Appendix R.3.
WIC
program staff experience survey reminder 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 agency staff
From: The Mathematica study team
When: [SCHEDULE]
Subject: Reminder! Complete the WIC Staff Experience Survey!
Dear [WIC agency staff],
This is a reminder to complete the WIC Staff Experience Survey for the WIC Modernization Evaluation. Your responses will be very important for helping FNS understand your experiences with recent modernization efforts and how they have improved the WIC participant experience!
To complete the survey, please visit [fill unique web survey URL].
Please complete the survey by [DATE].
As a reminder, participation in this study is mandatory for selected WIC agency staff. The information you provide will be private and will not be maintained or disclosed in identifiable form to anyone, except as otherwise required by law.
If you have any questions or concerns, please contact Mathematica study team at [EMAIL]@mathematica-mpr.com or XXX-XXX-XXXX. You can reach the FNS project officer, Carol Dreibelbis, at [email protected].
Thank you for your time and your participation in this important study!
Sincerely,
Survey Director, WIC Modernization Evaluation
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Local Agency Survey Reminder Email |
Author | Mathematica |
File Modified | 0000-00-00 |
File Created | 2025-06-13 |