App_L.V2.Contact Information Request to WIC Sites

OMB Approval No. 0584-0580

Approval Expires: XX/XX/20XX

APPENDIX L

AGE 3 EXTENSION WIC INFANT AND TODDLER FEEDING PRACTICES STUDY – II

CONTACT INFORMATION REQUEST TO WIC SITE

Hello, this I [NAME OF LIAISON}. Thank you for all your help with Feeding My Baby Study.  We have not been able to get in touch with the participant, WIC ID________, for study interviews.  I would appreciate it very much if you can check your records and get back to me with any recent contact information you have on file for this participant. My phone number is [888-XXX-XXXX].

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 0584-0580.  The time required to complete this information collection is estimated to average 5 minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.