Example Design Research Participant Agreement

English version

(Spanish version)

This agreement relates to your participation in a study led by <organization> to better understand <area of inquiry>. Please read it carefully and ask any questions you have before signing.

Printed name Signature

Privacy Act Notice: <Organization> is asking for your contact information so that we can decide if you are able to participate in design research studies. Your participation in a study is optional; nothing changes if you decline. By providing your contact information, you agree to receive follow-up communications about the study.

<Organization>’s design research is conducted in the spirit of Executive Order 13571, Section 2B, which directs agencies to “establish mechanisms to solicit customer feedback on government services and use such feedback regularly to make service improvements”. <Organization>’s collection of contact information is authorized by the E-Government Act of 2002 (P.L. 107-347, 44 USC § 3501).