Caregivers of Former WIC Children (Individuals/Households)

OMB Approval No.: 0584-0580

Approval Expires: XX/XX/20XX

Appendix D1

Contact Information Form Reminder – English

(Delivered by email and text)

EMAIL:

Hello [Caregiver First Name],

Keep in touch with the Feeding My Baby Study.  Click on the link below to update your contact information and we will provide you with a $10 check.  

https://itfps.westat.com

Any questions, contact [Study Liaison Name] at [Study Liaison Toll Free Number] or [Study Liaison Email Address] or by text at [Study Liaison Cellphone Number]

Thank you,

Feeding My Baby Study

TEXT:

$10 from Feeding My Baby.  Go to https://itfps.westat.com and give us your current contact information.  Thanks, [Study Liaison Name] ([Study Liaison Phone Number]).

The Food and Nutrition Service (FNS) is collecting this information to investigate the dietary practices and the health and nutritional status of the WIC ITFPS-2 children during the ninth year of life. This is a voluntary collection and FNS will use the information to inform WIC service delivery. The collection does request personally identifiable information under the Privacy Act of 1974. Responses will be kept private to the extent provided by law and FNS regulations. 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 0.1002 hours (6 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. 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, 1320 Braddock Place, 5th Floor, Alexandria, VA 22314. ATTN: PRA (0584-0580). Do not return the completed form to this address.