NCCOR_#23_Attach_3 Verbal Consent_2-19-2013

NCCOR_#23_Attach_3 Verbal Consent_2-19-2013.docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

NCCOR_#23_Attach_3 Verbal Consent_2-19-2013

OMB: 0925-0642

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Attachment 3: Verbal Informed Consent Form



As part of this research, I need to ask you to formally agree to this usability test and interview.


As part of a research project for the National Cancer Institute, we are seeking to assess the appropriateness and usability of the NCCOR [Catalogue of Surveillance Systems / Measures Registry]. Individuals who we think would have an appropriate background are being asked to participate in a usability test and then to reflect on the website. So we are asking you for about 1 hour of your time.


We won’t be asking anything personal and no identifying information will be shared. Any findings will be reported in aggregated form.


If it’s all right with you, we’d like to record the monitor used in the usability test and your voice in order to help with note taking, but your image would not be videotaped. Is that OK with you or would you prefer not to be recorded?


Your participation is voluntary, and if you choose not to participate it will not affect your relationship with the National Cancer Institute. You may ask questions at any time. You are also free to stop the interview at any time without penalty and without any questions being asked of you. Do you have any questions about the process?


If you agree to participate, you are saying that you understand what I’ve told you and that any questions you have were satisfactorily answered. You are also saying that you are at least 18 years old, and that you voluntarily agree to participate. Do you agree to participate?

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorErin
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File Created2021-01-31

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