Appendix T.7.
WIC participant experience survey thank you email
Public
Burden Statement
This
information is being collected to assist the Food and Nutrition
Service to better understand the implementation and impact of the
Special Supplemental Nutrition Program for Women, Infants, and
Children (WIC) modernization efforts on WIC State and local
agencies, WIC vendors and WIC participants. This is a voluntary
collection and FNS will use the information to monitor and
strengthen WIC program modernization efforts. This collection does
not request any personally identifiable information under the
Privacy Act of 1974. 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 .0167
hours/1 minute 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, Evidence, Analysis, and
Regulatory Affairs Office, 1320 Braddock Place, 5th Floor,
Alexandria, VA 22306, ATTN: PRA (0584-xxxx). Do not return the
completed form to this address.
To: [WIC Participant]
From: [WIC State agency director OR Mathematica study team]
Subject: Thank you for completing WIC Participant Experience Survey!
Thank you so much for completing the WIC Participant Experience Survey for the WIC Modernization Evaluation conducted by the Food and Nutrition Service (FNS) and Mathematica! FNS will use your responses to continue to make improvements to the WIC program.
As a thank you for completing the survey, you will receive a $10 [TYPE] gift card! Click the link below to redeem your gift card.
[LINK TO GIFT CARD]
Questions about the survey?
If you have any questions or concerns about the survey, please contact the Mathematica study team at [EMAIL]@mathematica-mpr.com or XXX-XXX-XXXX. You can reach the FNS project officer, Carol Dreibelbis, at [email protected].
[WIC STATE AGENCY DIRECTOR OR Survey Director, WIC Modernization Evaluation]
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Participant Survey Thank You Email |
Author | Mathematica |
File Modified | 0000-00-00 |
File Created | 2025-06-13 |