Incentive Receipt

Attachment 7_CO13 Incentive Receipt rev10.20.23.docx

Generic Clearance for Questionnaire Pretesting Research

Incentive Receipt

OMB: 0607-0725

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Focus Group Receipt for Participation



The participant has voluntarily taken part in a focus group on opinions related to government records. This study is being conducted by RTI International for the U.S. Census Bureau. By my signature below, I confirm that I have given the participant a $90.00 in appreciation for their participation in this project.


RTI Staff Signature


Date


Focus Group Location


Participant ID


________________

Participant Signature

























Interview Receipt for Participation



The participant has voluntarily taken part in a virtual interview on opinions related to government records. This study is being conducted by RTI International for the U.S. Census Bureau. By my signature below, I confirm that the participant was provided with a $40.00 electronic gift card in appreciation for their participation in this project.


RTI Staff Signature


Date


Participant ID


________________

Participant Signature



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorgmchenry
File Modified0000-00-00
File Created2025-08-12

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