Informed Consent online testing

Appendix 6. Informed consent_online testing.docx

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

Informed Consent online testing

OMB: 1121-0339

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Appendix 6: Consent to Participate in a Research Study


This study is being conducted by RTI International on behalf of the Bureau of Justice Statistics, United States Department of Justice. It asks about any experiences you may have had with identity theft. Identity theft means someone else using your personal information without your permission to buy something, get cash or services, pay bills, or avoid the law. We will not ask you for any specific account information. We estimate these questions will take between 5 to 15 minutes depending on your circumstances.


Your participation is voluntary, and you may stop the interview or choose to skip questions at any time. The information you provide will be kept private to the extent permitted by law and only used for statistical purposes. If you have any comments or question about the study, please contact the RTI Office of Research Protection at 1-866-214-2043.


According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The OMB number for this study is XXXX-XXXX (expiration date X/XX).


By checking this box, you are agreeing to be in this study. Please be sure you understand what the study involves before you check the box. Additional information about the study can be accessed at this link


□ I have read and understand the information above.


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCONSENT TO PARTICIPATE IN A RESEARCH STUDY
AuthorUNCW
File Modified0000-00-00
File Created2021-01-14

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