Acknowledgement of Participation

Consent Form Web Survey.doc

User Satisfaction with Access to Government Information and Services at Public Libraries and Public Access Computing Centers

Acknowledgement of Participation

OMB: 3137-0070

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Acknowledgement of Participation



By answering the web survey, I am volunteering to take part in a study on how people obtain government information from libraries and public access computing centers that is conducted by the Library Research Center, of the University of Illinois at Urbana-Champaign, in cooperation with the Institute of Museum and Library Services.


This survey will take no more than ten minutes of my time.


By participating in this research, I am contributing to society by helping libraries and public access computing centers to meet the information needs of the public better.


By completing the web survey and electronically submitting my answers, I give permission for the Library Research Center to use my responses to prepare a summary report, with the understanding that there will be no identifying information including in the report.


Further, I understand:

  • I can skip any survey question with no penalty.

  • I can opt out of this study at any point with no penalty.

  • The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific [institution or] individual. The researchers will not provide information that identifies me [or my institution] to anyone outside the study team, except as required by law.

  • There are no risks beyond those in everyday life associated with my participation in this research.


Questions about the rights of research participants can be directed to the University of Illinois’s Institutional Review Board. Phone: 217-333-2670 (collect calls accepted). Email: [email protected]


If you are interested in the results of this study, please direct your inquiry to Principal Investigator Leigh Estabrook (217-333-1980 / [email protected])



By clicking on the ‘I agree’ button, I understand and agree to the conditions for participating in this research.

File Typeapplication/msword
File TitleAcknowledgement of Participation
AuthorGSLIS
Last Modified Bymcrawley
File Modified2007-02-20
File Created2006-10-17

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