Download:
pdf |
pdfATTACHMENT 3.
RESPONDENT MATERIALS: ENGLISH-LANGUAGE VERSIONS
Attachment 3-1: Mail Screener Cover Letter
Food and Drug Administration
Center for Tobacco Products
Resident at:
STREET ADDRESS
CITY, STATE ZIP
Dear Resident:
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is looking for adults,
age 18 and older, to participate in a large, national survey panel. Panel members will be asked to take
part in short but important surveys for FDA’s National Panel of Tobacco Consumer Studies (TCS).
We are contacting this address to determine if someone in your household may be eligible for the TCS
survey panel. This address is one of more than 30,000 addresses across the U.S. randomly selected to
receive this packet. Please take a few minutes to complete the enclosed 1-page questionnaire and return
it in the postage-paid envelope. It will only take 1-2 minutes of your time. We have enclosed $2 as a
token of appreciation for completing the questionnaire.
Your participation is voluntary and your answers to the questions will be kept private to the fullest extent
allowable by law. In the event someone in your household may be eligible for the TCS, we will contact
you again to provide more information about the survey panel. Persons who join the panel will have the
chance to receive additional cash payments in appreciation for their participation in the TCS surveys.
RTI International, a not-for-profit research organization, is working with the FDA to create this survey
panel. If you have any questions about the panel you can call RTI directly at (800) XXX-XXXX (a toll-free
call).
Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 2 minutes per response
to complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including
suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-2: Screener Lead Letter
Food and Drug Administration
Center for Tobacco Products
Resident at:
STREET ADDRESS
CITY, STATE ZIP
Dear Resident:
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is looking for adults,
age 18 and older, to participate in a large, national survey panel. Panel members will be asked to take
part in short but important surveys for FDA’s National Panel of Tobacco Consumer Studies (TCS). This
letter is addressed to “Resident” because your address, rather than a specific person in your household,
was randomly selected along with over 30,000 others.
RTI International, a not-for-profit research organization, is working with the FDA to create this survey
panel. Soon, an RTI interviewer will be in your neighborhood to give you additional information. The
interviewer will carry an identification card like the example shown below.
Please take a few minutes to answer the interviewer’s questions about your household. We will use your
answers to determine if anyone in your household is eligible for the panel. If we select someone from your
household, that person will have the chance to receive cash payments in appreciation for their
participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable by law. They
will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the panel you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your help is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-3: Brochure
Attachment 3-3: Brochure (continued)
Attachment 3-4: Screener Non-Response - Too Busy
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of Tobacco
Consumer Studies (TCS). The TCS is a large, national survey panel being created by the U.S. Food and
Drug Administration’s Center for Tobacco Products (FDA-CTP). We are looking for adults, age 18 and
older, who may be eligible to take part in the TCS panel. When our interviewer came by, you indicated
you were too busy or did not have time to answer our interviewer’s questions. We are writing this letter to
ask you to reconsider.
Please take a few minutes to answer the interviewer’s questions about your household. The screening
process is short and will take only 5-10 minutes of your time. You can schedule an appointment with one
of our interviewers at a time that is most convenient for you. We will use your answers to determine if
anyone in your household is eligible for the survey panel. If we select someone from your household, that
person will have the chance to receive cash payments in appreciation for their participation in the TCS
surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable by law.
They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS panel, you can ask the interviewer or call RTI directly at (800)
XXX-XXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-5: Screener Non-Response – Generic
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of Tobacco
Consumer Studies (TCS). The TCS is a large, national survey panel being created by the U.S. Food and
Drug Administration’s Center for Tobacco Products (FDA-CTP). We are looking for adults, age 18 and
older, who may be eligible to take part in the TCS panel. When you were contacted, you had reservations
about answering our field interviewer’s questions. We are writing this letter to ask you to reconsider.
Please take a few minutes to answer the interviewer’s questions about your household. We will use your
answers to determine if anyone in your household is eligible for the survey panel. If we select someone
from your household, that person will have the chance to receive cash payments in appreciation for their
participation in the TCS surveys.
Only a limited number of households were selected to represent the population of the U.S.—and your
household was one of them. Your participation is critical to the success of the TCS because you
represent thousands of individuals just like you!
Your household’s answers to the questions will be kept private to the fullest extent allowable by law. They
will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-6: Screener Non-Response - Not Interested
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of Tobacco
Consumer Studies. The TCS is a large, national survey panel being created by the U.S. Food and Drug
Administration’s Center for Tobacco Products (FDA-CTP). We are looking for adults, age 18 and older,
who may be eligible to take part in the TCS panel. When our interviewer came by, you were not
interested in participating. We are writing this letter to ask you to reconsider.
Only a limited number of households were selected to represent the population of the U.S.—and your
household was one of them. Your participation is critical to the success of the TCS because you
represent thousands of individuals just like you!
Please take a few minutes to answer the interviewer’s questions about your household. We will use your
answers to determine if anyone in your household is eligible for the survey panel. If we select someone
from your household, that person will have the chance to receive cash payments in appreciation for their
participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable by law. They
will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-7: Screener Non-Response - Too Personal
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of Tobacco
Consumer Studies (TCS). The TCS is a large, national survey panel being created by the U.S. Food and
Drug Administration’s Center for Tobacco Products (FDA-CTP). We are looking for adults, age 18 and
older, who may be eligible to take part in the TCS panel. When our interviewer came by, you indicated
that our questions about your household’s eligibility for the TCS were too personal. We are writing this
letter to ask you to reconsider.
Please take a few minutes to answer the interviewer’s questions about your household. Our interest is
only to determine if anyone in your household is eligible to take part in the survey panel. Your
household’s answers to the questions will be kept private to the fullest extent allowable by law. They will
not be shared with anyone outside the FDA-RTI research team.
If we select someone from your household, that person will have the chance to receive cash payments in
appreciation for their participation in the TCS surveys.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies (TCS)
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-8: Screener Non-Response - Stigma of Tobacco Use
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of Tobacco
Consumer Studies (TCS). The TCS is a large, national survey panel being created by the U.S. Food and
Drug Administration’s Center for Tobacco Products (FDA-CTP). We are looking for adults, age 18 and
older, who may be eligible to take part in the TCS panel. When our interviewer came by, you indicated
you did not want to participate. We are writing this letter to ask you to reconsider.
We realize that the topic of tobacco use is a personal one. However, this is an opportunity for you to help
researchers and policy makers understand the impact and effectiveness of public education activities or
possible regulatory actions.
Please take a few minutes to answer the interviewer’s questions about your household. We will use your
answers to determine if anyone in your household is eligible for the survey panel. If we select someone
from your household, that person will have the chance to receive cash payments in appreciation for their
participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable by law. They
will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-9: Screener Non-Response - Anti-Government
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
Recently, one of our field interviewers contacted your household about the National Panel of Tobacco
Consumer Studies (TCS). The TCS is a large, national survey panel being created by the U.S. Food and
Drug Administration’s Center for Tobacco Products (FDA-CTP). We are looking for adults, age 18 and
older, who may be eligible to take part in the TCS panel. When our interviewer came by, you were
hesitant to participate in a government-sponsored study. We are writing this letter to ask you to
reconsider.
The TCS is an opportunity to help government policy makers understand the impact and effectiveness of
public education and possible regulatory activities. So often people feel that their voices are not heard
when policies are implemented. Participation in the TCS ensures that you, and thousands of others you
represent, will directly impact important policies and decisions that affect the health of the nation.
Please take a few minutes to answer the interviewer’s questions about your household. We will use your
answers to determine if anyone in your household is eligible for the panel. If we select someone from your
household, that person will have the chance to receive cash payments in appreciation for their
participation in the TCS surveys.
Your household’s answers to the questions will be kept private to the fullest extent allowable by law. They
will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-10: Screener - Unable to Contact
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
Dear Resident,
Recently, your household received a letter from the U. S. Food and Drug Administration’s Center for
Tobacco Products (FDA - CTP) about the National Panel of Tobacco Consumer Studies (TCS). The TCS
is a large, national survey panel and we are looking for adults age 18 and older who may be eligible to
take part. One of our field interviewers has attempted to contact you about the panel, but has been
unable to reach you.
It is very important that we speak with an adult in your household. RTI International, a not-for-profit
research organization, is working with the FDA to create this survey panel. Soon, an RTI interviewer will
return to your neighborhood to give you additional information. The interviewer will carry an identification
card like the example shown below. Please take a few minutes to answer the interviewer’s questions.
This will help us determine if anyone in your household is eligible for the survey panel. If we select
someone from your household, that person will have the chance to receive cash payments in appreciation
for their participation in the TCS surveys.
Your participation is voluntary and your household’s answers to the questions will be kept private to the
fullest extent allowable by law. They will not be shared with anyone outside the FDA-RTI research team.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX.
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-11: CAPI Non-Response – Generic
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you had some reservations about participating. We are writing this letter to
ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
The information collected in the TCS will help policymakers and researchers understand consumer
perceptions of tobacco products, including their labelling, advertising, and marketing. Your participation in
the panel will help inform future FDA policy decisions about tobacco products.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well as
those of the thousands of people you represent—will not be heard. One of our interviewers will be in your
area again soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-12: CAPI Non-Response - Too Personal
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you indicated you did not want to participate in the panel because it was too
personal. We are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
Our interest is only in the combination of all responses and not in anyone’s individual answers. The
answers that you provide will be combined with all other participants’ answers and will be coded, totaled,
and processed into statistics for analytic purposes only. Names are never associated with answers and
the information is only used for research and analysis. It cannot be used for any other purpose. Privacy of
all answers to questions is protected to the fullest extent allowable by law.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well as
the thousands of people you represent—will not be heard. One of our interviewers will be in your area
soon and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-13: CAPI Non-Response - Time Commitment
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in the FDA’s National Panel of Tobacco Consumer Studies (TCS).
You were selected to participate in the panel, but at the time you indicated that your current
responsibilities would not allow you enough time to participate. We are writing this letter to ask you to
reconsider. All TCS panel members will receive cash payments as a token of our appreciation for
participating in the surveys.
The enrollment process for the TCS panel is short and will take at most 20 minutes of your time. You can
schedule an appointment to complete the survey with one of our interviewers at a time that is most
convenient for you. Your participation is critical to the success of the panel and we are happy to make a
special effort to work around your schedule so that you can be included.
If you choose not to participate, your views and opinions—as well as the thousands of people you
represent—will not be heard. One of our interviewers will be in your area soon, and will try to reach you at
that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-14: CAPI Non-Response – Technology
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you were hesitant to participate. We are writing this letter to ask you to
reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
While the surveys can be completed using an electronic device, such as a computer or Smartphone, they
can also be completed on paper and submitted via U.S. Mail at no charge to you. You do not have to use
an electronic device to participate in the TCS panel and we are happy to make a special effort to ensure
you can be included.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well as
the thousands of people you represent—will not be heard. One of our interviewers will be in your area
soon, and will try to reach you at that time. I hope you will agree to take part in the TCS panel
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-15: CAPI Non-Response - No Internet Mail Option
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you were hesitant because you currently do not have Internet access. We are
writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
While surveys that the TCS panel members complete can be done over the Internet, they can also be
done on paper and submitted via U.S. Mail at no charge to you. An Internet connection is not required for
you to participate in the panel and we are happy to make a special effort to ensure you can be included.
Only a limited number of people have been selected to represent the population of the U.S.—and you are
one of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well
as the thousands of people you represent—will not be heard. One of our interviewers will be in your area
soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-16: CAPI Non-Response - Anti-Government
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you were hesitant to participate in a government-sponsored study. We are
writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
The TCS offers individuals an opportunity to help researchers and policy makers understand the impact
and effectiveness of tobacco-related public education activities and possible regulatory actions. Often
people feel that their voices are not heard when government regulations and policies are implemented –
this is your chance to be heard. Participation in the TCS panel ensures that you, and thousands of others
you represent, directly impact policies that affect the health of the nation.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. One of our interviewers will be in your area soon, and will try to reach
you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-17: CAPI Non-Response - Stigma of Tobacco Use
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were eligible to join the
panel, but indicated you did not want to participate. We are writing this letter to ask you to reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
We realize that the topic of tobacco use is a personal one. However, this is an opportunity for you to help
researchers and policy makers understand the impact and effectiveness of tobacco-related public
education activities and possible regulatory actions.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well as
those of the thousands of people you represent—will not be heard. One of our interviewers will be in your
area soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-18: CAPI Non-Response - Too Busy
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you were too busy to participate. We are writing this letter to ask you to
reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
The panel enrollment process is short and will take at most 20 minutes of your time. You can schedule an
appointment with one of our interviewers at a time that is most convenient for you. Your participation is
critical to the success of the panel and we are happy to work around your busy schedule so that you can
be included.
The information collected in the TCS will help policymakers and researchers understand consumer
perceptions of tobacco products, including their labelling, advertising, and marketing. Your participation in
the panel will help inform future FDA policy decisions about tobacco products. One of our interviewers will
be in your area soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-19: CAPI Non-Response - Not Interested
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but at the time you were not interested in participating. We are writing this letter to ask you to
reconsider.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). All TCS panel members will receive cash payments as a
token of our appreciation for participating in the surveys.
The information collected in the TCS will help policymakers and researchers understand consumer
perceptions of tobacco products, including their labelling, advertising, and marketing. Your participation in
the panel will help inform future FDA policy decisions about tobacco products.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well as
those of the thousands of people you represent—will not be heard. One of our interviewers will be in your
area soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS, you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-20: CAPI Non-Response - Unable to Contact
Food and Drug Administration
Center for Tobacco Products
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
FNAME,
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is asking eligible
adults, age 18 and older, to participate in a large, national survey panel. You were selected to participate
in the panel, but we have been unable to contact you about this unique opportunity.
As a panel member, you will be asked to take part in short but important surveys for the FDA’s National
Panel of Tobacco Consumer Studies (TCS). The information collected in the TCS will help policymakers
and researchers understand consumer perceptions of tobacco products, including their labelling,
advertising, and marketing. Your participation in the panel will help inform future FDA policy decisions
about tobacco products. All TCS panel members will receive cash payments as a token of our
appreciation for participating in the surveys.
A limited number of people have been selected to represent the population of the U.S.—and you are one
of them! You cannot be replaced. If you choose not to participate, your views and opinions—as well as
the thousands of people you represent—will not be heard. One of our interviewers will be in your area
soon, and will try to reach you at that time. I hope you will agree to take part in the panel.
If you have any questions about the TCS you can ask the interviewer or call RTI directly at (800) XXXXXXX (a toll-free call).
Your participation is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-22: Mail Nonresponse - Topical Survey
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
Dear Fname:
Thank you for agreeing to participate in the National Panel of Tobacco Consumer Studies (TCS). Your
continued participation is critical to the success of the survey panel. By taking part in the TCS, you
represent the views and opinions of many other individuals like you. The information you provide will help
inform tobacco-related policy decisions made by the FDA.
We noticed that you haven’t completed [INSERT: Study 1]. Your answers are important to us so we’ve
included a copy of the survey with this letter. Please complete the survey and return it to us free of
charge using the enclosed postage paid envelope. As a token of our appreciation, you will receive $15 in
cash for completing the survey.
If you have any questions about this survey or your participation in the TCS, you can speak with a project
representative directly at (800) XXX-XXXX (a toll-free call). If you have a question about your rights as a
panel participant, you can call RTI’s Office of Research Protection toll-free at (866) 214-2043.
Your help is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-24: Web Non-Response - Topical Survey
FNAME LNAME
STREET ADDRESS
CITY, STATE ZIP
Dear Fname:
Thank you agreeing to participate in the National Panel of Tobacco Consumer Studies
(TCS). Your continued participation is critical to the success of the survey panel. By
taking part in the TCS, you represent the views and opinions of many other individuals
like you. The information you provide will help inform tobacco-related policy decisions
made by the FDA.
We noticed that you haven’t completed [INSERT: Study 1]. Each survey topic was handpicked by policy makers at the FDA-CTP and represents an important issue related to
Tobacco Use. You can complete this survey online at https://nstp.rti.org using the
following login credentials:
Study ID:
Password:
As a token of appreciation, you will receive $15 in cash for completing the survey.
If you have any questions about this survey or your participation in the TCS, you can
speak with a project representative directly at (800) XXX-XXXX (a toll-free call). If you
have a question about your rights as a study participant, you can call RTI’s Office of
Research Protection toll-free at (866) 214-2043.
Your help is very important to this panel’s success. Thank you for your cooperation.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-25. Web/Mail Consent Form
Consent to Participate in Panel – Web/Mail Version
Description and Purpose of the TCS: The 2009 Tobacco Control Act granted the U. S. Food and Drug Administration the
authority to regulate the manufacture, marketing, and distribution of tobacco products to protect public health and reduce
tobacco use by minors. The National Panel of Tobacco Consumer Studies (TCS) are being conducted to assess responses to
possible FDA regulatory actions from a sample of approximately 4,000 tobacco users that represent the nation as a whole. The
studies will assess consumer perceptions of tobacco products, including their labeling, advertising and marketing.
Sponsor: The TCS is sponsored by the U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). RTI
International, a not-for-profit research organization, is conducting the study on the behalf of the FDA-CTP.
Procedures: You will receive detailed instructions for completing the TCS surveys. While you are in the TCS panel, you will
be asked to complete about 3 short surveys each year on tobacco-related topics. These will take about 15-20 minutes to
complete. Your participation in the panel will last for 3 years.
Financial Considerations: Participation in the TCS panel will involve no cost to you. For completing the enrollment process
you will receive $35.00 in cash. For completing the short tobacco-related surveys you will receive $15.00 cash each.
Voluntary Participation: Your participation in the panel is completely voluntary. You can refuse to answer any and all
questions. You can elect to leave the panel at any time.
Privacy: The protection of private personal information is a primary concern to all institutions involved in this project. All
members of the research team receive privacy training. Your answers to the survey questions will be kept private to the fullest
extent allowable by law. Only we or other researchers involved in the TCS will have access to the answers you provide. Your
name will not be reported with any answers you provide. Your answers will be combined with answers of many others and
reported in a summary form. All staff involved in this research are committed to privacy and have signed a Privacy Pledge.
Possible Benefits and Risks: There are no direct benefits to you for participating in the panel. The potential exists for loss of
privacy, though our procedures are designed to protect and secure your personal information. Please see the Privacy section
above for details on the procedures in place to protect your privacy.
Further Questions: If you have any questions about the research now or in the future you can contact the Project toll free
number [CONTACT INFORMATION]. If you have questions about your rights as a study participant, call RTI’s Office of
Research Protection at 1‐866‐214-2043 (a toll‐free number).
Statement of Consent: I have read the description of this research provided above (or the description has been read to me),
and I understand it. I have been informed of the risks and benefits involved, and all my questions have been answered to my
satisfaction. Furthermore, I have been assured that any future questions that I may have will also be answered. I freely and
voluntarily agree to participate in the TCS survey panel. I understand that by signing, I am not giving up any of my legal rights.
I will be given a copy of this statement.
By signing my name below, I am indicating my agreement to participate in the National Panel of Tobacco Consumer
Studies.
Printed Name of Research Participant
Signature of Research Participant
Date Signed
Printed Name of Interviewer
Signature of Interviewer
Date Signed
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-26. Tablet Consent Form
Consent to Participate in Panel – Tablet Version
Description and Purpose of the TCS: The 2009 Tobacco Control Act granted the U. S. Food and Drug Administration the
authority to regulate the manufacture, marketing, and distribution of tobacco products to protect public health and reduce
tobacco use by minors. The National Panel of Tobacco Consumer Studies (TCS) are being conducted to assess responses to
possible FDA regulatory actions from a sample of approximately 4,000 tobacco users that represent the nation as a whole. The
studies will assess consumer perceptions of tobacco products, including their labeling, advertising and marketing.
Sponsor: The TCS is sponsored by the U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP). RTI
International, a not-for-profit research organization, is conducting the study on the behalf of the FDA-CTP.
Procedures: You will receive login credentials and detailed instructions for accessing the survey website and completing the
panel surveys using the Samsung 3 tablet computer that has been loaned to you. While you are in the TCS panel, you will be
asked to complete about 3 short web surveys each year on tobacco-related topics. These will take about 15-20 minutes to
complete. The tablet computer is being loaned to you so you can participate in these surveys online through the TCS panel
website. You will be notified when a survey is ready for you to complete.
Financial Considerations: Participation in the TCS panel will involve no cost to you. For completing the enrollment process
you will receive $35.00 in cash. For completing the short tobacco-related surveys you will receive $15.00 cash each. The
Samsung 3 tablet has been provided as a tool for you to access the TCS panel website and complete the surveys online. The
tablet is on loan to you while you are participating in the panel.
Voluntary Participation: Your participation in the panel is completely voluntary. You can refuse to answer any and all
questions. You can elect to leave the panel at any time. The research team also reserves the right to remove you from the
panel if they determine your participation is no longer in your best interest or in the interest of the TCS.
Privacy: The protection of private personal information is a primary concern to all institutions involved in this project. All
members of the research team receive privacy training. Your answers to the survey questions will be kept private to the fullest
extent allowable by law. When you return the study-provided tablet to RTI it will be wiped clean of any data that you might
have stored on it, and restored to its original factory settings. Only we or other researchers involved in the TCS will have
access to the answers you provide. Your name will not be reported with any answers you provide. Your answers will be
combined with answers of many others and reported in a summary form. All staff involved in this research are committed to
privacy and have signed a Privacy Pledge.
Possible Benefits and Risks: There are no direct benefits to you for participating in the panel. The potential exists for loss of
privacy, though our procedures are designed to protect and secure your personal information. Please see the Privacy section
above for details on the procedures in place to protect your privacy.
Further Questions: If you have any questions about the research now or in the future you can contact the Project toll free
number [CONTACT INFORMATION]. If you have questions about your rights as a study participant, call RTI’s Office of
Research Protection at 1‐866‐214-2043 (a toll‐free number).
Statement of Consent: I have read the description of this research provided above (or the description has been read to me),
and I understand it. I have been informed of the risks and benefits involved, and all my questions have been answered to my
satisfaction. Furthermore, I have been assured that any future questions that I may have will also be answered. I freely and
voluntarily agree to participate in the TCS survey panel. I understand that by signing, I am not giving up any of my legal rights.
I will be given a copy of this statement.
By signing my name below, I am indicating my agreement to participate in the National Panel of Tobacco Consumer
Studies.
Printed Name of Research Participant
Signature of Research Participant
Date Signed
Printed Name of Interviewer
Signature of Interviewer
Date Signed
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-27: Tablet Equipment Agreement
TCS Tablet Computer
Equipment Agreement and
Receipt Form
The FDA’s Center for Tobacco Products and RTI International would like to thank you for participating in
the National Panel of Tobacco Consumer Studies (TCS). To help you access the internet and participate in
the TCS panel, we are loaning you a Samsung Galaxy 3 tablet computer to complete the panel web surveys
and receive any other panel related correspondences while you participate in the TCS panel.
By signing below, you acknowledge that:
RTI International loaned you a Samsung Galaxy Tablet 3 (serial number listed below) so you may
complete surveys as a panel member for the TCS,
The tablet you received was in good working order when you received it,
You will return the equipment listed below to RTI International at the end of your TCS panel
commitment period or in the event that you end your participation in the TCS panel early, and
o
All equipment will be returned using the pre-addressed shipping materials that will be
sent to you at the point at which the tablet is to be returned, and
o
You will return all equipment within 5 business days of receiving a notice to return your
equipment.
When the tablet is received at RTI it will be logged in as returned from you, wiped clean of any
data you may have stored on it, and restored to original factory settings. RTI will not attempt to
gather any information that may be stored locally on the device.
Accepted Samsung Galaxy 3 Tablet
Accepted Samsung Galaxy 3 Charger
Accepted Samsung Galaxy 3 Tablet Case
Respondent Printed Name:
Date: ____/____/_____
Respondent Signature: _______________________________________
FI Signature:
Case ID:
Date: ____/____/_____
Tablet ID/Serial Number:
If you have any questions about your participation in the TCS Panel, contact project staff at [PROJECT
LINE] or tcs@rti.org.
OMB Number: ####-####; Expiration Date: mm/dd/yyyy
Reminder: Top White to Respondent, Yellow to FS, Pink to Case Folder
Attachment 3-28: Receipt Form - Incentive
TCS Payment Receipt
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA-CTP) and RTI International would like
to thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS). As a token of our
appreciation for your participation in joining this important panel, you are eligible to receive a $35 cash payment.
Name of Respondent (Print):______________________________
Accepted $35.00 Cash Payment
Signature of Respondent:_________________________________
Declined $35.00 Cash Payment
Signature of Field Interviewer:_____________________________
Case ID: ____ ____ ____ ____ ____ ____ ____ ____
Date: ____/____/____
If you have any questions about your participation in TCS, contact project staff at 1-800-XXX-XXXX.
OMB Number: ####-####; Expiration Date: mm/dd/yyyy
Disposition: Top White to Respondent, Yellow to FS, Pink to FI
Attachment 3-29: Sorry I Missed You (SIMY) Card
Attachment 3-30: Doorstep Transition Script
INTRODUCTION TO PANEL SCRIPT
You/Selected Respondent (R) have/has been selected to participate in the National Panel of Tobacco Consumer
Studies. IF SPEAKING TO THE R PROCEED WITH SCRIPT BELOW. OTHERWISE, ASK TO SPEAK TO R.
IF R IS UNAVAILABLE, DETERMINE CALLBACK TIME AND/OR LEAVE YOUR NAME AND CONTACT
INFORMATION FOR THE R TO CONTACT YOU.
IF R IS AVAILABLE, ATTEMPT TO CONDUCT INTERVIEW WITH R ON THE SPOT.
IF TALKING TO THE R AND S/HE AGREES TO PROCEED: Full participation in the National Panel of Tobacco
Consumer Studies involves completing an initial set of questions in order to enroll you in the panel. After that, you
will be asked to complete about 3 short surveys each year, or about 1 every 4 months. These surveys will only take
15-20 minutes of your time. You will receive $35.00 in cash for answering the panel enrollment questions. As a token
of our appreciation, you will also receive a $15 cash payment each time you complete one of the other short surveys.
This initial enrollment should take about 20 minutes of your time. If you are available right now, we can start.
IF YES, AND THE R HAS ACCESS TO A DEVICE AND INTERNET CAPABILITY BEGIN
ENROLLMENT PROCESS.
IF YES, BUT THE R DOES NOT HAVE A DEVICE OR ACCESS TO INTERNET, OFFER MAIL
PARTICIPATION OPTION: We can get started on the initial survey now. The entire process will only take
about 20 minutes and as I mentioned previously you will receive $35.00 in cash as a token of our
appreciation for completing the enrollment process. We can send the other short surveys to you by mail,
using the United States Postal Service. If at any point you do gain access to a computer and/or the internet,
you can always participate online in the future. IF R AGREES TO MAIL PARTICIPATION BEGIN
ENROLLMENT PROCESS.
IF R HAS NO DEVICE/INTERNET ACCESS AND REFUSES MAIL PARTICIPATION OPTION BUT IS
OTHERWISE INTERESTED: We really would like you to join the panel. I will talk to my supervisor to see
what we can do about an alternative way for you to participate. I will get back to you once I speak with
him/her. BE SURE TO OBTAIN TELEPHONE NUMBER FOR CALLBACK, CONTACT YOUR FS FOR
INSTRUCTION.
IF R IS ELIGIBLE FOR A TABLET: You recently spoke with me/someone about your interest in
joining the panel but at the time you indicated that you have no access to an internet-enabled
device to complete the web surveys. I spoke with my supervisor and s/he has indicated that we
can offer you the loan of a Web-enabled tablet computer while you are in the panel so you can
participate in the online surveys. Your participation in the panel is important and we want to make
sure you have every opportunity to join. I can help you setup the loaned tablet and show you how
to complete the surveys with it. At the end of your time in the panel, you will return the tablet to RTI
where it will be receipted, wiped clean of any data, and restored to its original factory settings.
IF R IS RELUCTANT-HAS INTERNET-ENABLED DEVICE: We can schedule the initial survey to be done at your
convenience. The entire process will only take about 20 minutes and you will receive $35 in cash as a token of our
appreciation for completing the panel enrollment process. Additionally, all follow-up surveys can be completed online
at your convenience. You will receive $15 cash for each of the short surveys you complete.
IF R IS RELUCTANT-DOES NOT HAVE INTERNET-ENABLED DEVICE, BUT COULD BE CONSIDERED FOR
MAIL PARTICIPATION: We can schedule the initial survey to be done at your convenience. The entire process will
only take about 20 minutes and you will receive $35 in cash as a token of our appreciation for completing the panel
enrollment process. Additionally, all follow-up surveys can be mailed to you via United States Postal Service. A
postage-paid envelope will be included with each mailing, so completing a survey will be at no cost to you. You will
receive $15 cash for each of the short surveys you complete.
IF R IS RELUCTANT-DOES NOT HAVE INTERNET-ENABLED DEVICE, BUT COULD BE CONSIDERED FOR
TABLET: We can schedule the initial survey to be done at your convenience. The entire process will only take about
20 minutes and you will receive $35 in cash as a token of our appreciation for completing the panel enrollment
process. I will speak to my supervisor to find out if there is an alternate way we can offer you to participate with.
1
IF R IS SCHEDULING AN APPOINTMENT: Ok I will begin by setting up an appointment to complete the survey.
CHECK YOUR AVAILABLE APPOINTMENT DATES AND OFFER FIRST AVAILABLE DATE. We can schedule a
time for you beginning as early as ____________. What date would you prefer? RECORD APPOINTMENT
INFORMATION IN CASE NOTES. FILL OUT AN APPOINTMENT CARD AND GIVE TO R.
R UNSURE: I’m happy to call or come back later if this is not a good time. When would be a better day or
time for me to contact you to schedule the appointment? TRY TO OBTAIN A GOOD CALLBACK
NUMBER, AND RECORD IN CASE NOTES.
2
Attachment 3-31: FI Authorization Letter
Food and Drug Administration
Center for Tobacco Products
[DATE]
The U. S. Food and Drug Administration’s Center for Tobacco Products (FDA - CTP) is looking for
adults, age 18 and older, to participate in a large, national survey panel for the National Panel of
Tobacco Consumer Studies (TCS). The FDA-CTP has hired RTI International, a not-for-profit
research firm, to conduct the TCS.
Beginning in [ENTER DATE] and continuing through [ENTER DATE], professional interviewers
will be contacting households around the United States. The TCS is committed to protecting the
identity of participants and interviewers will adhere to the most stringent research standards, are
thoroughly trained, and have signed legally binding pledges of privacy. Participation in the TCS is
strictly voluntary.
This letter serves to verify the employment of [FIELD INTERVIEWER] with RTI International as a
Field Interviewer working on the TCS. If you have any questions about the TCS, or the
authenticity of this letter, you can call RTI directly at (800) XXX-XXXX.
Sincerely,
Susan Kinsey
RTI Project Director,
National Panel of Tobacco Consumer Studies
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-32: Incentive Thank You Letter
[DATE]
FNAME LNAME
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
[FNAME],
Thank you
… for [Fill: completing a survey for the National Panel of Tobacco Consumer Studies (TCS)].
Your continued participation in the TCS is providing important information to the U.S. Food
and Drug Administration (FDA) on consumer perceptions of tobacco products.
As a token of our appreciation, we have enclosed $15 in cash.
If you have any questions about this payment, or any other component of the TCS, please
call our toll-free project line at [800 Line] or email us at tcs@rti.org.
Also, remember that you can update your contact information at any time by going to
https://tcs.rti.org and logging in with your TCS ID and password.
You will be contacted again soon to complete the next TCS survey. We hope we can count
on your continued cooperation.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-33: Panel Member Tablet Cheat Sheet
Tips and Tricks for Using your TCS Panel Member Tablet
Accessing Your TCS Surveys
All surveys for the TCS can be completed via the internet, using the Chrome browser on
your tablet or any browser installed on another mobile device or PC (e.g., Firefox, Internet
Explorer).
To access your survey:
1. Navigate to the TCS panel website: https://tcs.rti.org or click on the survey link
included in the email you received.
An easy way to navigate to the website is to type in ‘https://tcs.rti.org’ into
the browser address bar at the top of your browser window.
2. Enter your username and password.
3. Click on the survey that is waiting for you to complete.
Accessing Your TCS Email
Email will be the primary form of communication for the TCS.
When you received your tablet, the Field Interviewer set up your email so that you can
receive up-to-the-minute communications from project staff.
To access your email:
o If using Gmail, you can access your email by clicking on the Gmail icon.
o If you’re using a non-Google email provider, click on the standard email app icon (a
white envelope with a “@” symbol in the middle).
Regardless of what app you use, you should receive a notification every time you receive a
new message. Tapping on the notification will take you to the email.
RTI Technical Support
If you encounter problems with your tablet or while trying to access panel surveys you can
contact project staff by:
o Web: Request technical support online at https://tcs.rti.org
o E-mail: tcs@rti.org
Please note that while you can send an e-mail anytime, it will likely be
answered between 8:00 a.m. and 5:00 p.m. on weekdays.
When emailing project staff members, include your name, Study ID, and a
phone number.
o Project Hotline: 1-800-XXX-XXXX
Project staff monitors the hotline between 8:00 a.m. and 5:00 p.m. on
weekdays.
If you are unable to reach a project staff member, leave a message that
includes your name, Study ID, and phone number, and we will return your
call as soon as possible.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Preserving Your Battery
Reduce your screen brightness whenever possible. You can control the screen brightness
by clicking on the Settings icon on your desktop and then Display.
When not in use, disable Wi-Fi or turn off the tablet. The Wi-Fi can be disabled by clicking
on the Settings icon on your tablet desktop and then choosing Wi-Fi.
Maintaining Your Tablet
Keep your tablet charged when you’re not using it.
o When charging your tablet:
Use the charging cable RTI provided to you. Do not attempt to use another
charger, even if it appears to fit your tablet.
Ensure the charging cable is secured in the charging port on the bottom of
your tablet.
Avoid moving the charging cable post while it’s connected to the tablet.
Doing so can damage the port on your tablet.
Make sure your tablet is secure and the cable is out of the way while
charging your tablet. Doing so will prevent an accidental jolt on the cable,
which can cause damage to the tablet.
Clean your tablet display regularly
o Wipe the screen surface gently using a soft cotton cloth dampened with a mild soap.
Do not use abrasive cleaners.
Do not pour or spray liquids directly on your tablet or wash your tablet with
a heavily soaked cloth.
Keep your tablet away from extreme temperatures, including out of direct sunlight.
Avoid exposing your tablet to water, dirt, dust, sand, etc.
Make a habit of keeping your tablet in a case. When carrying it in a bag, make sure it’s in a
separate compartment or the screen is protected. Do not drop your tablet in a bag with
other lose objects (e.g., keys, cell phone) that can damage the screen.
Accidental Spills
If you accidentally spill liquid on your tablet:
o Turn it off immediately and unplug it
o Position it so that the liquid can run out
To Log In To the TCS Website:
https://tcs.rti.org
Your TCS ID:
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-34: Panel Member General Cheat Sheet
Accessing your TCS Surveys
Accessing Your Surveys
All surveys for the TCS can be completed via the Internet, using the Internet browser
installed on your PC or mobile device (e.g., Chrome, Firefox, Internet Explorer).
To access your surveys:
1. Navigate to the TCS panel website: https://tcs.rti.org or click on the survey link
included in the email you received.
An easy way to navigate to the website is to type in ‘https://tcs.rti.org’ into
the browser address bar at the top of your browser window.
2. Enter your username and password.
3. Click on the survey that is ready for you to complete.
RTI Technical Support
If you encounter problems while trying to access TCS surveys you can contact project staff
by:
o Web: Request technical support online at [insert url]
o E-mail: Anytime via e-mail tcs@rti.org.
Please note that while you can send an e-mail anytime, it will likely be
answered between 8:00 a.m. and 5:00 p.m. on weekdays.
o Project Hotline: 1-800-XXX-XXXX
Project staff members monitor the hotline between 8:00 a.m. and 5:00 p.m.
on weekdays. If you are unable to reach a project staff member, leave a
message that includes your name, Study ID, and phone number, including
area code. We will return your call as soon as possible.
To Log In To the TCS Website:
https://tcs.rti.org
Your TCS ID:
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-35: Mail Reminder Postcard
Dear Resident,
You were recently sent a short survey for the National Panel of Tobacco Consumer Studies (TCS). If
you have already completed the survey, we would like to thank you for your participation.
If you have not yet completed the survey, please take a few minutes to answer the questions. You can
return the survey in the postage-paid envelope.
If you have any questions about the TCS survey, please contact our RTI study representatives at 1-800XXX-XXXX.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 2 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-38: Topical Mail Reminder Postcard
Dear [Insert Name],
You were recently sent a survey for the National Panel of Tobacco Consumer Studies (TCS). If you have
already completed the survey, we would like to thank you for your participation.
If you have not yet completed the [INSERT: Study 1], please complete the survey and return it to us using
the postage-paid envelope. As a token of our appreciation, you will receive $15 in cash for completing the
survey.
If you have any questions about the TCS or this survey, please contact our RTI study representatives at
1-800-XXX-XXXX.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-39: Topical Web Reminder Postcard
Dear [Insert Name],
You were recently sent a survey via e-mail for the National Panel of Tobacco Consumer Studies (TCS).
If you have already completed the survey, we would like to thank you for your participation.
If you have not yet completed the [[INSERT: Study 1], please complete this survey by going online at
https://tcs.rti.org and using your login credentials. Each survey topic was hand-picked by policy makers at
the FDA-CTP and represents an important tobacco-related issue. As a token of our appreciation, you will
receive $15 in cash for completing the survey.
If you have any questions about the TCS or this survey, please contact our RTI study representatives at
1-800-XXX-XXXX.
Thank you.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 20 minutes per response to
complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for
reducing burden, to PRAStaff@fda.hhs.gov.
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-40: Appointment Reminder Card
Appointment Reminder
We appreciate your taking time for this important research and look forward to our appointment to
complete this process. Your appointment is scheduled for:
Day:
Date:
Time:
Location:
Interviewer Name:
____________________________________
Interviewer Phone Number:
____________________________________
RTI International
Research Triangle Park, NC 27709
tcs@rti.org
OMB Number: ####-####; Expiration Date: mm/dd/yyyy
Attachment 3-41: TCS Panel Member Alert Non-Response Scripts
Panel Member Informational Email (Enrollment)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS) Website Login Information
[Insert Name],
Thank you for joining the panel for the National Panel of Tobacco Consumer Studies (TCS).
To finish the enrollment process, please complete this short online survey by going to the TCS
website https://tcs.rti.org and using the following login information:
TCS ID: [######]
Password: [######]*
Survey Code: [###]
*Please note that you will be prompted to change this password to a password of your choice
once you log into the website. Your TCS ID, however, will not change.
If you have any questions about the panel, please call our toll-free project line at [1-8##-#######] or email us at tcs@rti.org.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
1
Text Messages (Post - Enrollment)
Announcement
(Web Panel Members – includes RTI Tablet Users)
This message is from the National Panel of Tobacco Consumer Studies (TCS). A new online
survey is available for you to complete at your earliest convenience at https://tcs.rti.org.
Questions? Call 1-800-XXX-XXXX.
(Mail Panel Members)
This message is from the National Panel of Tobacco Consumer Studies (TCS). A new survey
has recently been mailed to you. Please complete at your earliest convenience. Questions? Call
1-800-XXX-XXXX.
Non-Response
(Web Panel Members – includes RTI Tablet Users)
This message is from the National Panel of Tobacco Consumer Studies (TCS). We have not
received your survey for this month. Please complete it at your earliest convenience at
https://tcs.rti.org. Questions? Call 1-800-XXX-XXXX.
(Mail Panel Members)
This message is from the National Panel of Tobacco Consumer Studies (TCS). We have not
received your survey for this month. Please complete it at your earliest convenience.
Questions? Call 1-800-XXX-XXXX.
2
Emails (Post-Enrollment)
Announcement - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
A National Panel of Tobacco Consumer Studies (TCS) survey is now available for you to
complete by logging on to https://tcs.rti.org.
As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll-free at 1-800-XXX-XXXX.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
(Mail Panel Members)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
A National Panel of Tobacco Consumer Studies (TCS) survey has recently been mailed to you.
As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll-free at 1-800-XXX-XXXX.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
3
Non-Response - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
This is a friendly reminder that a National Panel of Tobacco Consumer Studies (TCS) survey is
available for you to complete by logging on to https://tcs.rti.org.
As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll free at 1-800-XXX-XXXX.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
(Mail Panel Members)
SUBJECT: National Panel of Tobacco Consumer Studies (TCS)
[Insert Name],
This is a friendly reminder from the National Panel of Tobacco Consumer Studies (TCS). We
have not received your mail survey. Please complete and mail at your earliest convenience.
As a token of appreciation, you will receive $15 for completing the survey.
If you have any questions, please contact us toll-free at 1-800-XXX-XXXX.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
4
Auto-calls
Announcement - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
Hello. A National Panel of Tobacco Consumer Studies (TCS) survey is now available for you to
complete by logging on to https://tcs.rti.org. As a token of appreciation, you will receive $15 for
completing the survey. If you have any questions, please contact us toll-free at 1-800-XXXXXXX. Thank you.
(Mail Panel Members)
Hello. A National Panel of Tobacco Consumer Studies (TCS) survey has recently been mailed
to you. As a token of appreciation, you will receive $15 for completing the survey. If you have
any questions, please contact us toll-free at 1-800-XXX-XXXX. Thank you.
Non-Response - Topical Survey
(Web Panel Members – includes RTI Tablet Users)
Hello. This is a friendly reminder that a National Panel of Tobacco Consumer Studies (TCS)
survey is available for you to complete by logging on to https://tcs.rti.org. As a token of
appreciation, you will receive $15 for completing the survey. If you have any questions, please
contact us toll free at 1-800-XXX-XXXX. Thank you.
(Mail Panel Members)
Hello. This is a friendly reminder from the National Panel of Tobacco Consumer Studies (TCS).
We have not received your mail survey. Please complete and mail at your earliest convenience.
As a token of appreciation, you will receive $15 for completing the survey. If you have any
questions, please contact us toll-free at 1-800-XXX-XXXX. Thank you.
5
Post-Enrollment Automated Follow-up Messages by Contact Mode
Text Message – All panel members
Thank you for joining the National Panel of Tobacco Consumer Studies (TCS). As a reminder,
the panel website is https://tcs.rti.org. Questions? Call 1-800-XXX-XXXX.
Autocall – All panel members
Hello. Thank you for joining the National Panel of Tobacco Consumer Studies (TCS). As a
reminder, the panel website is https://tcs.rti.org. If you have any questions, please contact us toll
free at 1-800-XXX-XXXX. Thank you.
Email – Web Panel Members, including RTI Tablet users:
SUBJECT: National Panel of Tobacco Consumer Studies (TCS) [Insert Name],
Thank you for joining the National Panel of Tobacco Consumer Studies (TCS).
As a reminder, the TCS website is https://tcs.rti.org. If you have any questions, please contact
us toll free at 1-800-XXX-XXXX.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
Letter – Mail Panel Members
[Insert Name],
Thank you for joining the National Panel of Tobacco Consumer Studies (TCS).
As a reminder, we will send you short surveys in the mail about every 4 months. You can also
participate online through the TCS website at https://tcs.rti.org. If you have any questions,
please contact us toll free at 1-800-XXX-XXXX.
Thank you,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
6
TCS Password Reset Email
SUBJECT: National Panel of Tobacco Consumer Studies (TCS) Password Reset Confirmation
TCS Panel Member,
Your TCS password has been reset. To login, please go to the TCS website https://tcs.rti.org
and use the following login information:
TCS ID: [######]
Password: [######]*
*Please note that you will be prompted to change this password to a password of your choice
once you log into the website. Your TCS ID, however, will not change.
If you have any questions or feel you have received this email in error, please call our toll-free
project line at [1-8##-###-####] or email us at tcs@rti.org.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
7
Attachment 3-42: Phone Verification Answering Machine Script
Answering Machine Script:
Hello, I am calling from RTI International regarding a study sponsored by the U.S. Food and Drug Administration.
Our records indicate that someone at this number was contacted by one of our field interviewers and I am calling to
verify the quality of our interviewer’s performance. This call will take just a few minutes of your time. An RTI
International representative will try to reach you again over the next few days to ask a few brief questions. Thank
you in advance for your participation.
Attachment 3-43. TCS Website Screens
1) TCS Website Home Page
PROGRAMMER: FI WILL LOGIN WITH HIS/HER STUDY ID WHEN REQUIRED TO ADMINISTER
BASELINE SURVEY TO PM. WHEN FI ID IS ENTERED, FI WILL GET OPTION TO “ADMINISTER
BASEILNE SURVEY” AND LAUNCH THE SURVEY ACCORDINGLY. PER BASEILNE SPECS,
SECTION A (TUTORIAL) WILL BE SKIPPED WHEN FI ADMINISTERS THE SURVEY.
Home
Login
Username:
Password:
Forgot Password?
FAQs
Contact Us
Espanol
Welcome to the TCS Website
Login to complete a survey
Get answers to frequently asked questions (FAQs)
Contact us with any questions
Request Technical Support
Update your profile
OMB No. ####-#### Exp. mm/dd/yyyy
Log In
Home
FAQs
Contact Us
Espanol
Log In
Login
Username:
Password:
Forgot Password?
Welcome to the TCS Website
Login to complete a Survey
Get answers to frequently asked questions
(FAQs)
Contact us with any questions
Request Technical Support
Update Your Profile
OMB No. ####-#### Exp. mm/dd/yyyy
2) Create Password Screen
Create Password
To protect your privacy, please create a unique password. By creating a unique password, no one else will
be able to log in to your survey. The password should be something you will remember. There are no
restrictions on what you enter.
Password:
Password Confirmation:
Create Password and Continue
2a) Update Password Screen
Update Password
The password should be something you will remember. There are no restrictions on what you enter.
Password:
Password Confirmation:
Create Password and Continue
3) Security Question Screen
Set Security Question
To protect the privacy of your answers, please answer a security question from the list below.
This will be used to identify you if you forget your unique password. Please choose a question
that only you – and no one else – would know the answer to..
Security Question:
(Pick one from the dropdown list)
Name of your first pet
Name of your favorite teacher
City you were born in
Name of your favorite sports team
Furthest place to which you have traveled
Continue.
4) Begin the Survey Screen
Home
FAQs
Contact Us
Espanol
Log In
Update Panel Profile
Available Surveys:
Topical Study 1
OMB No. ####-#### Exp. mm/dd/yyyy
4a) Front Screen of an TCS Web Survey (example with public burden statement)
TCS ID: 123456
PBINTRO
Help
Log Out
1% Complete
[Title of Survey]
Thank you for joining the survey panel for the National Panel of Tobacco Consumer Studies, or TCS. The information you provide
will be very important to FDA’s research. This first survey will introduce you to some of the features of our web surveys. It will also
collect more detailed information about the tobacco products you are currently using. If you have any questions about how to
answer a question or need help moving through the survey, please let the interviewer know.
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10
minutes per response to complete the survey questions. Send comments regarding this burden estimate or any other aspects of
this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
OMB No. ####-#### Exp. ##/##/####
Next
** Burden estimate in Paperwork Reduction Act Statement will be 10 minutes for baseline survey, 5 minutes
for each panel mantenance survey, and 20 minutes for experimental and observational studies, including
Study 1.
4 b)
Timeout message:
'Your session has timed out. Please log in to continue.’
5) Forgot password screen (1st screen in request of new password)
Forgot Your Password?
Enter your TCS ID to receive your password.
TCS ID: ____________
If you need assistance with your account, please call the TCS Help Desk at 1-800-XXX-XXXX
or send an email to tcs@rti.org.
Submit
6) Identity Page (2nd screen in request of new password)
Identity Confirmation
Answer the following question to receive your password.
TCS ID: XXXXXXXX
Question: (Security question displayed here)
Answer: _____________________________
Submit
6) Identity Conformation Error Messaging
Identity Confirmation
Answer the following question to receive your password.
TCS ID: XXXXXXXX
Question: (Security question displayed here)
Answer: _____________________________
Your answer could not be verified. Please try again.
Submit
8) Profile Update Page
Update Your Profile
Street Address:
Name: ______________________
Street: ______________
City: _______________________
State: ______________________
ZIP: _______________________
Mailing Address: ___ Check here if same as street address
Name: ____________________
Street: _____________
City: _____________________
State: ____________________
ZIP: _____________________
Phone and Email:
Home Phone:
Work Phone:
Cell Phone:
Alternate Cell Phone:
Email:
Alternate Email:
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
this cell number?
9) Links to TCS information from the Home screen
Home
FAQs
Contact Us
Espanol
TCS
National Panel of Tobacco Consumer Studies (TCS)?
sponsoring
TCS?
TCS?
TCS
TCS
TCS
TCS
TCS
Privacy
survey
private?
OMB No. ####-#### Exp. mm/dd/yyyy
Log In
About The TCS
What are the National Panel of Tobacco Consumer Studies (TCS)?
Who is sponsoring the TCS?
Who is RTI International?
Who is participating in the TCS?
What does my participation in the TCS involve?
How do I know the TCS is legitimate?
What are the National Panel of Tobacco Consumer Studies (TCS)?
The 2009 Tobacco Control Act granted the U.S. Food and Drug Administration (FDA) the authority to
regulate the manufacture, marketing, and distribution of tobacco products. To inform these
regulatory efforts, the FDA’s Center for Tobacco Products (FDA-CTP) is conducting the National
Panel of Tobacco Consumer Studies (TCS) to better understand what tobacco users know or how
they feel about FDA regulatory actions.
For example, the TCS may explore topics such as:
How people feel about tobacco product warning statements or marketing restrictions
The type of tobacco products people use,
The tobacco brands people prefer,
How people hear about new tobacco products,
Where people buy tobacco products, or
How often people use coupons or in-store promotions
Who is sponsoring the TCS?
The FDA CTP is sponsoring the TCS. RTI International has been contracted to conduct the studies
for the FDA-CTP.
Who is RTI International?
RTI is a nonprofit organization located in North Carolina. RTI conducts research both in the United
States and abroad under contract with federal, state, and local governments; public service
agencies; universities and foundations; and commercial clients.
Who is participating in the TCS?
The panel consists of about 4,000 adult tobacco users from across the United States. Your
participation is very important to the success of the TCS. By taking part, panel members represent
the views and opinions of many other individuals like themselves. The information you provide will
help inform tobacco-related policy decisions made by the FDA.
What does my participation in the TCS involve?
After completing the enrollment process, panel members will be asked to take part in short but
important surveys for the FDA over a 3-year period. Surveys will be conducted about 3 times a year.
A cash payment will be offered as a token of appreciation for each TCS survey you complete.
How do I know the TCS is legitimate?
The TCS is conducted under the authority of the Family Smoking Prevention and Tobacco Control
Act, which granted FDA important new authority to regulate the manufacture, marketing, and
distribution of tobacco products to protect the public health generally and to reduce tobacco use by
minors. The study has been approved by the U.S. Office of Management and Budget (OMB). The
valid OMB control number for this information collection is XXXX-XXXX. The expiration date is
MM/DD/YYYY.
Frequently Asked Questions (FAQs)
Completing the TCS Surveys
Using the TCS Website
Privacy
Completing the TCS Surveys:
How long will the surveys take?
The surveys will vary in length depending on the topic and your experiences. Surveys will take
between 15-20 minutes.
Each web survey is designed so that you do not have to complete it in one session. You can get
started and easily log out and resume the survey at a later time. Simply log back in using your TCS
ID and password.
Please note that web survey time also will vary depending on connection speed to the Internet. If
you need assistance with any technical issues, contact the TCS Help Desk at 1-800-XXX-XXXX or
email us at tcs@rti.org.
Do I have to participate in each survey?
Participation in the TCS panel and in each survey is voluntary. However, your participation is very
important to the success of this research. By taking part, you have the opportunity to share your
opinions and feedback to help inform tobacco-related policy decisions made by the FDA. You will
receive a cash payment as a token of appreciation for each TCS survey you complete.
Can I refuse to answer a question?
Your participation is very important to the success of this research. However, you can refuse to
answer any and all questions.
Using the TCS Website:
What if I forget my TCS ID?
If you forget your TCS ID, please let us know by calling the TCS Help Desk at 1-800-XXX-XXXX,
sending an email to tcs@rti.org, or completing the form on our Technical Support page.
What if I forget my password?
To have your password reset, go to the Forgot Password page. You can also contact the TCS Help
Desk at 1-800-XXX-XXXX or email us at tcs@rti.org.
How do I know your website is secure?
The TCS website is protected by Secure Socket Layer (SSL; 128-bit encryption) technology. The
web data are collected over a secure server and connection also protected by SSL.
Should I use a particular web browser to take the web surveys?
The current versions of the following web browsers are recommended:
Chrome
Firefox
Safari
Internet Explorer
Opera
Privacy:
Will my survey answers be kept private?
The FDA and RTI are committed to assuring the privacy of responses. Our interest is only in the
combination of all responses and not anyone’s individual answers. Names are never associated with
answers, are only used for research and analysis and cannot be used for any other purpose. Privacy
of all answers to questions is protected to the fullest extent allowable by law.
10) Contact Us Screen
Home
FAQs
Contact Us
Espanol
Log In
TCS Help Desk
Help Desk staff are available to assist you.
You can contact us at:
Phone: [1-800-XXX-XXXX]
Email: tcs@rti.org
Website: [insert url to Technical Support Page].
TCS Staff
If you have questions or concerns about the TCS, project staff are available Monday through
Friday between 9:00 AM and 5:00 PM (ET).
TCS Project Director (RTI):
Susan Kinsey
shk@rti.org
Phone: [1-800-XXX-XXXX]
TCS Data Collection Manager (RTI):
Amy Kowalski
akowalski@rti.org
Phone: [1-800-XXX-XXXX]
OMB No. ####-#### Exp.mm/dd/yyyy
11) Request Technical Support Screen
Home
FAQs
Contact Us
Espanol
Log In
Need help completing your TCS Surveys?
Please complete and submit the technical assistance form below. Once received, a member of
the TCS team will contact you.
TCS ID
Name
Email
Phone: _____-____-_______
Category:
Internet Connection Problems
Problems Logging in to TCS Website
Problems Launching Web Survey
Usability/Navigation Problems
Hardware Issue
Problems with Freezing Screen
Problems receiving TCS emails
Other Technical Problem
Non-technical Issue / general issue
Short Description
Description of the problem you are having:
Thank you for letting us know about your problem. Your request for assistance has been
submitted.
Your Ticket ID is 128. A member of the TCS team will contact you soon to help you.
SUBMIT
OMB No. ####-#### Exp. mm/dd/yyyy
Text Field for Problem Description
Home
FAQs
Contact Us
[Insert Text]
OMB No. ####-#### Exp. mm/dd/yyyy
Espanol
Log In
Attachment 3-44: Disenrollment Letter - Single Case
[DATE]
FNAME LNAME
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
[FNAME],
Thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS)
panel. This letter is to acknowledge your request to end your participation in the panel.
[FILL IF PM HAS STUDY-PROVIDED TABLET: Our records show that you were participating
in the TCS panel using a study-provided tablet computer. Please note that you will soon
receive a separate package from RTI International that includes instructions for returning
the tablet. The package will also include a shipping box and a pre-addressed, postage-paid
shipping label. Please follow the instructions and return the tablet to RTI at your earliest
convenience.
Thank you again for your prior support of the TCS. If you have any questions, please call
our toll-free project line at [800 Line] or email us at tcs@rti.org.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
Attachment 3-45: Disenrollment Letter - Bulk
[DATE]
FNAME LNAME
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
[FNAME],
Thank you for your participation in the National Panel of Tobacco Consumer Studies (TCS)
panel. We’ve attempted to contact you about the TCS surveys for some time, but have not
heard from you or been able to reach you. For this reason, we are assuming you no longer
want to take part in the TCS panel. We will be discontinuing our requests for participation
in TCS surveys and your membership in the panel.
[FILL IF PM HAS STUDY-PROVIDED TABLET: Our records show that you were participating
in the TCS panel using a study-provided tablet computer. Please note that you will soon
receive a separate package from RTI International that includes instructions for returning
the tablet. The package also includes a shipping box and a pre-addressed, postage-paid
shipping label. Please follow the instructions and return the tablet to RTI at your earliest
convenience.
Thank you again for your prior support of the TCS. If you have any questions, please call
our toll-free project line at [800 Line] or email us at tcs@rti.org.
Sincerely,
Susan Kinsey
RTI Project Director
National Panel of Tobacco Consumer Studies
OMB Number: ####-####
Expiration Date: mm/dd/yyyy
| File Type | application/pdf |
| File Modified | 2016-06-07 |
| File Created | 2016-06-07 |