A National Survey of Veterans

Returning our Veterans to Employment and Reintegration (ROVER): National Surveys of Assistance Dog Providers and Veterans

Attachment D

A National Survey of Veterans

OMB: 0920-0985

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Vets & Pets Form Approved
OMB No. 0920­xxxx
Expiration Date: XX/XX/20xx

Welcome to Project ROVER's Vets and Pets Survey
Thank you for your interest in the Vets and Pets Survey for Project ROVER (Returning Our Veterans to Employment and
Reintegration), a research project between the National Institute for Occupational Safety and Health and West Virginia
University.
The goal of Project ROVER is to understand the relationship between Veterans and their Pets.

You do not need to have a pet to take this survey.
We need to hear from Veterans who do and do not have pets so we can see how pets might help Veterans reintegrate into
society and work after Military Service. Your answers to these questions will help us understand the difficulties some
Veterans have in returning home and to work, and to design programs (e.g., service dogs) to assist those in need.
Participation in the survey is voluntary. You can exit the survey at any time, or select “No Response” to any question you
do not want to answer. We do not ask for your name or other identifying information. Your answers are anonymous and
will only be shared in summary form with the overall results.
The survey may take about 20-60 minutes for you to complete.
Clicking the "Start Survey" button, below, indicates that you read and understand the above information and agree to do
this research survey. If you decide not to participate, please exit the survey by closing this webpage.
Please contact Project ROVER at 800-XXX-XXXX or oaw5@cdc.gov with any questions or concerns about the survey or
the results. For your rights as a human subject, you can contact the Institutional Review Board at XXX-XXX-XXXX (NIOSH)
or XXX-XXX-XXXX (WVU).
We sincerely thank you for your service to our country,
and for assisting us with this survey.

Public reporting burden of this collection of information is estimated to average 60 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 Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia
30333; ATTN: PRA (0920-xxxx).

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