Blood Donor Flyers

Attachment 3a. Blood Donor Advertisement/flyer

Respondents may be recruited through advertisement, flyers, and word-of-mouth.

Note to reviewers: No changes have been made to the advertisements/flyers since OMB’s approval on December 8, 2011.

Participants Wanted for Research Study

The National Center for Health Statistics is looking for adults

aged 18 years and over who have ever thought about giving blood, have been deferred from giving blood for any reason, or

who have successfully given blood in the past,

to test questions that are asked of potential blood donors

before they donate such as, medical history, sexual history,

current medications, and travel history. The survey research interview will be no longer than 60 minutes and participants

will receive $50.

FOR MORE INFORMATION,

Please call Liz at: 301-458-4676

Centers for Disease Control and Prevention

National Center for Health Statistics

Attachment 3b. Blood Donor flyer distributed at blood donation centers and staff at blood donation centers

For respondents recruited through staff at blood donation centers: staff would read the following text to the individual, “You may be eligible to participate in a research study [today/on specified date] if you would like to do so. Researchers from the National Center for Health Statistics are here [today/date] testing survey questions on the blood donor history questionnaire. You are under no obligation to do this. If you are interested or would like more information, researchers from the National Center for Health Statistics are available to answer your questions as well as to determine your eligibility for the study. Individuals who express interest in participating will meet with a QDRL interviewer who will explain the project in more detail. Interviews will be conducted after the individual has either donated blood or they have been deferred.

Participants Wanted for Research Study

The National Center for Health Statistics

is looking for adults aged 18 years and over to test questions that are asked of potential blood donors before they donate such as, medical history, sexual history, current medications, and travel history. The survey research interview will be no longer than

60 minutes and participants will receive $50.

FOR MORE INFORMATION,

Please call Liz at: 301-458-4676

Centers for Disease Control and Prevention

National Center for Health Statistics

Attachment 3c – Blood donor flyer - MSM targeted

Respondents may be recruited through advertisements and flyers, flyers distributed at LGBT community centers, staff at LGBT community centers, and word-of-mouth.

For respondents recruited by staff at LGBT community centers: staff would read the following text to the individual, “You may be eligible to participate in a research study [today/on specified date] if you would like to do so. Researchers from the National Center for Health Statistics are here [today/date] testing survey questions on the blood donor history questionnaire. You are under no obligation to do this. If you are interested or would like more information, researchers from the National Center for Health Statistics are available to answer your questions as well as to determine your eligibility for the study. Individuals who express interest in participating will meet with a QDRL interviewer who will explain the project in more detail.

Men who have ever had sexual contact with another man Wanted for Research Study

The National Center for Health Statistics is looking

for men aged 18 years and over who have had sexual contact

with another man at least once in their life

to test questions that are asked of potential blood donors

before they donate such as, medical history, sexual history,

current medications, and travel history. The survey research interview will be no longer than 60 minutes and participants

will receive $50.

FOR MORE INFORMATION,

Please call Liz at: 301-458-4676

Centers for Disease Control and Prevention

National Center for Health Statistics

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