Civil Rights Reporting Portal User Research - Participant Agreement

Participant Agreement_Reporting Portal.docx

Improving Customer Experience: OMB Circular A-11, Section 280 Implementation.

Civil Rights Reporting Portal User Research - Participant Agreement

OMB: 1103-0120

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Participant Agreement


Thank you for your interest in sharing your feedback about the Civil Rights Reporting Portal with us! Please complete this agreement and email it back to us at [email protected].


What to expect during the interview session:

  • You will be interviewed for 60 minutes about your experience with the Civil Rights Reporting Portal.

  • There are no right or wrong answers to any of the questions. Please share your thoughts, feelings, and experiences freely.

  • You will need internet access and a place where you can talk comfortably for an hour.

  • You do not need to prepare anything ahead of time.

  • With your consent, we will document this session by taking written notes and recording audio and video. This helps us make sure that we capture everything you have to say accurately and in your own words.

How we will keep your information secure:

  • Your name will not be linked to anything that you say.

  • We will keep our records in a secure location that is only shared with people who have a valid need to know.

Your rights as a participant:

  • Your participation is voluntary. You can end the session or skip a question at any time.

Any questions?



________________________________________________________________________

I have read the information above and agree to participate.



__________________________________________________

Name


__________________________________________________ ______________

Signature Date

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSlogeris, Becky (CRT)
File Modified0000-00-00
File Created2022-10-15

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