Confidentiality Agreement and affidavit of non-disclosure

Appendix (
PIAAC Confidentiality
Agreement and Affidavit of Non-Disclosure

PIAAC Confidentiality Agreement

ETS and its partners will develop and implement The Programme for the International
Assessment of Adult Competencies (PIAAC) for the Organisation for Economic Cooperation and Development (OECD). PIAAC is an international, multi-cycle programme
that is open to participation from both OECD and non-OECD countries. In addition to
testing fundamental cognitive skills associated with successful participation in the 21st
century, PIAAC will seek to capture information about a range of other generic skills
required in the workplace, as well as collect information on individual labour market and
social outcomes and other background characteristics. ETS is the prime contractor on this
project and will work closely with several sub-contractors both here in the United States
and in Europe to meet the project goals.
Under the PIAAC contract, ETS and its partners agree not to disclose information or data
to third parties and to protect the raw and aggregate data files, frameworks, items,
responses and all documents and related reports. By extension, I,
_______________________________________, as a member of a PIAAC National
Centre, agree to the above terms and also agree not to distribute, publish, or present any
information or results relating to PIAAC prior to the OECD’s release of the international
report without first obtaining written permission from either the OECD or ETS.
Signature: ____________________________________
Name, Title: __________________________________
Country: _____________________________________
Date: ________________________________________

AFFIDAVIT OF NONDISCLOSURE
Program of International Assessment of Adult Competencies (PIAAC)
Main Study Staff
Name:

_________________________ Position: _________________________

Organization: _________________________
Address:

Telephone Number:

_________________

Email: ___________________________

I, _______________________________________________, do solemnly swear (or affirm) that in the
process of reviewing materials prepared for the Program for the International Assessment of Adult
Competencies (PIAAC), I will not:
1.

Reveal the content of any items used as part of PIAAC or related studies.

2.

Make any improper disclosure whereby an examinee or survey respondent, or their related data (including individuals)
could be identified, which includes, but is not limited to information collected from PIAAC or related studies or
cognitive labs.

3.

Permit anyone other than the individuals authorized by the National Center for Education Statistics to have access to
PIAAC or related studies items, passages, cognitive lab materials, data, or reports.

4.

Use or reveal any individually identifiable information furnished, acquired, retrieved, or assembled by me or others,
under the provisions of Section 183 of the Education Science Reform Act (20 U.S.C. 9573) and E-Government Act of
2002, Title V, Subtitle A (P.L. 103-347) for any purpose other than statistical or reporting purposes specified in the
PIAAC project or related studies.

______________________________
Signature
(The penalty for unlawful disclosure is a fine of not more than $250,000 (under 18 U.S.C. 3571) or imprisonment for no more
than five years (under 18 U.S.C. 3559), or both. The word “swear” should be stricken out when a person elects to affirm the
affidavit rather than to swear it.)

City/County of _______________________ , Commonwealth/State of_____________________
Sworn to and subscribed before me this ____day of______________, 20___, Witness my hand and
official Seal.

(Notary Public/Seal)

My Commission Expires: ______________________