Information Collection

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

IC 216580 under ICR 201407-1525-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1525-0012-0196(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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.