Attachment 11 - Privacy protection agreement for transcribers

APPROVED
OMB # 0920-XXXX____________________
OMB EXP. DATE_____/_____/______

Attachment: 11

Privacy Protection Agreement for Transcribers

Because of concerns about protecting participant privacy and fostering an atmosphere of respect for participants, it is important for all persons who transcribe focus group audiotapes to accept the following requirements related to the handling and use of the tapes and transcripts:

• Do not discuss the identity of participants or what was said by individual participants with others who were not observers or moderators and, as such, did not sign a privacy protection agreement for this project.

• Keep the tapes and transcripts secure while in your possession to eliminate any third-party access to the tapes and transcripts.

• Do not play the audiotapes to any third party.

• Do not distribute or make copies of tapes or transcripts unless requested to do so by Mel Miller, Project Director at ICF Macro, (240) 747–4750.

• Protect the identity of all participants, and do not transcribe participants’ last names.

• Return all project information to Mel Miller, Project Director at ICF Macro, when completed.

• Do not use knowledge gained from audiotapes for personal or professional gain.

Your signature below indicates that you understand and accept these conditions.

Transcriber Name:	_______________________________________________________
Transcriber Signature:	_______________________________________________________
Date:	_______________________________________________________

Witness Name:	_______________________________________________________
Witness Signature:	_______________________________________________________
Date:	_______________________________________________________

Public reporting burden of this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CDC/ATSDR Information Clearance Officer, 1600 Clifton Road N.E., MS D-74, Atlanta, Georgia 30333, ATTN: PRA (0920-XXXX).