Application for Indemnification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0094 can be found here:

Documents and Forms

Document Name Document Type
Indemnity Application Instructions.doc Instruction
3135-0094 Arts and Artifacts Indemnity Program International Indem Application Instructions for Oct 2009 Int'l Deadline.doc www.arts.gov/grants/apply/Indemnity/indemnityInternational.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Indemnification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Indemnity Application Instructions.doc		Yes	Yes	Printable Only
Form and Instruction	3135-0094	Arts and Artifacts Indemnity Program International Indemnity	Application Instructions for Oct 2009 Int'l Deadline.doc	http://www.arts.gov/grants/apply/Indemnity/indemnityInternational.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	2,233	-17	2,250
Annual IC Cost Burden (Dollars)	90,000	0	90,000

Documents for IC

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.