Common use of Breach, and Compliance Clause in Contracts

Breach, and Compliance. Any violation of the terms of this Agreement shall be grounds for immediate termination of this Agreement. AHRQ shall determine whether a data recipient has violated any term of the Agreement. AHRQ shall determine what actions, if any, are necessary to remedy a violation of this Agreement, and the data recipient(s) shall comply with pertinent instructions from AHRQ. Actions taken by AHRQ may include but not be limited to providing notice of the termination or violation to affected parties and prohibiting data recipient(s) from accessing HCUP data in the future. In the event AHRQ terminates this Agreement due to a violation, or finds the data recipient(s) to be in violation of this Agreement, AHRQ may direct that the undersigned data recipient(s) immediately return all copies of the HCUP Nationwide Databases to AHRQ or its designee without refund of purchase fees. Acknowledgment I understand that this Agreement is requested by the United States Agency for Healthcare Research and Quality to ensure compliance with the AHRQ Confidentiality Statute. My signature indicates that I understand the terms of this Agreement and that I agree to comply with its terms. I understand that a violation of the AHRQ Confidentiality Statute may be subject to a civil penalty of up to $16,443 under 42 U.S.C. 299c-3(d), and that deliberately making a false statement about this or any matter within the jurisdiction of any department or agency of the Federal Government violates 18 U.S.C. § 1001 and is punishable by a fine, up to five years in prison, or both. Violators of this Agreement may also be subject to penalties under state confidentiality statutes that apply to these data for particular states. Signed: Date: Print or Type Name: Organization: Title: Street Address: City: State/Province/Region: Postal/ZIP Code: Country: Email: Phone: The information above is maintained by AHRQ only for the purpose of enforcement of this Agreement and for notification in the event data errors occur. Note to data purchasers: Shipment of the requested data product will only be made to the person who signs this Agreement, unless special arrangements that safeguard the data are made with AHRQ or its agent. Submission Information Signed HCUP Data Use Agreements and proof of online training must be submitted to the HCUP Central Distributor for AHRQ’s records. You may do this through the online HCUP Central Distributor. Refer to xxx.xxxxxxxxxxx.xxxx-xx.xxxx.xxx/Xxxx-Xxx-Xxxx.xxxx for instructions. Alternatively, send signed HCUP Data Use Agreements and proof of online training to: HCUP Central Distributor c/o IBM 0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 Xxxxx Xxxxxxx, XX 00000 E-mail: XXXX@XXXX.xxx Fax: (000) 000-0000 Collection of this information is required as a condition of access to Healthcare Cost and Utilization Project data products. The information collection supports requirements of the Public Health Service Act (42 U.S.C. 299c-3(c)), and is used for 1) completion of order transactions, and 2) for enforcement of the HCUP Data Use Agreement. As required by the Privacy Act of 1974, any identifying information obtained will be kept private to the extent provided by law. Public reporting burden for this collection of information is estimated to average 30 minutes per response, the estimated time required to complete the application. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0206) AHRQ, 0000 Xxxxxxx Xxxx, # 00X00X, Xxxxxxxxx, XX 00000.

Breach, and Compliance. Any violation of the terms of this Agreement shall be grounds for immediate termination of this Agreement. AHRQ shall determine whether a data recipient has violated any term of the Agreement. AHRQ shall determine what actions, if any, are necessary to remedy a violation of this Agreement, and the data recipient(s) shall comply with pertinent instructions from AHRQ. Actions taken by AHRQ may include but not be limited to providing notice of the termination or violation to affected parties and prohibiting data recipient(s) from accessing HCUP data in the future. [For State Databases] In the event AHRQ terminates this Agreement due to a violation, or finds the data recipient(s) to be in violation of this Agreement, AHRQ may direct that the undersigned data recipient(s) immediately return all copies of the HCUP State Databases to AHRQ or its designee without refund of purchase fees. [For Nationwide Databases] In the event AHRQ terminates this Agreement due to a violation, or finds the data recipient(s) to be in violation of this Agreement, AHRQ may direct that the undersigned data recipient(s) immediately return all copies of the HCUP Nationwide Databases to AHRQ or its designee without refund of purchase fees. Acknowledgment I understand that this Agreement is requested by the United States Agency for Healthcare Research and Quality to ensure compliance with the AHRQ Confidentiality Statute. My signature indicates that I understand the terms of this Agreement and that I agree to comply with its terms. I understand that a violation of the AHRQ Confidentiality Statute may be subject to a civil penalty of up to $16,443 14,140 under 42 U.S.C. 299c-3(d), and that deliberately making a false statement about this or any matter within the jurisdiction of any department or agency of the Federal Government violates 18 U.S.C. § 1001 and is punishable by a fine, up to five years in prison, or both. Violators of this Agreement may also be subject to penalties under state confidentiality statutes that apply to these data for particular states. Signed: Date: Print or Type Name: Title: Organization: TitleAddress: Street Address: City: State/Province/Region: Postal/ZIP Code: CountryPhone: EmailFax: PhoneE-mail: The information above is maintained by AHRQ only for the purpose of enforcement of this Agreement and for notification in the event data errors occur. Note to data purchasersPurchaser: Shipment of the requested data product will only be made to the person who signs this Agreement, unless special arrangements that safeguard the data are made with AHRQ or its agent. Submission Information Signed HCUP Data Use Agreements and proof of online training must be submitted to the HCUP Central Distributor for AHRQ’s records. You may do this through the online HCUP Central Distributor. Refer to xxx.xxxxxxxxxxx.xxxx-xx.xxxx.xxx/Xxxx-Xxx-Xxxx.xxxx for instructions. Alternatively, Please send signed HCUP Data Use Agreements and proof of online training to: HCUP Central Distributor c/o IBM Xxxxxx Health 0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 Xxxxx Xxxxxxx, XX 00000 E-mail: XXXX@XXXX.xxx Fax: (000) 000-0000 Collection of this information is required as a condition of access to Healthcare Cost and Utilization Project data products. The information collection supports requirements of the Public Health Service Act (42 U.S.C. 299c-3(c)), and is used for 1) completion of order transactions, and 2) for enforcement of the HCUP Data Use Agreement. As required by the Privacy Act of 1974, any identifying information obtained will be kept private to the extent provided by law. Public reporting burden for this collection of information is estimated to average 30 minutes per response, the estimated time required to complete the application. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0206) AHRQ, 0000 Xxxxxxx Xxxx, # 00X00X, Xxxxxxxxx, XX 00000.

Breach, and Compliance. Any violation of the terms of this Agreement shall be grounds for immediate termination of this Agreement. AHRQ shall determine whether a data recipient has violated any term of the Agreement. AHRQ shall determine what actions, if any, are necessary to remedy a violation of this Agreement, and the data recipient(s) shall comply with pertinent instructions from AHRQ. Actions taken by AHRQ may include but not be limited to providing notice of the termination or violation to affected parties and prohibiting data recipient(s) from accessing HCUP data in the future. In the event AHRQ terminates this Agreement due to a violation, or finds the data recipient(s) to be in violation of this Agreement, AHRQ may direct that the undersigned data recipient(s) immediately return all copies of the HCUP Nationwide Databases to AHRQ or its designee without refund of purchase fees. Acknowledgment I understand that this Agreement is requested by the United States Agency for Healthcare Research and Quality to ensure compliance with the AHRQ Confidentiality Statute. My signature indicates that I understand the terms of this Agreement and that I agree to comply with its terms. I understand that a violation of the AHRQ Confidentiality Statute may be subject to a civil penalty of up to $16,443 14,140 under 42 U.S.C. 299c-3(d), and that deliberately making a false statement about this or any matter within the jurisdiction of any department or agency of the Federal Government violates 18 U.S.C. § 1001 and is punishable by a fine, up to five years in prison, or both. Violators of this Agreement may also be subject to penalties under state confidentiality statutes that apply to these data for particular states. Signed: Date: Print or Type Name: Title: Organization: TitleAddress: Street Address: City: State/Province/Region: Postal/ZIP Code: CountryPhone: EmailFax: PhoneE-mail: The information above is maintained by AHRQ only for the purpose of enforcement of this Agreement and for notification in the event data errors occur. Note to data purchasersPurchaser: Shipment of the requested data product will only be made to the person who signs this Agreement, unless special arrangements that safeguard the data are made with AHRQ or its agent. Submission Information Signed HCUP Data Use Agreements and proof of online training must be submitted to the HCUP Central Distributor for AHRQ’s records. You may do this through the online HCUP Central Distributor. Refer to xxx.xxxxxxxxxxx.xxxx-xx.xxxx.xxx/Xxxx-Xxx-Xxxx.xxxx for instructions. Alternatively, Please send signed HCUP Data Use Agreements and proof of online training to: HCUP Central Distributor c/o IBM Social & Scientific Systems, Inc. 0000 Xxxxxxxxx Xxxxxxx Xxxxxx, 00xx Xxxxx 000 Xxxxx XxxxxxxXxxxxx Xxxxxx, XX 00000 E-mail: XXXX@XXXX.xxx XXXXXxxxxxxxxxx@XXXX.xxx Fax: (000) 000-0000 Collection of this information is required as a condition of access According to Healthcare Cost and Utilization Project data products. The information collection supports requirements of the Public Health Service Act (42 U.S.C. 299c-3(c)), and is used for 1) completion of order transactions, and 2) for enforcement of the HCUP Data Use Agreement. As required by the Privacy Paperwork Reduction Act of 19741995, any identifying information obtained will be kept private no persons are required to the extent provided by law. Public reporting burden for this respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0935-0206. The time required to complete this information collection is estimated to average 30 minutes per response, including the estimated time required to complete review instructions, search existing data resources, gather the application. An agency may not conduct or sponsordata needed, and a person is not required to respond to, a collection complete and review the information collection. If you have any comments concerning the accuracy of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate the time estimate(s) or any other aspect of this collection of information, including suggestions for reducing improving this burdenform, please write to: AHRQ Agency for Healthcare Research and Quality, Attn: Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0206) AHRQOfficer, 0000 Xxxxxxx Xxxx, # 00X00X, Xxxxxxxxx, XX Xxxxxxxx 00000.

Breach, and Compliance. Any violation of the terms of this Agreement shall be grounds for immediate termination of this Agreement. AHRQ shall determine whether a data recipient has violated any term of the Agreement. AHRQ shall determine what actions, if any, are necessary to remedy a violation of this Agreement, and the data recipient(s) recipients shall comply with pertinent instructions from AHRQ. Actions taken by AHRQ may include but not be limited to providing notice of the termination or violation to affected parties and prohibiting data recipient(s) recipients from accessing HCUP data SyH-DR in the future. In the event AHRQ terminates this Agreement due to a violation, violation or finds the data recipient(s) recipients to be in violation of this Agreement, AHRQ may direct that the undersigned data recipient(s) recipients immediately return all copies of the HCUP Nationwide Databases SyH-DR to AHRQ or its designee without refund of purchase fees. Acknowledgment (To be completed by the Data Users and Data Custodian.) I understand that this Agreement is requested by the United States Agency for Healthcare Research and Quality to ensure compliance with the AHRQ Confidentiality Statute. My signature indicates that I understand the terms of this Agreement and that I agree to comply with its terms. I understand that a violation of the AHRQ Confidentiality Statute may be subject to a civil penalty of up to $16,443 10,000 under 42 U.S.C. §299c-3(d), ) and that deliberately making a false statement about this or any matter within the jurisdiction of any department or agency of the Federal Government violates 18 U.S.C. § 1001 and is punishable by a fine, up to five 5 years in prison, or both. Violators My signature indicates that I understand the terms of this Agreement may also be subject and that I agree to penalties under state confidentiality statutes that apply to these data for particular statescomply with its terms. Signed: Date: Print or Type Name: OrganizationTitle of Study/Project: TitleAffiliation: Street Address: City: State/Province/Region: Postal/ZIP Code: CountryDate: Email: Phone: The information above is maintained Data Custodian Acknowledgment (Only to be completed by AHRQ only for the purpose Data Custodian.) I am designated as Data Custodian and shall oversee and comply with the observance of enforcement all conditions of use and the establishment and maintenance of security arrangements as specified in this Agreement to prevent unauthorized use. My signature indicates that I understand the terms of this Agreement and for notification in the event data errors occurthat I agree to comply with its terms. Note to data purchasersSigned: Shipment Print or Type Name: Title of the requested data product will only be made to the person who signs this Agreement, unless special arrangements that safeguard the data are made with AHRQ or its agent. Submission Information Signed HCUP Data Use Agreements and proof of online training must be submitted to the HCUP Central Distributor for AHRQ’s records. You may do this through the online HCUP Central Distributor. Refer to xxx.xxxxxxxxxxx.xxxx-xx.xxxx.xxx/Xxxx-Xxx-Xxxx.xxxx for instructions. Alternatively, send signed HCUP Data Use Agreements and proof of online training toStudy/Project: HCUP Central Distributor cRequesting Organization/o IBM 0000 Xxxxxxxxx Xxxxxx, Xxxxx 000 Xxxxx Xxxxxxx, XX 00000 E-mailAffiliation: XXXX@XXXX.xxx Fax: (000) 000-0000 Collection of this information is required as a condition of access to Healthcare Cost and Utilization Project data products. The information collection supports requirements of the Public Health Service Act (42 U.S.C. 299c-3(c)), and is used for 1) completion of order transactions, and 2) for enforcement of the HCUP Data Use Agreement. As required by the Privacy Act of 1974, any identifying information obtained will be kept private to the extent provided by law. Public reporting burden for this collection of information is estimated to average 30 minutes per response, the estimated time required to complete the application. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0206) AHRQ, 0000 Xxxxxxx Xxxx, # 00X00X, Xxxxxxxxx, XX 00000.Date:

Breach, and Compliance. Any violation of the terms of this Agreement shall be grounds for immediate termination of this Agreement. AHRQ shall determine whether a data recipient has violated any term of the Agreement. AHRQ shall determine what actions, if any, are necessary to remedy a violation of this Agreement, and the data recipient(s) shall comply with pertinent instructions from AHRQ. Actions taken by AHRQ may include but not be limited to providing notice of the termination or violation to affected parties and prohibiting data recipient(s) from accessing HCUP data in the future. In the event AHRQ terminates this Agreement due to a violation, or finds the data recipient(s) to be in violation of this Agreement, AHRQ may direct that the undersigned data recipient(s) immediately return all copies of the HCUP Nationwide Databases to AHRQ or its designee without refund of purchase fees. Acknowledgment I understand that this Agreement is requested by the United States Agency for Healthcare Research and Quality to ensure compliance with the AHRQ Confidentiality Statute. My signature indicates that I understand the terms of this Agreement and that I agree to comply with its terms. I understand that a violation of the AHRQ Confidentiality Statute may be subject to a civil penalty of up to $16,443 14,140 under 42 U.S.C. 299c-3(d), and that deliberately making a false statement about this or any matter within the jurisdiction of any department or agency of the Federal Government violates 18 U.S.C. § 1001 and is punishable by a fine, up to five years in prison, or both. Violators of this Agreement may also be subject to penalties under state confidentiality statutes that apply to these data for particular states. Signed: Date: Print or Type Name: Title: Organization: TitleAddress: Street Address: City: State/Province/Region: Postal/ZIP Code: CountryPhone: EmailFax: PhoneE-mail: The information above is maintained by AHRQ only for the purpose of enforcement of this Agreement and for notification in the event data errors occur. Note to data purchasersPurchaser: Shipment of the requested data product will only be made to the person who signs this Agreement, unless special arrangements that safeguard the data are made with AHRQ or its agent. Submission Information Signed HCUP Data Use Agreements and proof of online training must be submitted to the HCUP Central Distributor for AHRQ’s records. You may do this through the online HCUP Central Distributor. Refer to xxx.xxxxxxxxxxx.xxxx-xx.xxxx.xxx/Xxxx-Xxx-Xxxx.xxxx for instructions. Alternatively, Please send signed HCUP Data Use Agreements and proof of online training to: HCUP Central Distributor c/o IBM Social & Scientific Systems, Inc. 0000 Xxxxxxxxx Xxxxxxx Xxxxxx, 00xx Xxxxx 000 Xxxxx XxxxxxxXxxxxx Xxxxxx, XX 00000 E-mail: XXXX@XXXX.xxx XXXXXxxxxxxxxxx@XXXX.xxx Fax: (000) 000-0000 Collection of this information is required as a condition of access to Healthcare Cost and Utilization Project data products. The information collection supports requirements of the Public Health Service Act (42 U.S.C. 299c-3(c)), and is used for 1) completion of order transactions, and 2) for enforcement of the HCUP Data Use Agreement. As required by the Privacy Act of 1974, any identifying information obtained will be kept private to the extent provided by law. Public reporting burden for this collection of information is estimated to average 30 minutes per response, the estimated time required to complete the application. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0206) AHRQ, 0000 Xxxxxxx Xxxx, # 00X00X, Xxxxxxxxx, XX 00000.