Information Collection

1525-0012-0144 United States Mint Quantiative Consumer Research (Wave 36)

IC 192634 under ICR 200804-1525-003 · OMB 1525-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1525-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1525-0012-0144 Instrument Wave 36 CSM Questionnaire (Q3 FY10).doc www.coinsurvey2Q10.com	Other-survey
1525-0012-0144 Justification OMB CSM Tracking Survey Request.doc 1525-0012-0144 Justification United States Mint Tracking Survey Questionnaire	IC Document

IC Title:

1525-0012-0144 United States Mint Quantiative Consumer Research (Wave 36)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			1525-0012-0144 Instrument Wave 36 CSM Questionnaire (Q3 FY10).doc	www.coinsurvey2Q10.com	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1525-0012-0144 Justification United States Mint Tracking Survey Questionnaire	1525-0012-0144 Justification OMB CSM Tracking Survey Request.doc	04/20/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.