ATTACHMENT D3 - Staff Confidentiality Pledge

ATTACHMENT D3:

STAFF CONFIDENTIALITY PLEDGE

STAFF CONFIDENTIALITY PLEDGE

Study of Food Distribution Programs on Indian Reservations (FDPIR)

Assurance of Confidentiality

The Urban Institute assures all respondents and participating organizations that the information they release to this study will be held in the strictest confidence by the contracting organization, and that no information obtained in the course of this study will be disclosed in such a way as to identify individuals or organizations. Access to the data in this study is by consent of the respondents who have been guaranteed confidentiality, except when the intent to commit a crime or harm themselves is revealed to the researcher. Their right to privacy is protected under law.

I have carefully read and understand this assurance that pertains to the confidential nature of all information and records to be handled in this study. I have read a copy of the Confidential Data at the Urban Institute – Guidelines for Data Security. I understand that I must comply with all of data security requirements adapted from those Guidelines for this project as approved by the Urban Institute Institutional Review Board. As an employee of, or consultant to, the Urban Institute, I understand that I am prohibited from disclosing any such confidential information that has been obtained under the terms of this contract to anyone other than authorized contractor staff and, if I am an Urban Institute employee, I agree to follow the procedures outlined to me during training. I understand that any willful and knowing disclosure of information released to this study may subject an Urban Institute employee to disciplinary action, up to and including termination of employment.

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(Print Your Name) (Signature)

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(Date)

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(Witness signature)

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(Date)

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