Generate privacy and consent forms

Your department name

Your department's acronym

Which piece of legislation gives your department the authority to collect information about the participant? e.g. 'The Canada Revenue Agency Act', ask your policy advisor if you're not sure.

Name of your department's ATIP office

Email for your department's ATIP office

Phone number for your department's ATIP office

What is the title and number of the Personal Information Bank that describes the personal information that is being collected? e.g. 'Outreach Activties'

What is the URL of the Personal Information Bank that describes the personal information being collected? form.department_information_url.desc

Research information

Which department will you be conducting the research with? e.g. 'Canada Revenue Agency', 'Natural Resources Canada'

What are that department's acronym? e.g. 'CRA', 'NRCan'

Which piece of legislation gives the department authority to collect information about the participant? e.g. 'The Canada Revenue Agency Act'. Ask your policy advisor if you're not sure.

What type of research are you doing?

Interview

Usability testing (i.e. a session where you'll watch the participant use a website or process and ask questions to learn how to improve the website or process)

What's the goal of your research? Try to explain the goal in plain language as in the following examples: 'understand how people create an account on GC Notify'; 'make it easier for Veterans to chose VAC services'; 'learn how much effort it takes to find our online tool for COVID-19'

What will you be asking the participant to do during the sessions? e.g. 'complete tasks with our prototype software and ask you to describe your thoughts and impressions of it'

What personal information will you be collecting during the research activity? List the kinds of information you will collect. Separate them out with a comma. Try to be specific, e.g. 'age, name, contact information'

Compensation

Which pre-paid card type is available?

Mastercard gift card

VISA gift card

Cheque

Other

If other please specify

How much are you planning to give the participant?

$50 (For 1 hour of time)

$25 (For 30 minutes of time)

$10 (For at least 8.5 minutes of time)

Other amount

If other please specify

Participant privacy

How will you protect the participant's privacy?

By not collecting the identity of the participant

By removing identifying information it will make it difficult to identify participants

By referring to participants using a number or pseudonym, so no one outside of the department will know who the participant is (most common approach).

Through only sharing the responses and identity of the participant internally and with the partner organization, so no one outside of the team and the partner can identify the participant.

No privacy protection: the participant's identity, responses and information can be shared publicly

Will the participant's responses affect their access to government benefits or services? It is best practice for there to be no impact on a participant's access to government benefits or services

Yes

Which service or benefit will be impacted by the participant's responses during this research session? e.g. 'Greener Homes Grant program'

How will the participant's responses during this research session affect their access to benefits or services? e.g. 'reschedule your citizenship ceremony'

How will you share the Privacy Notice and Consent form with participants? Links to websites will be embedded in text if provided to participants virtually.

Virtual copy (e.g. email)

Printed Copy

How will you be recording the participant?

Video and audio

Audio only

Screen recording with audio

Screen recording only

No recording

Will you share the recording with other departments?

Yes

Make a customized consent form and privacy statement for your design research

Who should participants contact with questions about your design research?

Research information

Compensation

Participant privacy