Is the Is the List the Describe the Confidentiality: Procedure and/or the Procedure/ Procedure/ frequency and setting where Are participant Data Collection Instrument Instrument a the time data collection identifiers (IDs) Instrument already standardized required for will take place recorded being measure? participants to during data completed complete the collection? as part of a Procedure/ program Instrument evaluation or an educational activity? Survey will be Amazon EXAMPLES: completed 3x Mechanical Turk No IDs ABC Satisfaction Survey via N/A N/A during the Code with Amazon Turk Yes Yes academic year. link to IDs No No Takes no more Yes IDs than 20 mins. to (delete this example row) complete Interview regarding A place No IDs N/A N/A 2x at the beginning convenient for Academic Life Code with Yes Yes and end of the subject (e.g. link to IDs No No academic year coffee shop) Yes IDs (delete this example row) No IDs N/A N/A Code with <Type here> <Type here> <Type here> Yes Yes link to IDs No No Yes IDs No IDs N/A N/A Code with <Type here> <Type here> <Type here> Yes Yes link to IDs No No Yes IDs No IDs N/A N/A Code with <Type here> <Type here> <Type here> Yes Yes link to IDs No No Yes IDs No IDs N/A N/A Code with <Type here> <Type here> <Type here> Yes Yes link to IDs No No Yes IDs No IDs N/A N/A Code with <Type here> <Type here> <Type here> Yes Yes link to IDs No No Yes IDs Will any of the study procedures include collecting photographs, audio recordings and/or video recordings? N/A No photos, audio or video recordings will be taken. – Photos, audio or video recordings will be taken. Text regarding the photos or recordings will be included in the consent document and specific permission to record identifiers will be obtained from participants. Check one of the following: Facial image will be in video or photo will be collected or recorded in either video, photo or audio recording Participants’ names Collecting photographs, as well as audio and video recordings will be optional for the participant Other: <Type here> SECTION 9: CONFIDENTIALITY OF RESEARCH DATA
Procedure and/or the Data Collection Instrument Is the Procedure/ Instrument already being completed as part of a program evaluation or an educational activity? Is the Procedure/ Instrument a standardized measure? List the frequency and the time required for participants to complete the Procedure/ Instrument Describe the setting where data collection will take place Confidentiality: Are participant identifiers (IDs) recorded during data collection? EXAMPLES: ABC Satisfaction Survey via Amazon Turk (delete this example row) N/A Yes No N/A Yes No Survey will be completed 3x during the academic year. Takes no more than 20 mins. to complete Amazon Mechanical Turk No IDs Code with link to IDs Yes IDs Interview regarding Academic Life (delete this example row) N/A Yes No N/A Yes No 2x at the beginning and end of the academic year A place convenient for subject (e.g. coffee shop) No IDs Code with link to IDs Yes IDs <Type here> N/A Yes No N/A Yes No <Type here> <Type here> No IDs Code with link to IDs Yes IDs <Type here> N/A Yes No N/A Yes No <Type here> <Type here> No IDs Code with link to IDs Yes IDs <Type here> N/A Yes No N/A Yes No <Type here> <Type here> No IDs Code with link to IDs Yes IDs <Type here> N/A Yes No N/A Yes No <Type here> <Type here> No IDs Code with link to IDs Yes IDs <Type here> N/A Yes No N/A Yes No <Type here> <Type here> No IDs Code with link to IDs Yes IDs Will any of the study procedures include collecting photographs, audio recordings and/or video recordings? N/A – No photos, audio or video recordings will be taken. Photos, audio or video recordings will be taken. Text regarding the photos or recordings will be included in the consent document and specific permission to record identifiers will be obtained from participants. Check one of the following: Facial image will be in video or photo Participants’ names will be collected or recorded in either video, photo or audio recording Collecting photographs, as well as audio and video recordings will be optional for the participant Other: <Type here> SECTION 9: CONFIDENTIALITY OF RESEARCH DATA
exempt-self-determination-tool.docx