Information Collection

Web Survey for New Quarters Program FY19

IC 234821 under ICR 201802-1525-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
U.S. Mint Quarters Themes - Consumer Research - Questionnaire 2-1-19.docx	Other-Survey
1525-0012 Quarters Themes Program Quantitative Web Survey of U.S. Consumers.docx Quantitative Web Survey of U.S. Consumers - Justification	IC Document

IC Title:

Web Survey for New Quarters Program FY19

Agency IC Tracking Number:

1525-0012-0121

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320 5(b)

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			U.S. Mint Quarters Themes - Consumer Research - Questionnaire 2-1-19.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: Currently Approved Information Collection Request

FR Citation: 83 FR 8318

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Quantitative Web Survey of U.S. Consumers - Justification	1525-0012 Quarters Themes Program Quantitative Web Survey of U.S. Consumers.docx	02/08/2019

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