FDPIR Participants (Individuals/Househoulds)

OMB Control Number: 0584-XXXX

Expiration Date: XX/XX/XXXX

ATTACHMENT I4: FDPIR LETTER# 4 – TO HOUSEHOLD SURVEY RESPONDENTS FROM USDA

Letter to survey respondents – FNS letterhead

(date)

Dear Sir/Madam,

We are writing to let you know that your household has been selected to take part in a very important national survey for the Study of the Food Distribution Program on Indian Reservations (FDPIR). <Name of reservation/tribal area> is one of only 25 Tribes selected from across the country.

The study is funded by the U. S. Department of Agriculture (USDA) and is being conducted by Urban Institute and NORC at the University of Chicago. This study will provide nationally representative information on FDPIR participants and also provide updated information on local FDPIR operations across the nation.

The survey will take about 40 minutes to complete. Some of the topics covered include FDPIR and other sources of food for your household, food costs, health and diet concerns, use of other food assistance programs, nutrition education, and your overall satisfaction with FDPIR.

We have been given approval by your Tribal Leader to conduct this survey. Even though we have this permission, they do not know the names of the households that will be contacted.

All of your responses will be kept completely private. Your name will be separated from your answers and the answers are reported together with everyone else’s as a national group.

As a token of our appreciation, you will be given a gratuity of <$25.00/XXXX gift card>.

Over the next few weeks an interviewer from NORC will be contacting you about participation in the survey. The interviewer is prepared to answer any questions you may have. We also have the following toll-free number if you would like more information before the interviewer contacts you: 800-XXX-XXXX. Also, please see the enclosed brochure for more information.

Thank you so much for considering our request. We look forward to continuing the study with your confidential contributions.

Sincerely,

B

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-XXXX. The time required to complete this information collection is estimated to average 2 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection.

ob Dalrymple, Ph.D.
Senior Analyst
Family Programs Staff
Office of Research and Analysis
Food and Nutrition Service

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