FNS Core Nutrition Messages Concept Testing

Generic Clearance to Conduct Formative Research

ATTCH E Confidentiality Statement Low-income Mom

FNS Core Nutrition Messages Concept Testing

OMB: 0584-0524

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Attachment E: Confidentiality Statement for Low-income Mothers









USDA Food Guidance System

CONFIDENTIALITY AGREEMENT



I, __________________________(print name), agree to keep all information shown and discussed during the USDA focus group in which I am participating in the strictest confidence.


I agree not to discuss, publish, or otherwise divulge any information I am exposed to, in whole or in part, in any manner or form.


Your comments will be kept confidential and only used for research purposes. Your name will not be divulged in any reports of this focus group.




Signed:___________________________ Dated: ____________________

















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File Typeapplication/msword
File TitleContract No
AuthorUSDA/FNS
Last Modified ByAdministrator
File Modified2007-09-20
File Created2007-09-19

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