Appendix N1 48-and 60-mo Text or Email Provider Measures - English

OMB Approval No. 0584-0580

Approval Expires: XX/XX/20XX

APPENDIX N1

48- and 60-mo text or email provider measures - English

As we discussed on the phone, please send a copy of the doctor office printout of your child’s height and weight from the last doctor visit. You can send it via mail to:

Bryan Williams

Westat

1600 Research Blvd.

Rockville, MD 20850

OR you can take a picture of the printout and email at [SL EMAIL ADDRESS] or text it to me at [SL STUDY CELL NUMBER]. Please be sure to cover your child’s name with a slip of paper before taking the picture to protect your privacy.

We will put $50 on your prepaid MasterCard when we receive the measurements.

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 3 minutes (0.05 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.