Information Collection

Application for Indemnification

IC 32834 under ICR 201006-3135-001 · OMB 3135-0094.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.