Information Collection

1525-0012-0164 US Mint Quantitative Consumer Research (CSM); 1525-0012-0165 US Mint Quantitaive Consumer Research - Retail Counter Survey

IC 199790 under ICR 201109-1525-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1525-0012-0164 Instrument FY2012 CSM Survey - 10-17-11.doc	Other-survey
1525-0012-0165 Instrument USM Retail Counter Survey_6 30 11 (2).docx	Other-survey
1525-0012-0164 - Justification OMB Request CSM Tracking Survey FY12.doc 1525-0012-0164 Justification US Mint Quantitative Consumer Research (CSM Tracking Survey)	IC Document
1525-0012-0165 Justification OMB Retail Counter Survey request Oct 11.doc 1525-0012-0165 US Mint Quantitative Consumer Research - Retail Counter Survey	IC Document

IC Title:

1525-0012-0164 US Mint Quantitative Consumer Research (CSM); 1525-0012-0165 US Mint Quantitaive Consumer Research - Retail Counter Survey

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			1525-0012-0164 Instrument FY2012 CSM Survey - 10-17-11.doc		Yes	Yes	Fillable Fileable
Other-survey			1525-0012-0165 Instrument USM Retail Counter Survey_6 30 11 (2).docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,600	8,600
Annual IC Time Burden (Hours)	438	438
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1525-0012-0164 Justification US Mint Quantitative Consumer Research (CSM Tracking Survey)	1525-0012-0164 - Justification OMB Request CSM Tracking Survey FY12.doc	10/20/2011
1525-0012-0165 US Mint Quantitative Consumer Research - Retail Counter Survey	1525-0012-0165 Justification OMB Retail Counter Survey request Oct 11.doc	10/20/2011

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