Appendix C. Study Endorsement Example

Process Evaluation of the Aging Network and its Return on Investment

Appendix C. Study Endorsement Example

OMB: 0985-0074

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Chapter #Title ofChapter

Appendix C
Study Endorsement Example

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Dear AAA Director:
The Administration for Community Living has funded an exciting initiative to learn more about how the
Aging Network collaborates to improve the lives of older adults, and how it determines the effectiveness
of these efforts. We are asking every AAA to contribute just a few minutes to this project.
What are we asking you to do?
Simply to take a brief, 15-minute survey by DATE.
You will receive an email directly from NAME at EMAIL on DATE, with a link to the survey.
Your responses will be aggregated with other AAAs and used to better understand the Aging Network.
Individual survey responses will not be made public and the information you provide will not be shared
without your explicit consent.
If you have questions about the ACL grant that supports development of this survey, please contact
USAging’s Traci Wilson at twilson@usaging.org.
We recognize that all of you are very busy, so thank you in advance for taking the time to complete this
important survey.

Sincerely,
---insert signature image here--Sandy Markwood
Chief Executive Officer
USAging

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 information collection is 0985-New. Public reporting
burden for this information collection is estimated to average 15 minutes per response. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Adminis tration
for Community Living/Administration on Aging, Washington, DC 20201 Attn: Caryn Bruyere, 202-795-7393.


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