View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	1525-0012-0164 US Mint Quantitative Consumer Research (CSM); 1525-0012-0165 US Mint Quantitaive Consumer Research - Retail Counter Survey	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			1525-0012-0164 Instrument FY2012 CSM Survey - 10-17-11.doc		Yes	Yes	Fillable Fileable
Other-survey			1525-0012-0165 Instrument USM Retail Counter Survey_6 30 11 (2).docx		No		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: 8,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

	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	8,600	0	8,600	0	0	0
Annual IC Time Burden (Hours)	438	0	438	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1525-0012-0164 Justification US Mint Quantitative Consumer Research (CSM Tracking Survey)	1525-0012-0164 - Justification OMB Request CSM Tracking Survey FY12.doc	10/20/2011
1525-0012-0165 US Mint Quantitative Consumer Research - Retail Counter Survey	1525-0012-0165 Justification OMB Retail Counter Survey request Oct 11.doc	10/20/2011

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