OMB Control No: 0970-0402
Expiration Date:
FAMILY TRACKING LETTER
[DATE]
[Parent First Name] [Parent Last Name]
[Parent Address Line 1]
[Parent Address Line 2]
[City], [State] [Zip]
Dear [Parent First Name] [Parent Last Name]:
In [Month] of [Year], you agreed to be part of the Mother, Infant, and Early Childhood Home Visiting Program Evaluation (MIHOPE). At that time, you completed a telephone survey. The Administration for Children and Families of the U.S. Department of Health and Human Services sponsors the study. Mathematica Policy Research, an independent research company, is conducting the surveys as part of the study.
A MIHOPE team member will contact you soon to conduct a telephone survey like the one you took part in last time. The survey will take about an hour and can be done at a time that is best for you. You will receive a $25 gift card as thanks for completing the survey. If you have questions about MIHOPE or want to schedule a time to do the survey, please call 1-877-542-6731. The call is free.
A MIHOPE team member would also like to visit your home to do some fun activities with you and your child. These activities will take about an hour and a half. Some may be videotaped. The team member will be contacting you to schedule a time that is good for you. The team member will also measure your weight and your child’s height and weight. You will receive a $20 gift card and a board book for your child as thanks for completing these activities.
This collection of information is voluntary and will be used to
learn how home visiting programs benefit families. Public reporting
burden for this collection is estimated to average 2.5 hours,
including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of
information. An agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it
displays a currently valid OMB control number. The OMB control
number for this collection 0970-0402 and it expires XX/XX/XXXX.
Taking part in MIHOPE is up to you. There is no penalty if you decide to withdraw. There are few risks to taking part in the study. Some of the questions may make you feel uncomfortable. You may choose not to answer any of those questions. There is a small risk that your information will be seen outside the study team. However, the study team follows strict rules to protect your privacy. No reports will include your name or other identifying information. We will keep your information private unless there is concern that you or someone else may be harmed. For example, we would tell someone if we see evidence of child abuse or neglect.
You might have questions about your rights as a study participant. If so, please call 1-877-311-6372. The call is free.
Thank you for taking part in MIHOPE. We look forward to talking with you soon.
Sincerely,
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Attachment D |
Author | somersj |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |