NTRAP NTRAP – Aim 1 NTRAP – Aim 2 Aim 2 – Core Outcome Set Aim 2 – Measurement Instruments Aim 2 – Publications NTRAP – Aim 3 NTRAP Data Access Request Date(Required) MM slash DD slash YYYY Phone(Required)Email(Required) Principal Investigator Name(Required) Academic Position/Title(Required) Institutional Affiliation(Required)Potential Collaborating Institutions/InvestigatorsTitle of Proposed Study or Project to use NTRAP Data(Required) Type Of Request(Required)Is this an initial request or a resubmission? New Renewal Study/Project Summary(Required)The NTRAP Research Gap Panel Data you plan to use:(Required)Select as many as apply: Acute Resuscitation, Evaluation & Imaging Burns & Reconstructive Surgery Geriatric Trauma Injury Prevention Long-term functional outcomes & Rehabilitation Neurotrauma Orthopedic Trauma Pediatric Trauma Post-Admission Critical Care Prehospital & Mass Casualty Triage Trauma Systems & Informatics All of the Above None of the Above Other NTRAP Data you plan to use: Patient-Reported Outcomes & Outcome Measures Regulatory Challenges NTRAP Participation(Required)Were you a member of one of the NTRAP Panels? No Yes Panel ParticipationIf Yes, in which panel(s) did you participate? CNTR Member Affiliation(Required)Are you a member of any of the following CNTR Core or Stakeholder organizations? (Select all that apply) American Association for the Surgery of Trauma Eastern Association for the Surgery of Trauma ACS-Committee on Trauma Western Trauma Association American Burn Association Orthopedic Trauma Association American Trauma Society Military Health Systems Strategic Partnership at ACS Society of Trauma Nurses No affiliation Supporting DocumentsUpload the CVs or biographical sketches for all collaborating investigators.Principal Investigator CVMax. file size: 2 GB.#1 Collaborating Investigator CVMax. file size: 2 GB.#2 Collaborating Investigator CVMax. file size: 2 GB.#3 Collaborating Investigator CVMax. file size: 2 GB.Has your local I.R.B. approved your project?(Required) Yes No Currently Under IRB Review Is the project exempt from federal regulations?(Required) Yes No If exempt, check the appropriate number: 1 2 3 4 5 6 VerificationPlease enter any two digitsVerification(Required) Example: 12 Δ
