Skip to main content
Created with Sketch.
Log in
Sign up
Main Menu
About NewSTEPs
Screening Successes
Continuous Quality Improvement
Request Site Review
FAQs
Newborn Screening Disorders
Resource Library
Toolkits
Webinars & Events
Data Center
NBS Cases
Quality Indicators
State Profiles
Dashboards and Reports
Request Data
Manage Data
User Management
Submit Confirmed Case Data
Submit Quality Indicator Data
Submit State Profile Data
Data Dictionary
Log in
Sign up
NewSTEPs
Manage Data
Data Requests
Quality Indicator Data
You must have JavaScript enabled to use this form.
Current
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Complete
Quality Indicator Data
Information
Policy and Procedure Confirmation
I confirm that I have read and agree to all policies and procedures therein contained in the NewSTEPs Repository Data Request Policy and Procedures
Two column per row
Date of Request
Date of Request: Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Date of Request: Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date of Request: Year
Year
2024
2025
2026
2027
2028
2029
Desired Request Completion Date
Desired Request Completion Date: Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Desired Request Completion Date: Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Desired Request Completion Date: Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Name of Project that will Utilize this Data
Funding Y/N
yes
no
Describe why you need NewSTEPs Repository data. Please include research questions you hope to answer, hypotheses, objectives, research design, study cohort, and method of analysis.
Please attach any mock tables and figures you may use when presenting results (optional)
CHOOSE FILE
No file chosen
Files must be less than 2 MB. Allowed file types: gif jpg jpeg png pdf doc docx odt ppt pptx xls xlsx.
More
One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, rtf, html, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.
Specify years and data variables: please review and select the data elements you are requesting in the appropriate NewSTEPs Data Repository Data Elements documents. Below are the parameters, please indicate the following:
×
Outdated Browser
This website is not compliant with Internet Explorer. Please continue your experiense using Microsoft Edge, or another up-to-date browser.