ICF International is conducting a study for the U.S. Census Bureau and the National Center for Education Statistics (NCES) to test survey items on bullying for a national survey. As part of the study, we have invited your child to participate in a 60 minute on-on-one interview to share his/her thoughts on the items to help us understand whether the items are clear and are soliciting the information the survey writers intended.
If you consent to have your child participate in an interview, here are some things you should know:
Your child’s participation is totally voluntary.
Your child’s name will not be used in any reports about the interview. We will be taking notes during the discussion about what was said, but your child’s name will not be attached to any of the comments made.
The discussion will be audiotaped so that when we write our report we can make sure we understand everything that was said.
Anything your child says during the interview will be confidential and you will not have access to any of your child’s responses to the questions.
Your child will receive $25 for his/her participation.
You will receive $25 for bringing your child to the interview.
Your child may discontinue participation at any time, either by leaving the interview or not answering a question, without penalty or loss of benefits.
The interview will last approximately one hour.
Any questions you or your child has about this interview and the study will be answered before the interview begins. Contact information is provided below for any questions that arise after the discussion.
Contact information: If you have any concerns about your child’s participation in this discussion or have any questions about the study, please contact Michael Long, Project Manager at (301) 572 0200.
Your signature below indicates that you understand the above and agree to allow your child to participate in this interview.
Print your name: _________________________ Date: __________________
Signature: __________________________________
Print your child’s name: _______________________________________________
| File Type | application/msword |
| File Title | Informed Consent for Cognitive Testing Focus Group - Youth |
| Author | Henrich |
| Last Modified By | demai001 |
| File Modified | 2012-05-22 |
| File Created | 2012-05-22 |