IMLS Grant Program Application and Post-Award Report Forms

Forms and Documents

Document Name	Status
Form Report form 5 Native American Library Services Basic Grant with Education Option Final Financial and Performance Report Form and Instruction	New
Form Report form 4 Native American Library Services Basic Grant Final Financial and Performance Report Form and Instruction	New
Form State Grants 2 Grants to State Library Administrative Agencies Project Report Form Form and Instruction	New
Form State Grants 1 Grants to State Library Administrative Agencies Financial Status Report Form and Instruction	New
Form Report form 3 Discretionary Grant Final Performance Report Form and Instruction	New
Form Report form 2 Discretionary Grant Interim Performance Report Form and Instruction	New
Form Report form 1 Discretionary Grant Performance Report Cover Page Form and Instruction	New
Form Application form 8 Grant Reviewer Application Form: Museum Professionals Form and Instruction	New
Form Application form 7 Grant Reviewer Application Form: Library Professionals Form and Instruction	New
Form Application form 6 National Award for Museum and Library Service Nomination Form Form and Instruction	New
Form Application form 5 Native American Library Services Basic Grant Project Budget Form and Instruction	New
Form Application form 4 Specifications for Projects that Develop Digital Products Form and Instruction	New
Form Application form 3 Partnership Statement Form and Instruction	New
Form Application form 2 Budget form - detailed + summary Form and Instruction	New
Form Application form 1 Program Information Sheet Form and Instruction	New
Burden estimates rev 5-11-2007.xls Supplementary Document	2007-05-11
Forms justification statement 2nd rev 6-27-07.doc Supporting Statement A	2007-06-27

IC Document Collections

IC ID	Document Title	Status
180031	Native American Library Services Basic Grant with Education Option Final Financial and Performance Report Form and Instruction	New
180029	Native American Library Services Basic Grant Final Financial and Performance Report Form and Instruction	New
180023	Grants to State Library Administrative Agencies Project Report Form Form and Instruction	New
180022	Grants to State Library Administrative Agencies Financial Status Report Form and Instruction	New
180018	Discretionary Grant Final Performance Report Form and Instruction	New
179981	Discretionary Grant Interim Performance Report Form and Instruction	New
179980	Discretionary Grant Performance Report Cover Page Form and Instruction	New
179969	Grant Reviewer Application Form: Museum Professionals Form and Instruction	New
179966	Grant Reviewer Application Form: Library Professionals Form and Instruction	New
179954	National Award for Museum and Library Service Nomination Form Form and Instruction	New
179953	Native American Library Services Basic Grant Project Budget Form and Instruction	New
179949	Specifications for Projects that Develop Digital Products Form and Instruction	New
179948	Partnership Statement Form and Instruction	New
179947	Budget form - detailed + summary Form and Instruction	New
179946	Program Information Sheet Form and Instruction	New

ICR Details

OMB Control No: 3137-0071	ICR Reference No: 200705-3137-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: IMLS	Agency Tracking No:
Title: IMLS Grant Program Application and Post-Award Report Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/03/2007
	Date Received in OIRA: 05/11/2007
Terms of Clearance: Approved consistent with the following terms of clearance: IMLS will include burden statements with all forms cleared under this generic clearance. OMB will review IMLS’s grant program applications, post-award reporting, and peer reviewer applications. IMLS shall maintain a running tally of approved burden hours used by each package under this generic clearance. IMLS will submit grant program applications, post-award reporting, and peer reviewer applications for review by OMB which will generally be conducted in approximately 10 days. However, OMB must affirmatively approve each package under the generic before IMLS begins information collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved
Responses	6,817	0	0
Time Burden (Hours)	14,716	0	0
Cost Burden (Dollars)	347,884	0	0

---

Abstract: IMLS requests clearance for the forms it uses for all of the grant program applications, post-award reporting, and peer reviewer applications. These forms are directly related to the generic clearance for IMLS grant application and award processes (3137-0029) for which a three-year extension was recently submitted.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 64746	11/03/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 20566	04/25/2007
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 15

IC Title	Form No.	Form Name
National Award for Museum and Library Service Nomination Form	Application form 6	National Award for Library and Museum Services Nomination Form
Grants to State Library Administrative Agencies Project Report Form	State Grants 2	State Grants Project Report Form
Specifications for Projects that Develop Digital Products	Application form 4	Specifications for Projects that Develop Digital Products
Native American Library Services Basic Grant with Education Option Final Financial and Performance Report	Report form 5	Native American Basic Grant with Education Option Final Financial and Performance Report
Discretionary Grant Final Performance Report	Report form 3	Discretionary Grant Final Performance Report
Budget form - detailed + summary	Application form 2	Budget: Detailed and Summary
Grant Reviewer Application Form: Library Professionals	Application form 7	Grant Reviewer Application Form: Library Professionals
Grants to State Library Administrative Agencies Financial Status Report	State Grants 1	State Grants Financial Status Report
Native American Library Services Basic Grant Final Financial and Performance Report	Report form 4	Native American Library Services Final Financial and Performance Report
Program Information Sheet	Application form 1	Program Information Sheet
Discretionary Grant Performance Report Cover Page	Report form 1	Discretionary Grant Performance Report Cover Page
Discretionary Grant Interim Performance Report	Report form 2	Discretionary Grant Interim Performance Report
Partnership Statement	Application form 3	Partnership Statement
Grant Reviewer Application Form: Museum Professionals	Application form 8	Grant Reviewer Application Form: Museum Professionals
Native American Library Services Basic Grant Project Budget	Application form 5	Native American Library Services Basic Grant Project Budget

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,817	0	0	6,817	0	0
Annual Time Burden (Hours)	14,716	0	0	14,716	0	0
Annual Cost Burden (Dollars)	347,884	0	0	347,884	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Prior to this clearance submission, all of the forms related to IMLS' grant programs were included in the generic clearance 3137-0029. On recommendation from OMB, the forms are now submitted for separate clearance. The hours/costs included in this submission are now separate from the hours/costs represented in the generic clearance. IMLS reviewed all forms (application and post-award reporting), including the estimated burden hours, which are reflected in this submission.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/11/2007

---