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pdfATTACHMENT 3.
RESPONDENT MATERIALS: ENGLISH-LANGUAGE VERSIONS
[CLEAN VERSIONS]
Attachment 3-1: Mail Screener Cover Letter
Food and Drug Administration
Center for Tobacco Products
Resident at:
STREET ADDRESS
CITY, STATE ZIP
Dear Resident:
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is
looking for adults, age 18 and older, to participate in a large, national survey panel. Panel
members will be asked to take part in short but important surveys for FDA’s National Panel
of Tobacco Consumer Studies (TCS).
We are contacting this address to determine if someone in your household may be eligible
for the TCS survey panel. This address is one of more than 30,000 addresses across the
U.S. randomly selected to receive this packet. Please take a few minutes to complete the
enclosed 1-page questionnaire and return it in the postage-paid envelope. It will only take
1-2 minutes of your time. [FILL FOR 1st MAILING]: We have enclosed $2 as a token of appreciation
for completing the questionnaire.
Your participation is voluntary and your answers to the questions will be kept private to the
fullest extent allowable by law. In the event someone in your household may be eligible for
the TCS, we will contact you again to provide more information about the survey panel.
Persons who join the panel will have the chance to receive additional cash payments in
appreciation for their participation in the TCS surveys.
RTI International, a not-for-profit research organization, is working with the FDA to create
this survey panel. If you have any questions about the panel you can call RTI directly at
1-800-613-0326 (a toll-free call).
Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 2 minutes per response
to complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including
suggestions for reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-2: Screener Lead Letter
Food and Drug Administration
Center for Tobacco Products
Adult Resident at:
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident:
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is
looking for adults, age 18 and older, to participate in a large, national survey panel. Panel
members will be asked to take part in short but important surveys for FDA’s National Panel
of Tobacco Consumer Studies (TCS). This letter is addressed to “Resident” because your
address, rather than a specific person in your household, was randomly selected along with
over 30,000 others.
RTI International, a not-for-profit research organization, is working with the FDA to create
this survey panel. Soon, an RTI interviewer will be in your neighborhood to give you
additional information. The interviewer will carry an identification card like the example
shown below.
Please take a few minutes to answer the interviewer’s questions about your
household. We will use your answers to determine if anyone in your household is
eligible for the panel. If we select someone from your household, that person will
have the chance to receive cash payments in appreciation for their participation in
the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable
by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the panel you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your help is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
EXAMPLE
Example
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-3: Brochure
Attachment 3-3: Brochure (continued)
Attachment 3-4: Screener Non-Response - Too Busy
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of
Tobacco Consumer Studies (TCS). The TCS is a large, national survey panel being created
by the U.S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). We are
looking for adults, age 18 and older, who may be eligible to take part in the TCS panel.
When our interviewer came by, you indicated you were too busy or did not have time to
answer our interviewer’s questions. We are writing this letter to ask you to reconsider.
Please take a few minutes to answer the interviewer’s questions about your household. The
screening process is short and will take only 5-10 minutes of your time. You can schedule
an appointment with one of our interviewers at a time that is most convenient for you. We
will use your answers to determine if anyone in your household is eligible for the survey
panel. If we select someone from your household, that person will have the chance
to receive cash payments in appreciation for their participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable
by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS panel, you can ask the interviewer or call RTI
directly at 1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-5: Screener Non-Response – Generic
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of
Tobacco Consumer Studies (TCS). The TCS is a large, national survey panel being created
by the U.S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). We are
looking for adults, age 18 and older, who may be eligible to take part in the TCS panel.
When you were contacted, you had reservations about answering our field interviewer’s
questions. We are writing this letter to ask you to reconsider.
Please take a few minutes to answer the interviewer’s questions about your household. We
will use your answers to determine if anyone in your household is eligible for the survey
panel. If we select someone from your household, that person will have the chance
to receive cash payments in appreciation for their participation in the TCS surveys.
Only a limited number of households were selected to represent the population of the U.S.—
and your household was one of them. Your participation is critical to the success of the TCS
because you represent thousands of individuals just like you!
Your household’s answers to the questions will be kept private to the fullest extent allowable
by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-6: Screener Non-Response - Not Interested
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of
Tobacco Consumer Studies (TCS). The TCS is a large, national survey panel being created
by the U.S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). We are
looking for adults, age 18 and older, who may be eligible to take part in the TCS panel.
When our interviewer came by, you were not interested in participating. We are writing
this letter to ask you to reconsider.
Only a limited number of households were selected to represent the population of the U.S.—
and your household was one of them. Your participation is critical to the success of the TCS
because you represent thousands of individuals just like you!
Please take a few minutes to answer the interviewer’s questions about your household. We
will use your answers to determine if anyone in your household is eligible for the survey
panel. If we select someone from your household, that person will have the chance
to receive cash payments in appreciation for their participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable
by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-7: Screener Non-Response - Too Personal
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of
Tobacco Consumer Studies (TCS). The TCS is a large, national survey panel being created
by the U.S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). We are
looking for adults, age 18 and older, who may be eligible to take part in the TCS panel.
When our interviewer came by, you indicated that our questions about your household’s
eligibility for the TCS were too personal. We are writing this letter to ask you to
reconsider.
Please take a few minutes to answer the interviewer’s questions about your household. Our
interest is only to determine if anyone in your household is eligible to take part in the
survey panel. Your household’s answers to the questions will be kept private to the fullest
extent allowable by law. They will not be shared with anyone outside the FDA-RTI research
team.
If we select someone from your household, that person will have the chance to
receive cash payments in appreciation for their participation in the TCS surveys.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies (TCS)
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-8: Screener Non-Response - Stigma of Tobacco Use
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of
Tobacco Consumer Studies (TCS). The TCS is a large, national survey panel being created
by the U.S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). We are
looking for adults, age 18 and older, who may be eligible to take part in the TCS panel.
When our interviewer came by, you indicated you did not want to participate. We are
writing this letter to ask you to reconsider.
We realize that the topic of tobacco use is a personal one. However, this is an opportunity
for you to help researchers and policy makers understand the impact and effectiveness of
public education activities or possible regulatory actions.
Please take a few minutes to answer the interviewer’s questions about your household. We
will use your answers to determine if anyone in your household is eligible for the survey
panel. If we select someone from your household, that person will have the chance
to receive cash payments in appreciation for their participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable
by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-9: Screener Non-Response - Anti-Government
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of
Tobacco Consumer Studies (TCS). The TCS is a large, national survey panel being created
by the U.S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). We are
looking for adults, age 18 and older, who may be eligible to take part in the TCS panel.
When our interviewer came by, you were hesitant to participate in a government-sponsored
study. We are writing this letter to ask you to reconsider.
The TCS is an opportunity to help government policy makers understand the impact and
effectiveness of public education and possible regulatory activities. So often people feel that
their voices are not heard when policies are implemented. Participation in the TCS ensures
that you, and thousands of others you represent, will directly impact important policies and
decisions that affect the health of the nation.
Please take a few minutes to answer the interviewer’s questions about your household. We
will use your answers to determine if anyone in your household is eligible for the panel. If
we select someone from your household, that person will have the chance to
receive cash payments in appreciation for their participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable
by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-10: Screener - Unable to Contact
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
Recently, your household received a letter from the U. S. Food and Drug Administration’s
Center for Tobacco Products (FDA - CTP) about the National Panel of Tobacco Consumer
Studies (TCS). The TCS is a large, national survey panel and we are looking for adults age
18 and older who may be eligible to take part. One of our field interviewers has attempted
to contact you about the panel, but has been unable to reach you.
It is very important that we speak with an adult in your household. RTI
International, a not-for-profit research organization, is working with the FDA to create this
survey panel. Soon, an RTI interviewer will return to your neighborhood to give you
additional information. The interviewer will carry an identification card like the example
shown below.
Please take a few minutes to answer the interviewer’s questions. This will help us
determine if anyone in your household is eligible for the survey panel. If we select
someone from your household, that person will have the chance to receive cash
payments in appreciation for their participation in the TCS surveys.
Your participation is voluntary and your household’s answers to the questions will be kept
private to the fullest extent allowable by law. They will not be shared with anyone outside
the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326.
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Example
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-11: CAPI Non-Response – Generic
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you had some reservations about
participating. We are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
The information collected in the TCS will help policymakers and researchers understand
consumer perceptions of tobacco products, including their labelling, advertising, and
marketing. Your participation in the panel will help inform future FDA policy decisions about
tobacco products.
A limited number of people have been selected to represent the population of the U.S.—and
you are one of them! You cannot be replaced. If you choose not to participate, your views
and opinions—as well as those of the thousands of people you represent—will not be heard.
One of our interviewers will be in your area again soon, and will try to reach you at that
time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-12: CAPI Non-Response - Too Personal
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you indicated you did not want to
participate in the panel because it was too personal. We are writing this letter to ask
you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
Our interest is only in the combination of all responses and not in anyone’s individual
answers. The answers that you provide will be combined with all other participants’ answers
and will be coded, totaled, and processed into statistics for analytic purposes only. Names
are never associated with answers and the information is only used for research and
analysis. It cannot be used for any other purpose. Privacy of all answers to questions is
protected to the fullest extent allowable by law.
A limited number of people have been selected to represent the population of the U.S.—and
you are one of them! You cannot be replaced. If you choose not to participate, your views
and opinions—as well as the thousands of people you represent—will not be heard. One of
our interviewers will be in your area soon and will try to reach you at that time. I hope you
will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-13: CAPI Non-Response - Time Commitment
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in the FDA’s National Panel of Tobacco
Consumer Studies (TCS). You were selected to participate in the panel, but at the time you
indicated that your current responsibilities would not allow you enough time to participate.
We are writing this letter to ask you to reconsider. All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
The enrollment process for the TCS panel is short and will take at most 20 minutes of your
time. You can schedule an appointment to complete the survey with one of our interviewers
at a time that is most convenient for you. Your participation is critical to the success of the
panel and we are happy to make a special effort to work around your schedule so that you
can be included.
If you choose not to participate, your views and opinions—as well as the thousands of
people you represent—will not be heard. One of our interviewers will be in your area soon,
and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-14: CAPI Non-Response – Technology
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you were hesitant to participate. We
are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
While the surveys can be completed using an electronic device, such as a computer or
Smartphone, they can also be completed on paper and submitted via U.S. Mail at no charge
to you. You do not have to use an electronic device to participate in the TCS panel and we
are happy to make a special effort to ensure you can be included.
A limited number of people have been selected to represent the population of the U.S.—and
you are one of them! You cannot be replaced. If you choose not to participate, your views
and opinions—as well as the thousands of people you represent—will not be heard. One of
our interviewers will be in your area soon, and will try to reach you at that time. I hope you
will agree to take part in the TCS panel
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-15: CAPI Non-Response - No Internet Mail Option
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you were hesitant because you currently
do not have Internet access. We are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
While surveys that the TCS panel members complete can be done over the Internet, they
can also be done on paper and submitted via U.S. Mail at no charge to you. An Internet
connection is not required for you to participate in the panel and we are happy to make a
special effort to ensure you can be included.
Only a limited number of people have been selected to represent the population of the
U.S.—and you are one of them! You cannot be replaced. If you choose not to participate,
your views and opinions—as well as the thousands of people you represent—will not be
heard. One of our interviewers will be in your area soon, and will try to reach you at that
time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-16: CAPI Non-Response - Anti-Government
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you were hesitant to participate in a
government-sponsored study. We are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
The TCS offers individuals an opportunity to help researchers and policy makers understand
the impact and effectiveness of tobacco-related public education activities and possible
regulatory actions. Often people feel that their voices are not heard when government
regulations and policies are implemented – this is your chance to be heard. Participation in
the TCS panel ensures that you, and thousands of others you represent, directly impact
policies that affect the health of the nation.
A limited number of people have been selected to represent the population of the U.S.—and
you are one of them! You cannot be replaced. One of our interviewers will be in your area
soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-17: CAPI Non-Response - Stigma of Tobacco Use
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
eligible to join the panel, but indicated you did not want to participate. We are writing this
letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
We realize that the topic of tobacco use is a personal one. However, this is an opportunity
for you to help researchers and policy makers understand the impact and effectiveness of
tobacco-related public education activities and possible regulatory actions.
A limited number of people have been selected to represent the population of the U.S.—and
you are one of them! You cannot be replaced. If you choose not to participate, your views
and opinions—as well as those of the thousands of people you represent—will not be heard.
One of our interviewers will be in your area soon, and will try to reach you at that time. I
hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-18: CAPI Non-Response - Too Busy
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you were too busy to participate. We
are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
The panel enrollment process is short and will take at most 20 minutes of your time. You
can schedule an appointment with one of our interviewers at a time that is most convenient
for you. Your participation is critical to the success of the panel and we are happy to work
around your busy schedule so that you can be included.
The information collected in the TCS will help policymakers and researchers understand
consumer perceptions of tobacco products, including their labelling, advertising, and
marketing. Your participation in the panel will help inform future FDA policy decisions about
tobacco products. One of our interviewers will be in your area soon, and will try to reach
you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-19: CAPI Non-Response - Not Interested
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but at the time you were not interested in participating.
We are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). All TCS panel members will
receive cash payments as a token of our appreciation for participating in the
surveys.
The information collected in the TCS will help policymakers and researchers understand
consumer perceptions of tobacco products, including their labelling, advertising, and
marketing. Your participation in the panel will help inform future FDA policy decisions about
tobacco products.
A limited number of people have been selected to represent the population of the U.S.—and
you are one of them! You cannot be replaced. If you choose not to participate, your views
and opinions—as well as those of the thousands of people you represent—will not be heard.
One of our interviewers will be in your area soon, and will try to reach you at that time. I
hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-20: CAPI Non-Response - Unable to Contact
Food and Drug Administration
Center for Tobacco Products
Adult Resident/[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear Adult Resident/FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking
eligible adults, age 18 and older, to participate in a large, national survey panel. You were
selected to participate in the panel, but we have been unable to contact you about this
unique opportunity.
As a panel member, you will be asked to take part in short but important surveys for the
FDA’s National Panel of Tobacco Consumer Studies (TCS). The information collected in the
TCS will help policymakers and researchers understand consumer perceptions of tobacco
products, including their labelling, advertising, and marketing. Your participation in the
panel will help inform future FDA policy decisions about tobacco products.
All TCS panel members will receive cash payments as a token of our appreciation
for participating in the surveys. A limited number of people have been selected to
represent the population of the U.S.—and you are one of them! You cannot be replaced. If
you choose not to participate, your views and opinions—as well as the thousands of people
you represent—will not be heard.
One of our interviewers will be in your area soon, and will try to reach you at that time. I
hope you will agree to take part in the panel.
If you have any questions about the TCS you can ask the interviewer or call RTI directly at
1-800-613-0326 (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-22: Mail Nonresponse - Topical Survey
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
Dear Fname:
Thank you for agreeing to participate in the National Panel of Tobacco Consumer Studies
(TCS). Your continued participation is critical to the success of the survey panel. By taking part
in the TCS, you represent the views and opinions of many other individuals like you. The
information you provide will help inform tobacco-related policy decisions made by the FDA.
We noticed that you haven’t completed [INSERT: Study Title]. Your answers are important to
us so we’ve included a copy of the survey with this letter. Please complete the survey and
return it to us free of charge using the enclosed postage paid envelope. The final date for
completing this survey is [FILL: DATE]. As a token of our appreciation, you will receive
$15 in cash for completing the survey.
If you have any questions about this survey or your participation in the TCS, you can speak with
a project representative directly at 1-800-613-0326 (a toll-free call). If you have a question about
your rights as a panel participant, you can call RTI’s Office of Research Protection toll-free at
(866) 214-2043.
Your help is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-24: Web Non-Response - Topical Survey
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
Dear Fname:
Thank you agreeing to participate in the National Panel of Tobacco Consumer Studies
(TCS). Your continued participation is critical to the success of the survey panel. By
taking part in the TCS, you represent the views and opinions of many other individuals
like you. The information you provide will help inform tobacco-related policy decisions
made by the FDA.
We noticed that you haven’t completed [INSERT: Study Title]. The final date for
completing this survey is [FILL: DATE].
Each survey topic was hand-picked by policy makers at the FDA-CTP and represents an
important issue related to Tobacco Use. You can complete this survey online at
https://tcs.rti.org using the following login credentials:
Study ID:
Password:
As a token of appreciation, you will receive $15 in cash for completing the survey.
If you have any questions about this survey or your participation in the TCS, you can
speak with a project representative directly at 1-800-613-0326 (a toll-free call). If you
have a question about your rights as a study participant, you can call RTI’s Office of
Research Protection toll-free at (866) 214-2043.
Your help is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-25. Web/Mail Consent Form
Consent to Participate in Panel – Web/Mail Version
Description and Purpose of the TCS: The 2009 Tobacco Control Act granted the U. S. Food and Drug Administration the
authority to regulate the manufacture, marketing, and distribution of tobacco products to protect public health and reduce
tobacco use by minors. The National Panel of Tobacco Consumer Studies (TCS) are being conducted to assess responses to
possible FDA regulatory actions from a sample of approximately 4,000 tobacco users that represent the nation as a whole. The
studies will assess consumer perceptions of tobacco products, including their labeling, advertising and marketing.
Sponsor: The TCS is sponsored by the U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). RTI
International, a not-for-profit research organization, is conducting the study on the behalf of the FDA-CTP.
Procedures: You will receive detailed instructions for completing the TCS surveys. While you are in the TCS panel, you will
be asked to complete about 2-3 short surveys a year on tobacco-related topics. These will take about 15-20 minutes to
complete. Your participation in the panel will last for 3 years.
Financial Considerations: Participation in the TCS panel will involve no cost to you. For completing the enrollment process
you will receive $35.00 in cash. For completing the short tobacco-related surveys you will receive $15.00 cash each.
Voluntary Participation: Your participation in the panel is completely voluntary. You can refuse to answer any and all
questions. You can elect to leave the panel at any time. As a web participant, you will be asked for your consent in each online
tobacco-related web survey. As a mail participant, you will indicate your consent for each tobacco-related survey by
completing and returning the survey form.
Privacy: The protection of private personal information is a primary concern to all institutions involved in this project. All
members of the research team receive privacy training. Your answers to the survey questions will be kept private to the fullest
extent required by law. Your name will not be reported with any answers you provide. Your answers will be combined with
answers of many others and reported in a summary form. All staff involved in this research are committed to privacy and
have signed a Privacy Pledge. This research is covered by a Certificate of Confidentiality (CoC). A CoC protects your private
panel information from being used in legal proceedings. The CoC also requires TCS researchers have your consent before
sharing your identifiable information. However, there may be opportunities for TCS researchers to use, share, or release
deidentified panel data for similar research in the future. ”Deidentified” means that we will remove your personal identifying
information before the data are used, shared, or released to others. Although we cannot guarantee that no one can reidentify
these data, it is highly unlikely that this will occur. We will not ask for your additional informed consent if we use, share, or
release deidentified panel data for future research. Please note that the CoC does not prevent all disclosures. You can freely
discuss your involvement in this research. TCS researchers cannot refuse requests for information from the FDA-CTP, the TCS
sponsor. In situations involving imminent danger, the law requires TCS researchers to disclose certain information.
Possible Benefits and Risks: There are no direct benefits to you for participating in the panel. The potential exists for loss of
privacy, though our procedures are designed to protect and secure your personal information. Please see the Privacy section
above for details on the procedures in place to protect your privacy.
Further Questions: If you have any questions about the research now or in the future, including the tobacco-related surveys,
you can contact the Project toll free number 1-800-613-0326. If you have questions about your rights as a study participant,
call RTI’s Office of Research Protection at 1‐866‐214-2043 (a toll‐free number).
Statement of Consent: I have read the description of this research provided above (or the description has been read to me),
and I understand it. I have been informed of the risks and benefits involved, and all my questions have been answered to my
satisfaction. Furthermore, I have been assured that any future questions that I may have will also be answered. I freely and
voluntarily agree to participate in the TCS survey panel. I understand that by signing, I am not giving up any of my legal rights.
I will be given a copy of this statement.
By signing my name below, I am indicating my agreement to participate in the National Panel of Tobacco Consumer
Studies.
Printed Name of Research Participant
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Signature of Research Participant
Date Signed
Printed Name of Interviewer
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Signature of Interviewer
Date Signed
Attachment 3-26. Tablet Consent Form
Consent to Participate in Panel – Tablet Version
Description and Purpose of the TCS: The 2009 Tobacco Control Act granted the U. S. Food and Drug Administration the
authority to regulate the manufacture, marketing, and distribution of tobacco products to protect public health and reduce
tobacco use by minors. The National Panel of Tobacco Consumer Studies (TCS) are being conducted to assess responses to
possible FDA regulatory actions from a sample of approximately 4,000 tobacco users that represent the nation as a whole. The
studies will assess consumer perceptions of tobacco products, including their labeling, advertising and marketing.
Sponsor: The TCS is sponsored by the U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). RTI
International, a not-for-profit research organization, is conducting the study on the behalf of the FDA-CTP.
Procedures: You will receive login credentials and detailed instructions for accessing the survey website and completing the
panel surveys using the Samsung tablet computer that has been loaned to you. While you are in the TCS panel, you will be
asked to complete about 2-3 short web surveys a year on tobacco-related topics. These will take about 15-20 minutes to
complete. The tablet computer is being loaned to you so you can participate in these surveys online through the TCS panel
website. You will be notified when a survey is ready for you to complete.
Financial Considerations: Participation in the TCS panel will involve no cost to you. For completing the enrollment process
you will receive $35.00 in cash. For completing the short tobacco-related surveys you will receive $15.00 cash each. The
Samsung 3 tablet has been provided as a tool for you to access the TCS panel website and complete the surveys online. The
tablet is on loan to you while you are participating in the panel.
Voluntary Participation: Your participation in the panel is completely voluntary. You can refuse to answer any and all
questions. You can elect to leave the panel at any time. The research team also reserves the right to remove you from the
panel if they determine your participation is no longer in your best interest or in the interest of the TCS. As a web participant,
you will be asked for your consent in each online tobacco-related web survey. As a mail participant, you will indicate your
consent for each tobacco-related survey by completing and returning the survey form.
Privacy: The protection of private personal information is a primary concern to all institutions involved in this project. All
members of the research team receive privacy training. Your answers to the survey questions will be kept private to the fullest
extent required by law. When you return the study-provided tablet to RTI it will be wiped clean of any data that you might
have stored on it, and restored to its original factory settings. Your name will not be reported with any answers you provide.
Your answers will be combined with answers of many others and reported in a summary form. All staff involved in this
research are committed to privacy and have signed a Privacy Pledge. This research is covered by a Certificate of Confidentiality
(CoC). A CoC protects your private panel information from being used in legal proceedings. The CoC also requires TCS
researchers have your consent before sharing your identifiable information. However, there may be opportunities for TCS
researchers to use, share, or release deidentified panel data for similar research in the future. ”Deidentified” means that we
will remove your personal identifying information before the data are used, shared, or released to others. Although we cannot
guarantee that no one can reidentify these data, it is highly unlikely that this will occur. We will not ask for your additional
informed consent if we use, share, or release deidentified panel data for future research. Please note that the CoC does not
prevent all disclosures. You can freely discuss your involvement in this research. TCS researchers cannot refuse requests for
information from the FDA-CTP, the TCS sponsor. In situations involving imminent danger, the law requires TCS researchers to
disclose certain information.
Possible Benefits and Risks: There are no direct benefits to you for participating in the panel. The potential exists for loss of
privacy, though our procedures are designed to protect and secure your personal information. Please see the Privacy section
above for details on the procedures in place to protect your privacy.
Further Questions: If you have any questions about the research now or in the future, including the tobacco-related surveys,
you can contact the Project toll free number 1-800-613-0326]. If you have questions about your rights as a study participant,
call RTI’s Office of Research Protection at 1‐866‐214-2043 (a toll‐free number).
Statement of Consent: I have read the description of this research provided above (or the description has been read to me),
and I understand it. I have been informed of the risks and benefits involved, and all my questions have been answered to my
satisfaction. Furthermore, I have been assured that any future questions that I may have will also be answered. I freely and
voluntarily agree to participate in the TCS survey panel. I understand that by signing, I am not giving up any of my legal rights.
I will be given a copy of this statement.
By signing my name below, I am indicating my agreement to participate in the National Panel of Tobacco Consumer
Studies.
Printed Name of Research Participant
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Signature of Research Participant
Date Signed
Printed Name of Interviewer
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Signature of Interviewer
Date Signed
Attachment 3-27: Tablet Equipment Agreement
TCS Tablet Computer
Equipment Agreement and
Receipt Form
The FDA’s Center for Tobacco Products and RTI International would like to thank you for participating in
the National Panel of Tobacco Consumer Studies (TCS). To help you access the internet and participate in
the TCS panel, we are loaning you a Samsung Galaxy Tab A tablet computer to complete the panel web
surveys and receive any other panel related correspondences while you participate in the TCS panel.
By signing below, you acknowledge that:
•
RTI International loaned you a Samsung Galaxy Tab A (serial number listed below) so you may
complete surveys as a panel member for the TCS,
•
The tablet you received was in good working order when you received it,
•
You will return the equipment listed below to RTI International at the end of your TCS panel
commitment period or in the event that you end your participation in the TCS panel early, and
•
o
All equipment will be returned using the pre-addressed shipping materials that will be
sent to you at the point at which the tablet is to be returned, and
o
You will return all equipment within 5 business days of receiving a notice to return your
equipment.
When the tablet is received at RTI it will be logged in as returned from you, wiped clean of any
data you may have stored on it, and restored to original factory settings. RTI will not attempt to
gather any information that may be stored locally on the device.
Accepted Samsung Galaxy Tab A Tablet
Accepted Samsung Galaxy Tab A Charger
Accepted Samsung Galaxy Tab A Tablet Case
Respondent Printed Name:
Respondent Signature: _______________________________________
FI Signature:
Case ID:
Date: ____/____/_____
Date: ____/____/_____
Tablet ID/Serial Number:
If you have any questions about your participation in the TCS Panel, contact project staff at 1-800-6130326 or [email protected].
OMB Number: 0910-0815; Expiration Date: 06/30/2019
Reminder: Top White to Case Folder, Yellow to FS, Pink to Panel Member
Attachment 3-28: Receipt Form - Incentive
TCS Payment Receipt
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP) and RTI International would like
to thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS). As a token of our
appreciation for your participation in joining this important panel, you are eligible to receive a $35 cash payment.
Name of Respondent (Print):______________________________
Signature of Respondent:_________________________________
Signature of Field Interviewer:_____________________________
Case ID: ____ ____ ____ ____ ____ ____ ____ ____
Accepted $35.00 Cash Payment
Declined $35.00 Cash Payment
Date: ____/____/____
If you have any questions about your participation in TCS, contact project staff at 1-800-613-0326.
OMB Number: 0910-0815; Expiration Date: 06/30/2019
Disposition: White to Case Folder, Yellow to FI, Pink to Panel Member
Attachment 3-29: Sorry I Missed You (SIMY) Card
Attachment 3-30: Doorstep Transition Script
Screener Introduction Script
IF SPEAKING TO HOUSEHOLD MEMBER 18 YEARS OF AGE OR OLDER: Hello, my name is [YOUR NAME] from
RTI International in North Carolina. We are conducting a nationwide study sponsored by the U.S. Food and Drug
Administration (FDA). We recently mailed you a letter about the study.
HAND R A COPY OF THE LETTER: I would like to ask you a few short questions about your household to see if
anyone is eligible to participate in this important study.
STUDY PURPOSE: The FDA is establishing a large, national survey panel to help researchers and policy makers
understand the impact and effectiveness of tobacco-related public education activities and possible regulatory
actions. Panel members will be asked to take part in short but important surveys for FDA’s National Panel of Tobacco
Consumer Studies (TCS).
IF NEEDED:
WHAT’S IN IT FOR ME: If someone in your household is determined to be eligible, he/she will have the chance to
receive cash payments in appreciation for their participation.
Enrollment Introduction Script
IF TALKING TO THE ELIGIBLE SAMPLED ADULT: Hello, my name is [YOUR NAME} from RTI International in
North Carolina. We are conducting a nationwide study sponsored by the U.S. Food and Drug Administration (FDA).
You have been selected to participate in the National Panel of Tobacco Consumer Studies, or TCS.
Your participation in the TCS panel involves completing an initial set of enrollment questions. This should only take
about 20 minutes and you will receive $35 in cash as a token of our appreciation. Once you are enrolled in the panel,
you will be asked to complete about 2-3 short tobacco-related surveys a year over the next 3 years. These surveys
will only take 15-20 minutes of your time and you will receive a $15 cash payment for each survey you complete.
IF NEEDED:
STUDY PURPOSE: The FDA is establishing the survey panel to help researchers and policy makers understand the
impact and effectiveness of tobacco-related public education activities and possible regulatory actions.
NOT INTERESTED: You cannot be replaced. If you choose not to participate, your views and opinions—as well as
those of the thousands of people you represent across the U.S.—will not be heard.
TIME COMMITMENT: TCS surveys are short and can be completed around your schedule. You can also complete
them in parts. Every survey is voluntary and the total time commitment is only about an hour a year.
1
Device Option Scripts
R DOES NOT HAVE A DEVICE OR ACCESS TO INTERNET, OFFER MAIL PARTICIPATION OPTION: We can
get started on the initial survey now. The entire process will only take about 20 minutes and as I mentioned previously
you will receive $35.00 in cash as a token of our appreciation for completing the enrollment process. We can send
the other short surveys to you by mail, using the United States Postal Service. If at any point you do gain access to a
computer and/or the internet, you can always participate online in the future.
R HAS NO DEVICE/INTERNET ACCESS AND REFUSES MAIL PARTICIPATION OPTION BUT IS OTHERWISE
INTERESTED: We really would like you to join the panel. I will talk to my supervisor to see what we can do about an
alternative way for you to participate. I will get back to you once I speak with him/her
R IS ELIGIBLE FOR A TABLET: You recently spoke with me/someone about your interest in joining the panel but at
the time you indicated that you have no access to an internet-enabled device to complete the web surveys. I spoke
with my supervisor and s/he has indicated that we can offer you the loan of a Web-enabled tablet computer while you
are in the panel so you can participate in the online surveys. Your participation in the panel is important and we want
to make sure you have every opportunity to join. I can help you setup the loaned tablet and show you how to
complete the surveys with it. At the end of your time in the panel, you will return the tablet to RTI where it will be
receipted, wiped clean of any data, and restored to its original factory settings.
R IS RELUCTANT-HAS INTERNET-ENABLED DEVICE: We can schedule the initial survey to be done at your
convenience. The entire process will only take about 20 minutes and you will receive $35 in cash as a token of our
appreciation for completing the panel enrollment process. Additionally, all follow-up surveys can be completed online
at your convenience. You will receive $15 cash for each of the short surveys you complete.
R IS RELUCTANT-DOES NOT HAVE INTERNET-ENABLED DEVICE, BUT COULD BE CONSIDERED FOR MAIL
PARTICIPATION: We can schedule the initial survey to be done at your convenience. The entire process will only
take about 20 minutes and you will receive $35 in cash as a token of our appreciation for completing the panel
enrollment process. Additionally, all follow-up surveys can be mailed to you via United States Postal Service. A
postage-paid envelope will be included with each mailing, so completing a survey will be at no cost to you. You will
receive $15 cash for each of the short surveys you complete.
R IS RELUCTANT-DOES NOT HAVE INTERNET-ENABLED DEVICE, BUT COULD BE CONSIDERED FOR
TABLET: We can schedule the initial survey to be done at your convenience. The entire process will only take about
20 minutes and you will receive $35 in cash as a token of our appreciation for completing the panel enrollment
process. I will speak to my supervisor to find out if there is an alternate way we can offer you to participate with.
2
Attachment 3-31. FI Authorization Letter
Food and Drug Administration
Center for Tobacco Products
[DATE]
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is looking for
adults, age 18 and older, to participate in a large, national survey panel for the National Panel of
Tobacco Consumer Studies (TCS). The FDA-CTP has hired RTI International, a not-for-profit
research firm, to conduct the TCS.
Beginning in January 2017 and continuing through August 2017, professional interviewers will be
contacting households around the United States. The TCS is committed to protecting the identity
of participants and interviewers will adhere to the most stringent research standards, are
thoroughly trained, and have signed legally binding pledges of privacy. Participation in the TCS is
strictly voluntary.
This letter serves to verify the employment of Pam Holloway with RTI International as a Field
Interviewer working on the TCS. If you have any questions about the TCS, or the authenticity of
this letter, you can call RTI directly at 1-800-613-0326.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-32: Incentive Thank You Letter
[DATE]
FNAME LNAME
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
[FNAME],
Thank you
… for [FILL: completing a survey for the National Panel of Tobacco Consumer Studies
(TCS)]. [FILL: We appreciate your patience while we prepared this study for the panel.]
Your continued participation in the TCS is providing important information to the U.S. Food
and Drug Administration (FDA) on consumer perceptions of tobacco products.
As a token of our appreciation, we have enclosed $15 in cash.
If you have any questions about this payment, or any other component of the TCS, please
call our toll-free project line at 1-800-613-0326 or email us at [email protected].
Also, remember that you can update your contact information at any time by going to
https://tcs.rti.org and logging in with your TCS ID and password.
We will contact you when your next TCS study is available. We hope we can count on your
continued cooperation.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-33: Panel Member Tablet Cheat Sheet
Tips and Tricks for Using your TCS Panel Member Tablet
Accessing Your TCS Surveys
•
•
All surveys for the TCS can be completed via the internet, using the Chrome browser on
your tablet or any browser installed on another mobile device or PC (e.g., Firefox, Internet
Explorer).
To access your survey:
1. Navigate to the TCS panel website: https://tcs.rti.org or click on the survey link
included in the email you received.
An easy way to navigate to the website is to type in ‘https://tcs.rti.org’ into
the browser address bar at the top of your browser window.
2. Enter your username and password.
3. Click on the survey that is waiting for you to complete.
Accessing Your TCS Email
•
•
•
•
Email will be the primary form of communication for the TCS.
When you received your tablet, the Field Interviewer set up your email so that you can
receive up-to-the-minute communications from project staff.
To access your email:
o If using Gmail, you can access your email by clicking on the Gmail icon.
o If you’re using a non-Google email provider, click on the standard email app icon (a
white envelope with a “@” symbol in the middle).
Regardless of what app you use, you should receive a notification every time you receive a
new message. Tapping on the notification will take you to the email.
RTI Technical Support
•
If you encounter problems with your tablet or while trying to access panel surveys you can
contact project staff by:
o Web: Request technical support online at https://tcs.rti.org
o E-mail: [email protected]
Please note that while you can send an e-mail anytime, it will likely be
answered between 8:00 a.m. and 5:00 p.m. on weekdays.
When emailing project staff members, include your name, Study ID, and a
phone number.
o Project Hotline: 1-800-613-0326
Project staff monitors the hotline between 8:00 a.m. and 5:00 p.m. on
weekdays.
If you are unable to reach a project staff member, leave a message that
includes your name, Study ID, and phone number, and we will return your
call as soon as possible.
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Preserving Your Battery
•
•
Reduce your screen brightness whenever possible. You can control the screen brightness
by clicking on the Settings icon on your desktop and then Display.
When not in use, disable Wi-Fi or turn off the tablet. The Wi-Fi can be disabled by clicking
on the Settings icon on your tablet desktop and then choosing Wi-Fi.
Maintaining Your Tablet
•
•
•
•
•
Keep your tablet charged when you’re not using it.
o When charging your tablet:
Use the charging cable RTI provided to you. Do not attempt to use another
charger, even if it appears to fit your tablet.
Ensure the charging cable is secured in the charging port on the bottom of
your tablet.
Avoid moving the charging cable post while it’s connected to the tablet.
Doing so can damage the port on your tablet.
Make sure your tablet is secure and the cable is out of the way while
charging your tablet. Doing so will prevent an accidental jolt on the cable,
which can cause damage to the tablet.
Clean your tablet display regularly
o Wipe the screen surface gently using a soft cotton cloth dampened with a mild soap.
Do not use abrasive cleaners.
Do not pour or spray liquids directly on your tablet or wash your tablet with
a heavily soaked cloth.
Keep your tablet away from extreme temperatures, including out of direct sunlight.
Avoid exposing your tablet to water, dirt, dust, sand, etc.
Make a habit of keeping your tablet in a case. When carrying it in a bag, make sure it’s in a
separate compartment or the screen is protected. Do not drop your tablet in a bag with
other lose objects (e.g., keys, cell phone) that can damage the screen.
Accidental Spills
•
If you accidentally spill liquid on your tablet:
o Turn it off immediately and unplug it
o Position it so that the liquid can run out
To Log In To the TCS Website:
https://tcs.rti.org
Your TCS ID:
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-34: Panel Member General Cheat Sheet
Accessing your TCS Surveys
Accessing Your Surveys
•
•
All surveys for the TCS can be completed via the Internet, using the Internet browser
installed on your PC or mobile device (e.g., Chrome, Firefox, Internet Explorer).
To access your surveys:
1. Navigate to the TCS panel website: https://tcs.rti.org or click on the survey link
included in the email you received.
An easy way to navigate to the website is to type in ‘https://tcs.rti.org’ into
the browser address bar at the top of your browser window.
2. Enter your username and password.
3. Click on the survey that is ready for you to complete.
RTI Technical Support
•
If you encounter problems while trying to access TCS surveys you can contact project staff
by:
o Web: Request technical support online at www.tcs.rti.org.
o E-mail: Anytime via e-mail [email protected] .
Please note that while you can send an e-mail anytime, it will likely be
answered between 8:00 a.m. and 5:00 p.m. on weekdays.
o Project Hotline: 1-800-613-0326
Project staff members monitor the hotline between 8:00 a.m. and 5:00 p.m.
on weekdays. If you are unable to reach a project staff member, leave a
message that includes your name, Study ID, and phone number, including
area code. We will return your call as soon as possible.
To Log In To the TCS Website:
https://tcs.rti.org
Your TCS ID:
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-35: Mail Reminder Postcard
Food and Drug Administration
Center for Tobacco Products
Dear Resident,
You were recently sent a short survey for the National Panel of Tobacco Consumer Studies
(TCS).
If you have already completed the survey, we would like to thank you for your participation.
If you have not yet completed the survey, please take a few minutes to answer the
questions. You can return the survey in the postage-paid envelope.
If you have any questions about the TCS survey, please contact our RTI study representatives
at 1-800-613-0326.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 2 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-38: Topical Mail Reminder Postcard
Dear [Insert Name],
You were recently sent a survey for the National Panel of Tobacco Consumer Studies (TCS). If you have
already completed the survey, we would like to thank you for your participation.
If you have not yet completed the [INSERT: Study Title], please complete the survey and return it to us
using the postage-paid envelope. The final date for completing this survey is [FILL: DATE]. As a
token of our appreciation, you will receive $15 in cash for completing the survey.
If you have any questions about the TCS or this survey, please contact our RTI study representatives at
1-800-613-0326.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-39: Topical Web Reminder Postcard
Dear [Insert Name],
You were recently sent a survey via e-mail for the National Panel of Tobacco Consumer Studies (TCS).
If you have already completed the survey, we would like to thank you for your participation.
If you have not yet completed the [[INSERT: Study Title], please complete this survey by going online at
https://tcs.rti.org and using your login credentials. The final date for completing this survey is [FILL:
DATE]. Each survey topic was hand-picked by policy makers at the FDA-CTP and represents an
important tobacco-related issue. As a token of our appreciation, you will receive $15 in cash for
completing the survey.
If you have any questions about the TCS or this survey, please contact our RTI study representatives at
1-800-613-0326.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-40: Appointment Reminder Card
Appointment Reminder
We appreciate your taking time for this important research and look forward to our appointment to
complete this process. Your appointment is scheduled for:
Day:
Date:
Time:
Location:
Interviewer Name:
____________________________________
Interviewer Phone Number:
____________________________________
RTI International
Research Triangle Park, NC 27709
[email protected]
OMB Number: 0910-0815; Expiration Date: 06/30/2019
Attachment 3-41: TCS Panel Member Alert Non-Response Scripts
Panel Member Informational Email (Enrollment)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS) Website Login Information
[Insert Name],
Thank you for joining the panel for the National Panel of Tobacco Consumer Studies (TCS).
To finish the enrollment process, please complete this short online survey by going to the TCS
website https://tcs.rti.org and using the following login information:
TCS ID: [######]
Password: [######]*
Survey Code: [###]
*Please note that you will be prompted to change this password to a password of your choice
once you log into the website. Your TCS ID, however, will not change.
If you have any questions about the panel, please call our toll-free project line at 1-800-6130326 or email us at [email protected].
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
Text Messages (Post - Enrollment)
Announcement
(Web Panel Members – includes RTI Tablet Users)
This message is from the TCS survey panel. A new survey is available at https://tcs.rti.org.
Questions? Call 1-800-613-0326.
(Mail Panel Members)
This message is from the TCS survey panel. A new survey was mailed to you. Please complete
and return it. Questions? Call 1-800-613-0326.
Heads-Up Text Message Announcement (Web and Mail)
Thank you for participating in the TCS survey panel. Your next survey will be available in [FILL
#] weeks. Questions? Call 1-800-613-0326.
1
Non-Response
(Web Panel Members – includes RTI Tablet Users)
This is a reminder from the TCS survey panel. We have not received your survey for this month.
Questions? Call 1-800-613-0326.
(Mail Panel Members)
This is a reminder from the TCS survey panel. We have not received your survey for this month.
Questions? Call 1-800-613-0326.
Emails (Post-Enrollment)
Announcement - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
A National Panel of Tobacco Consumer Studies (TCS) survey is now available for you to
complete by logging on to https://tcs.rti.org.
As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll-free at 1-800-613-0326.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
(Mail Panel Members)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
A National Panel of Tobacco Consumer Studies (TCS) survey has recently been mailed to you.
As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll-free at 1-800-613-0326.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
2
Heads-Up Email Announcement (Web and Mail)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
Thank you for your continued participation in the National Panel of Tobacco Consumer Studies
(TCS). A new survey will be ready for you to complete in the next [FILL #] weeks.
If your contact information has changed since the last survey, please call us toll-free at 1-800613-0326 or go to https://tcs.rti.org to update your Panel Profile.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
Non-Response - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
This is a friendly reminder that a National Panel of Tobacco Consumer Studies (TCS) survey is
available for you to complete by logging on to https://tcs.rti.org.
{FILL: Thank you for starting your survey.] The final date for completing this survey is
[FILL: date]. As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll free at 1-800-613-0326.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
(Mail Panel Members)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
This is a friendly reminder from the National Panel of Tobacco Consumer Studies (TCS). We
have not received your mail survey. Please complete and mail at your earliest convenience.
The final date for completing this survey is [FILL: date]. As a token of appreciation, you will
receive $15 for completing the survey.
If you have any questions, please contact us toll-free at 1-800-613-0326.
3
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
Auto-calls
Announcement - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
Hello. A National Panel of Tobacco Consumer Studies (TCS) survey is now available for you to
complete by logging on to https://tcs.rti.org. As a token of appreciation, you will receive $15 for
completing the survey. If you have any questions, please contact us toll-free at 1-800-613-0326.
Thank you.
(Mail Panel Members)
Hello. A National Panel of Tobacco Consumer Studies (TCS) survey has recently been mailed
to you. As a token of appreciation, you will receive $15 for completing the survey. If you have
any questions, please contact us toll-free at 1-800-613-0326. Thank you.
Heads-Up Phone Announcement (Web and Mail)
Thank you for your continued participation in the National Panel of Tobacco Consumer Studies
(TCS). A new survey will be ready for you to complete in the next [FILL #] weeks. If your contact
information has changed since the last survey, please call us toll-free at 1-800-613-0326 or go
to https://tcs.rti.org to update your Panel Profile. Thanks!
Non-Response - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
Hello. This is a friendly reminder that a National Panel of Tobacco Consumer Studies (TCS)
survey is available for you to complete by logging on to https://tcs.rti.org. As a token of
appreciation, you will receive $15 for completing the survey. If you have any questions, please
contact us toll free at 1-800-613-0326. Thank you.
(Mail Panel Members)
Hello. This is a friendly reminder from the National Panel of Tobacco Consumer Studies (TCS).
We have not received your mail survey. Please complete and mail at your earliest convenience.
As a token of appreciation, you will receive $15 for completing the survey. If you have any
questions, please contact us toll-free at 1-800-613-0326. Thank you.
4
Heads-Up Postcard (Web and Mail)
[Insert Name],
Thank you for your continued participation in the National Panel of Tobacco Consumer Studies
(TCS). A new survey will be ready for you to complete in the next [FILL #] weeks.
If your contact information has changed since the last survey, please call us toll-free at 1-800613-0326 or go to https://tcs.rti.org to update your Panel Profile.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
Post-Enrollment Automated Follow-up Messages by Contact Mode
Text Message – All panel members
Welcome to the TCS Survey Panel. The TCS website is https://tcs.rti.org. Our phone line is 1800-613-0326. Thanks!
Autocall – All panel members
Hello. Thank you for joining the National Panel of Tobacco Consumer Studies (TCS). As a
reminder, you will receive 2-3 short surveys a year while in the panel. The panel website is
https://tcs.rti.org. If you have any questions, please contact us toll free at 1-800-613-0326 or by
email at [email protected]. Thank you.
Email – Web Panel Members, including RTI Tablet users:
SUBJECT: National Panel of Tobacco Consumer Studies (TCS) [Insert Name],
Thank you for joining the National Panel of Tobacco Consumer Studies (TCS). As a reminder,
you will receive 2-3 short surveys a year while in the panel. Go to the TCS website at
https://tcs.rti.org to access your surveys or update your contact information. If you have any
questions, please contact us toll free at 1-800-613-0326 or by email at [email protected].
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
Letter – Mail Panel Members
[Insert Name],
Thank you for joining the National Panel of Tobacco Consumer Studies (TCS).
5
As a reminder, we will send you 2-3 short surveys in the mail each year while you are in the
panel. You can also participate online through the TCS website at https://tcs.rti.org. If you have
any questions or need to update your contact information, please contact us toll free at 1-800613-0326 or by email at [email protected].
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
TCS Password Reset Email
SUBJECT: National Panel of Tobacco Consumer Studies (TCS) Password Reset Confirmation
TCS Panel Member,
Your TCS password has been reset. To login, please go to the TCS website https://tcs.rti.org
and use the following login information:
TCS ID: [######]
Password: [######]*
*Please note that you will be prompted to change this password to a password of your choice
once you log into the website. Your TCS ID, however, will not change.
If you have any questions or feel you have received this email in error, please call our toll-free
project line at 1-800-613-0326 or email us at [email protected].
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
6
Attachment 3-42: Phone Verification Answering Machine Script
Answering Machine Script:
Hello, I am calling from RTI International regarding a study sponsored by the U.S. Food and Drug Administration.
Our records indicate that someone at this number was contacted by one of our field interviewers and I am calling to
verify the quality of our interviewer’s performance. This call will take just a few minutes of your time. An RTI
International representative will try to reach you again over the next few days to ask a few brief questions. Thank
you in advance for your participation.
Attachment 3-43. TCS Website Screens
1) TCS Website Home Page
PROGRAMMER: FI WILL LOGIN WITH HIS/HER STUDY ID WHEN REQUIRED TO ADMINISTER
BASELINE SURVEY TO PM. WHEN FI ID IS ENTERED, FI WILL GET OPTION TO “ADMINISTER
BASEILNE SURVEY” AND LAUNCH THE SURVEY ACCORDINGLY. PER BASEILNE SPECS,
SECTION A (TUTORIAL) WILL BE SKIPPED WHEN FI ADMINISTERS THE SURVEY.
Home
Login
Username:
Password:
Forgot Password?
FAQs
Contact Us
Espanol
Welcome to the TCS Website
•
•
•
•
•
Login to complete a survey
Get answers to frequently asked questions (FAQs)
Contact us with any questions
Request Technical Support
Update your profile
OMB No. 0910-0815 Exp. 06/30/2019
Log In
Home
FAQs
Contact Us
Espanol
Log In
Login
Username:
Password:
Forgot Password?
Welcome to the TCS Website
•
•
•
•
•
Login to complete a Survey
Get answers to frequently asked questions
(FAQs)
Contact us with any questions
Request Technical Support
Update Your Profile
OMB No. 0910-0815 Exp. 06/30/2019
2) Create Password Screen
Create Password
To protect your privacy, please create a unique password. By creating a unique password, no one else will
be able to log in to your survey. The password should be something you will remember. There are no
restrictions on what you enter.
Password:
Password Confirmation:
Create Password and Continue
2a) Update Password Screen
Update Password
The password should be something you will remember. There are no restrictions on what you enter.
Password:
Password Confirmation:
Create Password and Continue
3) Security Question Screen
Set Security Question
To protect the privacy of your answers, please answer a security question from the list below.
This will be used to identify you if you forget your unique password. Please choose a question
that only you – and no one else – would know the answer to..
Security Question:
(Pick one from the dropdown list)
Name of your first pet
Name of your favorite teacher
City you were born in
Name of your favorite sports team
Furthest place to which you have traveled
Continue.
4) Begin the Survey Screen
Home
FAQs
Contact Us
Espanol
Log In
Update Panel Profile
Available Surveys:
Topical Study 1
OMB No. 0910-0815 Exp. 06/30/2019
4a) Front Screen of an TCS Web Survey (example with public burden statement)
TCS ID: 123456
PBINTRO
Help
Log Out
1% Complete
[Title of Survey]
Thank you for joining the survey panel for the National Panel of Tobacco Consumer Studies, or TCS. The information you provide
will be very important to FDA’s research. This first survey will introduce you to some of the features of our web surveys. It will also
collect more detailed information about the tobacco products you are currently using. If you have any questions about how to
answer a question or need help moving through the survey, please let the interviewer know.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10
minutes per response to complete the survey questions. Send comments regarding this burden estimate or any other aspects of
this information collection, including suggestions for reducing burden, to [email protected].
OMB No. 0910-0815 Exp. 06/30/2019
Next
** Burden estimate in Paperwork Reduction Act Statement will be 10 minutes for baseline survey, 5 minutes
for each panel mantenance survey, and 20 minutes for experimental and observational studies, including
Study 1.
4 b)
Timeout message:
'Your session has timed out. Please log in to continue.’
5) Forgot password screen (1st screen in request of new password)
Forgot Your Password?
Enter your TCS ID to receive your password.
TCS ID: ____________
If you need assistance with your account, please call the TCS Help Desk at 1-800-XXX-XXXX
or send an email to [email protected].
Submit
6) Identity Page (2nd screen in request of new password)
Identity Confirmation
Answer the following question to receive your password.
TCS ID: XXXXXXXX
Question: (Security question displayed here)
Answer: _____________________________
Submit
6) Identity Conformation Error Messaging
Identity Confirmation
Answer the following question to receive your password.
TCS ID: XXXXXXXX
Question: (Security question displayed here)
Answer: _____________________________
Your answer could not be verified. Please try again.
Submit
8) Profile Update Page
Update Your Profile
Street Address:
First Name: _________ Last Name:____________ Suffix: _________
Street: ______________
City: _______________________
State: ______________________
ZIP: _______________________
Mailing Address: ___ Check here if same as street address
Name: ____________________
Street: _____________
City: _____________________
State: ____________________
ZIP: _____________________
Phone and Email:
Home Phone:
Work Phone:
Cell Phone:
Alternate Cell Phone:
Email:
Alternate Email:
_______________________
_______________________
_______________________ Can we send text messages to this cell number?
_______________________ Can we send text messages to this cell number?
_______________________
_______________________
9) Links to TCS information from the Home screen
Home
FAQs
Contact Us
OMB No. 0910-0815 Exp. 06/30/2019
Espanol
Log In
About The TCS
What are the National Panel of Tobacco Consumer Studies (TCS)?
Who is sponsoring the TCS?
Who is RTI International?
Who is participating in the TCS?
What does my participation in the TCS involve?
How do I know the TCS is legitimate?
What are the National Panel of Tobacco Consumer Studies (TCS)?
The 2009 Tobacco Control Act granted the U.S. Food and Drug Administration (FDA) the authority to
regulate the manufacture, marketing, and distribution of tobacco products. To inform these
regulatory efforts, the FDA’s Center for Tobacco Products (FDA-CTP) is conducting the National
Panel of Tobacco Consumer Studies (TCS) to better understand what tobacco users know or how
they feel about FDA regulatory actions.
For example, the TCS may explore topics such as:
How people feel about tobacco product warning statements or marketing restrictions
The type of tobacco products people use,
The tobacco brands people prefer,
How people hear about new tobacco products,
Where people buy tobacco products, or
How often people use coupons or in-store promotions
Who is sponsoring the TCS?
The FDA CTP is sponsoring the TCS. RTI International has been contracted to conduct the studies
for the FDA-CTP.
Who is RTI International?
RTI is a nonprofit organization located in North Carolina. RTI conducts research both in the United
States and abroad under contract with federal, state, and local governments; public service
agencies; universities and foundations; and commercial clients.
Who is participating in the TCS?
The panel consists of about 4,000 adult tobacco users from across the United States. Your
participation is very important to the success of the TCS. By taking part, panel members represent
the views and opinions of many other individuals like themselves. The information you provide will
help inform tobacco-related policy decisions made by the FDA.
What does my participation in the TCS involve?
After completing the enrollment process, panel members will be asked to take part in 2-3 short but
important surveys for the FDA over a 3-year period. A cash payment will be offered as a token of
appreciation for each TCS survey you complete.
How do I know the TCS is legitimate?
The TCS is conducted under the authority of the Family Smoking Prevention and Tobacco Control
Act, which granted FDA important new authority to regulate the manufacture, marketing, and
distribution of tobacco products to protect the public health generally and to reduce tobacco use by
minors. The study has been approved by the U.S. Office of Management and Budget (OMB). The
valid OMB control number for this information collection is 0910-0815. The expiration date is
06/30/2019.
Frequently Asked Questions (FAQs)
Completing the TCS Surveys
Using the TCS Website
Privacy
Completing the TCS Surveys:
How long will the surveys take?
The surveys will vary in length depending on the topic and your experiences. Surveys will take
between 15-20 minutes.
Each web survey is designed so that you do not have to complete it in one session. You can get
started and easily log out and resume the survey at a later time. Simply log back in using your TCS
ID and password.
Please note that web survey time also will vary depending on connection speed to the Internet. If
you need assistance with any technical issues, contact the TCS Help Desk at 1-800-613-0326 or
email us at [email protected].
Do I have to participate in each survey?
Participation in the TCS panel and in each survey is voluntary. However, your participation is very
important to the success of this research. By taking part, you have the opportunity to share your
opinions and feedback to help inform tobacco-related policy decisions made by the FDA. You will
receive a cash payment as a token of appreciation for each TCS survey you complete.
Can I refuse to answer a question?
Your participation is very important to the success of this research. However, you can refuse to
answer any and all questions.
Using the TCS Website:
What if I forget my TCS ID?
If you forget your TCS ID, please let us know by calling the TCS Help Desk at 1-800-613-0326,
sending an email to [email protected], or completing the form on our Technical Support page.
What if I forget my password?
To have your password reset, go to the Forgot Password page. You can also contact the TCS Help
Desk at 1-800-613-0326 or email us at [email protected].
How do I know your website is secure?
The TCS website is protected by Secure Socket Layer (SSL; 128-bit encryption) technology. The
web data are collected over a secure server and connection also protected by SSL.
Should I use a particular web browser to take the web surveys?
The current versions of the following web browsers are recommended:
Chrome
Firefox
Safari
Internet Explorer
Opera
Privacy:
Will my survey answers be kept private?
The FDA and RTI are committed to assuring the privacy of responses. Our interest is only in the
combination of all responses and not anyone’s individual answers. Names are never associated with
answers, are only used for research and analysis and cannot be used for any other purpose. Privacy
of all answers to questions is protected to the fullest extent allowable by law.
10) Contact Us Screen
Home
FAQs
Contact Us
Espanol
Log In
TCS Help Desk
Help Desk staff are available to assist you.
You can contact us at:
Phone: [1-800-XXX-XXXX]
Email: [email protected]
Website: [insert url to Technical Support Page].
TCS Staff
If you have questions or concerns about the TCS, project staff are available Monday through
Friday between 9:00 AM and 5:00 PM (ET).
TCS Project Director (RTI):
Susan Kinsey
[email protected]
Phone: 1-800-613-0326
TCS Data Collection Manager (RTI):
Amy Kowalski
[email protected]
Phone: 1-800-613-0326
OMB No. 0910-0815 Exp.06/30/2019
11) Request Technical Support Screen
Home
FAQs
Contact Us
Espanol
Log In
Need help completing your TCS Surveys?
Please complete and submit the technical assistance form below. Once received, a member of
the TCS team will contact you.
TCS ID
Name
Email
Phone: _____-____-_______
Category:
Internet Connection Problems
Problems Logging in to TCS Website
Problems Launching Web Survey
Usability/Navigation Problems
Hardware Issue
Problems with Freezing Screen
Problems receiving TCS emails
Other Technical Problem
Non-technical Issue / general issue
Short Description
Description of the problem you are having:
Thank you for letting us know about your problem. Your request for assistance has been
submitted.
Your Ticket ID is 128. A member of the TCS team will contact you soon to help you.
SUBMIT
OMB No. 0910-0815 Exp. 06/30/2019
Text Field for Problem Description
Home
FAQs
Contact Us
[Insert Text]
OMB No. 0910-0815 Exp. 06/30/2019
Espanol
Log In
Attachment 3-44: Disenrollment Letter - Single Case
[DATE]
FNAME LNAME
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
[FNAME],
Thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS)
panel. This letter is to acknowledge your request to end your participation in the panel.
[FILL IF PM HAS STUDY-PROVIDED TABLET: Our records show that you were participating
in the TCS panel using a study-provided tablet computer. Please note that you will soon
receive a separate package from RTI International that includes instructions for returning
the tablet. The package will also include a shipping box and a pre-addressed, postage-paid
shipping label. Please follow the instructions and return the tablet to RTI at your earliest
convenience.
Thank you again for your prior support of the TCS. If you have any questions, please call
our toll-free project line at 1-800-613-0326 or email us at [email protected].
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-45: Disenrollment Letter - Bulk
[DATE]
FNAME LNAME
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
[FNAME],
Thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS)
panel. We’ve attempted to contact you about the TCS surveys for some time, but have not
heard from you or been able to reach you. For this reason, we are assuming you no longer
want to take part in the TCS panel. We will be discontinuing our requests for participation
in TCS surveys and your membership in the panel.
[FILL IF PM HAS STUDY-PROVIDED TABLET: Our records show that you were participating
in the TCS panel using a study-provided tablet computer. Please note that you will soon
receive a separate package from RTI International that includes instructions for returning
the tablet. The package also includes a shipping box and a pre-addressed, postage-paid
shipping label. Please follow the instructions and return the tablet to RTI at your earliest
convenience.
Thank you again for your prior support of the TCS. If you have any questions, please call
our toll-free project line at 1-800-613-0326 or email us at [email protected].
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-46: Screener Non-Response Priority Letter
Food and Drug Administration
Center for Tobacco Products
[Name/Adult Resident]
STREET ADDRESS1
STREET ADDRESS2
CITY, STATE ZIP
Dear [Name/Adult Resident]:
You or someone in your household may be eligible to participate in a large, national survey
panel being established by the U.S. Food and Drug Administration (FDA). Panel members
will be asked to take part in short but important surveys for FDA’s National Panel of Tobacco
Consumer Studies (TCS).
We would like to reach you before the study period ends. Time is running out!
If you or someone in your household is eligible for the survey panel, that person
will have the chance to receive cash payments in appreciation for their
participation.
Participation is voluntary. Your answers to the questions will be kept private to the fullest
extent allowable by law. You can refuse any and all questions.
This is an opportunity to contribute to important research to inform FDA regulatory actions
about tobacco products. For more information, please call the panel toll-free number:
1-800-613-0326.
We will be in your neighborhood again soon, and hope you will answer the
interviewer’s questions.
Thank you for your time.
Sincerely,
Susan Kinsey, Project Director
RTI International
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected]. OMB Number: 0910-0815 Expiration Date: 06/30/2019
Attachment 3-47: CAPI Non-Response Priority Letter
Food and Drug Administration
Center for Tobacco Products
[Name/Adult Resident]
STREET ADDRESS1
STREET ADDRESS2
CITY, STATE ZIP
Dear [Name/Adult Resident]:
We are contacting you because you may be eligible to participate in a large, national survey
panel being established by the U.S. Food and Drug Administration (FDA). Panel members
will be asked to take part in short but important surveys for FDA’s National Panel of Tobacco
Consumer Studies (TCS).
We would like to reach you before the study period ends. Time is running out!
If you are eligible for the survey panel, you will receive $35 in cash as a token of
appreciation for enrolling in the panel. You will also receive additional cash
payments for participating in future panel surveys.
Participation is voluntary. Your answers to the questions will be kept private to the fullest
extent allowable by law. You can refuse any and all questions.
This is an opportunity to contribute to important research to inform FDA regulatory actions
about tobacco products. For more information, please call the panel toll-free number:
1-800-613-0326.
We will be in your neighborhood again soon, and hope you will answer the
interviewer’s questions.
Thank you for your time.
Sincerely,
Susan Kinsey, Project Director
RTI International
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected]. OMB Number: 0910-0815 Expiration Date: 06/30/2019
Attachment 3-48: Screener Non-Response Postcard
Food and Drug Administration
Center for Tobacco Products
Dear Adult Resident,
An interviewer recently contacted your household about a large, national survey panel
conducted by the U.S. Food and Drug Administration (FDA). Panel members will be asked to
take part in short but important surveys for FDA’s National Panel of Tobacco Consumer
Studies (TCS). We will be in your neighborhood again soon.
If you have already completed the survey with an interviewer, thank you for your
participation.
If you have not yet completed the survey with the interviewer, please take a few minutes
to answer the interviewer’s questions.
The FDA has selected RTI International, a not-for-profit research organization, to establish
the survey panel. If you have questions about the survey, please call RTI toll-free at 1-800613-0326.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 2 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-49: Screener Non-Response – Eligibility Determination Needed
Food and Drug Administration
Center for Tobacco Products
Adult Resident
STREET ADDRESS1
STREET ADDRESS2
CITY, STATE ZIP
Dear Adult Resident:
Our interviewer recently contacted your household about a large, national survey
panel being created by the U.S. Food and Drug Administration (FDA). When the
interviewer came by, you declined to answer our questions about your household’s
eligibility for the panel.
We are writing to ask you to reconsider and complete the short FDA
survey. If we find that someone in your household is eligible, he or she will
have the chance to receive cash payments for participating in the survey
panel.
The survey will only take 5-10 minutes of your time. When the interviewer is in
your neighborhood again, you can schedule an appointment when it is most
convenient for you.
Your household is one of a limited number of households randomly selected to
represent the population of the U.S. Participation is voluntary. Your household’s
answers to the questions will be kept private to the fullest extent allowable by law.
You can refuse any and all questions.
RTI International, a not-for-profit research organization, is helping the FDA create
the panel. Please ask the interviewer any questions, or call RTI toll-free at 1-800613-0326.
Your participation is important! Thank you for your cooperation.
Sincerely,
Susan Kinsey, Project Director
RTI International
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected]. OMB Number: 0910-0815 Expiration Date: 06/30/2019
Attachment 3-50: CAPI Non-Response Partial Enrollment Follow-up Letter
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS1
STREET ADDRESS2
CITY, STATE ZIP
Dear FNAME:
An interviewer recently contacted you about participating in the U.S. Food and Drug
Administration’s (FDA) National Panel of Tobacco Consumer Studies (TCS). You started the
process of enrolling in the panel, but were unable to complete your enrollment at that time.
Your participation in the TCS is very important. We are writing this letter to ask you to
complete the enrollment process with the interviewer.
•
You will receive $35 cash as a token of our appreciation for completing your
enrollment.
As a panel member, you will be asked to take part in short, but important surveys that will
inform future FDA policy decisions about tobacco products.
•
You will receive additional cash payments for participating in future TCS
surveys.
Your participation is voluntary. Your answers to the questions will be kept private to the
fullest extent allowable by law. You can refuse any and all questions. If you have questions
about completing the enrollment process, please call RTI toll-free at 1-800-613-0326.
We look forward to your involvement in the panel. Thank you for your cooperation.
Sincerely,
Susan Kinsey, Project Director
RTI International
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected]. OMB Number: 0910-0815 Expiration Date: 06/30/2019
Attachment 3-51: Controlled Access Management Letter
Food and Drug Administration
Center for Tobacco Products
[Building Manager] at:
STREET ADDRESS
CITY, STATE ZIP
Dear [Building Manager]:
One of our interviewers, [FIRST & LAST NAME], attempted to contact specific residences within
[COMPLEX/COMMUNITY] that were randomly selected to participate in a large, national survey panel
being created by the U.S. Food and Drug Administration. RTI International, a not-for-profit research
organization, is creating the National Panel of Tobacco Consumer Studies (TCS) for the FDA. [MR./MS.]
[LAST NAME] has been unable to gain access to [COMPLEX/COMMUNITY], and we need your help.
We understand your responsibility to protect your residents and want to provide you with information
about the study:
•
We are not selling anything. This is not a marketing survey.
•
The information collected will contribute to important research to inform future FDA regulatory
actions about tobacco products.
•
A limited number of household addresses were randomly chosen to take part. We do not have
any information about the residents other than an address.
•
The interviewer only needs a few minutes of the residents’ time to see if someone in the
household is eligible to participate in the panel.
•
All information provided is kept completely private.
By helping our interviewer access the selected households in [COMPLEX/COMMUNITY], you will make a
direct contribution to this important research effort. [FIRST & LAST NAME], our supervisor in your area,
will contact you soon to address any questions, or you may call [HIM/HER] toll free at [TOLL FREE
NUMBER]. The enclosed TCS brochure also contains important information about the survey panel.
Your assistance is extremely important to the success of the TCS, and I thank you in advance for your
help.
Sincerely,
Susan Kinsey, Project Director
RTI International
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected]. OMB Number: 0910-0815 Expiration Date: 06/30/2019
Attachment 3-52: Topical Study Nonresponse Follow-up – Generic
Food and Drug Administration
Center for Tobacco Products
[FNAME LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear FNAME,
Thank you for your contributions to the U. S. Food and Drug Administration’s National Panel
of Tobacco Consumer Studies (TCS). About 4,000 adults are participating in this large,
national survey panel.
You have indicated you [FILL: are not interested in completing/do not have time to
complete/feel the questions are too personal to complete] the current survey. We are
writing this letter to ask you to reconsider.
As a panel member, you have the opportunity to take part in short but important TCS
surveys. All TCS panel members receive a $15 cash payment as a token of our
appreciation for each survey they complete.
The information collected in the TCS is helping policymakers and researchers understand
consumer perceptions of tobacco products, including their labelling, advertising, and
marketing. Your continued participation will help inform future FDA policy decisions about
tobacco products.
I hope you will choose to complete the current survey. If we can answer any questions
about the panel or your survey participation, please call us toll-free at 1-800-613-0326.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-53: Web/Mail Topical Study Consent Script (NEW)
We are excited that you are participating in the TCS survey panel. This study will collect
information about [INSERT: Study Description]. The questions will take about 15 minutes to
complete and you will receive $15 as a token of our appreciation. Your participation is
voluntary and you can skip any question you do not want to answer. Your answers to the
questions will be kept private to the fullest extent required by law.
[IF WEB SURVEY: Do you agree to participate in the survey?
1
2
Yes
No EXIT SURVEY: Thank you for your time. Have a nice day/evening.]
[FILL BASED ON ENROLLMENT/RE-CONSENT STATUS: There may be opportunities for TCS
researchers to use, share, or release deidentified panel data for similar research in the future.
”Deidentified” means that we will remove your personal identifying information before the data
are used, shared, or released to others. Although we cannot guarantee that no one can
reidentify these data, it is highly unlikely that this will occur. We will not ask for your additional
informed consent if we use, share, or release deidentified panel data for future research.]
[IF MAIL SURVEY: Please use blue or black ink to complete the survey. Once you complete
the survey, please place it in the enclosed business reply envelope and return it to us at no
charge. Your completion and return of the survey indicates your consent to participate.]
If you have any questions about the survey, please call the TCS toll-free project line at 1-800613-0326. If you have questions about your rights as a study participant, please call RTI’s Office
of Research Protection at 1‐866‐214-2043 (a toll‐free number).
Thank you for your participation.
Attachment 3-54: Mail Topical Study Cover Letter (NEW)
Food and Drug Administration
Center for Tobacco Products
[FNAME/LNAME]
STREET ADDRESS
CITY, STATE ZIP
Dear [FNAME]:
Thank you for your participation in the U. S. Food and Drug Administration’s National Panel of
Tobacco Consumer Studies (TCS). Your next TCS panel survey is enclosed with this letter. The
survey will collect information about [INSERT: Study Description]. The questions will take about
15 minutes to complete and you will receive $15 as a token of our appreciation.
Your participation is voluntary and you can skip any question you do not want to answer. Your
answers to the questions will be kept private to the fullest extent allowable by law. Once you
complete the survey, please place it in the enclosed business reply envelope and return it to us
at no charge. Your completion and return of the survey indicates your consent to participate.
RTI International, a not-for-profit research organization, is working with the FDA to conduct the
TCS panel surveys. If you have any questions about the panel you can call RTI directly at 1800-613-0326 (a toll-free call). If you have questions about your rights as a study participant,
please call RTI’s Office of Research Protection at 1‐866‐214-2043 (a toll‐free number).
We look forward to receiving your completed survey. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 2 minutes per response
to complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including
suggestions for reducing burden, to [email protected].
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-55. Web/Mail/Tablet Re-Consent Form (IF IMPLEMENTED - NEW)
Consent to Continue to Participate in Panel – Web/Mail Version
Thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS). Your 3-year TCS panel period will
end soon. You are invited to continue to participate in the panel after your current panel period ends. If you agree, you will be
asked to take part in additional tobacco-related surveys. You will receive $15 cash as a token of appreciation for each survey
you complete.
Description and Purpose of the TCS: The TCS panel studies are being conducted to assess responses to possible FDA
regulatory actions from a sample of approximately 4,000 tobacco users that represent the nation as a whole. The studies will
assess consumer perceptions of tobacco products, including their labeling, advertising and marketing.
Sponsor: The TCS is sponsored by the U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). RTI
International, a not-for-profit research organization, is conducting the study on the behalf of the FDA-CTP.
Procedures: You will be asked to complete about 2-3 short surveys a year on tobacco-related topics. These will take about
15-20 minutes to complete. Your participation in the panel will last through [END DATE]. [IF TABLET LOAN: While you are in
the panel, you can continue to use the tablet computer loaned to you at enrollment to participate in these surveys online.]
Financial Considerations: Participation in the TCS panel will involve no cost to you. For completing the short surveys you
will receive $15.00 cash each.
Voluntary Participation: Your participation in the panel is completely voluntary. You can refuse to answer any and all
questions. You can elect to leave the panel at any time. As a web participant, you will be asked for your consent in each online
survey. As a mail participant, you will indicate your consent for each survey by completing and returning the survey form.
Privacy: Your answers to the survey questions will be kept private to the fullest extent required by law. Your name will not
be reported with any answers you provide. Your answers will be combined with answers of many others and reported in a
summary form. This research is covered by a Certificate of Confidentiality (CoC). A CoC protects your private panel
information from being used in legal proceedings. The CoC also requires TCS researchers have your consent before sharing
your identifiable information. However, there may be opportunities for TCS researchers to use, share, or release deidentified
panel data for similar research in the future. ”Deidentified” means that we will remove your personal identifying information
before the data are used, shared, or released to others. Although we cannot guarantee that no one can reidentify these data, it
is highly unlikely that this will occur. We will not ask for your additional informed consent if we use, share, or release
deidentified panel data for future research. Please note that the CoC does not prevent all disclosures. You can freely discuss
your involvement in this research. TCS researchers cannot refuse requests for information from the FDA-CTP, the TCS sponsor.
In situations involving imminent danger, the law requires TCS researchers to disclose certain information.
Possible Benefits and Risks: There are no direct benefits to you for participating in the panel. The potential exists for loss of
privacy, though our procedures are designed to protect and secure your personal information.
Further Questions: If you have questions about the research now or in the future, including the TCS surveys, you can contact
the Project toll free number 1-800-613-0326. If you have questions about your rights as a study participant, call RTI’s Office
of Research Protection at 1‐866‐214-2043 (a toll‐free number).
Statement of Consent: I have read the description of this research provided above (or the description has been read to me),
and I understand it.
[IF WEB: I freely and voluntarily agree to continue to participate in the TCS panel.
YES
NO
Please call the Project toll free number (1-800-613-0326) if you would like a copy of this consent form mailed to you.]
IF MAIL: By signing my name below, I am indicating my agreement to continue to participate in the TCS panel.
Printed Name of Research Participant
Signature of Research Participant
Date Signed
[IF MAIL: Please return the top copy of your signed form in the postage-paid envelope. Keep the bottom copy of the
form for your records.]
OMB Number: 0910-0815
Expiration Date: 06/30/2019
Attachment 3-56: TCS Fact Sheet Template (NEW)
Attachment 3-57: TCS Fact Sheet Letter (NEW)
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
ADDRESS1
ADDRESS2
CITY, STATE ZIP
Dear FNAME,
Thank you for your [FILL: continued] participation in the National Panel of Tobacco
Consumer Studies (TCS). As you can see in the enclosed TCS information sheet, you are an
important part of the nearly 4,000-member survey panel. You represent the views and
opinions of many others around the country.
[FILL: Your next TCS study will be available for you to complete (FILL: TIMEFRAME). Your
responses to our surveys provide the U.S. Food and Drug Administration (FDA) with
important information on consumer perceptions of tobacco products, including their labeling,
advertising, and marketing.]
[FILL: We will contact you when your next TCS study is available. Your responses to our
surveys provide the U.S. Food and Drug Administration (FDA) with important information on
consumer perceptions of tobacco products, including their labeling, advertising, and
marketing. We hope we can count on your continued cooperation.]
The information you provide in the TCS surveys is critical to the success of the study!
Please let us know if your contact information has changed. You can update your address,
telephone number, and/or email address at any time by going to https://tcs.rti.org and
logging in with your TCS ID and password. You can also call us toll-free at 1-800-613-0326
or send an email to [email protected]. We’re available to answer any questions you may have
about the TCS panel.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
.
OMB Number: 0910-0815
Expiration Date: XX/XX/XXXX
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |