UU.1_Base Ineligible

OMB Control Number: 0584-XXXX

Expiration date: XX/XX/XXXX

APPENDIX UU.1:
BASELINE INELIGIBILITY LETTER—ENGLISH

[DATE]

[PARTICIPANT ID]

[FIRST NAME] [LAST NAME]

[ADDRESS 1] [APT]

[CITY], [ST] [ZIP CODE]

Dear [TITLE] [LAST NAME],

Thank you for filling out the survey. Our records show you are no longer getting WIC benefits. This means you can no longer take part in the WIC Nutrition Education Study (NEST). I am sorry, but we will not send you any more surveys. If you think you got this letter in error, please email me at [email protected] or call me toll-free at
1-866-XXX-XXXX.

Sincerely,

[CONTACT NAME]

RTI International

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 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 for reviewing instructions, ‎searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of ‎information.

UU.1-1