[DATE]
FIRST NAME LAST NAME
ADDRESS
CITY, STATE ZIP
Dear [FIRST NAME] [LAST NAME],
We are writing to you again to ask you to take part in the Youth Transition Exploration Demonstration (YTED) follow-up survey. You joined YTED about one year ago and agreed to be contacted for this survey. If you already completed the survey, thank you. If you have not yet completed it, please do so today.
The Social Security Administration (SSA) awarded a grant to Mathematica, an independent research company, to study YTED and conduct the survey. Please use the login information below to access the survey online. You can complete the survey on a computer, tablet, cell phone, or mobile device.
Link: [insert link]
User name: [user name]
Password: [password]
Mathematica will send you a $50 gift card if you complete the survey. If you prefer to complete this survey by telephone with an interviewer from Mathematica, please call Mathematica toll-free at 1-8xx-xxx-xxxx.
Taking part in this survey matters. Completing the survey will help us find out if the new services being tested under YTED help youth. Your answers will be combined with other people’s answers and written in a report to SSA. Your name and identity will not be included in any report.
If you have any questions, please call Mathematica toll-free at the number above.
Stacie Feldman
YTED Survey Director
Mathematica
Paperwork Reduction Act Statement
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer the survey questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is xxxx-xxxx; expiration date xx/xx/202x. We estimate that it will take about 20 minutes to read the instructions and answer the survey questions. You may send comments about our time estimate to: Social Security Administration, 6401 Security Blvd, Baltimore, MD 21235-6401.
Privacy
Act Statement
Sections 205 and 1110 of the Social Security Act, as amended, allow the Social Security Administration (SSA) to collect this information, which SSA will use to evaluate the Youth Transition Exploration Demonstration research study. Providing this information is voluntary; not providing all or part of the information will not affect any SSA benefit. As law permits, SSA may use and share the information you submit, including with other Federal agencies, contractors, cooperative agreement awardees, and others, as outlined in the routine uses within System of Records Notices (SORN) 60-0089, 60-0218, and 60-0320 available at www.ssa.gov/privacy.The information you submit may also be used in computer matching programs to establish or verify eligibility for Federal benefit programs and to recoup debts under these programs. |
P.O. Box 2393, Princeton, NJ 08543-2393 • (609) 799-3535 phone (609) 799-0005 fax • mathematica.org
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | ICAP TED OMB Attachments |
Subject | PART A & B attachments |
Author | OMB |
File Modified | 0000-00-00 |
File Created | 2024-10-07 |