Assurance of Confidentiality

Assurance of Confidentiality.pdf

System Clearance for Cognitive, Pilot and Field Test Studies

Assurance of Confidentiality

OMB: 1850-0803

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Assurance of Confidentiality

Shugoll Research and the American Institutes for Research are conducting this study for
the National Center for Education Statistics (NCES) of the U.S. Department of
Education. This study is authorized by law under the Education Sciences Reform Act
(Public Law 107-279). Your participation is voluntary. Your responses are protected
from disclosure by federal statute (P.L. 107-279, Title 1, Part E, Sec. 183). All responses
that relate to or describe identifiable characteristics of individuals may be used only for
statistical purposes and may not be disclosed, or used, in identifiable form for any other
purpose, unless otherwise compelled by law.
Please sign below to indicate that you have read the assurance of confidentiality.

Print Name ___________________________________

Signature _____________________________________

Date_________________________________________


File Typeapplication/pdf
AuthorNHES
File Modified2010-02-11
File Created2010-02-11

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