Form"},"content":{"rendered":"<p><span>A data use agreement (DUA) is a contractual document used for the transfer of data that has been developed by nonprofit, government, or private industry, where the data is nonpublic or is otherwise subject to some restrictions on its use. <\/span>We recommend researchers enter into a data use agreement any time data is transferred into or out of BU. The form below is the first step to obtaining such an agreement.<\/p>\n<a href=\"https:\/\/www.bu.edu\/research\/collaboration-partnership\/industry-collaboration\/data-use-agreements-duas\/\" class=\"button button-base\">Learn More<\/a>\n<hr>\n<ul><\/ul>\n<h2 id=\"complete-form\">Complete Form<\/h2>\n<p>Submit the form by clicking on the Submit button. This will send a copy of the form to Corporate Research &amp; Contracting via your normal email. Corporate Research &amp; Contracting will confirm receipt and review the form and initiate the agreement review process. Please contact <a href=\"mailto:industry@bu.edu\">industry@bu.edu<\/a> if you do not receive a confirmation within 3 business days.<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_223' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_223'  action='\/research\/wp-json\/wp\/v2\/forms-policies\/5424' data-formid='223' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_223' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_223_56\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_56\"><strong>1. BU Contact Information:<\/strong><\/li><li id=\"field_223_1\"  class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_1\"><label class='gfield_label gform-field-label' for='input_223_1' >BU Principal Investigator (PI) Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_223_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_40\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_40\"><label class='gfield_label gform-field-label' for='input_223_40' >BU PI Department:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_223_40' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_3\"  class=\"gfield gfield--type-phone gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_3\"><label class='gfield_label gform-field-label' for='input_223_3' >BU PI Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_223_3' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_223_4\"  class=\"gfield gfield--type-phone gf_middle_third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_4\"><label class='gfield_label gform-field-label' for='input_223_4' >BU PI Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_223_4' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_223_5\"  class=\"gfield gfield--type-email gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_5\"><label class='gfield_label gform-field-label' for='input_223_5' >BU PI Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_223_5' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_223_47\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_47\"><label class='gfield_label gform-field-label' for='input_223_47' >BU PI Lab Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_223_47'>(Include room, street, and ZIP code.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_223_47' class='textarea small'  aria-describedby=\"gfield_description_223_47\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_44\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_44\"><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_223_44'><li class='gchoice gchoice_223_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='(optional) Check here if to specify an alternate BU contact besides the PI.' checked='checked' id='choice_223_44_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_223_44_1' id='label_223_44_1' class='gform-field-label gform-field-label--type-inline'>(optional) Check here if to specify an alternate BU contact besides the PI.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_39\"  class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_39\"><label class='gfield_label gform-field-label' for='input_223_39' >Alternate BU Contact Name and Email:<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_223_39' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_48\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_48\"><strong>2. External Party who will be participating in exchange of Data:<\/strong><\/li><li id=\"field_223_6\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_6\"><label class='gfield_label gform-field-label' for='input_223_6' >External Party Institution Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_223_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_8\"  class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_8\"><label class='gfield_label gform-field-label' for='input_223_8' >External Party PI:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_223_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_49\"  class=\"gfield gfield--type-phone gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_49\"><label class='gfield_label gform-field-label' for='input_223_49' >External Party PI Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_49' id='input_223_49' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_223_50\"  class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_50\"><label class='gfield_label gform-field-label' for='input_223_50' >External Party PI Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_223_50' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_7\"  class=\"gfield gfield--type-text gf_left_third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_7\"><label class='gfield_label gform-field-label' for='input_223_7' >External Party Administrative Contact (if known):<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_223_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_51\"  class=\"gfield gfield--type-phone gf_middle_third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_51\"><label class='gfield_label gform-field-label' for='input_223_51' >External Party Administrative Contact Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_51' id='input_223_51' type='text' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_223_32\"  class=\"gfield gfield--type-email gf_right_third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_32\"><label class='gfield_label gform-field-label' for='input_223_32' >External Party Administrative Contact Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_32' id='input_223_32' type='text' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_223_58\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_58\"><strong>3. Data Sharing<\/strong><\/li><li id=\"field_223_52\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_52\"><label class='gfield_label gform-field-label'  >a. Who will be sharing Data?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_52'>\n\t\t\t<li class='gchoice gchoice_223_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Inbound - External party will share Data with BU'  id='choice_223_52_0'    \/>\n\t\t\t\t<label for='choice_223_52_0' id='label_223_52_0' class='gform-field-label gform-field-label--type-inline'>Inbound - External party will share Data with BU<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='Outbound - BU will share Data with External party'  id='choice_223_52_1'    \/>\n\t\t\t\t<label for='choice_223_52_1' id='label_223_52_1' class='gform-field-label gform-field-label--type-inline'>Outbound - BU will share Data with External party<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='Mutual - Both parties will share Data'  id='choice_223_52_2'    \/>\n\t\t\t\t<label for='choice_223_52_2' id='label_223_52_2' class='gform-field-label gform-field-label--type-inline'>Mutual - Both parties will share Data<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_57\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_57\"><label class='gfield_label gform-field-label'  >b. Was the Data generated using U.S. federal funding?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_57'>\n\t\t\t<li class='gchoice gchoice_223_57_0'>\n\t\t\t\t<input name='input_57' type='radio' value='Yes'  id='choice_223_57_0'    \/>\n\t\t\t\t<label for='choice_223_57_0' id='label_223_57_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_57_1'>\n\t\t\t\t<input name='input_57' type='radio' value='No'  id='choice_223_57_1'    \/>\n\t\t\t\t<label for='choice_223_57_1' id='label_223_57_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_57_2'>\n\t\t\t\t<input name='input_57' type='radio' value='Don&#039;t know'  id='choice_223_57_2'    \/>\n\t\t\t\t<label for='choice_223_57_2' id='label_223_57_2' class='gform-field-label gform-field-label--type-inline'>Don't know<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_59\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_59\"><label class='gfield_label gform-field-label' for='input_223_59' >Please describe the federal funding involved in the Data generation.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_59' id='input_223_59' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_53\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_53\"><label class='gfield_label gform-field-label' for='input_223_53' >Please describe the nature of the Data you are going to RECEIVE.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_223_53' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_54\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_54\"><label class='gfield_label gform-field-label' for='input_223_54' >Please describe the nature of the Data you are going to PROVIDE.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_223_54' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_55\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_55\"><label class='gfield_label gform-field-label' for='input_223_55' >Please describe the nature of the Data that the parties are going to EXCHANGE.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_55' id='input_223_55' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_11\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_11\"><label class='gfield_label gform-field-label' for='input_223_11' >4. If BU is the RECIPIENT, provide the BU location of where research using the data will be conducted. (***If you know, please reference the BU computing environment, e.g., BU network drive, BU Shared Computing Cluster, BU Microsoft SharePoint\/Teams for collaboration, and list any devices that will be used to store or access the data, including any devices that are not owned or managed BU.***) If BU is the PROVIDER, provide the BU location of the research that generated the data.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_223_11'>(Include room, street, and ZIP code.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_223_11' class='textarea small'  aria-describedby=\"gfield_description_223_11\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_63\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_63\"><label class='gfield_label gform-field-label'  >5. Will the Data be shared with other BU faculty, staff or students?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_63'>\n\t\t\t<li class='gchoice gchoice_223_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='Yes'  id='choice_223_63_0'    \/>\n\t\t\t\t<label for='choice_223_63_0' id='label_223_63_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='No'  id='choice_223_63_1'    \/>\n\t\t\t\t<label for='choice_223_63_1' id='label_223_63_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_64\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_64\"><label class='gfield_label gform-field-label' for='input_223_64' >Please provide the name(s) and email address(es) for all persons with whom Data will be shared:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_64' id='input_223_64' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_12\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_12\"><label class='gfield_label gform-field-label' for='input_223_12' >6. If BU is the RECIPIENT, provide a description of the research to be conducted with Data.  If BU is the PROVIDER, provide a description of the research that generated the Data (please provide project title(s), grant\/award number(s), sponsor(s) name(s)).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_223_12' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_13\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_13\"><label class='gfield_label gform-field-label'  >7. Are you accessing Framingham Heart Study (FHS) Data?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_13'>\n\t\t\t<li class='gchoice gchoice_223_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Yes'  id='choice_223_13_0'    \/>\n\t\t\t\t<label for='choice_223_13_0' id='label_223_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='No'  id='choice_223_13_1'    \/>\n\t\t\t\t<label for='choice_223_13_1' id='label_223_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_33\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_33\"><label class='gfield_label gform-field-label'  >8. Does the Data contain information collected from human research subjects?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_33'>\n\t\t\t<li class='gchoice gchoice_223_33_0'>\n\t\t\t\t<input name='input_33' type='radio' value='Yes'  id='choice_223_33_0'    \/>\n\t\t\t\t<label for='choice_223_33_0' id='label_223_33_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_33_1'>\n\t\t\t\t<input name='input_33' type='radio' value='No'  id='choice_223_33_1'    \/>\n\t\t\t\t<label for='choice_223_33_1' id='label_223_33_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_14\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_14\"><label class='gfield_label gform-field-label'  >9. Does the Data contain any identifiers (PII) including geolocation, financial, or individually identifiable health information or protected health information (PHI) including genomic, \u2018omic, biometric?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_223_14'>If you are unsure if Data is PII or PHI, please review the 18 identifiers on this link: <a href=\"https:\/\/thefdp.org\/wp-content\/uploads\/human_subject_data_classification_tool.pdf\">FDP Tool for Classifying Human Subjects Data<\/a><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_14'>\n\t\t\t<li class='gchoice gchoice_223_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_223_14_0'    \/>\n\t\t\t\t<label for='choice_223_14_0' id='label_223_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_223_14_1'    \/>\n\t\t\t\t<label for='choice_223_14_1' id='label_223_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_15\"  class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_15\"><label class='gfield_label gform-field-label' for='input_223_15' >Please provide your IRB protocol number.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_223_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_46\"  class=\"gfield gfield--type-fileupload gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_46\"><label class='gfield_label gform-field-label' for='gform_browse_button_223_46' >IRB Documentation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_223_46'>Please upload applicable IRB documents (e.g., BU IRB approval letter)<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_223_46' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_223_46&quot;,&quot;container&quot;:&quot;gform_multifile_upload_223_46&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_223_46&quot;,&quot;filelist&quot;:&quot;gform_preview_223_46&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/?gf_page=8dc2119f6bced5e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;104857600b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:223,&quot;field_id&quot;:46},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_223_46&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_223_46' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_223_46' class='button gform_button_select_files' aria-describedby=\"gfield_upload_rules_223_46 gfield_description_223_46\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_223_46'>Max. file size: 100 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_223_46'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_223_46' class='ginput_preview_list'><\/div><\/li><li id=\"field_223_35\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_35\"><label class='gfield_label gform-field-label'  >10. Is this DUA being requested for a Subaward or Subcontract?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_35'>\n\t\t\t<li class='gchoice gchoice_223_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes'  id='choice_223_35_0'    \/>\n\t\t\t\t<label for='choice_223_35_0' id='label_223_35_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No'  id='choice_223_35_1'    \/>\n\t\t\t\t<label for='choice_223_35_1' id='label_223_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_36\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_36\"><label class='gfield_label gform-field-label' for='input_223_36' >Please provide your Subaward\/Subcontract number.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_223_36' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_16\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_16\"><label class='gfield_label gform-field-label' for='input_223_16' >11. If BU is the RECIPIENT, how will you fund the research to be conducted with the Data?  If BU is the PROVIDER, how did you fund the research that generated the Data?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_223_16'>Please provide grant\/award number, if applicable.   <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_223_16' class='textarea small'  aria-describedby=\"gfield_description_223_16\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_20\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_20\"><label class='gfield_label gform-field-label'  >12. Do you anticipate that any inventions will be developed by you from the use of the Data?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_20'>\n\t\t\t<li class='gchoice gchoice_223_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Yes'  id='choice_223_20_0'    \/>\n\t\t\t\t<label for='choice_223_20_0' id='label_223_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='No'  id='choice_223_20_1'    \/>\n\t\t\t\t<label for='choice_223_20_1' id='label_223_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_21\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_21\"><label class='gfield_label gform-field-label' for='input_223_21' >Please discuss in as much detail as possible.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_223_21' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_17\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_17\"><label class='gfield_label gform-field-label'  >13. Will the Data be used in conjunction with other research?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_17'>\n\t\t\t<li class='gchoice gchoice_223_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='Yes'  id='choice_223_17_0'    \/>\n\t\t\t\t<label for='choice_223_17_0' id='label_223_17_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='No'  id='choice_223_17_1'    \/>\n\t\t\t\t<label for='choice_223_17_1' id='label_223_17_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_18\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_18\"><label class='gfield_label gform-field-label' for='input_223_18' >Please provide the sponsor(s) name(s), project title(s) and sponsored project number(s).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_223_18' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_19\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_19\"><label class='gfield_label gform-field-label'  >14. Other than PHI\/PII, do you anticipate sending any Confidential Information as a part of this transfer?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_19'>\n\t\t\t<li class='gchoice gchoice_223_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Yes'  id='choice_223_19_0'    \/>\n\t\t\t\t<label for='choice_223_19_0' id='label_223_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='No'  id='choice_223_19_1'    \/>\n\t\t\t\t<label for='choice_223_19_1' id='label_223_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_22\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_22\"><label class='gfield_label gform-field-label'  >15. Do you plan to publish the results of the research using these Data?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_22'>\n\t\t\t<li class='gchoice gchoice_223_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='Yes'  id='choice_223_22_0'    \/>\n\t\t\t\t<label for='choice_223_22_0' id='label_223_22_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='No'  id='choice_223_22_1'    \/>\n\t\t\t\t<label for='choice_223_22_1' id='label_223_22_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_23\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_23\"><label class='gfield_label gform-field-label' for='input_223_23' >Please provide a brief description of your plan.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_23' id='input_223_23' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_223_60\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_223_60\"><label class='gfield_label gform-field-label'  >16. If the Data is Human Subject Data, do you plan on sharing Data with an Entity or Person outside of the US?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_223_60'>As there are new Justice Department restrictions, please review the following if this pertains to you: <a href=\"https:\/\/www.justice.gov\/archives\/opa\/media\/1382526\/dl\">Restrictions on Certain U.S. Data Transactions to Countries of Concern<\/a><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_223_60'>\n\t\t\t<li class='gchoice gchoice_223_60_0'>\n\t\t\t\t<input name='input_60' type='radio' value='Yes'  id='choice_223_60_0'    \/>\n\t\t\t\t<label for='choice_223_60_0' id='label_223_60_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_60_1'>\n\t\t\t\t<input name='input_60' type='radio' value='No'  id='choice_223_60_1'    \/>\n\t\t\t\t<label for='choice_223_60_1' id='label_223_60_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_223_60_2'>\n\t\t\t\t<input name='input_60' type='radio' value='Don&#039;t know'  id='choice_223_60_2'    \/>\n\t\t\t\t<label for='choice_223_60_2' id='label_223_60_2' class='gform-field-label gform-field-label--type-inline'>Don't know<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_61\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_61\"><label class='gfield_label gform-field-label' for='input_223_61' >Please select the country of the Entity with whom you are sharing the Human Subject Data:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_223_61' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><\/div><\/li><li id=\"field_223_34\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_34\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >17. Does the sponsor indicate that any of the following restrictions or limitations will be applied to your activities under this agreement? Please check all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_223_34'><li class='gchoice gchoice_223_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Not Applicable'  id='choice_223_34_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_223_34_1' id='label_223_34_1' class='gform-field-label gform-field-label--type-inline'>Not Applicable<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_223_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='Prior approval for dissemination\/publications'  id='choice_223_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_223_34_2' id='label_223_34_2' class='gform-field-label gform-field-label--type-inline'>Prior approval for dissemination\/publications<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_223_34_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.3' type='checkbox'  value='Restrictions on access or participation by foreign nationals'  id='choice_223_34_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_223_34_3' id='label_223_34_3' class='gform-field-label gform-field-label--type-inline'>Restrictions on access or participation by foreign nationals<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_223_34_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.4' type='checkbox'  value='Export control restrictions [International Traffic Arms Regulations (ITAR), Export Administration Regulations (EAR), Nuclear Regulations]'  id='choice_223_34_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_223_34_4' id='label_223_34_4' class='gform-field-label gform-field-label--type-inline'>Export control restrictions [International Traffic Arms Regulations (ITAR), Export Administration Regulations (EAR), Nuclear Regulations]<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_223_24\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_24\"><h2 class=\"gsection_title\">Principal Investigator Certification:  I certify that the information I have provided about this project is accurate. Furthermore I certify that I will direct this project in compliance with Boston University policies, and with all applicable laws and regulations.<\/h2><\/li><li id=\"field_223_25\"  class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_25\"><label class='gfield_label gform-field-label' for='input_223_25' >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_223_25' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_223_26\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_26\"><label class='gfield_label gform-field-label' for='input_223_26' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_26' id='input_223_26' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_223_26_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_223_26_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_223_26' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_223_29\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_29\"><label class='gfield_label gform-field-label' for='gform_browse_button_223_29' >Upload any relevant documentation (e.g., Word version of draft agreement from external party, IRB approval letter, etc.) here:<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_223_29' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_223_29&quot;,&quot;container&quot;:&quot;gform_multifile_upload_223_29&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_223_29&quot;,&quot;filelist&quot;:&quot;gform_preview_223_29&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/?gf_page=8dc2119f6bced5e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf,doc,docx,xls,xlsx&quot;}],&quot;max_file_size&quot;:&quot;104857600b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:223,&quot;field_id&quot;:29},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_223_29&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_223_29' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_223_29' class='button gform_button_select_files' aria-describedby=\"gfield_upload_rules_223_29\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_223_29'>Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 100 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_223_29'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_223_29' class='ginput_preview_list'><\/div><\/li><li id=\"field_223_65\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_65\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_223_66\"  class=\"gfield gfield--type-html bu_google_recaptcha gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_66\"><div class=\"g-recaptcha\" data-sitekey=\"6LeGxkEjAAAAAK4nzHZn3a_6jB2ELSN935WrVBfC\"><\/div><\/li><li id=\"field_223_67\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_223_67\"><label class='gfield_label gform-field-label' for='input_223_67' >Phone<\/label><div class='ginput_container'><input name='input_67' id='input_223_67' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_223_67'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' 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