Web Survey for New Quarters Program FY19

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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

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.