Privacy Checklist

Privacy Narrative

Costs of Implementing Community-Based Sodium Reduction Strategies
Title: _______________________________________________________________________________________

John Whitehill
Point of Contact: _____________________________________________________________________________
Respondents are organizations partnering with SRCP grantees that are providing information
on their staff time costs and nonlabor expenditures on materials or supplies. The information to be
obtained through surveys concern organizational activities and costs rather than personal matters and
is not considered highly sensitive. The data we are collecting does not include individual information,
PII or IIF. The Privacy Act does not apply.
CDC's contractor will have contact information (i.e., name, telephone number, and email
address) for the person who responds on each organization's behalf; this information will be kept
separately from the database and used only to help ensure that responses are completed. This is not
PII because it is not connected to the database and the information in the database is not about the
person who handles the organization's response. A linking file will be created and available only to
project management at RTI International. The linking file will include the role of the respondent and
their organization (and will not include the individual's name or contact information), the date of
survey/interview completion, and the code assigned to the data file. This will ensure that no
information about the person who handled the institution's response, outside of the individual's role
and organization, is re-linkable.
All data files will be stored in a secure electronic folder on a password-protected shared
computer drive that is only accessible by authorized project staff.
Because the information collection does not involve research with human subjects, IRB
approval is not required. An informed consent statement will be included on the cover page of the
survey instrument prior to the instrument questions (Attachment 2). The consent statement informs
participants of how the data will be used and that their participation in the survey and interviews is
voluntary. They can choose not to answer individual questions, end the survey or interview at any
time, or decline participation without penalty. Whether or not individuals choose to participate will
not impact current or future funding. Respondents will be required to either agree to or decline
participation prior to completing the survey.

C/I/O Approvals:
Information Systems Security Officer

Cynthia
Allen -S

Digitally signed by
Cynthia Allen -S
Date: 2019.01.14
11:24:33 -05'00'

Associate Director for Science

Digitally signed by

Rachel
Rachel Kaufmann -S
2018.12.21
Kaufmann -S Date:
16:42:57 -05'00'