Appendix C1.1: Screenshots of Company Survey OMB Control No. 0584-XXXX
Expires ---/--/----
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Please not that skips are
invoked automatically conditional upon response. Skip indicators
will not appear and are added strictly for the convenience of the
reviewer.
Public reporting burden for this collection of information is 0584-NEW is estimated to average 90 minutes 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. 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. 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 Services, Office of Policy Support, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302
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Page 5
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If Q10 is “No SNAP
training provided by company”, go to Q14
If Q12=NO
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If Q14 > 0:
Page 9
If Q15 >0:
If Q16 >0:
Page 10
If Q17 is 0 continue to Q18
Page 11 (1 of 2)
If Q17>0:
If Q17B is “Most”,
“Some” or “Few”:
Page 11 cont. (2 of 2)
If Q17E is “Varies by
type of information”
Page 12 (1 of 3)
If Q19= “Yes” or
“Varies by store”
If Q18 is greater than 0
If Q22 is Yes: complete
Q22A-Q22H9
If Q22C is “Off- the-
shelf purchased software or “Custom Software purchased from a
vendor” or “other”:
Page 12 cont. (3 of 3)
Page 13
Page 14
If Q24 is Yes:
Page 15 (1 of 3)
If Q25A1 is “Store
practices /systems prevent this type of activity”
If Q25B1 is “Store
practices /systems prevent this type of activity”
Page 15 cont. (2 of 3)
If Q25C1 is “some other
reason, please describe.”
If Q25D1 is “Store
practices /systems prevent this type of activity”
Page 15 cont. (3 of 3)
If Q25E1 is “Store
practices /systems prevent this type of activity”
If Q27 is Yes:
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | janet heffner |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |