NTEWS Consent Form

Attachment H

NTEWS Consent Form

CONSENT FORM

The National Center for Science and Engineering Statistics (NCSES), within the National Science Foundation (NSF), designs, conducts, and sponsors surveys on science, engineering, and technology. In order to produce the best information possible, NCSES routinely evaluates its surveys.

You have volunteered to take part in a study to improve one of the NCSES’s National Science Foundation’s surveys. In order to have a complete record of your comments, your interview session will be recorded. We plan to use the recording to improve the survey we are testing. Staff directly involved in this research project will have access to these recordings. In addition, we may provide your recording to a transcription service so that they can provide us with a written version of your comments. Specific results or quotes will not be attributed directly to you in any summaries or reports.

This study is authorized by law (42 U.S.C. 1862 Section 3.a.6.). The OMB control number for this study is 3145-0174.

I have volunteered to participate in this study, and I give permission for my recording to be used for the purposes stated above.

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Participant’s Signature Researcher’s Signature

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Printed Name Printed Name

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