Get Contract - Population Studies Center

Completing the Contract - Population Studies Center is a crucial step for users seeking access to data containing individual identifiers. This guide provides clear, step-by-step instructions to ensure a smooth online completion process, even for those with limited legal experience.

Follow the steps to complete the online form effectively.

1. Click ‘Get Form’ button to obtain the Contract - Population Studies Center and open it in your preferred document editor.
2. In the first paragraph, enter the name of the requesting organization.
3. Proceed to Section #1 and repeat by entering the organization name again.
4. In Section #4, specify the name of your study or project along with any applicable CMS contract number.
5. In Section #5, delineate the files and years you are requesting. If you are unsure of specific file names, contact a CMS representative to acquire the necessary details.
6. Complete Section #6 by entering the anticipated completion date for your study or project.
7. Fill out Section #12 with your information as the User.
8. Complete Section #16 with your information as the Requestor.
9. In Section #17, provide the custodian's name, company, address, phone number, and email address. The custodian is responsible for the data.
10. Any necessary information for Section #18 will be completed by a CMS representative.
11. If applicable, complete Section #19 with the name of any Federal Agencies funding your study.
12. Sections #20a and 20b will be filled out by a CMS representative.
13. If there are additional custodians, complete the Addendum CMS-R-0235A.
14. Once all sections are filled out, save your changes, then download, print, or share the completed form as necessary.

Complete your Contract - Population Studies Center online today to ensure timely access to the necessary data.