Attachment 4_MIHOPE Check-in Respondent Materials

Attachment 4_MIHOPE Check-in Respondent Materials.pdf

Mother and Infant Home Visiting Program Evaluation (MIHOPE)

Attachment 4_MIHOPE Check-in Respondent Materials

OMB: 0970-0402

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Erin Panzarella
MIHOPE Study Survey Director

P.O. Box 2393
Princeton, NJ 08543-2393
Telephone (609) 799-3535
Fax (609) 799-0005
www.mathematica-mpr.com
800-385-8046

Mother and Infant Home Visiting Program Evaluation
[DATE]

Dear [NAME],
We hope you and your family are doing well! It is time to check in with you again as part of the
Mother and Infant Home Visiting Program Evaluation, or MIHOPE. As you may recall, you joined the
MIHOPE study in [MONTH YEAR].
[IF NO PREPAY AND NO EARLY BIRD: The survey will only take about 30 minutes and will ask
about how your family is doing since the last time we spoke with you. You will receive a $15 gift card for
completing it. Please complete the survey online by using the login information below.]
[IF NO PREPAY AND EARLY BIRD: The survey will only take about 30 minutes and will ask about
how your family is doing since the last time we spoke with you. You will receive a $15 gift card for
completing it. You can receive an extra $10 for a total of $25 for completing the survey by [DATE]. Please
complete the survey online by using the login information below.]
[IF PREPAY AND NO EARLY BIRD: The survey will only take about 30 minutes and will ask about
how your family is doing since the last time we spoke with you. To thank you in advance, please accept the
enclosed $5 gift card, ready to use today. You will receive another $10 gift card after you complete the
survey. Please complete the survey online by using the login information below.]
[IF PREPAY AND EARLY BIRD: The survey will only take about 30 minutes and will ask about how
your family is doing since the last time we spoke with you. To thank you in advance, please accept the
enclosed $5 gift card, ready to use today. You will receive another $10 gift card after you complete the
survey. You can receive an extra $10 for a total of $25 for completing the survey by [DATE]. Please
complete the survey online by using the login information below.]
Website:[WEBSITE]
Username:[USERNAME]
Password: [PASSWORD]
If you have any questions about the study or prefer to complete the survey by telephone, please call
us toll free at 1-800-385-8046.

An Affirmative Action/Equal Opportunity Employer

The information gathered from the MIHOPE study will help policymakers design better programs for
mothers of young children. Your participation in MIHOPE is voluntary but very important! This is your
opportunity to help improve the health care and home visiting system. You cannot be replaced in the study.
As you may recall, the Administration for Children and Families of the U.S. Department of Health and
Human Services is sponsoring MIHOPE. Mathematica Policy Research, an independent research company,
is conducting the survey as part of the study. We’d like to let you know that taking part in MIHOPE will
not affect any benefits you receive now or in the future. Also, all information you provide for MIHOPE will
be kept private to the extent provided by law. Study results will be reported for groups of families. No
names or individual information will be reported.
Thank you for your continued participation in the MIHOPE study. We look forward to speaking with
you soon!
Sincerely,

Erin Panzarella
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 30 minutes, 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 is XXXX-XXXX and it expires on XX/XX/XXXX.

To: [RESPONDENT EMAIL]
Subject: Please complete your next survey for the MIHOPE home visiting study!

Mother and Infant Home Visiting Program Evaluation
Dear [NAME],
[IF NO PREPAY AND NO EARLY BIRD: It is time to check in with you again as part of the Mother
and Infant Home Visiting Program Evaluation (MIHOPE). The survey will only take about 30 minutes and
will ask about how your family is doing since the last time we spoke with you. You will receive a $15 gift
card for completing it. Please complete the survey online by using the login information below.]
[IF NO PREPAY AND EARLY BIRD: It is time to check in with you again as part of the Mother and
Infant Home Visiting Program Evaluation (MIHOPE). The survey will only take about 30 minutes and will
ask about how your family is doing since the last time we spoke with you. You will receive a $15 gift card
for completing it. You can receive an extra $10 for a total of $25 for completing the survey by [DATE].
Please complete the survey online by using the login information below.]
[IF PREPAY AND NO EARLY BIRD: It is time to check in with you again as part of the Mother and
Infant Home Visiting Program Evaluation (MIHOPE). The survey will only take about 30 minutes and will
ask about how your family is doing since the last time we spoke with you. To thank you in advance, we
have already sent you a $5 gift card, ready to use today. You will receive another $10 gift card after you
complete the survey. Please complete the survey online by using the login information below.]
[IF PREPAY AND EARLY BIRD: It is time to check in with you again as part of the Mother and
Infant Home Visiting Program Evaluation (MIHOPE). The survey will only take about 30 minutes and will
ask about how your family is doing since the last time we spoke with you. To thank you in advance, we
have already sent you a $5 gift card, ready to use today. You will receive another $10 gift card after you
complete the survey. You can receive an extra $10 for a total of $25 for completing the survey by [DATE].
Please complete the survey online by using the login information below.]
Website:[WEBSITE]
Username:[USERNAME]
Password: [PASSWORD]
If you have any questions about the study or prefer to complete the survey by telephone, please call
us toll free at 1-800-385-8046.
The information gathered from the MIHOPE study will help policymakers design better programs
for mothers of young children. Your participation in MIHOPE is voluntary but very important! This is your
opportunity to help improve the health care and home visiting system. You cannot be replaced in the study.
Thank you for participating in MIHOPE. We look forward to speaking with you soon!

Sincerely,
Erin Panzarella

MIHOPE Study Survey Director
The described collection of information is voluntary. 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 is XXXX-XXXX and it expires
XX/XX/XXXX.

Erin Panzarella
MIHOPE Study Survey Director

P.O. Box 2393
Princeton, NJ 08543-2393
Telephone (609) 799-3535
Fax (609) 799-0005
www.mathematica-mpr.com
800-385-8046

Mother and Infant Home Visiting Program Evaluation
[DATE]
Dear [NAME],
We hope you and your family are doing well! In [MONTH YEAR OF LAST COMPLETED
SURVEY], you were last contacted about the Mother and Infant Home Visiting Program
Evaluation (MIHOPE). As you may remember, we said we would follow up with you again to see
how your family is doing.
We have been trying to reach you so that you can complete the next brief survey. We will
send you a [IF NO PREPAY: $15/IF PREPAY: $10] gift card as a thank you for completing the
survey. There are two easy ways to complete the survey.
To complete the survey online, use the website and login information listed below.
Website:[WEBSITE]
Username:[USERNAME]
Password:[PASSWORD]
Or to complete the survey by phone, please call our toll-free number at 1-800-385-8046. You
can also call this phone number to ask any questions you may have about the MIHOPE study.
Your continued participation in the study is very important – you cannot be replaced! The
information we receive will help policymakers design better programs for mothers of young
children.
Thank you for participating in MIHOPE. We look forward to speaking with you soon!
Sincerely,
Erin Panzarella

The described collection of information is voluntary. 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 is XXXX-XXXX
and it expires XX/XX/XXXX.

An Affirmative Action/Equal Opportunity Employer

To: [RESPONDENT EMAIL]
Subject: MIHOPE Project – There’s Still Time to Complete the Next Brief Survey!

Mother and Infant Home Visiting Program Evaluation
Dear [NAME],
About three years ago, you joined the Mother and Infant Home Visiting Program Evaluation
(MIHOPE). As you may remember, we said we would follow up with you again to see how your family is
doing since the last survey.
[IF NO PREPAY AND NO EARLY BIRD: It’s time to conduct the next survey. For helping out, you
will receive a $15 gift card. Please complete the survey online by using the login information below.]
[IF NO PREPAY AND EARLY BIRD: It’s time to conduct the next survey. For helping out, you will
receive a $15 gift card. If you complete the survey early, by [DATE], you can earn an extra $10 for a total
of $25. Please complete the survey online by using the login information below.]
[IF PREPAY AND NO EARLY BIRD: It’s time to conduct the next survey. To thank you in advance,
we have already sent you a $5 gift card, ready to use today. You will receive another $10 gift card after
you complete the survey. Please complete the survey online by using the login information below.]
[IF PREPAY AND EARLY BIRD: It’s time to conduct the next survey. To thank you in advance, we
have already sent you a $5 gift card, ready to use today. You will receive another $10 gift card after you
complete the survey. If you complete the survey early, by [DATE], you can earn an extra $10 for a total of
$25. Please complete the survey online by using the login information below.]
Website:[WEBSITE]
Username:[USERNAME]
Password: [PASSWORD]
If you have any questions about the study or prefer to complete the survey by telephone, please call
us toll free at 1-800-385-8046.
Thank you for participating in MIHOPE. Your participation in MIHOPE is voluntary but very
important! This is your opportunity to help improve the health care and home visiting system. You cannot
be replaced in the study. We look forward to hearing from you soon!
Sincerely,
Erin Panzarella

MIHOPE Study Survey Director
The described collection of information is voluntary. 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 is XXXX-XXXX and it expires
XX/XX/XXXX.

To: [RESPONDENT CELL NUMBER]
Body: Hello! The MIHOPE study team has been trying to reach you. Please call us toll-free at 1800-385-8046 to complete a brief survey and earn a [$25/$15/$20/$10] gift card. Thank you!

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

Mathematica Policy Research

Mathematica Policy Research

Return Service Requested

Return Service Requested

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

Mathematica Policy Research

Mathematica Policy Research

Return Service Requested

Return Service Requested

P.O. Box 2393
Princeton, NJ 08543-2393

P.O. Box 2393
Princeton, NJ 08543-2393

P.O. Box 2393
Princeton, NJ 08543-2393

P.O. Box 2393
Princeton, NJ 08543-2393

the MIHOPE team has
been looking for you!

the MIHOPE team has
been looking for you!

We appreciate your continued particpation
in the MIHOPE home visiting study!
You cannot be replaced!
Complete a brief survey and receive [$] as a thank you!
Two easy ways to complete:
[website url]or Call us at 1-800-385-8046
Looking forward to hearing from you,
Erin Panzarella

We appreciate your continued particpation
in the MIHOPE home visiting study!
You cannot be replaced!
Complete a brief survey and receive [$] as a thank you!
Two easy ways to complete:
[website url]or Call us at 1-800-385-8046
Looking forward to hearing from you,
Erin Panzarella

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

the MIHOPE team has
been looking for you!

the MIHOPE team has
been looking for you!

We appreciate your continued particpation
in the MIHOPE home visiting study!
You cannot be replaced!
Complete a brief survey and receive [$] as a thank you!
Two easy ways to complete:
[website url]or Call us at 1-800-385-8046
Looking forward to hearing from you,
Erin Panzarella

We appreciate your continued particpation
in the MIHOPE home visiting study!
You cannot be replaced!
Complete a brief survey and receive [$] as a thank you!
Two easy ways to complete:
[website url]or Call us at 1-800-385-8046
Looking forward to hearing from you,
Erin Panzarella

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

c/o

Mathematica Policy Research

P.O. Box 2393
Princeton, NJ 08543-2393

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

c/o

Mathematica Policy Research

P.O. Box 2393
Princeton, NJ 08543-2393

Return Service Requested

Return Service Requested

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

c/o

Mathematica Policy Research

P.O. Box 2393
Princeton, NJ 08543-2393

Return Service Requested

c/o

Mathematica Policy Research

P.O. Box 2393
Princeton, NJ 08543-2393

Return Service Requested

Happy Birthday from
the MIHOPE study!
We’ll be in touch soon.
Please call 1-800-385-8046
with any questions or to update
your contact information.

Happy Birthday from
the MIHOPE study!
We’ll be in touch soon.
Please call 1-800-385-8046
with any questions or to update
your contact information.

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

Happy Birthday from
the MIHOPE study!
We’ll be in touch soon.
Please call 1-800-385-8046
with any questions or to update
your contact information.

Happy Birthday from
the MIHOPE study!
We’ll be in touch soon.
Please call 1-800-385-8046
with any questions or to update
your contact information.

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

c/oMathematica Policy Research

c/oMathematica Policy Research

Return Service Requested

Return Service Requested

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

MIHOPE STUDY 50024.xx.xxx.xxx.xxx

c/oMathematica Policy Research

c/oMathematica Policy Research

Return Service Requested

Return Service Requested

P.O. Box 2393
Princeton, NJ 08543-2393

P.O. Box 2393
Princeton, NJ 08543-2393

P.O. Box 2393
Princeton, NJ 08543-2393

P.O. Box 2393
Princeton, NJ 08543-2393

Best wishes from the MIHOPE study
on your child’s birthday! We’ll be in touch soon.
Please call1-800-385-8046 with any questions
or to update your contact information.
The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

Best wishes from the MIHOPE study
on your child’s birthday! We’ll be in touch soon.
Please call1-800-385-8046 with any questions
or to update your contact information.
The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

Best wishes from the MIHOPE study
on your child’s birthday! We’ll be in touch soon.
Please call1-800-385-8046 with any questions
or to update your contact information.
The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

Best wishes from the MIHOPE study
on your child’s birthday! We’ll be in touch soon.
Please call1-800-385-8046 with any questions
or to update your contact information.
The described collection of information is voluntary. 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 is 0970-0402 and it expires 06/30/2016.

P.O. Box 2393
Princeton, NJ 08543-2393
Telephone (609) 799-3535
Fax (609) 799-0005
www.mathematica-mpr.com

Erin Panzarella
MIHOPE Study Survey Director

Mother and Infant Home Visiting Program Evaluation
DATE

Dear [NAME]:
Thank you for participating in the MIHOPE Study! Enclosed please find a [INCENTIVE
AMOUNT] gift card for completing our survey.
We really appreciate your continued participation!
We encourage you to like our Facebook page: xxx. Here, we will provide updates about what
is going on with the study.
We look forward to speaking with you again next year!
If you have any additional questions or concerns about the MIHOPE study, please call us tollfree at 1-800-385-8046.

Sincerely,
Erin Panzarella

An Affirmative Action/Equal Opportunity Employer


File Typeapplication/pdf
File Title15 Mo Follow up Advance Letter
AuthorMartha Kovac
File Modified2015-04-30
File Created2015-04-06

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