OMB NO.: 0925-0406
EXPIRATION DATE: 10/31/2011
Attachment 16B:
Buccal Cell Reminder Call Script for North Carolina Respondents
Public reporting burden for this collection of information is estimated to average twenty-five minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0406). Do not return the completed form to this address.
FOLLOW-UP REMINDER CALL FOR BUCCAL CELL COLLECTION
Hello Ms/Mr.__________________. This is __________at the North Carolina Field Station (directed by Battelle). I’m calling about the Agricultural Health Study.
Several weeks ago you completed an interview updating information for our study. At that time you consented to the mailing of a buccal cell collection kit. The reason I’m calling is to make sure that you received this kit.
…they did not receive the kit, but YES they would like to participate.
I’m sorry about that. We will mail another collection kit to you, but first I would like to verify that we have your correct address. Is it___________? Okay, the collection kit should arrive in the next few days. Please carefully read the instructions that are included. If possible, we would like to ask if you could complete this activity as soon as you can. It is very important to mail the cell sample within 24 hours of collection. Also, please sign and return the consent form with your cell sample. The $5 is yours to keep for your time and inconvenience. Did you have any other questions or concerns? (address these).
Thank you for your participation.
…they did not receive the kit, and NO they do not want to participate.
Okay, I can understand. You may keep the $5. Thank you for the help you have already given to the study.
…they received the kit, but NO they do not want to participate.
Okay, I can understand. Thank you for the help you have already given to the study.
…they received the kit, and are RECEPTIVE to participating.
Good. Did you have any questions or concerns?
(address these)
Now there are a few things I’d like to remind you to do before we close. Please carefully read the instructions that came with the collection kit. If possible, we would like to ask if you could complete this activity as soon as you can. It is very important to mail the cell sample within 24 hours of collection. Also, please sign and return the consent form with your cell sample. The $5 is yours to keep for your time and inconvenience.
Thank you for your participation.
…they already returned the buccal cell sample.
Good. About how long ago did you put the packet in the mail? Did you include the signed consent form when you did this? We will expect to receive it soon. Thank you for helping us out.
File Type | application/msword |
Last Modified By | Vivian Horovitch-Kelley |
File Modified | 2008-04-21 |
File Created | 2008-03-28 |