CDC Usability and Digital Content Testing - Consent Form

OMB#: 0920-1050

Exp. Date: 6/30/2025

Attachment D

CDC Usability and Digital Content Testing: Consent Form

A consent question similar to the following will be shown in the web-based testing tool on the participant’s computer/device screen as a screening question. Participants will digitally provide their consent. If they select No, then they will be excluded from the assessment test.

• Consent Screener Question: [Standard for all tests]

  • Thank you for participating in this assessment of the Centers for Disease Control and Prevention’s (CDC) digital content on [health topic]. Public reporting burden of this collection of information is estimated to take about 20 minutes. Do you consent to participate in this assessment?

    • Yes

    • No