View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	1525-0012-0141 Qualitative/Quantiative Research America the Beautiful Quarters	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			FINAL 1525-0012-0141 Instrument BrainJuicer Campbell-Ewald US Mint Exploratory Qre1 11 10.doc		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	2,500	0	2,500	0	0	0
Annual IC Time Burden (Hours)	917	0	917	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1525-0012-0141 Justification	REV FINAL 1525-0012-0141 US Mint OMB Request_ATB Quarters Launch_Dec_09.doc	01/19/2010

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