Privacy Narrative

Date
August 5, 2022

Information Collection Request - Privacy Narrative

Extended Evaluation of the National Tobacco Prevention and Control Public Education Campaign

Title: ______________________________________________________________________________________
Rebecca Murphy
Point of Contact: _____________________________________________________________________________

Description
Individual identifying information is used to facilitate initial contact, follow-up, and administering survey
incentives. No respondent identifiers will be contained in data to RTI or reports to CDC; results will
only present data in aggregate. The identifying information is maintained in a secure, pre-existing
system owned by an external contractor, GfK/Ipsos. The response data transmitted from GfK/Ipsos to
RTI International, the data analysis contractor, will be de-identified prior to transmission and analysis.
These data will also remain de-identified when transmitted from RTI International to the CDC. All
information provided by respondents will be kept private and secure to the extent permitted by law.
To ensure data security, all RTI and GfK/Ipsos project staff will be required to adhere to strict
standards and to sign a non-disclosure agreement as a condition of employment on this project. RTI
maintains restricted access to all data preparation areas (i.e., receipt and coding). All data files on
multi-user systems will be under the control of a database manager, with access to the data restricted
to only project staff specifically authorized to work on this project.
The majority of questions asked will not be of a sensitive nature. However, it will be necessary to ask
some questions that may be considered to be of a sensitive nature in order to assess specific health
behaviors, such as cigarette smoking. These questions are essential to the objectives of this
information collection. Questions about messages concerning lifestyle (e.g., smoking, current smoking
behavior, attempts to quit smoking) and some demographic information, such as race/ethnicity and
income, could be considered sensitive--but not highly sensitive. To address any concerns about
inadvertent disclosure of sensitive information, respondents will be fully informed of the applicable
privacy safeguards. The mechanism that will be used for notice or consent is The Screening &
Consent Questionnaire and will apprise respondents that participation is voluntary and that they may
skip any questions. Participants may opt out of the survey at any time. All respondents will be assured
that the information they provide will be maintained in a secure manner and will be used only for the
purpose of this evaluation.

Does this ICR request any PII?

✔ Yes

No

PII is for contact and incentives
If yes, describe: _____________________________________

Does this ICR include a form that requires a Privacy Act Statement?
Does this ICR require a PIA?

Yes

✔

No

Yes

✔

No

If yes, does a signed PIA already exist?

C/I/O Approval
Associate Director for Science

Joan Redmondleonard -S

Digitally signed by Joan
Redmond-leonard -S
Date: 2022.08.05
14:34:52 -04'00'

Comments:
Joan signed for Associate Director for Science

Information Systems Security Officer

Cynthia
Allen -S

Digitally signed by
Cynthia Allen -S
Date: 2022.08.05
07:41:04 -04'00'

Yes

No