№ files_lp_3_process_7_036285
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This is an assent form for youth participants in a study designed to gather insights about teen culture and reactions to campaign concepts aimed at preventing tobacco use among Native American and Alaska Native youth.
Year:
2021
Region / City:
San Diego, CA
Subject:
Tobacco Prevention
Document Type:
Assent Form
Organization / Institution:
U.S. Food and Drug Administration Center for Tobacco Products
Author:
Dana Wagner, PhD
Target Audience:
Youth ages 13 to 17
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
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Note:
Year
Topic:
Research Ethics / Consent Forms
Document Type:
Template
Target Audience:
Researchers, Study Coordinators
Note:
Year
Institution:
Auckland University of Technology
Document type:
Consent and Assent Form Exemplars
Target audience:
Research participants
Purpose:
Guidance on ethics approval and participant consent
Method:
Interviews, laboratory or field testing, focus groups
Approval body:
AUTEC (Auckland University of Technology Ethics Committee)
Reference number:
[to be filled by applicant]
Date of approval:
[to be filled by applicant]
Instructions:
Includes mandatory content, formatting guidance, and signature requirements
Note:
Year
Topic:
Research Consent Form
Document Type:
Assent Form
Organization / Institution:
University of California, San Diego
Target Audience:
Adolescents (ages 13-17)
Note:
Year
Region / City:
East Texas
Theme:
Research Ethics
Document Type:
Assent Form
Organ / Institution:
East Texas A&M University
Target Audience:
Minors and their guardians
Note:
Year
Topic:
Research Ethics
Document Type:
Consent Form
Target Audience:
Individuals aged 7 or older, or those with diminished decision-making capacity
Context:
Template for obtaining assent from individuals participating in a research study, with a focus on clarity and comprehensibility for the participants.
Year:
2018
Note:
Region / City
Theme:
Research, Child Assent Forms
Document Type:
Guideline
Institution:
SickKids
Target Audience:
Study teams, researchers, child participants
Approval Date:
May 3, 2018
Year:
2001
Region / City:
Los Angeles, CA
Topic:
Project Labor Agreement
Document Type:
Contractual Agreement
Organization / Institution:
Los Angeles Community College District
Author:
Los Angeles Community College District
Target Audience:
Contractors and Subcontractors
Period of Effect:
From December 19, 2001, with amendments on July 8, 2015, effective August 13, 2015
Approval Date:
July 8, 2015
Date of Amendments:
July 8, 2015
Year:
2023
Region / City:
United States
Theme:
Tobacco and vaping products research
Document Type:
Survey screener
Organization / Institution:
U.S. Food and Drug Administration, Center for Tobacco Products
Author:
U.S. Food and Drug Administration
Target Audience:
Parents or guardians of teens aged 13-17
Period of Validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / City:
Massachusetts
Subject:
Research Participation Assent
Document Type:
Consent Form
Organization:
University of Massachusetts Medical School
Author:
Committee for the Protection of Human Subjects in Research
Target Audience:
Children participating in research
Period of Validity:
Ongoing
Approval Date:
[Insert date of approval]
Amendment Date:
[Insert date of changes if applicable]
Year:
2025
Region / City:
Stellenbosch, South Africa
Topic:
Research Study Consent
Document Type:
Assent Form
Organization / Institution:
Stellenbosch University
Author:
[insert name(s)]
Target Audience:
Children aged 13–17
Period of Validity:
[insert period]
Approval Date:
17.02.2025
Modification Date:
[insert if applicable]
Year:
2026
Region / City:
Oregon
Topic:
Research Consent for Minor Participation
Document Type:
Assent Form
Institution:
University of Oregon
Author:
[Name]
Target Audience:
Minors (12 to 17 years old)
Duration:
[Study duration, e.g., multiple sessions]
Approval Date:
[Date of approval]
Amendment Date:
[Date of amendments if any]
Study Purpose:
Learning about [insert study purpose]
Study Location:
University of Oregon
Risks:
Fatigue, boredom, minor discomfort (needle stick)
MRI Risk:
Safety precautions for metal objects
Research Procedure:
Answering questions, playing games, blood draw, MRI scan
Study Sessions:
[Number of sessions, e.g., 5 visits]
Visit Duration:
[Duration of each visit, e.g., 1 hour]
Organization:
RTI International
Headquarters:
Research Triangle Park, NC
Project Name:
Insiders Online Community
Related Campaign:
We Think Twice
Type of Document:
Youth Assent Form
Legal Framework:
Paperwork Reduction Act of 1995 (Pub. L. 104-13)
OMB Control Number:
0970-0401
OMB Expiration Date:
5/31/2027
Purpose:
Permission for youth participation in online marketing campaign activities
Target Audience:
Youth ages 13–21
Funding Source:
Public funds
Activities:
Online discussions, questionnaires, voting, content review, media feedback
Incentives:
Points redeemable for Amazon, Starbucks, or iTunes gift cards ($15 per 75 points)
Estimated Time per Activity:
15–20 minutes
Voluntary Participation:
Yes
Confidentiality:
Anonymous responses; username visible within platform
Contact Email:
[email protected]
Project Director:
Dr. Barri Burrus
Project Director Phone:
1-800-334-8571 ext. 25109
Office of Research Protection Phone:
1-866-214-2043
Year:
2026
Region / City:
Not specified
Subject:
Research ethics, informed consent
Document Type:
Guidance / Template
Institution:
Research ethics committee / academic institution
Author:
Not specified
Target Audience:
Prospective research participants and legally authorized representatives
Period of Application:
During the research study
Date of Approval:
Not specified
Language Level:
Child-appropriate or for individuals with diminished decision-making capacity
Optional Conditions:
Pregnancy testing, self-harm risk procedures
Confidentiality Measures:
Information accessible only to research staff
Note:
Year
Organization / Institution:
Wilson Workforce and Rehabilitation Center
Target Audience:
Applicants to the Wilson Workforce and Rehabilitation Center
Note:
Year
Institution:
Auckland University of Technology
Year:
2024
Region / City:
Not specified
Topic:
Non-SIT S&A Qualification Testing
Document Type:
Report
Organization / Institution:
Non-SIT S&A QT Team
Author:
Non-SIT S&A QT Team
Target Audience:
Program participants involved in Non-SIT S&A QT
Effective Period:
Not specified
Approval Date:
02-Sep-2024
Amendment Date:
Not specified
Note:
Year
Subject:
Research
Document Type:
Information Sheet
Organization / Institution:
University of Technology Sydney
Author:
[insert name]
Target Audience:
Potential participants in the research study
Period of Activity:
[insert period if available]
Approval Date:
[insert approval date if available]
Date of Amendments:
[insert amendments date if available]
Note:
Year
Organization / Institution:
UN Environment Programme (UNEP)
Target Audience:
Insurance organizations, stakeholders in climate action