Information Collection

20807 US Mint Mobile survey

IC 252113 under ICR 202204-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 20807 US Mint Mobi 20807 US Mint Mobile survey	Form and Instruction
20807 US Mint Mobi 20807 US Mint Mobile survey 20807 US Mint Mobile survey.xlsx	Form and Instruction
20807 US Mint Mobi 20807 US Mint Mobile survey 20807 US Mint Mobile survey.xlsx	Form and Instruction
1090-0008 Clearance Request Form_USMintMobile_Sept 1. 2021_signed.pdf 1090-0008 Clearance Request Form_USMintMobile_Sept 1. 2021_signed	IC Document
1090-0008 Clearance Request Form_USMintMobile_Sept 1. 2021_signed.pdf 1090-0008 Clearance Request Form_USMintMobile_Sept 1. 2021_signed	IC Document
1090-0008 Survey Mapping Document US Mint Mobile Aug 24 2021.xlsx 1090-0008 Survey Mapping Document US Mint Mobile Aug 24 2021	IC Document
1090-0008 Survey Mapping Document US Mint Mobile Aug 24 2021.xlsx 1090-0008 Survey Mapping Document US Mint Mobile Aug 24 2021	IC Document

IC Title:

20807 US Mint Mobile survey

Agency IC Tracking Number:

20807 US Mint Mobile survey

IC Status: Unchanged

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
Form and Instruction	20807 US Mint Mobile survey	20807 US Mint Mobile survey	20807 US Mint Mobile survey.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,900	6,900
Annual IC Time Burden (Hours)	575	575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1090-0008 Clearance Request Form_USMintMobile_Sept 1. 2021_signed	1090-0008 Clearance Request Form_USMintMobile_Sept 1. 2021_signed.pdf	03/11/2022
1090-0008 Survey Mapping Document US Mint Mobile Aug 24 2021	1090-0008 Survey Mapping Document US Mint Mobile Aug 24 2021.xlsx	03/11/2022

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