Attachment F: Consent Form

Consent Form

2020 Census Group Quarters Research

Every ten years the Census Bureau conducts a census of the United States population. In preparation for this task, the Census Bureau conducts research in order to improve how data is collected. The 2020 Census Group Quarters Research is part of the effort to improve the 2020 Census.

______________________ [NAME] consents to take part in an interview to improve the Census in 2020. In order to have a complete record of all comments, the interview session will be audio recorded. The Census Bureau plans to use the tapes to improve the next Census. Staff directly involved in the research project will have access to the recordings. Participation is voluntary and answers will remain strictly confidential.

This study is being conducted under the authority of Title 13 USC.

I have agreed to participate in this Census Bureau interview, and I give permission for my tapes to be used for the purposes stated above.

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Participant's Signature Researcher's Signature

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Printed Name Printed Name

___________________________ _______________________

Date Date