Information Collection

Imls

IC 179792 under ICR 200704-4040-001 · OMB 4040-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 424 IMLS	Form
424 Short Organizational SF424_Short-V1 0SSNMockup.pdf	Form

IC Title:

IMLS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.5

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	424	Short Organizational	SF424_Short-V1 0SSNMockup.pdf		No	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,630

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,630	1,630
Annual IC Time Burden (Hours)	679	679
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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