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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DOH-5132
for the current year.
Form DOH-5132 Sparcs Limited and Identifiable Data Request Form - New York
What Is Form DOH-5132?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form DOH-5132?
A: Form DOH-5132 is the Sparcs Limited and Identifiable Data Request Form in New York.
Q: What is Sparcs?
A: SPARCS stands for Statewide Planning and Research Cooperative System. It is a comprehensive all-payer data reporting system in New York.
Q: What is the purpose of Form DOH-5132?
A: Form DOH-5132 is used to request limited and identifiable data from the SPARCS system in New York.
Q: Who can submit Form DOH-5132?
A: Form DOH-5132 can be submitted by qualified researchers, government agencies, and healthcare organizations.
Q: What information is needed in Form DOH-5132?
A: Form DOH-5132 requires information such as the purpose of the request, data elements requested, data use agreement, and contact information.
Q: Is there a fee for submitting Form DOH-5132?
A: Yes, there is typically a fee associated with submitting Form DOH-5132 to cover processing costs.
Q: How long does it take to process Form DOH-5132?
A: The processing time for Form DOH-5132 varies, but it can take several weeks to months.
Q: Can I request identifiable data from Sparcs system?
A: Yes, qualified researchers, government agencies, and healthcare organizations can request limited and identifiable data from the SPARCS system using Form DOH-5132.
Q: What is limited data?
A: Limited data refers to data that has certain identifying information removed or de-identified to protect privacy and confidentiality.
Form Details:
- Released on April 1, 2016;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DOH-5132 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-5132 Sparcs Limited and Identifiable Data Request Form - New York
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