OMB
Approval No. 0584-0580 Approval
Expires: XX/XX/20XX
APPENDIX R1
60-mo advance letter – English
[DATE]
«First_Name» «Last_Name»
«Address1»
«City», «State» «Zip»
Dear «First_Name»:
It is now time for your final interview for the Feeding My Baby Study. Your generosity in sharing your time and thoughts with us over the 5+ years of the study has resulted in a rich source of information that will be of great value to the WIC community and nutrition researchers for years to come.
This final interview will take 30 minutes and will focus on what <<CHILD FIRST NAME>> ate and drank in the 24 hours prior to the interview. If <<CHILD FIRST NAME>> is in preschool, daycare, Head Start or is cared for by a friend or family member during the day, please ask them what <<CHILD FIRST NAME>> ate so you can report this during the interview. We are including a notes page for you to jot down this information for the interview.
As a token of appreciation, we will add $60 to your prepaid MasterCard after you complete this interview and an additional $10 if you are using your own cellphone.
As you know, measures of children’s height and weight are also an important part of the study. Because it is essential to get an accurate measure, we are asking you to take the enclosed card and <<CHILD FIRST NAME>> to WIC for measurement, even if you are no longer receiving WIC benefits. To express our thanks, we will add $60 to your prepaid MasterCard after the measurement is done plus an additional $10 to cover transportation costs. Your child does not need to be enrolled in WIC to be measured at a WIC office. WIC has agreed that they will measure all study children, regardless of when they stopped receiving WIC.
If you complete the interview using your own cell phone and take your child to WIC to be measured, we will add a total of $140 to your prepaid MasterCard.
Please contact your Study Liaison, << STUDY LIAISON NAME >>, at << STUDY LIAISON TOLL FREE NUMBER>> or << STUDY LIAISON EMAIL ADDRESS>> or by text at <<STUDY LIAISON TEXT>> to <<find the closest WIC clinic to you to schedule the appointment for measurement/find out how to get your child measured>> [LATTER USED WHERE RESPONDENT CAN ONLY GO TO ORIGINAL WIC CLINIC PER STATE WIC RULES]. Your Study Liaison will work with you to make other arrangements for measurement if you cannot return to WIC, such as taking <<CHILD FIRST NAME>> to the doctor for measurement.
The Age 5 Feeding My Baby interview is scheduled to start on <<START DATE>>. One of our interviewers will be calling you on <<START DATE>>. The display on your phone when the interviewer calls will be 301-762-1940 or FEED MY BABY.
You can also call our phone center after <<START DATE>> at (888) 783-6493 to complete the interview at your convenience.
Phone center hours are (Eastern Time):
Monday – Friday 9:00 am – Midnight
Saturday 10:00 am – 6:00 pm
Sunday 2:00 pm – 10:00 pm
We are truly appreciative of your help on this study.
Best wishes,
Nancy Weinfield
Feeding My Baby Study Project Director
Notes: Foods your child ate/drank away from home
This note sheet is for you to use to jot down the foods your child ate or drank away from home the day before your interview. We will not ask you to return it. You will use it as a reference for the interview. If someone else feeds your child, please ask the person what foods your child ate or drank while in their care and write it on this page as a reminder for the interview.
What food did child drink or eat? |
How much did child drink or eat? |
What time did child drink or eat? |
Example: |
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Cheerios |
½ cup |
10AM |
With 2% milk |
¼ cup |
10AM |
Apple wedges |
½ apple |
10AM |
Peanut butter and jelly sandwich |
1 sandwich |
12noon |
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1 slice Wonder bread |
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1 TBSP Jif peanut butter |
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1 tsp grape jam |
|
Baked potato wedges |
4 small wedges |
12 noon |
2% milk |
½ cup |
12noon |
Raisins |
25 pieces |
12noon |
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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.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Bibi Gollapudi |
File Modified | 0000-00-00 |
File Created | 2021-01-24 |