Attachment 1 - LOI-3-RT-01-N: Recruitment Script OMB #: 0925-0647
Expiration Date: 1/31/2015
Recruitment Script for LOI-3-RT-01-N GC/MS Methods to Determine Environmental Factors on Fetal and Newborn Gene Expression
"Thank you for agreeing to meet with us/me to discuss the research study that we are conducting. The purpose of the study is to test our methods for studying if certain chemicals in the environment might be related to changes in developing children. The specific things in the environment that we are looking at in this study are chemicals used in plastics and food containers in addition to other materials. Laboratory studies have shown that these chemicals can cause changes in cells. However, what is not known is whether these changes happen in nature as well as in the laboratory. That is why we would like to test your urine and that of your newborn baby for these chemicals. If you have a baby boy (or because you know you will be having a baby boy), we would also like permission to examine the tissue that will be removed after he is circumcised. This will allow us to compare the amount of chemicals in his and your urine with potential changes in his tissue sample. If you think that you might like to participate in this study, you need to read, understand and sign the informed consent document. After you read the document, or during your reading of it, if you have any questions about the study or related issues, we would be happy to answer them. If there is something you do not understand in the document or need it to be translated, (Dr. Lyman, the PI for this study, is fluent in Spanish and serves as a volunteer hospital translator) we can provide this service in Spanish (or other languages typical of our patient population, e.g., Arabic). Thank you for giving us permission to speak with you about this study. Do you have any questions?
Public reporting burden for this collection of information is estimated to average 2 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 (0925-0647*). Do not return the completed form to this address.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | cookela |
File Modified | 0000-00-00 |
File Created | 2021-01-31 |