Verbal Consent

CorrectionalFoodSafety_Interview_VerbalConsent.docx

[NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Verbal Consent

OMB: 0920-1071

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Verbal consent for interview

This interview is being carried out by members of the Centers for Disease Control and Prevention, Division of Foodborne, Waterborne, and Environmental Diseases. These interviews are being used to collect general information about food safety practices and policies in correctional settings based on your individual knowledge and experiences. The information you share will be used to refine CDC’s approach to improving food safety in correctional settings and will not be used for publication or external distribution. The interview will take less than 1 hour to complete. We will not record your name, contact information, or employer details in our interview notes, so the answers cannot be tied back to you. You can skip any questions, but your responses will greatly improve our approach to food safety in correctional settings. Do you agree to participate in the interview?



☐Subject agreed to interview

☐Subject declined to interview



Signature of witness: ___________________________________________ Date: ______________





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDrexler, Naomi (CDC/DDID/NCEZID/DFWED)
File Modified0000-00-00
File Created2024-07-27

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