Appendix C2.1: Screenshots of Store Survey OMB Control No. 0584-XXXX
Expires ---/--/----
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
Page 2
Page 3
Page 4 (1 of 2)
Page 4 cont. (2 of 2)
If Q7 is greater than 0
Page 5
If Q9 is Yes:
Page 6
Page 7 (1 of2)
If Q10 is No, continue to Q11
If
Q10 is Yes
If Q10C is “Monitored in
real time only” or “Recorded only”:
Page 7 (2of2)
If Q10C is “Both”:
Page 8
Page 9 (1 of 4)
Page 9 cont. (2 of 4)
If Q14 is “None of
these” or “Prefer not to answer” go to Q15
If Q15>0 :
Page 9 cont. (3 of 4)
If Q17A1 is “Store
practices/systems prevent this type of violation”
If Q17B1 is “Store
practices/systems prevent this type of violation”
If Q17C1 is “Some other
reason, please describe”
If Q17D1 is “Some other
reason, please describe”
Page 9 cont. (4 of 4)
If Q17E1 is “Store
practices/systems prevent this type of violation”
Page 10
Page 11
Page 12
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | janet heffner |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |