1525-0012-0196-FY15/16 CMS Focus Groups 1525-0012-0197-Platinum Eagle Consumer Research

Generic Clearance for Voluntary Surveys to Implement E.O. 12862

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
1525-0012-0196(a) FY2015 and FY2016 Focus Groups Discussion Guide 4-27-15.docx Instruction
1525-0012-0197 US Mint AE Platinum and 100th Anniversary Design Questionnaire - FINAL - .docx Other-questionnaire
1525-0012-0196(c) FY2015 and FY2016 Customer Screener_6-2-15.docx Other-survey
1525-0012-0196(b) FY2015 and FY2016 Non-Customer General Screener 6-2-15.docx Other-survey
1525-0012-0197 OMB FY15 Platinum Research for years 2016 - 2018_final_5-7-2015.docx 1525-0012-0197 US Mint Quantitative Consumer Research - Platinum Eagle and 100th Anniversary IC Document
1525-0012-0196 OMB Request_FY16 CSM Focus Group Research_5-20-2015.docx 1525-0012-0196 OMB Request FY16 CSM Focus Group Research IC Document

Information Collection (IC) Details

IC Title:	1525-0012-0196-FY15/16 CMS Focus Groups 1525-0012-0197-Platinum Eagle Consumer Research	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	1525-0012-0196(a) FY2015 and FY2016 Focus Groups Discussion Guide 4-27-15.docx	No		Fillable Fileable
Other-questionnaire	1525-0012-0197 US Mint AE Platinum and 100th Anniversary Design Questionnaire - FINAL - .docx	Yes	Yes	Fillable Fileable
Other-survey	1525-0012-0196(c) FY2015 and FY2016 Customer Screener_6-2-15.docx	No		Fillable Fileable
Other-survey	1525-0012-0196(b) FY2015 and FY2016 Non-Customer General Screener 6-2-15.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: 4,880	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,880	4,880
Annual IC Time Burden (Hours)	2,060	2,060
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1525-0012-0197 US Mint Quantitative Consumer Research - Platinum Eagle and 100th Anniversary	1525-0012-0197 OMB FY15 Platinum Research for years 2016 - 2018_final_5-7-2015.docx	05/12/2015
1525-0012-0196 OMB Request FY16 CSM Focus Group Research	1525-0012-0196 OMB Request_FY16 CSM Focus Group Research_5-20-2015.docx	05/22/2015

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