According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-XXXX. The time required to complete this information collection is estimated to average 3–8 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collected. |
OMB Approved 0579-XXXX
EXP: XX/20XX |
Opinion Survey |
Hello,
The
United States Department of Agriculture (USDA), Colorado State
University (CSU), and Corona Insights are conducting a study of
households.
We
would like you to take a short online survey. Most participants will
take between 3 minutes and 8 minutes to complete this survey.
If
you decide to participate in this study, you may withdraw your
consent and stop participation at any time without penalty.
The
information you provide will be protected and will not be disclosed
to the public to the extent that it satisfies the criteria for
exemption under the Freedom of Information Act (FOIA), 5 U.S.C. Sec.
552. USDA will protect your information in accordance with its
privacy and security policies and procedures, per Title 7 CFR Subpart
G.
We
will not collect your name or personal identifiers other than county
and zip code. Deidentified, individual data will be shared with the
Centers for Disease Control and Prevention (CDC) for a further
understanding of household operations. Otherwise, only combined and
summarized data from participants will be shared or used in a report.
Any information you provide will be used for this study only; we will
not use or distribute the data you provide for any other research
studies. It is not possible to identify all potential risks in
research procedures, but we have taken reasonable safeguards to
minimize any known and potential (but unknown) risks. Through this
study, we hope to gain more knowledge about household operations.
If
you have any questions about the research, please contact Matt Bruce
at [email protected] or 303-577-2457. Or you may contact Becca
Jablonski at [email protected]. If you have any questions
about your rights as a volunteer in this research, contact the CSU
IRB at [email protected]
or 970-491-1553.
To indicate your consent to participate in this research and to continue to the survey, please click the “Next” (>) button.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Beam, Andrea - MRP-APHIS |
File Modified | 0000-00-00 |
File Created | 2024-07-19 |