Appendix D6. Household Elementary and Middle/High School Brochure - English (Group 2)

D6. HOUSEHOLD ELEMENTARY AND MIDDLE/HIGH SCHOOL BROCHURE ENGLISH (GROUP 2)

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Who is conducting the study?
Mathematica Policy Research is doing
this study for the U.S. Department of
Agriculture (USDA)/Food and Nutrition
Service (FNS). Mathematica has more
than 25 years of experience studying
school nutrition programs.

Am I required to participate?
No. You are not required to participate.
However, we need your help for the study
to be useful! The information you give
us will help FNS learn about students’
nutritional needs so that the school meal
program can better serve your community.

For further information contact:

School Nutrition &
Meal Cost Study - II

Sarah Forrestal
School Nutrition and Meal Cost Study-II
P.O. Box 2393
Princeton, NJ 08543-2393
Phone: 866-xxx-xxxx
Fax: 609-799-0005

Schools and Families
Working Together to
Support Health Students

Visit our website:
www.mathematica-mpr.com

As a thank you for participating, students

Sponsored by the
U.S. Department of Agriculture/
Food and Nutrition Service

will receive a ($5/$15) gift card and parents
will receive a ($25/$15) gift card. The
study complies with the Family
Educational Rights and Privacy Act
(FERPA).

School Nutrition &
Meal Cost Study - II
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-xxxx. The time required to complete this
information collection is estimated to average 8 minutes 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. All information will be kept private under the Privacy Act to the
extent allowed by law. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food
and Nutrition Service, Office of Policy Support, 3101 Park Center Drive, Room 1014, Alexandria, VA
22302, ATTN: PRA (0584-xxxx). Do not return the completed form to this address.

USDA is an equal opportunity provider
and employer

OMB Control Number: 0584-XXXX
Expiration Date: XX/XX/XXXX

SCHOOL NUTRITION AND MEAL COST STUDY – II

Why is this study being done?
rules aimed at giving healthier foods to

My child does not eat the school
breakfast or lunch. Should I still
participate?

children. Schools are also trying to promote

Yes! This study is about all students. It is

healthy eating and exercise habits. FNS is

important that we interview students who

sponsoring this study to learn how these

eat school meals and those who do not.

federally sponsored school meal programs

Even if your child has never eaten the

are working.

school breakfast or lunch, we need your

Schools are working to follow updated

help. We want to understand why some
families do not participate in the school
meal program.

How will the study work?

eat, their activities, and their opinions
about school meals. The study will
represent all public school students across
the country. The information you and your
child share will help FNS learn about the
school meal program and how it can better
serve your community. Your experiences
and opinions matter!

The person who interviews you may ask
about:
∞ How often your child eats schools meals
∞ What your child usually eats and what
he or she ate on a specific day
∞ General student characteristics, such as
height and weight, and exercise habits
∞ Satisfaction with the school meal program

How long will the interview take?

We will interview students and their
parents. We will ask about what students

What will I be asked?

Will my answers be kept private?

The student interview will take place in
school. It will last about 60 minutes. The

All information gathered for the study will be

parent interview will take place by phone

kept private to the fullest extent allowed by

and will last about (40/25) minutes.

law. No information on individual students or
families will be shared or reported. No

What do I get for participating?

students or parents will be named or

As a thank you for participating, parents

identified in any way. Your participation will

will receive a ($25/$15) gift card after

not affect any benefits you may receive

completing an interview. Students will

now or in the future.

receive a ($5/$15) gift card.