Parent Of Youth Baseline Survey Participants

Attachment 21_R: Email Reminder 3

Form Approved

OMB No. 0910-0753

Exp. Date 09/30/2019

RIHSC No. 15-101CTP

Subject Line: FDA Health and Media Study Final Reminder

Dear Parent of CHILD’S FIRST NAME OR INITIALS]:

The fourth follow-up survey for the FDA Health and Media Study will be ending soon and we want to give your child, [CHILD’S FIRST NAME OR INITIALS], a chance to participate. Please consider having your child complete the online survey on or before [date].

To complete the online survey on a personal computer, laptop, phone, or tablet, a parent or guardian must follow all three steps below:

1. Open your web browser and type in the study website address: [RUSTEC WEBSITE]

2. Once you have reached the study website, type in the username and password exactly as shown below

Username: [Username]

Password: [Password]

3. Once you’ve typed in your username and password, you will see instructions for completing this round of the study. A parent or legal guardian must follow the steps to provide permission for the child to complete the survey.

We will offer your child a check for $20 if he completes the survey by [date].

Your child’s help with this round of the study is voluntary, but greatly appreciated. Your child can refuse to answer any and all questions. All information provided by your child will be kept private to the fullest extent allowable by law and used only for statistical purposes. Your child or your household will never be identified in any analysis, reports, or publications, and no one will try to sell you or your child anything.

For more information about the study, you can call our project assistance line toll-free at (866) 214-2039, or email us at mediastudy@rti.org. If you have a question about your child’s rights as a study participant, you can call RTI’s Office of Research Protection toll-free at (866) 214-2043.

Thank you in advance for participating in this important research.

Sincerely,

Matthew Farrelly, PhD

RTI International

OMB No: 0910-0753 Expiration Date: 09/30/2019

Paperwork Reduction Act Statement: The public reporting burden for this collection of information has been estimated to average 2 minutes per response. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing burden to PRAStaff@fda.hhs.gov.

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