Appendix A1 Study Extension Flyer to Age 5 - English

App_A1.Study extension flyer to age 5 - English 1-15-16.docx

WIC Infant and Toddler Feeding Practices Study-2 (WIC ITFPS-2)

Appendix A1 Study Extension Flyer to Age 5 - English

OMB: 0584-0580

Document [docx]
Download: docx | pdf

Shape6 Shape8 Shape9

OMB Approval No. 0584-0580

Approval Expires: XX/XX/20 XX

Study extension flyer to age 5 – English

Appendix A1


Shape3 Shape2 Shape1

We want to interview you twice a year (every 6 months) and get height and weight measurements for your child once a year until your child is age 5. After each interview
and measurement, we will add cash to your prepaid MasterCard (
see back for details).
You can receive up to
$500 during this 3 year extension. Each interview will take about
30 minutes.


We ask you to let us know you will continue in the study by signing one copy of the
consent form. Please return the form in the self-addressed postage-paid envelope.
Your continued participation is key to the success of the study.

The USDA Food & Nutrition Service is finding the Feeding My Baby Study
so important that they want to continue to collect information about
your child through his or her 5th birthday.


This unique national study is providing information on what children eat and how they
grow. 4,367 parents from 27 states enrolled in the study. YOU are one of them and a
critical part of the study! No one can take your place.

We have good news to share!


Shape5 Shape4

As a token of our appreciation, we will add cash to your prepaid MasterCard
in these amounts:


$30 ($40*)

after you complete the age 2½ interview.

$40 ($50*)

after you complete the age 3 interview. If you are no longer receiving
WIC, you will receive another
$30 after taking your child to WIC
or your doctor’s office to be weighed and measured and return the measurement card to us.

$45 ($55*)

after you complete the age 3½ interview.

$50 ($60*)

after you complete the age 4 interview. You will receive another $60
after you take your child to WIC or your doctor’s office to be weighed
and measured and return the measurement card to us.

$55 ($65*)

after you complete the age 4½ interview.

$60 ($70*)

after you complete the age 5 interview. You will receive another $70
after you take your child to WIC or your doctor’s office to be weighed
and measured and return the measurement card to us.


* if you are using your own cell phone.

In total, you could receive up to $500 after completing 6 interviews and getting your child’s height and weight measurements from WIC (or your doctor’s office) 3 times between ages 2½ and 5. All incentives will be loaded onto your prepaid MasterCard, so please hold onto the card between interviews!

Study Extension Incentive


Shape10

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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 0584-0580. The time required to complete this information collection is estimated to average
1.5 minutes (0.025 hours) 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.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKenneth Von Alt
File Modified0000-00-00
File Created2021-01-24

© 2024 OMB.report | Privacy Policy