Attachment E Intercept Testing protocol

Cognitive and Psychological Research

Attachment E Round 2 intercept testing protocol with youth 5-9-2024

NLSY27 Consent Testing - Amendment

OMB: 1220-0141

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Attachment E: Round 2 intercept testing with youth protocol


Hello! My name is ___ from the Bureau of Labor Statistics. We are getting feedback from youth ages 11-17 on a consent form for one of our surveys. Do you have 2-5 minutes to provide feedback on the draft form?


(If yes), What is your age? What is your gender?


Please read the following silently to yourself:


  • The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the information you provide for statistical purposes only and will hold the information in confidence to the full extent permitted by law.

  • In accordance with the Confidential Information Protection and Statistical Efficiency Act (44 U.S.C. 3572) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent.

  • Per the Cybersecurity Enhancement Act of 2015, Federal information systems are protected from malicious activities through cybersecurity screening of transmitted data.

  • This voluntary study is being collected by the Bureau of Labor Statistics under OMB No. 1220-0141 (Expiration Date: July 31, 2027). Without this currently approved number, we could not conduct this survey. This survey will take approximately 5 minutes to complete. If you have any comments regarding this estimate or any other aspect of this study, send them to BLS_PRA_Public@bls.gov.

  • In accordance with the Privacy Act of 1974 as amended (5 U.S.C. 552a), this study is being conducted by the U.S. Department of Labor, Bureau of Labor Statistics (BLS), under the authority of 29 U.S.C.2.

  • Your voluntary participation is important to the success of this study and will enable the BLS to better understand the behavioral and psychological processes of individuals, as they reflect on the accuracy of BLS information collections.

  • The information will only be used by and disclosed to BLS personnel and contractors who need the information for activities related to improving BLS information collection. Information on routine uses can be found in the system of records notice, DOL/BLS – 14, BLS Behavioral Science Research Laboratory Project Files (81 FR 47418). 

Do you agree to participate?


I’d like you to imagine that you were invited to participate in a national survey of young people between the ages of 11 and 17. What would you want to know about the survey before agreeing to participate?


Here’s some general information. Please tell me what information you find particularly useful (highlight in blue) and what information you find unclear (highlight in orange). It’s ok to read the form to yourself.


(Participants will read the youth assent form in Attachment B).


If you would like to, please highlight in BLUE any information that you like or find useful and the ORANGE highlighter any information that is not clear to you.


Now that you've read it, if you were invited to participate, would you? Why or why not?

Which question on the page is the one that’s most important to you?

How do you think this form could be improved?

What was unclear?


Thank you. (Offer non-monetary incentive.)


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKaplan, Robin - BLS
File Modified0000-00-00
File Created2025-02-04

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