Participant Consent Information Sheet

Attachment B_Informed Consent Template.docx

NCSES-Generic Clearance of Survey Improvement Projects for the National Center for Science and Engineering Statistics

Participant Consent Information Sheet

OMB: 3145-0174

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Project Title



ATTACHMENT B

Participant Consent Information Sheet


  1. Why are we doing this Study? We are conducting this research study to [insert brief project description]


  1. Who is funding this Study? This study is sponsored by the National Center for Science and Engineering Statistics (NCSES) within the U.S. National Science Foundation.


  1. What would I be asked to do if I am in this study? You will be asked [insert description of the task(s)]


  1. Is participation voluntary? Your decision to participate in this research is voluntary. You can stop at any time. You do not have to answer any questions you do not want to answer. If you agree to participate, your session may be audio or video recorded.


  1. Are there any risks in participating in this study? There are no risks in participating in this research beyond those experienced in everyday life.


  1. What are the benefits of participation? Your perspectives and insights are critical to [insert benefits].


  1. How long will it take for me to participate in this study? It will take approximately [insert participation time, including the number of sessions and the length of each session].


  1. Who will have access to the results of this study and/or my information? All responses will be anonymized, and we will not share your contact information or feedback with anyone outside the project team or NCSES. The recording and any transcriptions will be used only as a resource for the development of findings and recommendations or research reports. Everything you share will be kept confidential to the extent allowed by law [under (insert law) for collections that are conducted under specific laws, such as the Privacy Act].


  1. Who can I contact with questions? Please contact [project lead] at [project lead phone number and email] with questions or concerns about this research.










Per the Paperwork Reduction Act of 1995, no persons are required to respond to an information collection unless it displays a valid Office of Management and Budget (OMB) control number. The valid OMB control number for this information collection is 3145-0174. 

  

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleINFORMED CONSENT FORM FOR BEHAVIORAL RESEARCH STUDY
Authorsvp102
File Modified0000-00-00
File Created2025-11-18

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