State designs are displayed on the reverse (tails) of the quarters, while the obverse (heads) of the quarters continue to display the familiar image of George Washington. To accommodate state designs on the reverse, the words "United States of America," "Quarter Dollar," "Liberty," and "In God We Trust" all appear on the obverse.
State designs are submitted and recommended via a process determined by the governor of each state. The United States Mint reviews the designs for coinability before each governor recommends a final design. Both the Citizens Coinage Advisory Committee and the Commission of Fine Arts provide comments.
The Secretary of the Treasury approves all final designs.