OMB CONTROL NO.: 0584-0611
EXPIRATION DATE: 11/30/2025
OMB BURDEN STATEMENT: This information is being collected to assist the Food and Nutrition Service in developing a National Outreach Campaign to increase awareness of the health and nutrition benefits associated with specific programs. This is a voluntary collection and FNS will use the information to better meet the needs of current program participants, as well as those individuals who are eligible but do not participate. 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 0584-0611. The time required to complete this information collection is estimated to average 10 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. 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, Office of Policy Support, 1320 Braddock Place, 5th Floor, Alexandria, VA 22306 ATTN: PRA (0584-0611). Do not return the completed form to this address.
Attachment A-1 Vendor Corporate Employee IDI Screener
(12 IDIs – Store Manager / 12 IDIs - Cashier)
All interviews approximately 45 minutes to 1 hour in length
Hello, My name is_______________________, and I am calling for Edge Research, a research company in Arlington, Virginia. We are calling on behalf of the United States Department of Agriculture (USDA) Food and Nutrition Service (FNS) to ask for your participation in a one-on-one interview about federal food benefit programs in grocery stores. Your participation is voluntary and as a token of our appreciation, we will provide incentive for your participation in a 1-hour discussion on this subject. There are no penalties if you choose not to participate. This feedback session will be private, which means that nothing that you say will be seen by anyone other than qualified researchers working on this project, except as otherwise required by law. Your responses will be combined with others, and you will never be personally identified.
Are you interested in participating?
IF NO: Thank you and have a great day/evening.
IF YES: Great! First, I need to ask you a few questions to find out if your background meets the needs of this study.
Before the questions, I need to inform you about the process.
It will take approximately 10 minutes to complete the questions. In accordance with the Paperwork Reduction Act of 1995, the valid OMB control number for this information collection is 0584-0611. If you have comments on any aspect of this information collection, there is a mailing address to send comments to USDA. Would you like that address? [IF YES: U.S. Department of Agriculture, Food and Nutrition Services, Braddock Metro Center II, 1320 Braddock Place, Alexandria, VA 22314, ATTN: PRA (0584-0611).]
Are you currently working for a national or regional chain store or independent local store (i.e., neighborhood store), or bodega that sells groceries?
Yes, full time
Yes, part time
No TERMINATE
And which of the following do you work for?
National or regional chain/store (such as Walmart, Albertsons, Publix) that sells groceries
Local independent store or neighborhood store
Bodega
Co-op or community store
Convenience store
Other (Please specify: _________________) HOLD FOR REVIEW
RECRUIT A MIX. 4 STORE MANAGERS AND 4 CASHIERS MUST SELECT 2, 3, 4, 5 TO CONTINUE
What company/store do you work for? OPEN END
RECORD RESPONSE ________________________
CODE FROM COMPANY LIST ON LAST PAGE: _________
(RECRUIT MIX FROM CHAIN STORES, NO MORE THAN 8 STORE MANAGERS OR CASHIERS FROM NATIONAL/REGIONAL CHAIN STORES)
And what is your role/title at the store? RECORD RESPONSE/CODE FROM LIST BELOW: ________________________________
Owner POSSIBLE FOR STORE MANAGER
Store Manager POSSIBLE FOR STORE MANAGER
Accountant TERMINATE
Cashier/Check-out POSSIBLE FOR CASHIER/CUSTOMER SERVICE
Customer Service POSSIBLE FOR CASHIER/CUSTOMER SERVICE
Stocker TERMINATE
Janitor TERMINATE
Other, specify: ____________________ TERMINATE
How long have you been in your current role?
Less than one year TERMINATE
1 to less than 3 years
3 to less than 5 years
5 years or more
How long have you been with the store?
Less than one year TERMINATE
1 to less than 5 years
5 to less than 10 years
10 years to less than 20 years
20 years or more
How familiar are you with the Special Supplemental Assistance Program for Women, Infants and Children often referred to as WIC? Are you…
Very familiar
Somewhat familiar
Not at all familiar TERMINATE
Don’t know TERMINATE
Does your store accept WIC benefits?
Yes
No TERMINATE
Not sure TERMINATE
[FOR Q4=1 OR Q4=2, ONLY]
Overall, what percentage of your customers are WIC shoppers? Your best estimate is fine.
_________% RECORD
IF Q4=1 or 2 (OWNER OR STORE MANAGER) ASK Q10
Which of the following best describes your role with your store in implementing/working with WIC?
Much of your work is related to/associated with WIC
Some of your work is related to/associated with WIC
A small amount of your work is related to/associated with WIC
None of your work is related to/associated with WIC TERMINATE
Not sure TERMINATE
TO QUALIFY AS STORE MANAGER, RESPONDENT MUST SELECT Q10 = 1,2,3 (MUST HAVE AT LEAST SOME ASPECT OF THEIR WORK RELATED TO WIC)
IF Q4=4 (CASHIER) ASK Q11
Typically, how often do you experience challenges or complications when checking out a customer who wants to use WIC benefits?
All the time
Most of the time
Some of the time
Rarely
Never TERMINATE
Not sure TERMINATE
RECRUIT A MIX
Finally, just a few last questions about you.
What is your gender? RECRUIT A MIX
Male
Female
Non-binary
Other, specify_____________
In which state do you live? _____________________
FOR QUALIFIED IDIs:
Thank you for your response! Your answers have qualified you to participate in a more in-depth research interview. The interview will take place in the comfort of your own home or office. The only requirement is that you are in a quiet place with access to a phone and computer with internet connection. We would need 1 hour of your time. As a thank you for participating in this study, if you complete the interview, you will receive [$75 STORE MANAGER / $75 CASHIERS] for your time. Are you interested in participating in this study? YES / NO
IF YES, PROCEED
IF NO, THANK THEM FOR THEIR TIME
Thank you for your interest! These interviews are being conducted using a virtual meeting platform, so it’s important that you be in a quiet place with a computer and high-speed internet access for the discussion. This will allow you to connect with the moderator over a webcam and enables us to share some different test materials with you over the computer screen.
Interview details
Your participation and all feedback will remain anonymous.
The discussion will be conducted virtually – that means that we will send a registration link for the meeting and would like you to be at your computer during the interview.
We can schedule a time that’s convenient for you.
To schedule/confirm
Date, time (time zone), best phone #
Confirm email address for respondent
You will receive a confirmation email with further details.
Respondent's name _______________________________________
Telephone number _______________________________________
Email Address ___________________________________________
What type of device will you be using to participate?
Computer/laptop
Tablet
Smartphone
IF Q14=1 OR 2 (USING COMPUTER OR TABLET)
Do you have a high-speed internet connection that you can use while participating in this research?
Do you have a webcam on your computer, laptop, tablet, or smartphone that you can use for the discussion?
Yes CONTINUE
PLEASE HOLD FOR EDGE REVIEW, IDEALLY ALL RESPONDENTS HAVE
FOR ANY NON-QUALS: Thank you for your responses! Unfortunately, it seems you are not quite the right fit for this study, but thank you for taking the time to answer my questions today.
Q2 STORE LIST
Albertsons
Aldi
Alex Lee Inc
Baker’s
Brookshire’s
City Market
Costco
CVS
Dillons
Fareway
Food 4 Less
Food City
Food Lion
Foodtown
Fred Meyer
Fry’s
Gerbes
Giant
Giant Eagle
Giant Food
Haggen
Hannaford
Harmons
Harps food Stores
Harris Teeter
Hy-Vee
Ingles
JayC
King Soopers
KJ’s Fresh Market
Kroger
Lin’s Fresh Market
Mariano’s
Market Basket
Market Place Foods
Meijer
Pavilions
Pay Less
Piggly Wiggly
Price Chopper
Publix
QFC
Raley’s
Ralph’s
Roundy’s
Ruler Foods
Safeway
Sam’s Club
Savemart
Shnucks
Shaw’s
Shoprite
Smart & Final
Smith’s Food and Drug
Star Market
Stop and Shop
Target
Tops
Vons
Wegmans
Walgreens
Walmart
Weis Markets
Whole Foods
WinCo Foods
Winn Dixie
Other: ______________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Liana Gainsboro;Adam Burns;Lydia Redway;Jon Kulok |
File Modified | 0000-00-00 |
File Created | 2024-10-26 |