Post-election Survey of Local Election Officials

Attachment 5e

2010 Post-Election Voting Survey of Local Election Officials
Privacy Advisory and Informed Consent Statement
This survey does not collect or use personally identifiable information and is not retrieved by personal
identifier. Therefore, the information collected is not subject to the Privacy Act of 1974, as amended (5
U.S.C. § 552a).

This notice informs you of the purpose of the 2010 Post-Election Voting Surveys and how the findings of
these surveys will be used. Please read it carefully.
AUTHORITY: 42 United States Code, Section 1973ff.
PRINCIPAL PURPOSE: This survey is conducted by the Federal Voting Assistance Program (FVAP),
which informs and educates United States citizens covered by the Uniformed and Overseas Absentee Voting
Act (UOCAVA). The UOCAVA covers members of the Uniformed Services, their family members, and
citizens residing outside the United States.
Reports will be provided to the President and to Congress.
DISCLOSURE: Providing information on this survey is voluntary. Most people can complete the survey in
90 minutes. There is no penalty to you or your office if you choose not to respond. However, maximum
participation is encouraged so that the data will be complete and representative. Your responses will be kept
private to the extent permitted by law. If you answer any items and indicate distress or being upset, etc., you
will not be contacted for follow-up purposes. However, if you indicate a direct threat to harm yourself or
others within responses or communications about the survey, because of concern for your welfare, DMDC
will notify an office in your area for appropriate action.

SURVEY ELIGIBILITY AND POTENTIAL BENEFITS: Local Election Official offices representing all
voting jurisdictions including the District of Columbia and the U.S. territories are included in the survey
population. There is no direct benefit for your individual participation, however your responses, when taken
together with the responses from all the other Local Election Officials, will make a difference by helping to
identify areas where the absentee voting process can be improved.
STATEMENT OF RISK: Completing the survey is not expected to involve any risk or discomfort to you.
The only risk is the unintentional disclosure of the data you provide. However, the government and its
contractors have a number of policies and procedures to ensure that survey data are safe and protected.
Government and contractor staff members have been trained to protect survey data.
If you experience any difficulties taking the survey, please contact the Survey Processing Center by
sending an e-mail to [email protected] or call, toll-free, 1-800-881-5307. If you have
concerns about your rights as a research participant, please contact: Ms. Caroline Miner, Human
Research Protection Program Manager for the Office of the Under Secretary of Defense
(P&R), [email protected] (703) 575-2677.

Once you start answering the survey, if you desire to withdraw your answers, please notify the Survey
Processing Center prior to December 28, 2010. Please include in the e-mail or phone message your
name and Ticket Number. Unless withdrawn, partially completed survey data may be used after that
date.
Click Continue if you agree to do the survey.
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