Appendix G1_Previously Approved 36-month Contact Info. Update Letter

Supporting Statement for OMB Clearance Request

Appendix F: Survey Contact Information Update Letter

Pathways for Advancing Careers and Education (PACE) – Follow-up Data Collection

OMB No. 0970-0397

January 2017

Submitted by:

Nicole Constance

Office of Planning, Research
and Evaluation

Administration for Children
and Families

U.S. Department of Health and Human Services

Appendix F: Contact Information Update Letter

Dear «First_Name» «Middle_Initial» «Last_Name»,

Thank you for agreeing to participate in the study of career pathways programs known as Pathways for Advancing Careers and Education (PACE).¹ When you applied to participate in «Program» in «Site» you agreed to be part of a voluntary research study. The study is being funded by the U.S. Department of Health and Human Services and is conducted by an evaluation team led by Abt Associates and including Abt SRBI.

As part of the study, we would like to talk to you from time to time to see how you are doing. To help us get in touch with you, please update the enclosed contact information form. This form has the information you gave us when you applied to be in the program. If any of your contact information is different from what is listed, please correct the information directly on the form. If any of the information is missing, please provide that information in the spaces provided. If you have another telephone number, please add it in the space marked “additional telephone number.”

Also, please check and correct the names, addresses, and telephone numbers listed of three people outside your household who usually know where to reach you. We would call these friends or relatives only if the information you provided is outdated. If there are additional people you want to list, please add them to this form.

Please return the form to us in the enclosed postage-paid envelope. If you have no changes to your information, please return the form and mark “no changes.” Or, you can call Abt SRBI toll-free at 1-xxx-xxx-xxxx and give your information over the phone. If you misplace the postage paid envelope, please send your completed form to: Abt SRBI 55 Wheeler Street, Cambridge, MA 02138, ATTENTION: PACE. To thank you for your time, we enclosed $2.

If you have any questions or concerns about the study, please feel free to call Abt SRBI at 1-xxx-xxx-xxxx.

Si le gustaría recibir esta información en Español, favor de llamar a Abt SRBI al 1-xxx-xxx-xxxx.

Sincerely,

Brenda Rodriguez Abt SRBI Survey Director

Paperwork Reduction Act (PRA) Statement: Your participation in this information collection is voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 0970-0397 and it expires xx/xx/xxxx. If you have comments regarding this collection of information, including suggestions for reducing this burden, please send them to [Contact Name]; [Contact Address]; Attn: OMB-PRA (0970-0397).

1 When you agreed to participate in the study, it was known by the title Innovative Strategies for Increasing Self-Sufficiency.