With recent advances in sequencing, genotyping arrays, and imputation, GWAS now aim to identify associations with rare and uncommon genetic variants. Here, we describe and evaluate a class of statistics, generalized score statistics (GSS), that can test for an association between a group of genetic variants and a phenotype. GSS are a simple weighted sum of single-variant statistics and their cross-products. We show that the majority of statistics currently used to detect associations with rare variants are equivalent to choosing a specific set of weights within this framework. We then evaluate the power of various weighting schemes as a function of variant characteristics, such as MAF, the proportion associated with the phenotype, and the direction of effect. Ultimately, we find that two classical tests are robust and powerful, but details are provided as to when other GSS may perform favorably. The software package CRaVe is available at our website (http://dceg.cancer.gov/bb/tools/crave). European Journal of Human Genetics (2013) 21, 680-686; doi:10.1038/ejhg.2012.220; published online 24 October 2012Keywords: rare variants; score test; GWAS; association test INTRODUCTION The search for rare variants associated with common diseases, and traits in general, has already started. [1][2][3][4][5] As these variants are rare, most studies will be inadequately powered to detect an association with any single variant. [6][7][8] When only a handful of minor alleles are observed for any single-nucleotide variant (SNV), obtaining statistical significance, especially at traditional genome wide levels of 10 À8 , can be near impossible. Therefore, instead of trying to identify associations with individual variants, the goal has been to identify associations with a group of rare variants in a shared region (eg, exons, genes) or pathway, effectively increasing power by pooling information across SNVs. 9 Numerous statistical tests that can search for these regional associations have already been introduced, developed, and compared. 7,[10][11][12][13][14][15][16][17][18][19] Our three goals in this paper are to (1) Unify (2) Identify, and (3) Modify association tests for rare variants. First, we introduce a simple statistical framework and show that the majority of rare-variant association tests can be reformulated within this framework. Second, we show that within this framework, we can easily identify the relationship between a statistic's performance and the genetic characteristics of the tested SNVs, such as the proportion of SNVs associated with an outcome, direction of effects, and the relationship between effect size and MAF. Third, we show that the standard test statistics can be further tailored to the specifics of a given study or an investigator's prior beliefs.To achieve our objective of unification, we first revisit the standard association test for a single uncommon SNV. The standard approach would be to divide study participants into two groups, those with and