5 Attachment 7 Informed Consent Form English

Attachment #7

Informed Consent Form

Identification of Project	Bi-Monthly Open Call Usability Tests
Statement of Age of Subject	I state that I am at least 18 years of age, in good physical health, and wish to participate in a program of research being conducted by the Analytics and Audience Research Branch at the National Cancer Institute, Rockville, MD 20850.
Purpose	The purpose of this research is to explore various aspects of cancer.gov to better understand how users navigate and find information for themselves or others on existing pages as well as to understand how well proposed designs work
Procedures	Participants will perform information-seeking tasks on existing or proposed web pages or other materials and be asked about their thoughts and opinions related to how information is presented on cancer.gov. The total time involved, including instructions will be no more than 60 minutes.
Confidentiality	All information collected in this study will be kept secure to the extent permitted by law. I understand that the data I provide will be grouped with data others provide for the purpose of reporting and presentation and that my name will not be used. I understand that the session will be audiotaped and my computer usage (mouse clicks and where my eyes look on the screen) will be electronically recorded, but my face will not be video taped. My voice and computer usage recording will not be played to others besides the research team without my written permission. The recordings will be kept in a locked cabinet and will be destroyed by December 31, 2018.
Risks	I understand that the risks of my participation are expected to be minimal in nature.
Benefits, Freedom to Withdraw, & Ability to Ask Questions	I understand that this study is not designed to help me personally but that the investigators hope to gain a better understanding of cancer.gov audience segments, and make improvements to the content, structure and presentation of standard pages on cancer.gov. I am free to ask questions or withdraw from participation at any time and without penalty.
Contact Information of Investigators	Silvia Inéz Salazar, Audience Research Laboratory Manager, National Cancer Institute Telephone: 240-276-6631 Email: nciocplresearch@mail.nih.gov

Printed Name of Research Participant _____________________________

Signature of Research Participant ________________________________

Date______________________

Informed Consent Form

Identification of Project	Bi-Monthly Open Call Usability Tests
Statement of Age of Subject	I state that I am at least 18 years of age, in good physical health, and wish to participate in a program of research being conducted by the Analytics and Audience Research Branch at the National Cancer Institute, Rockville, MD 20850.
Purpose	The purpose of this research is to explore various aspects of cancer.gov to better understand how users navigate and find information for themselves or others on existing pages as well as to understand how well proposed designs work
Procedures	Participants will perform information-seeking tasks on existing or proposed web pages or other materials and be asked about their thoughts and opinions related to how information is presented on cancer.gov. The total time involved, including instructions will be no more than 60 minutes.
Confidentiality	All information collected in this study will be kept secure to the extent permitted by law. I understand that the data I provide will be grouped with data others provide for the purpose of reporting and presentation and that my name will not be used. I understand that the session will be audiotaped and my computer usage (mouse clicks and where my eyes look on the screen) will be electronically recorded, but my face will not be video taped. My voice and computer usage recording will not be played to others besides the research team without my written permission. The recordings will be kept in a locked cabinet and will be destroyed by December 31, 2018.
Risks	I understand that the risks of my participation are expected to be minimal in nature.
Benefits, Freedom to Withdraw, & Ability to Ask Questions	I understand that this study is not designed to help me personally but that the investigators hope to gain a better understanding of cancer.gov audience segments, and make improvements to the content, structure and presentation of standard pages on cancer.gov. I am free to ask questions or withdraw from participation at any time and without penalty.
Contact Information of Investigators	Silvia Inéz Salazar, Audience Research Laboratory Manager, National Cancer Institute Telephone: 240-276-6631 Email: nciocplresearch@mail.nih.gov

Printed Name of Research Participant _____________________________

Signature of Research Participant ________________________________

Date______________________

Participant Copy