Nonsubstantive Change Request Memo - Follow up survey

MIHOPE2 follow-up survey - request for nonsubstantive changes 05mar15.docx

Mother and Infant Home Visiting Program Evaluation (MIHOPE)

Nonsubstantive Change Request Memo - Follow up survey

OMB: 0970-0402

Document [docx]
Download: docx | pdf

TO: Josh Brammer, Office of Information and Regulatory Affairs; Office of Management and Budget

FROM: Nancy Margie, Office of Planning, Research and Evaluation; Administration for Children and Families

RE: Request for non-substantive changes to follow-up survey in MIHOPE

DATE: March 6, 2015


We are requesting two non-substantive changes to the 15-month follow-up survey being used in MIHOPE (0970-0402). The purpose of these changes is to facilitate further follow-up data collection, which is currently being planned for when the child is 2.5 years old (through the MIHOPE Check-in project, for which we plan to submit a new data collection package).


Specifically, two questions have been added or altered (please see last page of this document for the existing questions with RED used to indicate added text):


  1. Question H1a would be modified to inform the respondent that we plan to follow up again when the child is 2½ years old. We think respondents will be more receptive to later follow up if they expect it. In a similar vein, we propose adding language at the very end of the survey reminding them again of the 2.5 year follow up and thanking them in advance.


  1. After asking the respondent for their email address in question H3f, we would ask their preferred method of being contacted. We believe this will reduce future burden on participants by providing information in their preferred form, and also increase responsiveness and reduce resources needed to obtain longer-term follow-up.





Requested revisions (all additions are in red):

all

if r from baseline, add text in parens and FILL phone FROM PRELOAD

H1a.     I’d like to confirm your contact information (and the contact information you gave us when we last interviewed you.) This will be kept private and only used as a way of contacting you if we have questions or would like to request your participation in another survey. We will be contacting you again when [CHILD] is about 2 and a half years old to complete a brief survey. You can choose whether to participate or not at that time, but we really appreciate your continued participation.


H3a ne d, r

H 3f.        Please give me their e-mail address.

______________________________________________________ (STRING (50))

E-MAIL ADDRESS

                INTERVIEWER: CODE E-MAIL ADDRESS TYPE

DON’T KNOW............................................................................................. d

REFUSED...................................................................................................... r

As we mentioned earlier, we will contact you again to complete a very brief survey when [CHILD] is about 2 and a half years old. We’d like to contact you in the way that is most convenient for you.


How would you like to be contacted in the future about upcoming surveys? A letter in the mail, email, text message, cell phone, home phone, Facebook, or some other way?

      Mail

      Email

      Text message

      Cell phone

      Home phone

      Facebook

      Other (specify): _____________


[IF THEY PREFER TO BE CONTACTED VIA FACEBOOK] What name do you use on Facebook so that we can contact you through your page?

Specify:_________


new respondent=1

PmtA.    Lastly, please provide the address where we should send your thank-you gift card. You will receive it in about 2 weeks.

(additional items, then ……………………………..)


ALL

This completes the survey! We really appreciate you taking the time to speak with us and share this information. We look forward to speaking with you again when [CHILD] is 2 and a half. Thank you again and have a nice (day/evening). Goodbye.

2


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authoradmin
File Modified0000-00-00
File Created2021-01-24

© 2024 OMB.report | Privacy Policy