CCSG

Appendix B (Pledge of Confidentiality to Safeguard Respondent Privacy)

Pledge of Confidentiality to Safeguard Respondent Privacy:

This pledge to maintain respondent privacy is used by the Institute for Social Research at the University of Michigan. The form is signed by all staff members, and fulfillment of the pledge is a requirement of employment.I have read the Institute for Social Research Policy on Safeguarding Respondent Privacy, and pledge that I will strictly comply with that Policy. Specifically:

- - I will not reveal the name, address, telephone number, or other identifying information of any respondent (or family member of a respondent or other informant) to any person other than an employee directly connected to the study in which the respondent is participating.
  - I will not reveal the contents or substance of the responses of any identifiable respondent or informant to any person other than an employee directly connected to the study in which the respondent is participating, except as authorized by the project director or authorized designate.
  - I will not contact any respondent (or family member, employer, other person connected to a respondent or informant) except as authorized by the project director or authorized designate.
  - I will not release a dataset (including for unrestricted public use or for other unrestricted uses) except in accordance with authorization, policies and procedures established by ISR and the Center with which I am affiliated.
  - I will take all necessary precautions to avoid unintended disclosure of confidential information, including securing of paper and electronic records, computers, user IDs and passwords.

I agree that compliance with this Pledge and the underlying Policy is: 1) a condition of my employment (if I am an employee of ISR), and 2) a condition of continuing collaboration and association with ISR (if I am an affiliate of ISR). I understand that violation of this Policy and Pledge may result in disciplinary action, up to and including termination of employment or severance of any relationship with ISR and the applicable research project.

If I supervise affiliates who have access to ISR respondent data (other than unrestricted public release datasets), I will ensure that those affiliates adhere to the same standards of protection of ISR respondent privacy, anonymity, and confidentiality, as required by this Pledge and the associated Policy.

Signature: _____________________________ Date: ____________________ Typed or printed name: _____________________________________________