Appendix 1a Consent for Website Interview Participants FINAL

Qualitative Feedback on Food and Drug Administration Service Delivery

Appendix 1a Consent for Website Interview Participants FINAL

OMB: 0910-0697

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Appendix 1a: Consent for Website Interview Participants



OMB Control No. 0910-0697 

Expiration Date: 01/31/2027 

 

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number.  The valid OMB control for this information collection is 0910-0697 and the expiration date is 01/31/2027. The time required to complete this information collection is estimated to average 60 minutes per response, including the time for reviewing instructions and completing and reviewing the collection of information. 

 

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestion for reducing burden to PRAStaff@fda.hhs.gov 

 

Your participation/nonparticipation is completely voluntary, and your responses will not have an effect on your eligibility for receipt of any FDA services. In instances where respondent identity is needed (e.g., for follow-up of non-responders), this information collection fully complies with all aspects of the Privacy Act and data will be kept secure to the fullest extent allowed by law. 







Hi (participant name)! Thanks again for volunteering to help us test FDA’s For Patients website. We have you scheduled for (date and time).

We will be sending you a separate Outlook invitation email soon with instructions and the Zoom log-in information.

We will also need your official permission to participate and record the session. We would like to record your session to allow FDA staff members and contractors who are unable to be there to observe your session and benefit from your comments.

Please reply to this email with “I agree to participate and for my session to be recorded.”

Thanks!

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSlavit, Wendy
File Modified0000-00-00
File Created2024-09-17

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