FDA CTP Emails Survey Audience Analysis Study (CTP)

Generic Clearance for the Collection of Qualitative Feedback on Food and Drug Administration Service Delivery

Appendix D - Informed Consent

FDA CTP Emails Survey Audience Analysis Study (CTP)

OMB: 0910-0697

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OMB#: 0910-0697 | Exp. 12/31/20

FDA IRB#: 2020-CTP-143

Rev. 8/26/2020

Appendix D. 2020 FDA CTP Emails Survey Informed Consent



Welcome to the 2020 FDA Center for Tobacco Products (CTP) Emails Survey!


You must be 18 years of age or older to be eligible to complete this survey.


The purpose of this 2020 FDA CTP Emails Survey is to see how satisfied you are with CTP’s e-newsletters (i.e., CTP Connect, CTP News, Spotlight on Science, and Modified Risk Tobacco Product Application Updates), and for us to learn a little bit about you.


This 5-minute, anonymous, survey is completely voluntary, and you may quit, without penalty, at any time. We anticipate up to 1,200 individuals will respond to this survey. Your data will be reported at the aggregate level. Respondents’ names, email addresses, IP addresses, and other personal identifying information will not be collected. If you feel uncomfortable answering any questions, you may choose the “prefer not to answer” response option. While there are no direct benefits to your participation in this survey, your feedback will help us improve our email communications.


If you have any questions about this survey, or any problems completing the survey, please contact Dr. Everly Macario at IQ Solutions, Inc., at 224-244-3965.


If you click on “Start survey now,” you are voluntarily agreeing to take part in this survey. Click one of the options below.


I have read, understand, and had time to consider all the information above. My questions have been answered and I have no further questions.

_____ Start survey now / I voluntarily agree to participate in this study.
[Go to Age Screener]


I have read, understand, and had time to consider all the information above. My questions have been answered and I have no further questions.

_____ Exit survey / I do not want to participate in this study. [TERMINATE SURVEY; GO TO TERMINATION TEXT 3]


[TERMINATION TEXT 3:] You have indicated that you do not want to participate in the 2020 CTP Emails Survey and will now exit the survey. If you decide later that you would like to participate, you can use the same email invitation to access the survey. Thank you for your time!


Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 5 minutes per response to review this informed consent form (the time estimated to read, review, and complete). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to [email protected].



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorEverly Macario
File Modified0000-00-00
File Created2021-01-13

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