ATTACHMENT 3: CONSENT STATEMENT
We would like to include you as a participant in a study sponsored by the Centers for Disease Control and Prevention (CDC). If you agree to be in this study, we will ask some questions about you and your health.
Participation is voluntary, and you may decline to answer any questions that you do not want to answer. The survey will take about 15 minutes to finish.
When you complete this questionnaire, we will credit your YouGov Account with 1,000.
If you agree to participate, please click the forward button >
OMB Control Number: 0920-1291 Expiration 3/31/3023
Public reporting burden of this collection of information is estimated to average 15 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 (0920-1291).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kaufmann, Rachel (CDC/DDNID/NCCDPHP/OD) |
| File Modified | 0000-00-00 |
| File Created | 2023-08-29 |