4 Attach 16 Buccal Reminder Script

ATTACHMENT 16

Phase III Buccal Reminder Call Script
16A. Phase III Buccal Cell Reminder Call Script for Iowa
Respondents
16B. Phase III Buccal Cell Reminder Call Script for North
Carolina Respondents

OMB NO.: 0925-0406
EXPIRATION DATE: 10/31/2011

Attachment 16A:

Phase III Buccal Cell Reminder Call Script for Iowa Respondents

Public reporting burden for this collection of information is estimated to average five minutes
per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. 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: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (09250406). Do not return the completed form to this address.

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OMB NO.: 0925-0406
EXPIRATION DATE: 10/31/2011

AHS MAIN COHORT STUDY
FOLLOW-UP REMINDER CALL
FOR BUCCAL CELL COLLECTION
Hello Ms/Mr.__________________. This is __________at the University of Iowa. I’m calling about
the Agricultural Health Study.

Several weeks ago you completed an interview updating information for our study. At that
time you consented to the mailing of a buccal cell collection kit. The reason I’m calling is to
make sure that you received this kit.
…they did not receive the kit, but YES they would like to participate.
I’m sorry about that. We will mail another collection kit to you, but
first I would like to verify that we have your correct address. Is
it___________? Okay, the collection kit should arrive in the next few
days. Please carefully read the instructions that are included. If
possible, we would like to ask if you could complete this activity as
soon as you can. It is very important to mail the cell sample within 24
hours of collection. Also, please sign and return the consent form with
your cell sample. Did you have any other questions or concerns?
(address these).
Thank you for your participation.
…they did not receive the kit, and NO they do not want to participate.
Okay, I can understand. Thank you for the help you have already
given to the study.

…they received the kit, but NO they do not want to participate.
Okay, I can understand. Thank you for the help you have already
given to the study.

…they received the kit, and are RECEPTIVE to participating.
Good. Did you have any questions or concerns?
(address these)
Now there are a few things I’d like to remind you to do before we
close. Please carefully read the instructions that came with the
collection kit. If possible, we would like to ask if you could complete
this activity as soon as you can. It is very important to mail the cell
sample within 24 hours of collection. Also, please sign and return the
consent form with your cell sample.
Thank you for your participation
…they already returned the buccal cell sample.
Good. Did you include the signed consent form when you did this?
Thank you for helping us out.

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OMB NO.: 0925-0406
EXPIRATION DATE: 10/31/2011

Attachment 16B:
Phase III Buccal Cell Reminder Call Script for North Carolina Respondents

Public reporting burden for this collection of information is estimated to average five minutes per
response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. 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: NIH, Project Clearance Branch,
6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0406). Do
not return the completed form to this address.

1

OMB NO.: 0925-0406
EXPIRATION DATE: 10/31/2011

FOLLOW-UP REMINDER CALL FOR BUCCAL CELL COLLECTION
Hello Ms/Mr.__________________. This is __________at the North Carolina Field Station
(directed by Battelle). I’m calling about the Agricultural Health Study.
Several weeks ago you completed an interview updating information for our study. At that time
you consented to the mailing of a buccal cell collection kit. The reason I’m calling is to make
sure that you received this kit.
…they did not receive the kit, but YES they would like to participate.
I’m sorry about that. We will mail another collection kit to you, but first I
would like to verify that we have your correct address. Is it___________?
Okay, the collection kit should arrive in the next few days. Please
carefully read the instructions that are included. If possible, we would like
to ask if you could complete this activity as soon as you can. It is very
important to mail the cell sample within 24 hours of collection. Also,
please sign and return the consent form with your cell sample. The $5 is
yours to keep for your time and inconvenience. Did you have any other
questions or concerns? (address these).
Thank you for your participation.
…they did not receive the kit, and NO they do not want to participate.
Okay, I can understand. You may keep the $5. Thank you for the help you
have already given to the study.
…they received the kit, but NO they do not want to participate.
Okay, I can understand. Thank you for the help you have already given to
the study.
…they received the kit, and are RECEPTIVE to participating.
Good. Did you have any questions or concerns?
(address these)
Now there are a few things I’d like to remind you to do before we close.
Please carefully read the instructions that came with the collection kit. If
possible, we would like to ask if you could complete this activity as soon
as you can. It is very important to mail the cell sample within 24 hours of
collection. Also, please sign and return the consent form with your cell
sample. The $5 is yours to keep for your time and inconvenience.
Thank you for your participation.
…they already returned the buccal cell sample.
Good. About how long ago did you put the packet in the mail? Did you
include the signed consent form when you did this? We will expect to
receive it soon. Thank you for helping us out.

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