Remote Testing Payment Procedure

Payment Procedure_CEDSCI.docx

Generic Clearance for Questionnaire Pretesting Research

Remote Testing Payment Procedure

OMB: 0607-0725

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Payment Procedure

This is the procedure for obtaining proof that we have given the participant the $40 for their participation in our study. There are three different ways that a participant could receive the payment, which we plan to pay in cash:


1. In-person session (if stay at home orders are lifted and session is conducted in person)

We have the participant sign the voucher at the end of the session and we hand the cash to the participant.


2. Remote session: If stay at home orders are still in place and sessions are conducted remotely, we will have a phone conversation with the participant and tell them there are two different ways for how they can receive payment. They will have to choose one of the next two options:


A. Send voucher to participant and participant sends back a signed voucher prior to user session. If the participant has a way to print the voucher we will email the voucher prior to the session (at the same time we email the consent form). The respondent signs the voucher and sends it back to us via email prior to the start of the session. If participant does not have a printer we could send the voucher through the mail. They will still need to sign it, take a picture or scan it, and email it back to us prior to the session.


At the end of the session, the test administrator sends the money using USPS Priority mail.


OR


B. Use Certified mail for sending the money after the session. At the end of the session, the test administrator sends the money using certified mail and return receipt. This requires the participant to answer the door and sign the certified mail that the postal worker hands them. It is also possible that the USPS requires an ID to verify their identity and/or have the participant come to their local post office to pick up the certified mail piece.


Email wording:


Greetings XXXXX,


We are looking forward to working with you on the upcoming CEDSCI usability study. Attached find the documents you will need for participating in the session. You will also need to have Skype for Business installed on your computer prior to our user session. If you do not yet have Skype for Business installed on your computer, you will need to download it. Please go to the following URL to download Skype for Business: https://support.office.com/en-us/article/install-skype-for-business-8a0d4da8-9d58-44f9-9759-5c8f340cb3fb

If you have any questions please contact me.

shelley.b.feuer@census.gov or 301.763.0873


Thanks,

Shelley













Incentive Receipt Acknowledgment Form


Standard Form 1034

September 1973

Treasury FRM 2000


PUBLIC VOUCHER FOR PURCHASES AND

SERVICES OTHER THAN PERSONAL


VOUCHER NO.


U.S. DEPARTMENT, BUREAU OR ESTABLISHMENT AND LOCATION


U.S. Department of Commerce

Bureau of the Census

Washington, DC 20233-9100


DATE VOUCHER PREPARED



SCHEDULE NO.


CONTRACT NUMBER AND DATE



PAID BY


REQ. NUMBER AND DATE



PLEASE PRINT NAME & ADDRESS BELOW:


PAYEE=S

NAME

AND

ADDRESS



DATE INVOICE RECEIVED



DISCOUNT TERMS



PAYEE=S ACCOUNT NUMBER



SHIPPED FROM TO WEIGHT



GOVERNMENT B/L NUMBER


NUMBER

AND DATE

OF ORDER


DATE OF DELIVERY OR SERVICE


ARTICLES OR SERVICES

(Enter description, item number of contract or Federal supply schedule,

and other information deemed necessary)




QUAN-TITY


UNIT PRICE


AMOUNT


COST


PER








For participating in a usability test as part of research on the CEDSCI Web tool.

Usability Laboratory

Center for Survey Methods Research

Statistical Research Division


Received by:______________________


Date: ________________________________________





















$40.00


(Use continuation sheet(s) if necessary) (Payee must NOT use the space below) TOTAL




PAYMENT:

COMPLETE

PARTIAL

FINAL

PROGRESS

ADVANCE


APPROVED FOR

$40.00


EXCHANGE RATE

= $1.00


DIFFERENCES




BY:




TITLE:


Amount verified correct for


$40.00


(Signature or initials)


Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment


_____________________ _______________________________________________________________________ _____________________________

(Date) (Authorized Certifying Officer) (Title)


ACCOUNTING CLASSIFICATION


Project/Task: 4356F20-000; Organizational Code: 11-09-0098-00-00-00-00; Obj. Class: 25-20-04-02


CHECK NUMBER ON TREASURER OF THE UNITED STATES


CHECK NUMBER ON (Name of Bank)



CASH DATE


PAYEE


PER


TITLE



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorErica L Olmsted Hawala (CENSUS/CSM FED)
File Modified0000-00-00
File Created2021-01-14

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